HomeMy WebLinkAbout535 E 8th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
COMMERClAL N! IGHBORHOOD
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Applicatlon pin number
Property Address
ASSESSOR PARCEL NI]MBER :
Application ty'pe descripEion
Subdivision Name
Property Use
Property Zoning
Application valuatsion
19 - 00000222 DaEe 2/19/19
422:t94
535 E 8TH ST
05- 30 - 00 - 0 - 2 - 2 780- 0000-
ELECTRICAL ONI]Y
Applicalion desc
Service change
MICIIAEL D VANBROCKLIN
73 S RIDGE VIEW DR
PORT ANGELES WA 98362AA57(350) 4s2-1438
ANGELES ELECTRIC
PORT ANGEI,ES
136A) 452-9264
wA 98362
Perriit
AddiEiooal
Issue Date
Expira!ion
desc
Date
120.00
2/19/1-9
I / 1-B / re
ELECTRICAI AITER RESIDENTIAL
Plan Check Fee
Valuation 0
Qtsy Unit Charge Per
1.OO 12O.OOOO ECH EL O 2OO SRV EEEDER
ExceI1sion
120.00
Fee summary Charged Paid Credited Due
PermiE Fee Totaf
Plan Check Total
Grand Total
00
00
00
t2a
L2A
t2a
120
00
00
00
00
00
00
I
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE tlz-q ltt w *\
ROUGH.IN
FINAL n-l4ln ffi '1^p
COMMENTS
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
. o0
- 00
.00
.00
EL1"2 sF
02/!5/2019 08:10 FAI 360 452 9265
Project Address:
1 - 2 STNGLE-FSMILY
ELECTRT CAL PERM lT APPL ICAT| ON
ftrblic Wor*s and Utilities Deparrnent
321 E. sft Sireet, Port Angeles, WA 98362
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Lic,an*: A N GF. tE 7-4b D P,S
exgkalion oale: on -o t ' ?2 z-D
enonc,3tro' +bffiJt*
Anaeles Electric @0ooz/oo0z
360.417.4735 lww'w us I electricalpemiits@cityofpa.us
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Residential El Duplex /ARU Building Squar. footrge:
Name:Email:
Mailing Address: Phon6:
Name:
Mailing Address:
Email:
Ptcilgt Desc/.iptio
E/Singl+Family
.cityofpp.
sd
$120.00
$146.00
s205.0o
$262.00
$373-00
$s,oo'
563.00
$5.,00
t?i,90. $!e.Po
iilqoo
Item
Service/Feeder 200 Amp.
Service/Fffi der 20 1-400 Amp.
Servic€lFeeder 401€00 funp.
Servicei Fesder 601-1000 Amp.
Seryice/Fo€der ovgr 1000 Amp,
Branch Circuit W Sewico F€€dsr
&anch Circuit w/O SerYice Feeder
Each Additional Bendl Cinrrlt
Blanch Clranits !-4
Temp. SBrYlc€/FsedEr:2oo Aqp.
Temp. SeMcdFeeder ZoiloO emp.
Ouantfti Char9.)
/aDs
,0
s
a
$
$
$
s
st
$
Temp. Service/F
Temp. SeMco/F
Portrl to Portal Hourly
Signal CirqiuLimited
Msnufsctured Home Co
468,The Clty of PoIt Ang€lsE untqr and Utillty d PArr.lC t ElecHcal Pcrmlt AppllcetbnE.
P.int Name Signatura (6l Contractor / Ad minirfator)
Otyner as delined by Rc\ry.l9.28.261: (1) Onnef ryi occ1]py the 3$uc&ra fcr hyo yerB afr.r this oloc&icalPsrmlt k finalz.d. (2) Owner IE
rsqulrsd io hire an elBctrical cootracto. it aboY3 caid proparty b ior aalr, lgrlt or loala. Pemlt €xPlr$ afiaf 3ix monlhs of lart lnEpec6on:
Aner Eading ths abov€ glatement, I heBby cadify that I am l 6 otyner of lha lbove namad Foparty or a llcaflsad algctical oonbador. I
am making the alecfical installation or altgration in compllanca wllh tha olactlcslkvrsr N.E.C., RCl r. Ch.ptd 10.26, WAC. Chapttr29&
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORI\IIATION
[Electdcat Pemit Applicadons may be submitted to Gity Hall or olocflcalpermit€@oityofta.u3 or faxed to 360.417.47111
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TOTAL
Date