HomeMy WebLinkAbout116 E 13th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SING]TE FAMII'Y
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
00
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Application Number
Application pin number
Pr.operEy Addres s
ASSESSOR PARCEI, NLN,IBER.
Applicatsion tsl?e description
subdivision Name
Property Use
ProperLy zoning
Application valuaEion
18-00001158 Date //26/ta
814236
115 E 13TH ST
06-30-00-0 3 - 8620 0000
ELECTIICA.L ONI,Y
ApplicaEion desc
Raise service masl:
O\4'rer
ST I,IATTHEWS LUTII
C/O TREASURER
PORT ANGEI,ES
CHURCI{ OF P A
wA 98352
ANGEIES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
\350) 4s2 9254
wA 98352
120.00
't / 26 /LBa/22/te
ELECTRICAI, ALTER RESIDENTIAII
Plan Check Fee
ValuaE lon
00
0
oty Units Char:ge Per
1.00 120.0000 ECH EI, O 2OO SRV EEEDER
ExLension
120.00
Fee summary Charged Credi t.ed Due
Permlt tee lotal
Plan Check ToEal
Grand Total
00
00
00
00
00
00
00
00
00
00
00
00
12 0
124
120
124
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE o)B 1/&tr 56I>
ROUGH-IN t?- /z- lR
FINAL b*s$4-6F Ycr
COMMENTS:
Signa ture ofowner or Elgctrical Contractor X Date:
Permit
Additional desc
Permit Fee
I ssue Date
Expiration DaEe
07/24/2018 14:01 FAI 360 452 9265 .{ngeles Electric
ELECTRICAL PERM IT APPLICATION
Public lYorks and Uiiiiries Department
311 E. Sdr Sueet, Port Angeles. WA 98.362
36tr.417 .47 i5 | wwrv.cityofpa.us I electrioalpcmrits@)cityotpa.usL
Aooot/ooo2
tof3
EIE'TRIl]AI
NSPECIIONS
$
1
.N
G
ProiectAddress:
ProjecjlEescript
{sinste-eami
ton:(te4-
ly Residential D Duplex / ARU Building Square footage,
Name:
Mailing Address:
Emai{
Phone
Name ANGELES ELECTRIC tNc.License ANGELEI46ORS
Mailing Address , 524 E. FIRST STREET, PORT ANGELES WA 98362 Expiration O ate:0?J1812019
Email: ksi Phone:36A-452-9264
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit w/ Service Feeder
Branch Circuit WiO Servics Foeder
Each Additional Branch Circuit
Blanch Circuits 1-4
Temp. ServicelFeeder 200 Amp.
Temp. Servicey'Feeder 201-400 Amp.
Charge)
Temp. Service/F
Temp. Service/F
Portal to Portal Hourly
Signal CircuivLimitd E
Manufactured Home Coo
Renewade Elec, Energy:
TOTAL
Owier as defned by RCW.19.28.261: (1) Ownef will occupy th€ Etructure for two yeaB Ffter this Electrical petmit is linaliz€d. (2) Owner is
required to hire an etectrical conractor if above said property is for sale, r€r or lease. Pomit expit€s afrer six months of lagt inspection.
After reading the above statemeot, I hereby cerliry that I am the ovtnar of the above nam€d prop€fty or a licsnsBd elactrical confac'tor. I
am making the electrical instatlation or alteralion in mmpliance with the electlical laws, N.E.C-, RCW. Chspler 19.28, WAC. Chapter 296
468,City Port Angeles Mun icipal and lions and PAMC 4.05.050 Elecl]ieal Pe.mit Appllcations.
L
Print Name Signature (E owner I Contractor / Administrator)
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$373.00
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$76.00
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$110.00'
[Electrical Permit Applications may be submitted to City Hall or electricalpermib@cityofpa.us or faxed to 350.417.47111
1 - 2 SINGLE.FAMILY
ffiECEIUED