HomeMy WebLinkAbout606 S Alder StELECTzuCAL PERMIT
CITY OF PORT ANGELES
160-417-4735
18 00000375 Dare 3/21/t8
271504
606 S AI,DER ST
06-30-11-5- 5-08?0- 000 0 -
E],ECTRICAI, ONI,Y
RS7 RESDNTL SINOI,E FAMII,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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Application Number
ApplicaLion pin number
Property Address
ASSESSOR PARCEI] NUMBER:
ApplicaEion E!,pe descriplion
subdivision Name
Property use
Property zoning
Applicatio! valuation
Application desc
T-stat for Ductless heat pump
ERTC R AND SUSAN M BJORK
606 S AI.DER
PORT ANGEI]ES WA 98362
DA\TE I S HTG & COOLING SRVC INC
PO BOX 413
PORT ANGEI,ES WA 98362
(360) 452-0939
Permit
Additional desc
PermiL Fee
I ssue Date
Ei'piration Dare
55. 00
3 /21/LB
e /a7 /tB
ELECTR]CAL ALTER RESIDENTIAL
Pfan Check Eee
Valuation
00
0
Qty uni. Charge Per
1, OO 56, OOOO EC]I EL LVT.THERMOSTAT 56. 00
Charged CrediEed Due
Permit Fee Total
Pfan Check To!a1
Grand Total
56-00
.00
56.00
56. 00
.00
56.00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN s,la! n d ffi
FINAL nll,,lg A =fur
COMMENTS
I
Signature of owner or Electrical Conhactor X Date:
RESULTS:
1-2SING LE-FAMILY
ELEC TRICAL PE RTVITAPPLIC
Public Works and Ilrilities Dcpartmcnt
32 I E- 5th Streer, Port Angeles, WA 98362
360.417.47 35 | wwrv.cityofpa.us I elecrricalpermits@cityolpa.us
RECEIUED
ATIOITYAR
2 o ?t):t
!
l
EI.ECIRICTI.
INSPECIIOIIS N
s\flProject Address
Name:
Mailing Address
a-a L, \. Al s+f.-.].s;-
?-s
Single-Family Residential D Duptex/ARU Building Square footagej
o-r u,o ({-#.e---.n.s f-:t ,rr ..e.- Sr
((Y
s4 EmailLoe54\Sn^e.z-+prrone: 36GY--l -7-<-{ q \ I
Name:
Mailing
Email:
Address ot+
z:.v-e-\s [l.c,--o--\ F.
.--e-e [e:1 q- 3J aa O-L!-c
License:\le.sH1a<7 'l<-
Expiration Date
Phone; <6o-*';2-o
Itarn
Seryice/Feoder 200 Amp.
Servi:e/Feeder 201 4@ Arnp.
Se'.vice/Feedsr 401 {00 Aftp
Service/Fe€der 601- 10@ Amp.
Servicc/Feeder over 1 000 Amp.
Branch CirE it w/ Ssrvice Feeder
Branch Circuit w/O Service Feed€r
Each Additional Branch Circuit
Branch CirqJils 14
Temp. Sefvire/Feeder 200 Amp.
Temp Sen/iEy'Feeder 201-400 Amp.
Temp. Servi(rFeeder.()1 {00 Arnp.
Temp. Ser.rhe,/Feeder 601-1 000 Amp
Portal to Portal Houdy
Signal Circujulimited EneEy - 1&2 DU.
Manulactu red Horne Connection
Renewab{e Elec. Energy: 5KVA System or less
Il|erm6ht (Not€: g5 br each additionat)
Fird 1300 SqueE F*t
Ea{fi Arldftionrt 50O Equal€ ftat"
Each Outbuiuing / Deiacficd GaregB
Eadr S\rinming Poot / Hot Tub
TOTAL GEE>-
or a licensed electrical coniractor. I
Chapter 19.28, WAC. Chapter 296-
468, The Caty of PortAngeles Municipal Code, and Utility Specifications and pAMC 14.OS.O5O regarding Electrical Permit Applications.
Unlt Charoe
s120.00
s145.00
$205.00
$262.00
$373.00
9,5.00
s63 00
Es.00
s75.00
$93 00
s110.00
s149.m
$168.00
s96.00
$&1.00
$120.00
$102.00
$s6.00
8120.00
E40.00
sr4.m
3'110.00
Ou.ntftv lgtsl (Qurntity x UnitCharge)
$
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$
$
$
$
$
$
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$
$
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56,oo
Owner as defided by RCt^{ 19.28-261: (1) Owner w l occupy the structure for two y€ars afterthis slectrical pemit |s finalized. 12) O/vn€r is.equired to hire an electric€l contractoa if above said property is for sele, lEnt or l€ase Permit expires afler eix months of tasi inspectron.
After reading the above stalernenl, I hereby certit that I am the owner ofthe above named proporty
am making the electrical iosta ation or atteration in comptiance wath the etectrlcat taws, N.E.C , RCW
o
Date Print Name Signa (E Owner E E c8l ContEctor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricaipermits@cityofpa us or fax6d to 0.417.4711)
IEEE
Proiect Descriplion
/NER }NFORMATION
ELECTRICAL EONTRACTOR INFORMATION
PROJECT DETAILS