HomeMy WebLinkAbout905 Willow Ave (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS9 RESDNTL SINGTE FAMILY
0
REPORT STATE SAI-ES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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NApplication Nuiriber
AppficaEion pin number
Property Address
ASSESSOR PARCEL NUMBER:
ApplicatioI' tl?e descripEion
Subdivision Name . .
Property Use
Property Zoninq
Applicatsion valuation
18 - 00001722 DaEe tt/o1 /7a
513 94 4
905 WTLLOW AVE
05- 3 0 - 15 - 5 - 2 - 0340- 0000-
ELECTRICAL ONLY
Application desc
Hot tub
Amy & Eric ltemple
905 WILLOW AVE
PORT ANGEIES
ANGELES ELECTRIC
PORT ANGELES
\360) 452-9264
wA 983525758 wA 98362
Addi L iooal
Issue Date
Expiration
a.".
Dat.e
ELECTRICAL AIJTER RESIDENIIAL
1-4 CIRCI]ITS
75.00 P1ar1 Check I'ee
L!/ 01/ 18 valuaEion
s/06/19
00
0
Qtsy Unit Charge Per
BASE FEE
Extension
75 .00
Eee summary
Permit. Fee Totsal
PLan Check Total
Grand ToEal
75.00
.00
75. 00
75 .00
.00
75 .00
o0
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:Ly-
TII
Signature ofowner or Elecirical Contractor X Date
Contractor
:ii:Y:: :iti :::1::i , :::
ll/06/201,8 09:29 FAtr 360 452 9265
l,lailing Addres
Anceles Electric
1 .2 SINGLE.FAMILY
L TRI P T P
hrblic trorks and Utilities Departrnent
321 E. sth Street, Porr Angeles. WA 98362
3bA.417.4'l 35 | www.cityofpa.us I electricalpemrits(g)ciry'ofpa.us
Email:
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ProjectAddress:
Project Description:
El Singte-Family Residential Dupl ARU Building Squars footago:
Name:
Name: ANGELES ELECTRIC lNc.
t\,1ail'ng 4(/1gs5; 524 E, Fl STREET PORT ANGELES WA 98362
mail: ksi
Licenss:ANGELE146ORS
Expiration Date:ozt18t2019
Phone:360-452-9264
lrelo
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit Wl Servico Feeder
Branch Circuit WO Service Feeder
Each Additional. Branch Circuit
Branch Circuits 1-4
Temp. SeMce/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp.
Iemp.
Portal
Signal
to Portal Houdy
Ckc!iVUmiled
Manufactured Home
$
$
,$I
s
$
$
3
$
$
s
=T
TOTAL
Owner as defned by RCW.19.28.281: (1) Owner wil ocrupy the stuchra fof two yEaB aftet thls electrical permit b flnalked. (2) Owlar is
rcquired to hirg an electrical co tractor if aSove saH property 18 futr sale, rerf or laase, Pa,mit axdro3 aier six months of last in8podbn,
Afler reading the abov6 staGment, I hereby certify that I am the ownor of lho aqor€ nam€d plopsdy ot a lkrirssd slec'fical confador' I
em making i-tre etect cal inEtatlation or alteration ir-r complianc€ with tha ele.trical law8, N.EC., RCW. Chaptar 19:2E, WAC. Chaplst 295-
468,of PortAngeles Munidpal and Utlllty Spedf,catiom PAMC 1 .050 5lgctrical Pstnlt Appllcauon8.qitv
Name Signature (D Contractor I Admlnistrator)
OWNER INFORI/ATION
lEtectdcat Permit Applications may be submitted to City Hall or etecticalp€rnits@cityofra.us or faxed to 360.'117.47111