HomeMy WebLinkAbout1107 E Park Ave (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
RESIDENTIAL MEDILiIU DENSIY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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x
Application Number
Application pi'I nunrber
Property Address
ASSESSOR PARCEL NOMBER:
Applicat.ion ts}I)e description
subdivision Name
Property Use
Property Zoning
Application valuation
19- 00001100 Date 7 /24/19
642000
1107 E PARK AVE
05-30 - 11-5 - 1- 0520 - 0000 -
ELECTRICAL ONLY
ApplicaEion desc
Hot tsub connection from existing
ANGEIES EIJECTRIC
524 E. 1ST ST.
PORT ANGELES,.360) 452 -9264
wA 943622't4A wA 94362
Permit
Additlonal desc
Permi.t Fee
Issue Date
Expiration Date
53.00
1/24/a9
1-/20/2a
ELECIRICAL ALTER RESIDENTIAI
00
0
Qty Unit Charge
1.00 53 .0000
Per
ECH E], R- BR,\NCH CIR WO/ SER T'EED
ExEension
63 .00
Eee summary Charged Paid Creditsed Due
63 .00
. o0
53 .00
00
00
o0
.00
.00
.00
00
00
00
63
63
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN nleln w .fftr
FINAL t2lq)9 P
COMMENTS:
I
Signature ofowner or Electrical Contractor X Date
SMTll{ MARK S
1107 E PARK AVE
POR'I ANGELES
Plan Check Eee
Valuation
Pernit Fee Tolal
Plan Check Total
Grand Total
INSPECTOR:
hM
07/22/2079 22:08 FAX 360 452 9265 AnBeIes Electric
1-2 SINGLE.FAMILY
ELEC TRICA LP E RMIT APPLIC toN
Fublic Works and Utilities Departmerlr
321 E. sth Street, Porl Angeles, WA 98362
3 60.4 I 7 .47 3 5 | www.cityofpa. us I electricalpennits@oityofpa. us
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-Sr?",?Project Address:
Proj
Name:
Mailing Address:
le-Family Residential E Duplex /ARU Building Square footage:
Email:
Phone:
Name: Angeles Electric, lnc.
Mailing Address: 524 E. First Street, Port Angeles, WA 98362
Licenss:ANGELE1460RS
Expiration Dato:a1n0
Email . ksimpson@olympus-net Phone:360452-9264
Item
Service/Feeder 200 Amp.
Servic€r'Feeder 201 400 Arnp,
Servic€y'Feeder 40 l 600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feedor over 1000 Amp.
Branch Circuit wl Service Feeder
Branch Circuit w/O Service Feeder
Each Additional Branch Circuit
Brancfi Circuits l -4
Temp. SeMc€/Faeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servico/Feeder 401{00 Amp.
Temp. Servic€/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circ ivLimited Energy - 1E2 DU.
Manufactured Home Connedion
Renewable Elec. Energy: sKr'A System or l6ss
Unil Charoc
s120.00
$146.00
8205.00
6262.00
$373.00
$5.00
$63.00
t5.oo
$75.00
$93.00
$110.00
01.49l,00
$168.00
.S96rO0
$8400
.s120.00
$10a00
Ouantlts IOhl (Quantity x Unlt Ch.rg!!
s
$
s
$
$
I
$
s
I
s
s
s
$
$
$I
-A:@
Thermoslat : $5 for each additional)
.$_
t_
TOTAL
Owner as dellned by RCw.'1928.261 : (1 ) Owner wilt occupy tha slructuro for tw6 yeal8 aftor this electical p€rmit E fnallzed. (2) Ovnef ls
required to hire an sledrical contraclor if above said property ie for ssle, rent or lsas€. Pamit expires after aix monlhs of last inspection.
After reading the abov€ statement, I hereby certiry that I am the ol ner of $e above named property or 8 licqns€d aleatdcal contrador. I
am making the electrical installation or alteration in complianca vrith the olectrical la\ra, N.E.C., RCW. Chapter 192E, WAC. ChaPtEr 29&
468, The City ot Port Angeles Municipal Code, and Utillty and PAM .050 regarding Elecbical PcrmitApplicalbns.
Ken Sim son
Print Name Signatrre (E Eledrical Conlractor / Ad ministrator)
[El€ctrical Permit Applications may be submitted to City Hall or electricalp€rmib@cityofra.us or taxedto fiO.4'17.47'l1l
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,]. PROJECT DETAILS
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