HomeMy WebLinkAbout219 W 9th StApplicatsion Number
Applicalion pin oumber
Properly Address
ASSESSOR PARCE1 NUMBER:
Application t!?e descriptsion
Subdivision Name
Propercy Use
ProperEy Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'.7-4735
RS7 RESDNTI, SINGI,E FAMILY
0
18 - 00001a11 DaLe t2/03/1A
590015
219 W 9TH ST
0 6- 3 0 - 00 - 0 -2 - 5585 - 0000-
ELECTRTCAI, ONLY
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application desc
service change
Contraclor
LAt RroN, !4rct{AEr A/TAMARA R
219 W 9TH ST
PORT ANGELES WA 9A352
ELECTRIC SERVICE
503 RHODES RD
PORT ANGEIES
(36A) 452-6424
wA 98352
Permit
Addi t.iona l
Issue DaEe
Expiration
a.'i
Date
145 _ 00
tz/ a3 /taG/at/le
ELECTRICAI AITER RESIDENTIAL
Plan Check Fee
valuation
Permits Fee Total
PIan Check TotaI
t16
746
00
00
00
146
145
00
00
00
00
00
00
. o0
.00
.00
00
0
oEy unit Charge
1.0 0 145 . 0000 ECH EL.2O1 4OO SRV FEEDER
Extension
145. 00
Charged Paid Credited Due
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE l7-- ZP -t 0 lP f@
ROUGH-IN
FINAL ru[zlrq @ bn- b )n,o,nl
COMMENTS:
Signahrre of owler or Electrical Contractor X Date
1 - 2 STNGLE:FAMILY
Public Works and Utilities Dbpartment
321 E. 5th Street, Port Angeles, WA 98362 '/0lr o
!
1*t.-
ITlot-t-360.417 -4735 i *ww.cityofoa.us I elecnicalpcrmitsl@ityofpa LIS
Projecl Address:
Pltiect DcBctipton:32,5
Sinoh+am y RcsidfiEal D nPlex /ARU BuiBing Square foobge:
Name:Email:
2on
Mailing AddEss:7t?L w9 fA PIono:o
Ucen6eNrme:
Melling Addr63:
Emall:
scrvloGF cC..200 Atl9-
SorYicarFa€dar 20'1{00 AnP.
Servic€rfu der /$ I {m Anlp-
SerMoo/F6ed6 601 J000 ArrlP.
S€.vicerF€eddr oY€t 1000 ltrrp-
Br.nch CiGUlt W So.vhr Fod€r
Branch Cirqrlt l'$O se i e Feqbr
Edr Additionrt Brandt CiIqJt
Brenci ciruJG l-1
tenE, Serlrier?€ed€r 200 ArP.
Temp, Sarvi€a/Fradar 201-100 AtnP-
Teflp. Sen irfeeder 401{00 AtrP,
Tsrlp. Se icE/Fs€dGlr 601-1000 AnP-
Mal to Pofial Houiy
Signal Circuil^ktH EflergY - 1&2 OU.
MaruEcdxed Horne ConneElbfi
RrnlvrabE ELc. EneEy; Sl(/A SlqtER s lF8g
Phona:
Date to-
x Unlt
llTBEIr0120.6
Et{5,m
ca05.00
sa8a00
t073.fi
15.00
853-00
15.o
gI5.00
t93.@
trt0,00
5149.@
$taa.oo
t96,OO
fi,4,00
$120.@
$i@,00
it
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$Tflermodtat Nob: 35 hreacjr
Y6IAL
Orrn r aE d€fiood by Rcw ier8.261: (1)O,vner will o€€upy lh€ eftJ(tjre fur n rrs yesr8 Blbr thiE eledricsl gennlt b firdi:od (2) owner i5
Gquiltd to hire Eh ele'dlic€l conGdor it abov€ €ad ptogarty b to( sah. tglt or l€8sa.Psmit sxDirls tftarsix rnonths ol IeBt inspaclioa-
Aftsr Gsding fte abo,re stabtrleht, I hereby cen t $* I am th6 om6| ot thc abo/? narncd g@.dy or a [ctnEad clcdicsl cDnfaclor. I
am mtking $tE electrixl inelatatitn o. gltsratior in compfilncs with th3 €l6rtrbal lslrq N'a-c,, RCW.Chep?c.I 9.28, t/\AC. Chaptt! 296"
468, Th€ City ol fu Ang€los MuniiPal Cod€. ard tftdity sproittcathere snd P$rc 14.05.e50 regaftli n, Eledrlcal Pe.mlt APplic€tb€
Print Namc SignatuIe (ornerp Elecuioel Contraclor /Admini;tratoi)
Date
OlT.1NER INFORh,?ATION
tr-
ELECTRICAL CONTRACTOR INFORLIATION
PROJECT DETAILS
lEtectricElPeffiitApplicstbmmayb€submitt€dtoQityHsllofeledrlcalp€rm(s@cityolb€'usorf.x€dto360.117.1711|
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