HomeMy WebLinkAbout1804 E 4th StApplication Number
Applicatsio pin nunJcer
ProperEy Address
ASSESSOR PARCEL NI'MBER:
Application t],'pe descripLion
subdivision Name
Property use
Propertsy zooing
Applicatsion valuaLion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FAI,{ILY
0
19 00000 926 Date 5/t7/19
479].94
1AO4 E 4TII ST
06 -3 0 -11- 5 -3 -0120- 0000 -
ELECTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
;\
SA
NT
Sr
Applicat.ion desc
EeaE pump system
SCOTT F AND MARY K BUCK
1804 E 4TH ST
PORT ANGELES WA 98352
(350) ??5 0867
AIR FLO HEATING CO INC
221 W CEDAR ST
SEQUIM WA 983 82
(350) 681 3 901
Permit
Addi t ional
Per:mit Fee
Issue Date
ExpiraLion
a""a
,.a"
55. O0
6 /a7 /19
a2 /a4 / 19
Qty Unit Charge Per
1.00 55.0000 ECH E L. LVT. Tl{ERMOSTAT
.00
0
Extension
56.00
Eee summary Charged Paid Credited Due
PETM1E FCE TOE I
Plan Check Total
Grand fotsa1
55 .00
.00
56 .00
.00
_ 00
.00
PERMIT WILL E)(PTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
't/eo./17 ,4/
FINAL 'z/iJ,r Ao
COMMENTS:t l"
Signature ofowner or Electrical Contractor X Date:
E],ECTRICAL AI,TXR RESIDENTIAL
PIan Check Fee
Valuation
55.00
.00
55.00
.00
. o0
_ o0
ROUGH-IN 4A
,LO
1 - 2 SINGLE-FAMILY
ELECTRICAL PERI\IIT APPLICATION
Public Wbrks and lJtiliries Department
321 E,.5th Slrcet, PortAngcles. l\,A 98362
3$.41 1.4735 j rvnrv.city'olpa.us j clectricalpcrmit-stQcit,vof pa.us
f,f,T!,if
1lq
=+t.-l*t.-\
I s..\IHt\
Prolecl 466ysss. 18M E 4th Street Port Angeles, WA 98362
Project Oescription lnstall Trane Series XR15 R410A Heat Pump System 2.5TON
tr Single.Family Residential ! Duplex /ARU Building Square footage
Name: Scott &Buck
Mailing Address: 1804 E 4th St P
Name:
Mailing
Air Flo Heating Company
Address: 221 uim, WA 98382
Email
Expiration Date 04125t2020
Phone 360-683-3901
Item
Service/Feeder
Service/Feeder
Service/Feed
Service/Feed
Service/Feed
Branch Circuil
Branch Circuit
dwicd Feeder
Sei'i4ce Feeder
Each Addltional Branch Circuit
Branch Circuits 1:4 :
Temp. Service/Feeqer 20qAmp
,
Temp. Service/Feeder20 1400 Amp.
.:.:_-.:.- ,
Charge)
$
Temp. Service/F 600'Amp,",
Temp- Service/Feed 0Am
Portalto Portal Hourly
Signal CircuivLimited En
l\ranufactured Home Conne
Renewable Elec. Enercy: 5
Therrnostat (Note: $5 fo. each 56.00
TOTAL
Owner as defined by RCW19.28.261: (1) Owner will occupy the str!cture for two years atter this electrical permit is Ilnalized. (2) Owner is
requlred to hire an eleclrical contractor if above said property is for sale, renl or lease. Pelmit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I
am making the electncal installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapier 19.28, WAC- Chapter 296-
468, The City of PortArge,es Municipal Code, and Utility Specili nd '14.05.050 regarding Electrical PermitApplications
0611412019 Ellie Hubbard
Print Name Signature (E Owner p Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityot a.us or faxed to 360.417.47111
Date