HomeMy WebLinkAbout836 W 6th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'7-4735
RS7 RESDNTL STNG],E FAI{ILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatlon Nuniber
Application pin number
ProperEy Address
ASSESSOR PARCEL NUMBER:
Appf ication tt,pe description
subdivi s-ion Name
Property Use
Property zoning
ApplicaEion va}ratsion
19- 00001764 Date at/07 /1-9
855184
836 W 6T1{ ST
06 30 00 ' 0- 1- 5840 - 0000 -
ELEC?RICAL ONLY
KARI DRYKE AND JEREII DEPOE
PO BOX 14 95
PORT ANGELES WA 98352
(360) 808-27s0
KIRSCH ELECTRIC INC
P. O. BOX 3395
SEQUIM
(360) 683 6819
wA 983 82
Permit . -.
Additional desc
Permit. Fee
Tssue Date
EI]ECTRf CA]] AI,TER RESTDEIfIIA],
Pfan Check Fee
Valuation
EL ECH ADDIIT BRANCI{ CIRCUTT
EL-R. BRANCH CIR WO/ SBR FEED
00
0
Expiratsion DaLe
Oty Unit Charge
1.00
1.00
5.0000 EcIl
53.0000 ECH
Extension
5.00
53.00
Charged Paid CrediEed Due
Permit Fee ?otal
Plan Check Totsa1
Grand Total
58 .00
.00
68 .00
00
00
00
o0
00
00
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN nld) n P *
FINAL v)z4,lH w -#
COMMENTS:
I
Signature ofowner or Electrical Contractor X Date
Applicatsion desc
Smoke deEectors and non permittsed work
58 .00
t1-/o'7/t9
s/os/20
58.00
.00
68-00
!onl ELECTRICAL INSPECTION
WIRING REPORT
417-4735
APP
DITCH E
APPROVED
tr
0
D
tr
... ROUGH IN/COVEH . .ry
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE-
DATE:26lnfi'l n 4ab4
]NSP
OWNEF
g1e4*1CONTFACTQF
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AD6FESS
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EL ECTRI LP ERIMIT A PPLICAT toN
Public Y',ords arid Utilities Depar-in:ent
31 1 E. irh Srreer. Port Angeles. lr'a 98j62
-360.41 7.4735 i r,,l+r'.c it]'oira.us I electricalpen:-rits@ciri ofpa.us
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{ls--rqBst,\)-J \D-\h Srr PPrcject Address: _
Project Descdption
le-Family Residential El Duplex /A.RU Building Square footage:
Mailing Address:3
Name
tr4ailin
Email:
Ad ci ress Y
r 7'Sc,Fr
It€m
ServicdFeeder 2OO Amp.
senacelre€der +or-soo aii t'''
Servics/Feeder 601-i OOO Arn p.
S ervice/Feeder over 1000 Amp.
Branch CircuitW Service.Feeder
I rsnch Circuit WiO€eNIce Feedsr
Each Additionat Brench gircuit
Branch CirtJits i14 i
Temp- Sorvicd FLed.r iooarnp.-.
T€mp. ServicdFeeder 2Oi-4OO AmFF ..-
Temp. ServicelFeed€r 401€OO Arirp.
Temp. ServicelFeedir eOt-r OOO lmp.
Portal to Ponal Hourty \.
Signal Circuiulimited E-nAgy - i&2 DU_
Manufach.red Horne Conneclion
Ren€ r€ble EIec. Energy: SKVA System or less
Thermoctat (Note: $S for e€ch adiltiona0
First 1300 Square Feet
Each Additional lr0o square tuef.
Eadl Oulbuilding / Detached Garag€
Each Swimming Poot / Hot Tub
Email:
Quantitu
TOTAL
Phone
License:
Phon
Exoiration Date
I
C
''.. s120.00
IOhl (Quantity x Unit
$..-
$_
-b
Charg6)
s.146.00
$205.00'
szoz.oo
$373 00
$.--s_
$
s
$
$5.00
-.--s63.0
b-7::-.:-T'-p'€----+e0
;
s75.00..
593.00'
s110.00
$149.00
$1e8.00
s96.00
$64.00
s'120.00
$10200
$56.00
$120.00
s40.00
974.00
$110.00
s;
$
5.
$
$-
$
P
.$.-
$_.-
$
$_s---,-e-s A%-
Owner as defi.ned by RCW. j9.29.261:(1) OwtrerMl! occupy the strudure for two yeaIs after this el€ctricEl permit is fnatbed (2) Owner isrequired to hire an elecEical conhactor ifabove said property is for sale, rent or lease- permit expires afler six months oi last inspection
Afler r€ading the above statement, I hereby cediry that I am the own€r o, {tle abo\€ named proper(l or a ftcensBd declrical contactor. lam making lhe elect]cal installal'on or alterat'on in compliance with the electrical tau,s' N.E.C-, RCW. Chapter 19.28, WAC. Chapte.296_468, The City of port Angeles l\run icipal Code, and Utility Specjfications and PAMC i4.0S.05O |Egarciing Etec Applications.
Date Print Name Signature {E Owner lCo Admlnistrator)
Zd crrloelf qcsry dOO:O! '6! 90 ^oN
1 - 2 SINGLE-FAMILY
Name:
[Electrical Permil Applications may be submitted to city Halt or electricalpermits@cityoipa.us or faxed to %0.417 .4711i
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698e08909e