HomeMy WebLinkAbout131 E 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
\$
Itt
\t
Applica!i.on Number
Applicacion p j.n nufiiber
Propertsy Address
ASSESSOR PA.RCEL NUMBER:
Application t!?e descriptsion
Subdivision'Name
Property use
Property zoning
ApplicaEion valuation
18- 00001834 Date
37',7L34
131 E f2TH ST
06 - 3 0 - 00 - 0-3 -43 92 - 0000-
ELECTRICA! ONLY
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
t2/04/La
ConErac!or
ALEX iT AND SYDNEY RUBIN
131 E 12TH ST
PORT ANGELES WA 983527811(350) 660 5930
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
l36O) 4s2-9264
wA 98352
Permit
AddiEional desc
Permit Fee
Issue Date
Expiration DaLe
ELECTRICAL ALTER RESIDEMTIAI]
1-4 CIRCUITS
?5.00 PIan Check Eee
t2/04 /7A val\.aLion
6/02/t-9
00
0
Qty Units Charge Per
BASE FEE
Extension
75 .00
Fee summary Charged Paid Credited Due
PermiE Fee Totsal
Plan Check Total
Grand lotsaI
75 .00
.00
75 .00
75 .00
.00
75 .00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN i^-l?-l?,H
FINAL
COMMENTS g-Y-\
PERMM WIL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
Applicatsion desc
Fridge , !,iasher and Dryer
.00
.00
.00
,+d)
12/03/2018 10:17 FAX 360 452 9265 AnBeIes E lectric
1 .2 SINGLE.FAMILY
ELE T A P MIT PLI
hrblic Works and Utilities Departrnent
3?1 E. 5th Street, Port Angeles, WA 98362
$A.117.4735 | *rvr+'.rityofpa,us I electricalpornrits@cityo&a-us
@ o oo1/ooo 1
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EOEIUEI} *
UEL CD
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INSPECfiOIIS
PrcjeclAddress:
Project Description:
plex /ARU Building Squaro footage:
Name:
Mailing Address
Email:
Phone
Name:ANGELES ELECTRIC INC.
Mailing Address:
g6s;1; ksi
l!c.!o
Service/Feeder 200 Amp.
ServicdFeeder 201-400 Amp.
Service/Fseder 401-600Amp.
Service/Feeder 601-l 000 Amp.
Service/Fe€der over 1000 Amp.
Branch Circuit wl Service Feeder
Branch Circuit WO Service Feeder
Each Additional.Branch Circuit
granch Circuits 1.4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
524 E..El STREET PORT ANGELES WA 98362
License:ANGELE146ORS
Expiration Dato:o2118t2019
Phona:300-452-9264
Charge)
:i2os.oo
E?6?.00
, $Z:A:oq:
$froQ
sffit0b
85.00
$7500
$e3:00
iorrd,6o
Temp. SeMcelF
Temp, Servi
Portal to Portal Hourly
Signal Circuiuu^mlbd
Manufactu.ed Home Conn
TOTAL
After eading tho above statement, I hareby certify that I am ti8 qxngr of tha a9ove nam6d ptog€rty or a llceirssd eloatrlcal conrasbr. t
am making the eleckical installation or elteralion in compllanc€ with tha elaafical law3,N.E.C., RCln . Chaptlr 19,28, WAC. ChaPltr 296
468, The PortAngel$ Mun Code, and Utility 8nd PAMC 1 05.050 Eleclrlcal Psrmlt Apdtcation 3.
Own6r as defined by RCW.19.28.261: (1) oliynsrwi! occupy tho structutB fortwo years ai.rthis etect ical permlt ls f,naliz.d. (2) OtYrcr b
required to hhe an ilecUical contrac'torii above said property b for sala, rent or lsase. Pormh sxpk6 affor aix tnonlhs ol last inspocdon.
Print Name SignaturE (E Owner / Admlnistrator)
E Single-Family Residential
OWNER }NFORMATION
DETAiLS
):lrr:,
's:
$_lw,'
$ ,:1" ,,,i:
lEtecuicat permit Applications may be submitted b Oty Hall or olectricalpermib@cityofpa.us or faxed to 360.417.47111