HomeMy WebLinkAbout1102 W 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS7 RESDNTI S]NGLE AA}1ILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
0$\n\n
-PApplication Number
ApplicaEion pin number
Property Addr:ess
ASSESSOR PARCEL NUMBER:
Application t}?e description
Subdivision Name
Properlry Use
Propertsy Zoning
Application valuation
18 00001254 Dale e/73 /L8
110 2 W 12TH ST
0,5 30 00 0 3 5900 0000-
ELECTRICAL ONLY
Application desc
Hot tub
Oline r Con!ractor
JUSTIN E ELLIS
115 E RAILROAD AVE STE 301
PORT ANGEIES WA 98362
/'217) 4AA-3815
ANGEI,ES EI.ECTRIC
524 E. 1ST ST.
PORT ANGEI,ES
136Al 452 - 9261
wa 98362
PermiE
Additional desc
Permit Fee
Issue Date
EI]ECTRICAIT AI]TER RESIDENTIAL
1-4 CIRCUITS
75.00 Plan Check Eee
B/13/ rB Va Luat i on
2/ o9 /19ExpiraEion Date
Qty Unit Charge
00
0
BASE FEE
Extension
75 .00
Fee summary Charged Paid Credited Due
Permits Fee Total
Plan Check Tota1
Grand Total
75.00
.00
75_00
75. 00
.00
75_00
00
00
00
00
00
00
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:4x
PERMIT WILL EXPIRE Srx (6) MONTHS FROM LAST TNSPECTION
Signature ofowner or Electrical Coqtractor X Date
RESULTS:
08/09/2078 17:00 FA.tr 360 452 9265
Mailing Address:
Anceles Electric
1 .2 SINGLE.FAMILY
ELECTRICAL PERMIT APPLICATION
hrbiic \iror:ks ancl Utilities Department
l1i E. 5th Street, Port Angeles, WA 98362
3 60.r1 1 7.-1?35 | w-rm'.ci lyoiira. u s j electrioalpemlitsl.Qcityoti:a.us
Email:
Phone:
@ 0 0 01/ 0001
!o
3
It
OAJ
N{\ZN -a
Pdject Address
Projeet Descriplion:
E Single.Family Residential E Duplex /ARU Building Square footage:
usirN
Name ANGELES ELECTRIC, INC
Mailino Address:524 E. FIRS STREET
Email: ksim
Item
Service/Feeder 200 Amp.
ServicelFeeder 201-400 Amp.
ServicelFeeder 401-600 Amp.
Service/Feeder 691-1 000 Amp.
ServicdFeeder oYer 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional BEnch Circuit
Branch CiroJits 1-4
Temp, Service/F€sder 200 Amp.
Temp. SeMce/Feeder 201-400 Amp.
PORT ANGELES WA 98362
License:ANGELEI46ORS
Expiration Oate:0211w2019
Phone:360-452-9264
Charge)
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Temp. SeMce/F 0tS0O*mP....'*'!r'1':rr
Temp, Servi Amp.
Portal to Portal Houdy
Signal Ciroriulimited
Manuhctured Home con
Renewable Elec, Enorgy:
TOTAL
Ovvner as defined by RCW.19-28.261: (1) O\rner will occupy the strr.rcture for two y€ars affer this slsctrical p€rmit is finalized. (2) Owner is
requirsd to hire an electrical contractor tf above said property is ior sale, rent or lease. Permit oxpires afrer six monlhs of last inspection
Afrer reading the above slaternent, I hersby certry that I am the owngr of the above flamed ptop€rty or a licsns€d elecltical contractor. I
am making ths electrical installation or alteration in complianc8 with $€ dactrical laws, N.E.C.. RCW. Chapter 19.28, WAC. Chapter 296'
468,Ity Port Angel6 M pat Code, and Utiliv Speeifcalions and 14 ec'trical PermitApdicatlons.
,1/
Date rint Name Signature ([ Ownor Ele Contractor / Ad ministrator)
lElectrical Permit Applications may be submitted to City Hall or elechicalpermils@eityofpa.us or taxed to 360 .417 .47111
Name:
rl(.]:
-7-
$205.00
$262:Oo
$3?3,00.
$5.00
$83.00
$s'00
$7800
$s3,00
$,1,10.00