HomeMy WebLinkAbout520 W 3rd StApplication Number
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ASSESSOR PARCEL NWBER:
Application twe description
Subdivision Name
ProperLy Use
Property zoning
Application val-uaEion
ELECTRICAL PERMIT
CITY OF PORTANGELES
360-417-4735
18-00000555 Date 5/A3/aA
95632A
520 W 3RD ST
06 30 -00- 0 -0-?420-0000-
ELECTR]CAI ONLY
RS7 RESDNTL S]NGLE EA,I4II,Y
0
REPORT STA,TE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
&
s
S*
Applicatsion desc
Remodel laundry and batsh
Owner Contractor
MICHALCZIK JOSEPH H
520 W 3RD ST
PORT ANGELES
ANGE]JES ELECTB]C
524 E, 1ST ST,
PORT }.].IGELES
\360) 452 9264
wA 9436222t't wA 983 52
Permit
Additional desc
Permrt t ee
Issue DaEe
Expiration Date
EI,ECTRICA], ALTER RESIDENTIAI,
1-4 CIRCUITS
95.00 PIan Check Eee
./A3/tB valuar-Lon
La /30 /tB
0
Qtsy Unit Charge
4.00 5.0000
PEI
ECII
BASE FEE
EL ECH ADDNT BRANCH CIRCUIT
Extension
75.00
20.00
Charged Paid creditsed Due
00
00
00
INSPECTION T\?E DATE:
DITCH
SERVICE
t2- t?-/3 A/>,le
FINAL
COMMENTS:*
PERMIT WILL EXPIRE SD( (6) MONTHS FROM LAST INSPECTION
Permit Fee ToLal
Plan check ToLal
Grand Total
95.00
.00
95. 00
95.00
.00
95. 00
00
00
00
6
L0
Signature of o\i,arer or Electrical Contractor X Date:
.00
RESULTS:INSPECTOR:
ROUGH-IN
05/Ol/2018 14:32 FAI 360 452 9265
Pro
Angeles Electric
1 .2 SING E MILY
ELECTRICAL PERMIT APPLICATION
Fubiic \Yorks and Utilities Deparfineot
311 E. 5th Stpet, Pcrt Angeles. WA 98362
360.117.4735 | wwrv.cilyofpa.us I electricalpemrits@cityofpa.us
@ 0001/0001
!o
a
=_iti.uri {.:Al
PTCTIONS
o-fi.tr'ProjectAddress:
ption:
Single-Family Residential E Duplex / ARU Building Square footage:
Name:Email:
Mailing Addressl -2Phone:
Name:ANGELES ELECTRIC INC
Mailing Address
Email:ksim
Item
Sorvice/Feeder 200 Amp.
Service/Feeder.201 -400 Amp.
Service/Feeder 401-600 Amp.
SerYice/Feeder 601-1000 Amp.
ServicdFeeder over 1000 Amp.
Branch Circuit W1 Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp,
T6mp. Service/Feeder 201-400 Arnp
. 524 E. Fl STREET PORT ANGELES WA 98362
License ANGELEI460RS
Expiration Date: 02y18/2019
Phone: 360-452-9264
C harge)
$262-OO
Temp- Servic
Temp- Service/Fee
Portal to Portal Houtly
Signal Circuiulimited En
Manufactured Home con
Renewablg Elec, Energy:
TOTAL
468. The PorlAngeles Mu cipal Coda, and Utility and PAMC 05.050 g Electrical Pe.mit Applications.r
Print Name Slgnature (fl Owner / Administrato r)
8373.00
$146.00
$205.00
----4nr
7-<to
$s;00
$63.00
$5.00
$7s.00
$93,00
$110.00
$
$
$
$
$
G
Owner as defned by RCW.19.28.261: (1) Owner will occupy the saucture ior two years after this stectrical permit i8 finalized. (2) Owner is
required to hirc an ;lectrical contractor if above said prcperty is tor 6als, rent or lease. Psrmit expiros afrer six monlhs sf lasl impes'tion.
Afrer reading lhe abov€ statement, I hersby certiry that I am lhe or{ner of ths abovo rEmed property or a lic€nsed elsclrical contrAoloL l
am making the electical installation or alteration in compliance with the elecMcal laws, N.E.C., RCW. Chapter 19-28, WAC. Chapter 296-
[Eiectricat Pemit Applications may be submitted to Cily Hall or electricalpermits@cityoha.us or faxed to 360.417 '47111
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Date