HomeMy WebLinkAbout844 Willow Ave (4)REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
o$
s
sN\JApplicaEion Num.ben
Applicatsion pin nunber
ProperLy Address
ASSESSOR PARCEI, NUMBER:
Applicalion t]?e description
subdivision Name
ProperLy Use
Property zoning
Application valua!ion
18-00001531 Dare 10/01/18
694190
844 WII,LOW AVE
06-30-15-4 1 0 050 0000
ELECTRICAL ONLY
0
Application desc
Contractor
JEROI4E AINSCOUGH
10:3 W 13TH ST
PORT ANGELES
(350) 333-5042
/ KERRI CooK
wA 983 63
KIRSCH ELECTRIC lNC
P. O. BOX 3396
SEQUIM
(360) 583 5819
wA 983 82
Permit
Additional desc
Pers,it Fee
I ssue Date
ExpiraLion Date
200.00t0/ot/\a
3/30/re
ELECTRlCAL NEW RESTDENTIAL
Plan Check Eee
Valuation
00
0
Qty Unit Charge Per
1. 00 120 . 0000 ECH
2. AA 40.0000 ECH
EL R SQPT FIRST 13OO
EL R SQFT ADDITIONAI 5OO
Extension
120.00
80.00
Charged Paid Cr:edited Due
Permit Fee ToLal
Plan Check Total
Grand Total
204
204
00
00
00
200.00
.00
200.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH plpln =P w
SERVICE tlnlfi d(.ffi
rlnllM r8 T9P
FINAL 2-tx-r?4P M-
COMMENTS:
Signatue of o$rrer or Electrical Contractor X Date:
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
ROUGH-IN
1 aasj_NFl.E:lFAMlLy
EIE_CIJi i CAt P E R M r T APPLr CAT r ON t
'0:
+t-hfl
l-+
NI\
i. 'll' ,l
\NFroject Address:a!.+irr uq
Project Des ipli0h 22+l
h/single-Family Residential Ll DupJex / ARU Building Square footage
Name:Ernail
Name:
ress
EmaiL.
Publiu Wurks antl [Jtilities l)eparirncnt
.12I lr1. Jth Strerr. Port .\ gcler!, \t+\ 98i6:
160.4 t7.471ji : * w'w.ci1r. r.: lito "t,s i rlccl!'l+aipciniis,14)c it.,"r.l {'po,ur;
License
<-l,()
lMailing Addrass: __-*_ Phone:
Expiration Date,
-*_-__-
pno*Aze=(aE3.fe$l9_
ltem
Set!lce/FeBde. 200 Amp,
Se rvice/Feeder 201 -400 Am p.
Se rce/Feedar 401600 Amp
Servrce/Fe€der 601 -1 O0o Amp
Sefl r6e,Feode. over 1 0oo Amo.
Brts,rch CirDuit W Service Feeder
Branch Circuit W/O Sery,ce Feed€r
Each Addiiional Brandh Circuit
Branch Circuitrs 1-4
l'emp. ServicdFeeder 200 ArDp.
Tamo Service/Feeder 201-4C{ Amp.
Temp. Service/Feeder 401400 Amp.
Telnp. Seryice/Feeder 601J 000 ,6Jnp
Po(al to Po(al Fl'ourly
Sunal CircuivLimited Energy ' 1&2 DU.
Manufactured Home Connedion
Renewable Elec. Sne.gy sKVA System or less
Thermo6tal (Not€r $5 tor eaoh additioral)
Qu{rtlqr Total ity x Unit Charge)
$120.00
$ 146.00
s205.00
$2ts2.04
$373.00
s5.00
$63.00
s5.00
$75.00
$93.00
s110.00
$139,00
s166,00
$s6.00
964.00
$'120,00
sl02.00
$55.0r1
s
$
$
s
5
$
$
$
s
5
$
s
$
$
$
s
$
E-1,1on0
ddg, rheCilyof PonAngelas MunicipEl Code, and utility specrfications ofld PAMC 4.05.05Q resl Permit Application!
Lt-
Print N afie Sagnature i lectrical Contracto|- / AdministrEtor)Owner
IEleclrical Permlt Applications may be submitted to City Hall or electlicalpermits@crtyofpa.us or faxed to 360.417.47'11]
,.EtEc1,3tcAi
TOTAL
Owiler aA d€fined by RCW r 3.?8.261: i !) Owneiwill orcupy the structure ior t,vo yeErs efter this electrical parmit is finelized- (2) Owner rs
reqDii'ed io ilire an eiectricai contreclcr if above gaid prope(y is for Eale, r6nt c.iease. P€rmit erlires aft6r six rfionlhs Df last inspection.
Afte I readrng lhe abovs stalemant, I hereby €ertify that I am the owner of lho ebove named propeny oi a licen8ed eiectrical contaactor. I
iriii making tire electrical installatiofi or alteration in compliance wilh the electrical lalvs N.E C.. RCW Chepter 19.28, WAC Chapler 296-