HomeMy WebLinkAbout1620 D StR.s? RESD}TTL SINGLE EAMITY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
-$I
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Application Number .
Applicatj.on pin nunber
Property Address
ASSESSOR PARCEI NUMBER:
Application type description
Subdivi.sion Nade .
Property use
Property zoning
Application valuatj.on
19- 00000751 Date 5 /22 /1-9
s40624
1620 D ST
05- 30 - 00 - 0 -4 -4085 - 0000 -
EI,ECTRICAI, ONLY
Applicat'lon desc
Hot lub
ConEractor
MICTAEL / SI'NNY HOLTHE
1620 S D ST
PORT ANGELES WA 983 63 ?055
ANGEI,BS EI,ECTRIC
PORT ANGELES
/.3601 452-926E
wa 983 62
Permit
Additional desc
Per.mi! Pee
Issue Date
Expiration Date
ELEC?RICA], AI,TER RESIDENTIAI
1.4 CIRCUITS
75.00 Plan Check Fee
5/22/79 Vafuation
71-/le/79
BASE FEE
.00
0
Extension
75-00
qty Unit Charge Per
charged Pa 1d Credited Due
Permit Fee Total
Plan Check Total
Grand Total
75 .00
.00
75 .00
75 .00
.00
75.00
00
00
00
00
o0
00
A Dlqle
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ftlAle $r w
FINAL tztnlg dx *-
COMMENTS:
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Signature ofowner or Electrical Contractor X Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
ELl-2 sF
05/21/2079 07:55 FAI 360 452 9265
Name:
Mailing Address:
Name:
AnBeles E lect ric
1-2SING E-FAMILY
ELECTRTCAL PERM lT APPLICATION
I\rblic Wor:ks and Utilities Departrnent
3?l E. sth Street, Port Angeles, WA 98362
3 6A.1 0 .41 35 | wwrv.cityofpa.us I electricalpermits(@cityofu aus
Email:
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ProiectAddress:
Project Description:
t/6ingte-Famity nasidential 0 Duplex / ARU Building Squar6 ficotage:
Phone:
Licanse:Nr-rtr zaunzS
3tt,
Exoiration Od€: r9-- O t - U2-O
ph;one:3Uo' +bEZJt+
q 77-/ y 2L
Mailing Address:
E rnail:
llrD
Service/Feeder 200 Amp.
Servics/Feeder 201 -400 Amp.
Service/Feeder 401 -500 Amp.
Servic€/Feeder 601-1000 ArnP.
Service/Feeder oYer '1000 Amp.
Branch Circuit Wl Selice Feeder
Branch Circuit wlo SoMce Feedsr
Eacfi Additonal B6nch circuit
Branch Citcuits 1-4
Temp. Service/Foeder 200 Arnp.
Temp. Service/Feider 20'1.400 Amp.
qrlln$!x Utilt Charg.)
Temp. Service/F
Temp. Servi 4mp'
Portal to Portal Hourly
Signal Circ1liuLimited
Manufactur€d HomE Con
Renswabl€ Elec. Energy:
TOTAL
After reading the above statemant, I hsreby cortit that I am tlo ow€r of ths abovs nam€d proPtrty or a lbsnsad €tocticd contradDr. I
am making lhe electrical installation or altaration in compliancs wlth the clcsidcal b!Y3, N.E.C., RCw.Chaptcr 1 9.28, WAC. chsPtor 286.
468,of Port Angelss nicipal Cod6, 8nd Lnility Speciflcalions PAMC ,1 ElocHcal Pennit Appllcstloos'
Print Name Signatura (I Owner Contractor / Administrabr)
$120.00
s146.00
$205.00
$262.00
s373.00
s5.00
s63.00
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$e3.oo
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Owno, as defined by RCW19.Z8.Z6f : (1) Orvner lyill occupy he structuro for two ysar8 aft3r lhi8 Cecltical p.rmit ls ffnaliz€d' (2) Owncr is
,"qrir"a to tir"
"n
itecrrical contraaor #atore saia prop;iy is lor salo, r3nl or bass. P€nnlt expltsa alt3r alx mnths of hEt lmpsdion'
ELECTRICAL CONTRACTOR INFORMATION
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PROJECT DETAILS
lElBctrical permit Apptications may bo submitted to city Hell or electricalpormits@cityofpa.us or faxsd to 380.417.47111
OWNER INFORMATION