HomeMy WebLinkAbout118 E 13th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 - 00 00115 9 Date '1/26/7e
887 478
114 E 13TH ST
05-30 - 00 - 0 -3 - 86rs - 0000 -
ELECTRICAL ONLY
RS? TiESDNTL SINGI]E FAM]TJY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nufi cer
AppLicat j.on pin nuniber
Property Address
ASSESSOR PARCEL NII.|BER.
ApplicaEion t]?e description
Subdivision Name
Property u6e
Property Zoning
ApplicaE j.on valuation
Application desc
Rai6e 6ervice mast
Owner
ST I,IATTHEWS LUTHERA]I CHURCII
132 E 13"H S"
PORT ANGELES }IA 98352781A
ANGEIJES EIECTRIC
524 E. 1ST ST.
PORT ANGEIES
\36A) 452-9264
wA 983 52
Permit .
Additional desc
Permit Fee
Issue Date
Expiration Datse
120.00
7/26/18
t/22/L9
EI]ECTRICAL ALTER RESIDENTlAL
Plan Check Fee
Valuation
00
0
Qcy Unit charge Perr.00 120.0000 EcH EI- O 2OO SRV FEEDER
Exterl6ion
120.00
charged Pard Credited Due
Permi! Fee Total
PIan Check fotal
Grand ToEal
120
t20
00
00
00
120.00
.00
120.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM IAST INSPECTTON
INSPECTION TYPE DATE:RESULTS:NSPECTOR:
DITCH
SER\'ICE s lts)n &lSD
ROUGH-IN
FINAL tz/<,11 cD+"$
COMMENTS:
Signature ofowner or Electrical Cootractor X Date:
07/24./2078 14:01 FAI 360 452 9265 Anseles Electric
1 .2 SING E-FAMILY
ELECTRICAL PER MIT APPLICATION
Public Works and Utilities Depaffirent
3:l E. sft Street, PortAngeles. WA 98362
36A.11i.47 3 5 | wr,t4'.cifyofpa.us I elecrricaipermitsaf)cityofi?a.us
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It t,,
a
Proiect Address I
Project Description:
E Single-Family Residential E Duplex /ARU Building Square footage:
Name
Mailing Address
Email:
Phone:
Mailing Address . 524 E, FIRS STREET, PORT ANGELES WA 98362 Expiration Date:azt18t2019
Email:ksim son Phone 360-452-9264
Item
Service/Feedet 200 Amp.
Service/Feeder 201-400 Amp.
SerYice/Feeder 401-600 Amp.
Service/Feeder 60'1-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Cirouil W Service Feeder
Branch Circuit WO Service Feeder
Each Additional BtEnch Circuit
Branch Circuils 1-4
Temp. service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. SeMc€JF
Temp, Servicel
Portal to Portal Hourly
Sigrial Circuiulimited E
Manulactured Home
TOTAL
Owner as defifled by RCW.19.28.261: ('l ) OwnEr will occupy the structure for two ysars sft€r this eledrical p€mit b finalized. (2) Ownar is
requir€d to hire an electrical cofltraotor if abo\€ said properv is for sale, rgnt or leass, Permit expiras after six month3 of last inspedion.
After reading the above statement, I hereby cartify that I am thB oryner of thB above named property or a licensed electrical contractor. I
am making Ge ebc'trical installation or alteration in comp{iance with the electical laws, N.E.C., RCW- Chapter 19.28, WAC. Chapter 296-
468, The City of Angeles Mun Code, and Utility Specifications c 14.050 ing Electrical Psrmh Applicatlons
?-
Print Name Signature (E Owner Contractor / Adminisirator)
$20s.00
$262.00
$373.00
$5,00
$63.00
$i.oo
$75.00
$93.,00
$110.00 '
Amp
[Electricat Permit Applications may be submitted to City Hall or electricalpermits@cityoha.us or faxed to 360.417.47111
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Name:ANGELES ELECTRIC, lNC. License: ANGELEI460RS
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