HomeMy WebLinkAbout519 W 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
RS? RESDNTL SINGLE FA}IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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\IrApplicatio Nufiiber
Applicatsion pin nufilcer
Propertsy Address
ASSESSOR PARCEL NUMBER:
Application tl'pe description
subdivision Name .
Property Use
Pr:operty zoning
Application valuation
19 - oooo1243 Date 8/t5/L9
669392
519 W 12TH ST
05,30 - 00 - 0 - 3 -487s - 0000 -
ELECTRICAIJ ONIY
Applicatsion desc
2??2
contractor
GLEN K/DIANN E TONNESEN
39 PLUM HOLLOW DR
RENO NV 89502
{350) 808-2114
CASCA.DE ELECTRIC
PO BOX 369
PORT IIADLOCK
(360) 3?9-5347
& VAC INC
wA 9833 9
Permit
Additi.onal desc
Permil Fee
Issue Date
Expiration DaEe
ELECTRICAL ALTER RESIDENTIAL
1-4 CIRCUITS
75.00 Pfan Check Fee
8/ rs / L9 valuation
2 /tL/20
o0
0
QEy Units Charge Per
BASE FEE
Extension
75 .00
Charged Paid Credited Due
Permit Fee Total
PIan Check ?otsal
Grand Total
75 .00
.00
?5.00
75.00
. o0
75_00
oo
o0
00
00
oo
o0
PERMTT WILL E)<PIRE SIx (6) MONTHS FROM LAST INSPECTTON
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN B/t/,r ,4P ,4€)
FINAL h/i/,2 ,M
COMMENTS:
I
Signature of owner or Electrical Contractor X Date:
!
RESULTS:
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Au1 14 19,02.27p p.1
f,f'f.;ff
E T APPL o
Public Works and Utilities Depadment
to
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321 E.5rh StreeL poft Angeles, WA 98362
360.417.4735 | www,cityofpa.us
1 electricatoermirr@ciryo&a.us
Project Address:f/q w /z+4 s*
Prcject Oescriplion:DH P
Single-Family Residential E Duptex /ARU guildi ng Square footage:
Name:
Name:
Mailing
E nail:
EmEil
Mailing Add.ess:la Lt Phone:35
Itenr
S€.vbe/Fe€dEr 200 Amp.
ServicelFeeder 201-4OO Amp.
gervicer'Feeder 4{X$OOArrlp.
Service/Feeder 60 I -1000 Amp-
Ser,ricelFeed er over l OOOArnp.
Branch Circuit w/ Service Feeder
Branch Circuit w/O Seftice Feeder
Eaeh Additionat Branch Circuit
Brandl Circuits 1-4
Ten:p. Ser!,ce/Feeder 200 Amp.
Temp. Service/Feede r 20 1-400 Amp.
Temp. SepicerFe€der 401-600 Amp.
Temo. Servic€r'Feeder 60.1-1000 Arnp-
Portal to Porial !-lourty
Signal CircuiuLirnited Energy - 1&2 DU.
Manul'acftr,ed Home Conheclio
Renewable Etec. Erergy: sK\y'A System or Ess
Thermostat (Nqte: $5 foreach addiional)
FiBt 1300 Square Feet
Esdr Addjtionat S@ Equare Eet .
Eash Os&uikting loehdl ed_G8tage
Each Srciirmiog pool / HorTub,
License: d Eu
Expiration Date:a
Phofie:Jo
Quai ltu Totat (Quantig x Unit Chargc)s--t---
5-.-s_
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$-.-_
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$_.-
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$--
$--s=.-
$-*;--
$;
t t
Ca
Unlt Ch.rae
$r20.m
$r46.@
$205.00
s262.OO
s373.OO
$5.00
s&t-oo
$s.oo
$7s-oo
sK)3-00
sr10.0G
$149.00
s168.m
s96.00
$64.00
$r20.@
$102.00
$55.00
$12b.00
s4o9o
,$740o,
3'tl o00
O$rner as defihed b, RCW.t9-28-26i; (
required b hire an ete(tdcal @.{racto.
1 ) O^.ner will occupy the stsucture for two years afte.lh,s etectrical penrit b tinatized.(2) Ownerisif aEove sai, propeaty is for sa le. rent qa lease. Peimit s<p ires afler six yy196615 o1 last inspeclion.Alt€r reading the abgve staternen! I hereby oertify th.t I am the owner ofthe above narEd property er a liceftsed efectrical contractor Iam maki€ the ebckicatinstaflatbn or alteration in corrdianee wilh the Ebstdcal h\r,s, N.E C-, RCW. Cha@r 19.28 WAC. Ctlapbr2g&468 The ity of PoR Arlgeles Code. and Utility Specmcations and PAMC 14-(r5 050 regardiE Electsicd pemitAFpticatbns_iEipal
hc6
ate .int Name Signature (fl Owner Electsical Cantr€ctor / Adm inistrator)
PROJECTDEIAILS
lEleclrical Permit Applications may be submitted to City Halt or electricatper mits@cityofpa-us or fared tio 360.417.4711I
1 - 2 S'NGLE-FAMILY
TOTAL
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