HomeMy WebLinkAbout511 E Park AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'/-4735
RS7 RESDNTL SINGLE FAMI]-Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appllcation Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application ts!?e description
Subdivision Name
Property Use
Property zoning
Appflcatsion valuation
19-00001826 DaEe L1,/20/t9
a9a:to2
511 E PARK AVE
0 6 - 3 0 - 10 - 5 - 0 - 0 15 0 0000 -
ELECTRICAL ONLY
Application desc
DHP
GOIDSTEIN W POT:TER AND JODY C
511 FI PARK AVFI
PORT ANGELES WA 983625937
(350) 78 0 - 005s
EXTBA MILE TECH
418 N. RACE ST.
PORT ANGELES
(360) 4s7 -s222
EI,ECT., LLC
wA 98352
Permit
Additional desc
PermiL Fee
Issue Date
Expiration Date
68 .00
aa/2a/t9
5/a8/20
ELECTRICAI ALTER RESIDENTIAI
Pfan Check Fee
Va luat ion
00
0
Qty UniE Charge Per
1.00 5 .0000 ECH E!
1.00 63.0000 ECH EL
ECH A.DDNT BF}NCH CIRCUTT
R- BFINCH crR wo/ sER FEED
Extension
5.00
63.00
Char:ged Paid Credited Due
PermiL Fee Total
Plan Check Total
Grand Total
68 .00
.00
68 .00
58 .00
.00
68.00
- 00
.00
.00
.00
.00
.00
PERMIT WILLEXPIRE SIX (6) MONTHS FROM LAST INSPECTION
DATE:RESULTS:INSPECTOR:INSPECTION TYPE
DITCH
ROUGH-IN n )r,o ) tl 1V \@
=\ed-FINAL &'lp],tg w
COMMENTS:
IIIII
T
SERVICE
Signature of owner or Electrical Contractor X_Date:
ELECTRICAL PER frdITAPPL!GATIOh!
Public Works and Utilities Deparknent
321 t. 5th Sk.eet, Port Angeles, WA 98362
360.41 7.4735 | wwrv.cityofpa.us I electricalpermits@cityofpa.us
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Proiect Address:?^nL A/t
di,,z ",-'llu,-r +
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fl Dupbx / ARU Building Square fooEge:
Nafie:
Mailing Address:
Name Exl,Lq Le TE €l
Email:
Phone:j/a- ?8 o - oo 6Y.
t:cerse: EXTR4rrlf ?73 R b
4-Expiration Dae:,/2-46 - 2otl
Phofle:360 -'lLl - 13ts 3
t$ailing Address.o. Box SIAB
tmetl: c ,r\
l6rn
Sewice/Feeder 200Amp,
Seruice/Feeder 201400 Amp-
SewicdFeeder 40l-600 Amp
ServicelFeeder @1-'l900 Amp-
ServiceJFeeder o,rer 1000 Amp.
Branch Ci.cuit W/ Scrvk Feeder
Branch CirqJit lJl[O Sert ice Feedet
Each Addfrioral Branch Ci,cxit
Brarci Circuib 1-4
Temp. Sen ice/Feeder 200 Arp-
Temp Se,vic€JFeeder 201400 ArnF.
Temp. S€rvice/Feedcr 40lff Amp.
Temp. Sewice/Feeder EOt -10@ Arnp
Portal to Ponal lbu.ly
Signa, Ora.,ft/Limihd Ene8y - 1 &2 OU.
Manufa.aured Hofie CoDnedion
Renewable Ele6. Energy: SKVA Sysiem or bss
The,moskt (Note: $5 frcr ea.h addilionali
Frlst 13@ *lets Feed
Esdl Adritional 50O sql€le ft at"
Each olnbuMEE / D€*sched G&Ege
Esdr Srn&nming Pool, Hot Tub
Auanfity Ighl{Oua ity x URlt Ch..ge)
TOIAL bn."
O&n€r as defined by RCYTI'19.28261: (1) Owner$illot upy the sEuc&rre fot two yea'3 after this electical pemit is finalized- (2) &,r,ter b
required to hi.e an eHrical coflFaator it above said ptoperty is tgr Eale, Ie rt or lease- Permit expires after six montis of last lnspectbn.
Aft€r reading the aboYe Etdement, I heEby certi8 that I am lhe owner ofthe above named property or a lrens€d etscfic€l cont acior. I
am making the elecfical installation or alterafion in @mplisnce wi& tia ebstical hrd€, N.E.C-, RC1,\{ CIapter 19.28, WAC. Chaptar 296-
468, The City of PonAngeles Municipal Code, and tJtifty Ee.tical Pe,mil Applications.
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Date Print Narne Signature (fJ Orrner Contractor / Administralor)
[Electtical P€rmit Apdicatjons may be submitled to City Ha[ or elect icalpermits@cityofpa us or faxed lo *9-417 .47111
1 - 2 SINGLE-FAMILY
Unit Chame
s120-m
$ 146.00
$205.00
&62.00
$373.6
$5.00
s3.00
s5.00
s/5 00
$E3 00
$110.00
$149.m
8168.00
$e6.00
$64.00
st20.00
9102.00
$56.00
si20.00
$&.00
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