HomeMy WebLinkAbout1305 Rook DrApplica!ion Nurnber
Application pin number
Property Address
ASSESSOR PARCEI NUMBER:
Application .tsype descriptsion
Subdivision Name
Property Use
Property Zoning
Application valuatsion
RS9 RXSDNTL SINGITE TAMILY
0
18 -00001919 Date L2 / 20 /tA
4105 0 7
13 05 ROOK DR
06- 3 0 - 14 - 6 - 7 - 028 0 - 0000 -
ELECTRICAI, ONIJY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CN
I
ConEracEor
GREEN CROW TIMBER LtC
PO BOX 2439
PORT ANGELES WA 983620312
ANGELES ELECTR]C
524 E, 1ST ST,
PORT ANGELES
l36A) 452-9264
wa 98352
Per_mi E
Additional desc
Permrt t'ee
Issue Date
Expiralion Date
ELECTRICAIT AI'TER RESIDENTIAL
1-4 CIRCUITS
75.00 Plan Check Fee
L2/ 20/ tB vdluarion
6/LB/t9
00
0
Qty UniL Charge Per
BASE FEE
ExEension
?5.00
Charged Paid Credited Due
Pernits Eee Totsaf
Plan Check Total
75.00
.00
75 .00
75 .00
.00
75 .00
00
00
00
PERMIT WILL EXPIRE StX (6) MONTHS FROM [.A.ST INSPECTION
DATE:RESULTS:INSPECTION TYPE INSPECTOR:
DITCH
SERVICE
ROUGH.IN
COMMENTS:€2-"r'-
III
Signature of o\lner or Eleci{ical Contractor X Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
Application desc
Eo! tub
.00
. o0
. o0
FINAL
ELl-2 sF
12/79/2018 07:43 FAI 360 452 9265
Name:
Mailing Add.ess:
Name;
Mailing Address:
Email:
Item
Service/Feeder 200 Amp-
Service/Feeder 201-400 Amp.
ServicdFeeder 401€00 Amp.
Service/Feeder 60r-1 000 Amp.
Service/Fe€der oYe|1 000 Amp.
Brancfi Circuit W SerYica Feeder
B.anci Circuit WO SeMce Feeder
Each Additional Brench Circuit
Erandr CircuiB 'l-4
Temp. SewlcE/Fedder 200 Amp.
Tsmp. Seryic€/Feeder 201-400 Amp.
Project Address:l5a5
Proiect Description:
EI Single-Family Residential D Duplex /ARU Buildlng Squars fooiEge:
1 - 2,SINGLE:FAMILY
ELECTRI CAL PERM IT APPLICATION
hiblic Works and Utilities Deparnnent
321 E. 5th Street, Port Angeles, WA 98162
36A.11'1.4715 | wrvrv.eityofpa.us I electrioalpermi*@cityofua.us
D
Email:
Phone:
AECEIUED
-i.i '.
2A1B
EIECiRICAT
INSPECIIONS
licerce: AN.*.LF A.4bn B <
Expiration Oalet t9-'O I ' 2.D 2-.O
pn"n ,3uo- +bM2Jt*
Angeles Electr ic a 0001/0oo1
!
E
lsft.-
PP
-s
-tr
g
U.nlt ch..dr
$ 120.00
$146.00
$205.00
$202.00
$373.00
, os.oo
$63.00
05,0q
075:00
Eg:q.!oo .
s110:00
Curltill
.--
-i_I i
D
Temp.
TEmp.
Portal
Signal
Service/Fee
to Poftal Holdy
CircuiuLimited
Man ufectured Homs
IOTAL
Oyvner as defined by RCW.19,28261: (1) O,ynor wilt occupy th. Euu61ur. Er trro yeals after thb eloclricat Pomit la ltnalized. (2) Own.r ls
r6quiEd to hirs an slsctrical contrac{or if above laid proparty ia fur sale, tart or l€a!., P€rnit orplr88 sfier llx monlhE of hrl lmPadlon,.
After rsading th6 above statemBnt, I hBreby cenit that I am lh6 oyrn6r of the aboye namad proPctty or a licamed slecficd conttaaior' I
am mrking the el6ctrlo6l in3tallalion or €ltsration in cofiipllancr with the el6c'tical laws, N.E.C., RCW. Chsptar 1 9.26, WAC. ChapLr 29&
468, Th6 City of Pon Angel6 Mun Code, and Utlllty Spsclfloallond and PAMC '!El€ctdcal P.rmit Ap'pllcetlons..
Dato Print Name Signaturc (El Owner Elec-lrical / Adm tor)
$t-&'
-8---:------
3_
OWNER INFORMATION
lEtectrical Permit Applications may be submlttad to City Hall oi oleoficalp6rmib@cityotsa.us (r frx€d|o 3A0.117,1711!