HomeMy WebLinkAbout1026 W 5th StApplication Numbe!
Applicati.on pin number
ProperEy Address
ASSESSOR PAXCEL NUMBER:
ApplicaEion t),pe description
Subdivision Name
Property Use
Property zoning
Applicalion valuation .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t74735
18 - 00 00148 8 Dale 9/25/18
61L254
1025 W 5TH ST
06 -30 - 00 -0 - 1- 0830 - 0000 -
EI]ECTRICAL ONIJY
RS? RESDNTL SINGIJE FAMII'Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
S1
I
$
Owner Conlractor
1026 W 5TH ST
PORT ANGELES
120'7) 229 512A
524 E. 1ST ST.
PORT ANGELES
l)60) 452 9261
wA 9435321t 5 wA 98362
Perni.t
Additioral desc
Fermi.L Fee
lssue Date .
ExpiraEion Date
ELECTRICAIJ AI]TER RESIDENTIAIJ
14 ClR
75.00 Plan Check Fee
9/25/18 Valuarion
3/24/t9
00
Qty Uni! charge Per
BASE FEE
ExEension
75. 00
Fee summary Charged Pa rd CrediLed Due
Permit Fee Total
Plan Check TotaL
75. 00
.00
75. 00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM [.AST INSPECTION
INSPECTION TYPE DATF:RESULTS:INSPECTOR:
DITCH
SERVICE t1
ROUGH-IN T/at ln 4*
FINAL //
COMMENTS:A*c-
Signature of owner or Electrical Contractor X Date:
75 .00
.00
75. 00
l/€-
Project Address:
Name;
Mailing Address;
AnBeles E lectrlc
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Srorks and Utii'ities Deparhlcnt
3l I E. 5th Street. Pon.,Lngeles, \1A 98162
-r60..1 1 7.47i5 I rvrr.w.cityotpa"us I electricalpemritsr-4)cityofpa.us
idential E Duplex / ARU Building Square footago:
Email:
Phone:
@ 0001/ 0 0 01
EII,CTRICAT
-o
ol
*
\
I
$
Dr,
4.u
Mailing Address :524
Ema
Item
Service/Feeder 200Amp.
ServicelFeeder 20'1-400 Amp.
ServicelFeeder 401-600 Amp,
Servic€/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Cirsrits 1-4
Temp, Service/Feeder 200 Amp.
Temp. Servic€r'Feeder 201-400 Amp.
Temp.
Temp.
Portal
Signal
STREET, PORT ANGELES WA 98362 Expiration Date:02t1812019
Phone:364-452-9264
Charge)
$
s
!
$
$
$
!
$
$
b
$146.00
$205.00
$262.00
$373.00
$ro0'
$63.00
$s.00
$75.00
$93'oo
$110100
-
--7-
'--------'t-
S
to Portal Hourly
CircuiULimited
Manufactured Home
TOTAL
Own6r as derined by RCW.19.28.261; ('l ) Owner will occupy the struc-tuIe for tt|o years aflsr this electrical pemit is fioalizsd. (2) Owner ls
requir€d to hire an electrical contraclor it above said property is for sale, rent or lease- Permit €xpires affer six months of last impaction.
After r€ading the above statement, I heroby cartiry that I am the ownar ol the above namod property or a licanssd elgctrical contractor. I
am making the electrical installation or alteration in compliance lyith the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296
468. The City Port Angeles Muni Code Utillty and PAMC 1 5.050 nE Electdcal Appllcatlons.
Date Print Name Signature (Owner ect ical / Administrator)
Amp.
[Electrical Permit Applications may be submitted to City Hall or electdcalpermits@cityofpa.us or faxed to 360.4'17.47111
09/20/2018 09:00 FA.{ 360 452 9265
Name: ANGELES ELECTRIC, lNC. License: ANGELEI460RS