HomeMy WebLinkAbout428 E 10th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-473s
RS? RXSD!'M], SINGIE EA]VI]LY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of PorI Angeles
(Location Code 0502)
-i,
N
Application Number
Application pin nunlcer
Property Address
ASSESSOR PARCEI] NI'MBER:
Application t)?e description
Su.bdivision llame -
Property Use
Property zoning
Application valuation
19- 00001121 Datse '1/29/1-9
125950
428 E 1OTH ST
06 - 30 - 00 - 0 - 3 - 3110 - 0000 -
EIECTRICAL ONLY
Application desc
DucEless heat pump
Contsractor
TRUSSELL FA.I"IILY I,LC
385 HL'}4BLE HILL RD
SEQUIM
EXTRA MI],E TECH
418 N. RACE ST.
PORT ANGEIJES
(360) 45'/ -5222
& ELECT. , LLC
wA 983 62wA 983 82
PermiE
Additional desc
Pennat !'ee
Issue DaEe
Expiration Date
58 .00
i /2e /ter/2s/20
ELECTRTCAL AIJTER RESIDENTIAL
00
0
otv
1_ 00
1. 00
Unit Charge Per
5 .0000 EcIt EL
63 .0000 EClr EL
ECl{ ADDNT BRANCH CIRCUIT
R- BRANCH ClR r.aol SER FEED
Extension
5.00
63 .00
Charged Paid Credited Due
PermiE Fee ?otal
Plan Check Totsal
Grand I'oEaI
58. O0
.00
58.00
68.00
.00
58. O0
00
00
00
o0
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN t )n ltt *-y^P
FINAL z Izt lB tr 'Fr
COMMENTS:
Signature ofowner or Electrical Contractor X Date
Plan Check Fee
valuacion
1 - 2 SINGLE-FAMILY
P
Public Works and Utilities Departrnent
321 E. sth Streel Port Angeleq WA 98362
360.417.4735 | www.cityofoaus I electricalpermits@cityofua-us
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Name:
Mailhg Addrcss:
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Brrdr Ctlr|is 1-4
Temp. SeflioerFeeder2ooAfip.
Temp. Sen idF!.der 201-alD Arp.
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hlto Porbt l{oqty
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$r16.00
8205.m
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$63.00
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(}rtEras d6Ed by ROiI192826t: (r) Orrurld @lpytllestldure ft{Auo F s &rlhb €lectt lpam*bltrtrad.(2)otmrb
Equitcd to hi e En cbdlcal tootradr if aboE ldd lroperty is furrsb. rEot or ha!g" FlrmiterpirBa abrsir rnodnr of last illp€dolr
Afrsr lBrding t,le abova stiEntsnt I hdeby certio tltst I &1! lhe oxner of trB &ova n rt€d trop€rty or a [c$sed .l€.rlcsl contsBclor- I
am rlakilB tho Gts ticd atlltrahbn c albrdion h corDlrnc! !/vft th. ddid lrtt r, t{EC. Rcllr. Ch*r 1928, tnAc. Ch6pbr 29e
{88, The ol Angdqs Munidpd Code, ard end PAI'C ,405.050 rqardirB Ehcti:d Ps'rrtl Apphio.rs.
1 2 t1
Oate Pdnt Name Signdrc Owrler Elsctical Cort-dc or/ Admill'*a@
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lElecficd PemitApdl=tbns may be sl$m edto Cty HaI or €lectriealpends@i@ us orfaed to 360,417.4711I