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HomeMy WebLinkAbout604 S Liberty St (2)ELECTRICAL PERMIT CITY OF PORT ANGELES 360-4t'1-4735 oo \n -L Applicat.ion Number ApplicaEion pin nudber Pr:operty Address ASSESSOR PARCEL NUMBER: ApplicaEion t).pe description Subdi.vision Name ProperEy Use Property Zoning Application valuation 18 - 00 001954 DaEe 2t'7820 504 S L]BER]Y ST 06 - 3 0 - 11- 5 -4 - 004 0 - 0 000 - ELECTRICAL ONLY a/24 /t9 REPORT STATE SALES TAX on your excise tax form to the City of Poft Angeles (Location Code 0502) RS7 RESDNTL SfNGLE FAI4ILY o Owner HALLER ERIc/TERESA 604 S LIBERTJ ST PORT ANGELES ANGELES ELECTRIC 524 E- 1ST ST. PORT ANGELES \360) 452 9264 wA 94362 wA 94362 Permi E Addi ts.iona I Issue Date Expiration ELECTRICAL ATTER RESIDENTIAI 1-4 CrR ?5.00 Plan Check Fee t/24/t9 valuaLion 1/23/t9DaEe 00 0 Qty UniE Charge Per BASE FEE Extseosion 75.00 Charged Credit.ed Due PermiE Fee Total Plan Check Total" Gr:and Total ?5.00 .00 75 .00 ?5.00 . o0 75.00 00 00 00 00 00 00 INSPECTION TYPE RESULTS INSPECTOR: DITCH SER\'ICE ROUGH-IN FINAI- 6+)- PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contactor X Date DATE: COMMENTS: 12/28/2018 10:29 FAI 360 452 9265 Project Address: Name: Mailing Address: Mailing Address: Emaii: llem Service/Feeder 200Amp. Service./Feeder 20'1.400 Amp. SErvice/Feeder 401 -600 Amp. ServicdFeeder 601.1000 Amp. Servic€/Feeder oYsr 1 000 Amp. Branch Circuit W SerYics Feeder Branch Circuit WO SsMco Feeder Each Additional Brandr Cirs.rit Branctr Circults 1-4 Temp. SeNls€/Feedor 200 AmP. Temp, Service/Feedsr 20'l-400 AmP. TEmp. Temp, Portal Shnal Service/Feed to Portal Hourly Circuiuumited Manubctursd Home Con Renewable Elec, EnBrgY: OEIUEI} ! I,tf Anaeles Electrlc @ oool/ooo1 1-2SING E.FAMILY Public Wbr*s and Utilities Department -UI E. 5!h Street, PortAngeles, WA 98162 3 60.4 17 .47 3 5 | www.ci tyofpa. us I electricalpemrits@cityofu a.us oLl \ q \ Projecl oescription: E Singlg-Family Residential E Duplex / ARU Building Squarc footrtgo; l,-t Email: Ournllly TOIAL 3be 7&"7Phone: Licensa:IN t F L4lal) iouinthi r:Unh Chafc)s--g- t _.____-.__......g_.- $-- 8_ 3_ a;-v# s__----.----: 3 s Expiretion Oale -@L22-Uenone, fu.3b4212-*-- ll![,C!!rgr 3r20.00 3146.00 3205.00 t262.00 t373.00 05.00 t63.00 ss,00 t75.00 idi,oo s14s00 Ownsr as defned by RCYV.1S.26.2O1: (1) Ornsr will occupy tha stuci{t for tlvo y.aB 8fi.rrhlr C.ctdc.l P..mlt ls finrllz.d. (2} Orn€r h reqrirad io t irs an ;ectrtcal contraaoi it auove ssid pop;;t), tc for rala, l6nl or laa!., Parmlt l')9lrat all.r 3ix mootm of bd kLp.dlon. After reading ths abova statsment, I hsreby certlly that I am tha ownar of tha tDoYc ntmsd Propalty or r llccnrad Glocltlcal oonlra6-tor' I am making tho otgctricsl installstion or slt8ration ln aomplirnco nllh tll. .lsctlcd l8w!, N.E C., RCw. Chapter 1928. WAC. ChrPbr 20& 468, Thc of Porl Muoiclpsl €nd Spsclricationa and PAMC 1 P.rmlt AppllcstlonE. Data Print Nam€ggnature (D Ownsr / Adminblrator) OWNER INFORMATION ELECTRICAL CON'|RACTOR INFORTVIATION t PROJECT DETAILS Amp. [Etectricat permit Applications may bE submlttsd to City Hall or slectricalpormits@cityofpa.us or faxsd to 360 '411,47111 r Name: -:-- I . .l