HomeMy WebLinkAbout1110 S Cedar StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
R-S7 RESDNTL SINGIJE FAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Appfication Nunber
Applicatsion pin nudber
Property Address
ASSESSOR PARCEL NWBER r
Application type descript
Subdivision Name
Property Use
Property Zoning
ApplicaEion valuaEion
19- 00001994 DaCe L2/L'7/t9
0 584 58
1110 S CEDAR ST
05-30-00-0-3 -4 900 - 0000,
ELECTRICAL ON'JY10n
Application desc
D]]P
ConEractor
Susao christsla son
11].0 S CEDAR
PORT ANGELES(350) 8 09 - 3451
EXTRA MILE TECTI
418 N. RACE ST.
PORT ANGELES
1360) 457 -5222
ELECT-, LLC
wa 983 62wA 983 62
Permit
Additional desc
Permit. Fee .
Issue Date
Expirat.i-on DaEe
68,00
).2/L7 /19
6 /L4/20
ELECTRICAI- AI"ER RESIDENTTAL
Plan qheck Fee
Vafuatloll
00
0
Qty Units Charge Per1.00 s.0000 EcH ELL.00 63.0000 ECH EL
ECH ADDNT BRANCH CIRCUIT
R- BRANCE ClR WOl SER FEED
ExEension
5.00
63 .00
charged crediLed Due
Permit Fee Tota]
Plan Check ?otal
Orand Total
68. O0
.00
58.00
68 .00
.00
68_00
00
0o
00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:NSPECTOR:
DITCH
SERVICE
ROUGH.IN n/n lfi D ffi
FINAL t2-l n )n {-ffi
COMMENTS:
L
Signature of owner or Electdcal Contractor X Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities l)epartnent
321 E. 5th Street, PortAngelesi WA 98362
360.417.4735 | wwrv.cityofo a.us I electricalpermits@cityofpa.us
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4C
D Duplex / ARU BuEding SqLBre b@ge:
lL,5
6t
.t-
t.a,ra,
t0 20p
x
l
=!;
li,tlML5
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Project Address:
<s
Nams:r,^.g /+Ernail:
Mailing Address:///o --- c;7"*,<Prrir+Phone:
Name:Ex+,2 Te
Malling Address o* SlLz
Email
A-
at-3 c
License:EXfQ,irlr ?73P6
Expiration Data:/2 -21, - 2ot1
Phone: ?60 -{61 -t?38
&o
ServigFlo&r AXI Anp,
Serv&rFco&r 20't-{00 Afl p.
Servic€{Feodsr /()13)0 Anp
ServicsrFs€&r mt-i0@ Amp-
SerYice/Feedat 6,er loooAnp.
Brafth Ci(urt W Service Fe€d"r
Branch CkuJit l,lro Seryice Feeder
Eacfi AddlbrEl 8r8rdr O{oJit
Brandr CiuJirb 1-.4
Temp. servicdFeeder 200 Arp,
Tcrnp Servica/F€eder 201-400 Anp-
Temp. S€wice/Feeder 401-600 Afip.
Temp. S€wice/Feedg 60110oO A,np
Podal to Portal Hurly
Signal Circuitil-hitsd ErErgt - tE2 OU.
Manuiact Bd fhme Connedixr
Renewable Eleo. En8rgy: sKvA S,Etsm d, b33
Th€rmo8tat (Nob: 55 to. eacfi addnional)
Frst t3m SSrarE F€Gt
E ah Addltolalsoo lql6rE ft.i"
Edr onhndrE, D3Htd Gssep
Ea.fi striffiing Pool , tlot Tub
Uoit Cha.oe
sl20.00
$145.00
s205.m
$262.00
s373.OO
$5-00
$63.00
s5-00
9/5.00
$93 00
s110.oo
$r49.0o
sl68.&)
ss6.00
san @
tl20.00
9102.@
s56.00
s'r20.00
t10.00
g,4.m
t110"00
Guanlrt, fohl (Qurntty x Unit Ch.rge)
b 3.*
TOTAL lrK."/
$
I
s
$
$
s
s
s
s
$
$
s
$
$
s
3
$
I
----T--'
______-L
I
Owrte. as detrned by RCW.1S-28:61: (1) Owner will ocuJpy ttle sfuctu re t6 two years artcrthis electrical pemit is fnalized. (2) orl,rEr *t
r€quired to hire an elec{rical conhactor il above sai,C property is for s6b, lBrt or lease- Permit expirEs after six mordts of last inEpectfun.
After reading the sboue sEbdrreht, I h€.eby ce.tify ltiat I am ths owner of the above narr€d prope{y or a licellsed ebc{tic€l corirsctor- I
am nlsking lhe electoi.al iostallation or alteration in compfance with tha eleclrical hv!,B, N-E.C., RC1IV. Ch{ter 19.28, VlrAC. Chapbr 295'
4aB, The City ot Po.lAngdes Muricipal Code. and t ility Specificat*rn6 ard PAMC r€srding ElecLicd PetmitAppltuutions,
{-v
Oate Prir Name Signature (E O ner Gontactor / Adminisbabr)
[Etectricat PermitApplications may be submited to City Hall or e,ec{ricalpemits@cityofua us or faxed 10 0.417.47111