HomeMy WebLinkAbout406 N Ennis StELECTRICAI, PERMIT
CITY OF PORT ANGELES
360-417-4735
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\Application Nun cer
Applicatlon pin number
Property Address
ASSESSOR PARCEI NLT},IBER I
Application t!?e descr j.ptsion
Subdivision Name
Propertsy Use
Propertsy zoning
Applicatlon valuaEion
19- 00001445 Dafe
278:145
405 N ENNIS ST
o5-3 0 - 00- 7 - 8 -03 65- 0000 -
ELECTRTCAL ONI,Y
RS7 RESDNTL SINGLE FA]IIILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
9/a9/t9
Appfication desc
DHP
Contractsor
Roberts & Karen Hancock
357 Olstsead Road
SEOUIM WA 983 82
1360) sB2 6236
EXTRA MII]E ?ECH
418 N. RACE ST.
PORT ANGELES
(35O) 451-s222
& ELECT,, ],LC
wA 98352
PermiE -
Additional desc
Perm1t lee
Issue Date
Expiration Datse
58 .00
9/19 /19
3/1',7/20
ELECTRICAL ALTER RESTDENTIAI,
Pfan Check Eee
Valuation
00
0
QtsY
1.00
1.00
Unit Charge Per
s-0000 ECH
63 .0000 ECH
EL-ECH A.DDNT BRANCH CIRCUIT
EL-R- BRANCH CTR WOl SER FEED
Charged Credited Due
?ermits Fee Toial
Plan Check Total
Grand ToLal
68 .00
.00
58.00
58 .00
.00
68 .00
o0
00
00
oo
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESLII-TS INSPECTOR:
DITCH
SERVICE
ROUGH-IN qlqe lm dtr "fa/o
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COMMENTS:
t0
Signature ofowner or Electrical Contractor X Date:
Extension
s.00
53 .00
l'ee summary
FINAI
1-2 SINGLE.ILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Deparknent
321 E. sth Street, Port Angeles, WA 98362
360.417.473 5 | www.cityofr a,us I electricalpermits@cityofua.us
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RECE,VED
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Irl-l*l-l--trl-crqPoiect Addrcss:
Name:
Mailing Address:
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fI Duplex / ARU Bu ding Square fuotage:
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Email:
Phone:o-5a
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S€ndco/Frader 2q, Anp.
Sen c€rFladar Zll -{fltAnp-
Sewbdkr /|{,lA)OAnp
SeryirF€s&r 60l-1000 A.np.
SewicB/Foeder over l00O Anp-
Branch Circuit tM Servica Fadar
Brancfi Ocuit t /rO Sarvie Her
EadrAdd ioml Bran€h Cirqiit
Brendr CirEulE 14
lsnp. Senice/Faeder 200 ArrF.
Tcmp S€.virFcod.r 201-4{n Amp.
Temp- Sewr-cerFeedGr /Ol5{rO Artp.
Ternp. S€.vica/Feed$ 60t-10m AIrp
Portal b Portal l-lor!'ly
Signat Ciuriul-red E.E gy - rt2 Dt .
Manufaci,rEd lblle ConrEctim
RerHabb Ehc Ene€S sKVA SyEHn q bss
Tlemo#t (ilob; $5 b..adr addiloaD
FlEt 1300 S$e Feet
.. Edt A.lffond 500sqlJ3le ftC"
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Eadr $illnig Fool / tlot Tl.s
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Unll Charoe
3120.q)
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$205.00
$2e.m
$73m
$5-00
$60.00
$5.d,
$7s.00
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$49-m
$68.m
s6.00
$64.00
3120-00
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056.00
3t20.00
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Owner as d€fned by RCW.192E261: (1) Owner will ocanpy &e 6tuck .a for two yeara alterthis etec&r-ca! peEft is fnaiized- (2) O^rner b
rsquired to hi.P an cbct aal cofltrador if above said property is ior sab, lBnt or lease- Permit expires afier six mordhs of hst hspedion-
Afrer resding the above staiemen! I neteby oedfy that I am tie q^,ller of the aborre namad Property or a li@rlssd etedical contraclo.. I
am maldng lh€ elecfi€al irlslsiation or dErstion in con$l,ance wi$ the ebcfiiral lav{s, N.E.C., RCW. Cfialter 19.28, llAC. Chaptcr 296-
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4OB, The CiV Municipd Code. and t frly Spcrificalbm and PAMC 14,05.050 regarding Eerki, pennitApp8c.tions.
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Date Print Name Signature (D Owner Ee{tical Conu'ador / AdminisFator)
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[Electrical PermitApdications may be submitH b Oty Hall or elecbicalperm,ts@cityotsa ss or faxed to ?F,0.417.1711]