HomeMy WebLinkAbout116 E 12th Stapplicalion Number .
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Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANCELES
360-417-4735
RS? RESDNT! SINGLE FAMILY
0
19- 00001808 Date 11118/19
7290 7 2
116 E 12rH ST
05- 30 -00- 0-3 -8025- 0000 -
ELECTRICAIJ O}ILY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
:i,
ss
Applicat.ion desc
Service and garage
C. C. BEAUDETT .'RlR . .J
po box 2752
POR'T ANGELES
l36aJ 191-t4A7
Gu!tman
wA 98362
EXTRA MIIE ?ECH & ELECT., L],C
418 N. XACE ST.
PORT ANGELES WA 98352
l35O) 457 5222
Permit
Additio[al desc
Permi! Fee
lssue Date
Explration Date
194.00
t\/te / 19
s/t6/20
Plar Check Fee
Valua!ion
,00
0
oty Unit Charge Per1-00 120.0000 EcH EL-0-200 sRv FEEDER1.OO 74.OOOO ECH EI.R.OUTBD/DTCH GAR IN/SEP
Extsension
120.00
74. 00
ELECTRICAI AITER RESIDENTTAL
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
194
494
00
00
00
).94
194
00
00
00
00
00
00
00
o0
00
PERMII WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE INSPECTOR:
DITCH
SERVICE ft1ru)B M =pROUGH.IN ru)e-)B dsz
"*AFINAL,a1p7n +F #
COMMENTS
Signature of owner or Electrical Conkactor X Date:
RESULTS:
1 - 2 SINGLE-FAMILY
ELECTRICAL FERM IT APPLICATION
Public Works and Utiiities Department
321 E. 5th Sheet, Port Angeles, WA 98362
36A.4 17.4735 I w.rw.cityofpa.us I electricalpermits@cityofta.us
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Project Address:
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Narne:a{Emil:
Mailiog Address: ti).zt E csx .A ) {-r*Phone zca -t4-? '/i I 1
Namg. €x{a r-e
Mailing Addr6s:.o. 'ilo.* StLg
Email
c Licenss:Exra*ar?73 R bLExpirat6ngeB t2-ib-zotl
Phooe:lco -qbl - |33A
l{6m
Servica/Feedsr 200 .Amp-
ServicerlFeedsr 201-lt00 Amp.
ServicdFeeder 401-m ArrF
gervicE/Fseder 601-l m Arl9.
Sewicey'Feeder ove l 00O Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Se'vhe Feeder
Each Addilioral Branch Ciraiit
Bra,Eh Cirqrits ,-4
Temp. SenioerF€eder 200 Arp.
Temp. SeruicerFe.der 2014@ Arnp.
Temp. Sen ce/Feeder il()16tr| Amp.
Temp. Service/Feeder 601-1m0 Amp.
PorEl tio Potal tlorfly
SignalCiro.,iuLinited Energy - 1&2 OU.
Manubctured Hqlle Connedion
Renerryable EEc. EneEy: 5tr0/A Sysie or bss
Thermostat {Note: $5 br eaoh additioml}
Fr,3t t3@ Sq&!€ Feet
EschAdtk nalsooq&Etg M'
Eaoh Oueflelrg I D€tBc]€d Gsrage
Eacn S$/irrning Pool , Hd Tub
Ur}it Charoe
3120.00
s146.00
905.m
@62.{n
s373.00
E5-00
$63 00
s5.(E
r/5.00
$93 00
$fl0.00
9149.00
8168.00
s6.00
$64"00
$120.00
s102.00
$s6.00
$120.00
840.(E
$?4.00
$110.00
Qua'rfitv f$&l (Q,anfty r Unit Charga)
$
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it
$
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/Lo
-177-.
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TOIAL
Owtrer as defined by RCfa119.28261 : ( l ) Owner will 6. pytie stoudrre to. two years affer thG eb(trical permit k fn3lized. (2) Olvner b
€quired tohirB an electtical cotrbB€tor if aboye said ptoperty is ror sth, .ent or l se. Pgrmit expiGs afrer sk montis of last inspedion.
Attet reading the above staement I hereby cetti& tiat I am the owner of lfie above na[€d property e. a licensed elecfri'cal conlraclor I
RCW Ghapter 19.2E, Vt AC. Chapter 236-
regarding EleEthal Pemit Apptraalions-
am making the elerfiral installatbn or alteration in compfane Mth the electicat laws, N-E.C,,
468, The City oi Po.tArgeles Municipal Code, and Ulility SpecfiEtions and PAMC 14,05-G5O
i\,\
Oate Prifit flame Signafure (E Oyyn€r Ele€tical Contacbr/ Adminisdrabr)
i {-it-i -i 1
lElectrical PermitApdicatioris may be submatted to City Hall or elec'bicalpermG@cityofra us or faxed b $0.4't7 -4711]
El Duplex /ARU Building Square 6otage:
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