HomeMy WebLinkAbout123 W 4th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
R.ESIDENTIAI I{IGH DENSITY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-Ott
NApplication Nunt3er
Application pin number
Property Address
ASSESSOR PARCET NI]MBER:
Application Eype descriplion
Subdivision Name
ProperEy Use
Property Zoning
Application valuaEion
19 - 00001472 Date 9/24/1-9
065600
123 W 4TH ST
06 - 30 - 00 -0 - 0- 7050 -0000-
ELECTRICAI, ONI,Y
Application desc
Remove a1I knob and tube
Ovrner Contractor
calhy LaBelle
123 W 4TIr ST
PORT ANGELES
(2s3 ) 686 0505
KTRSCH E]JECII,IC lNC
P- O. BOX 33 96
SEQUlM
(360) 583 6819
wA 983522805 wA 983 82
PermiC
Additsional desc
Permit Fee
Issue Date
Expiration Date
113 .00
9 /24 /re
3/22/20
Pfan check Fee
Valuation
00
0
oty Units Charge Per
10 .00 5 .0000 ECH
1. 00 53 .0000 ECH
EI, ECH ADDNT BRANCH CIRCUIT
EI,-R- BRANCH CIR WO/ SER FEED
Extension
50. 00
53. 00
Charged CrediEed Due
PermiE Fee ToEal
Plan Check Totaf
00
00
00
113.00
.00
113 .00
113
113
00
00
00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE r,o /zblcT )F-rc
ROUGH-IN )o ln ln JK .gil
th)a d 3q&>
COMMENTS:
Signature ofowner or Electdcal Contractor X Date
ELECTRICA], AITER RESTDENT]AL
RESULTS:
FINAT
df:?,o^, n ?0/g_1 - 2 SINGLE-FAMILY
ELECTRICAL PE MIT APPLICATION
Publjc l.'vorl< s and Utiliries Deparlment
32 I E. 5th Srreet. Polr Arrgeles. '\iA 98361
j60.417.:+73j i r.r.ir.$..cirr ofl_.r::. us telL.crricalDenuits@clt;.olpa,us
a .qsS+
!o
3
$
-Jl
I
F
"lN
I
Project Address:
Project Descripti
Name:
on
Single-Famity ResidentiaL E Duptex /ARU Buitding Square lootage
Email:
I\4ailing Addressi 5c-xv^-.'q-Phon
License:
Exp
03oa
3;i-5-Name:
MEiling Ad{ress
Email:rCs iration Date:
PhoneiC
It€m !.
Service/Feeder 2OO Amp.
Service/Feeder 2Ol 3OO AFip.
Service,/Fe€der 401-600 Amp.
Service/Feeder 601-10m 4np.
Service/Feeder over 1@0.Amp.
Branch CircuitW Service-'Feeder
Br3nch Circuit wloservlce Feeder
Each Additional Branch CircLrit
Branch Circuitsrl -4 i
a3
-- '. Unit Chaiue
- $120.00
"$tli6.oo"
$ios.oo'
szez.bo
$373.00
$5.00
r\-)\
Ouantltv !Ola! (Quantity x Unlt Charge)
$
$
$
$
$
,$
'___$63
r -55-00 - -l{)
$
$
$
$
$
$
$
$
Temp. ServicdF'irder 2OO Arnp.
Temp. Service/Feeder 2O+-4OO Amp:
Temp. ServicdFeeder 401-600 Amp.
Temp. ServicdFeeder 601 -1 0O0 Amp-
Portal to Portal Houdy
ggnal CirariuLimited Energy, 1&2 DU.
lvlanufactured Home Connection
Renewable Eiec. Energy: SKVA Sfstem or tess
Thermostat (Note: $5 for each additiona!)
FiEt 13@ Square Feet
Each Additional 500 square feef'
Each OuHouilding / De*ted Garage
Eadr Swimming Poot / Hot Td3
,(]oTOTAL
Ouner as defined by RCW-19.28.261: (1 ) Olr,ner willoc.Ijpy the stn cture lor tri,o years after this
required to hirc an electrical contractor if above said property is for sa e, rent or rease. permit ex pires affer six monlhs of last inspeclion
cal pemit is finalked- (2) Owner is
After reading rle aboye statemenl, I herebry cBrtify that I am the owner of the 6bove named property or a licensed declrbal contractor Iam making the dectrical instdlation or alteration in compfance with the elecdricat taws, N-E C., RCW Chapter'19.28, \,\tAC. Chapter 2gS468, The Clty of Po.tAngeles Municipal Oode. and Uflity Specifications and mMC i 4.Os .050 rtgarding P Appllcations.
,.$
it o
!
E n"r9-
Date Signatur€ (E Owner I Cont Administrator)
[Electrical Permit Applications may be submitted to city Hall or etedricalpermits@cityofpa, us or faxed to s6o.417.4711.i
Id 698Ge8909e cr.rtcal= qcs.l) d7;:99 61, 97 deg
$75.00,
$93.00
$110.OO
s149.00
s168.00
$96.00
$64.O0
$r20.oo
$102.00
$s6.m
$120-m
$40.00
$74-OO
$1'r 0.00
Pdnt Name
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ELECTRICAL INSPECTION
WIRING REPORT
417-473E
APPROVED
DITCH
HOUGH IN/COVER .bEL
SEHVICE
FINAL n
COBBECTIONS NEEDED: (qrz1{o U€-A t ['. t, r-I r, 3-Ab
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D./
NONTY INSPECTOR WHEN CORRECTIOT*S
ARE COMPLETED WTHITT 15 DAYS
- OO NOT REMOVE _
DATE]
rcltn,lfi tQ - lzJ,.*-)
INSPECIOEw
OWNER
CONTFACTOR
Kr*4 C:4 6t-FE<-i-r.J.c-
ADDRESS
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