HomeMy WebLinkAbout1030 W 7th StEI,ECTRiCAL PERMIT
CITY OF PORT ANGELES
360-417-4'135
\st\-sNis
Application Nunber
Application pin nulnber
ProperEy Address
ASSESSOR PARCEL NI'MBER:
Appf icaEion E),'pe descripEion
subdivision Name
Property Use
Property zoning
Application valuation
19 - 00000921 Date
974499
1030 w 7Tt{ sT
06-30-00-0-2-4133-0000-
ELECTRICA], ONLY
RS7 RESDIITL SINGI,E EAMII,Y
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
6 /t7 / 1-9
Application desc
service and circuitss
Contractsor
ERTC A ROLLER AND MEI]ISA A PIP
8690 E PLAC]TA MORELTA #2
TUCSON AZ A57I9
EXTBA MILE TECH & EI,ECT., LLC
418 N. RACE ST.
PORT ANGELES IdA 98362
/.360) 45'1-5222
Permit
Additsional desc
Permit Eee
Issue Date
Expiration Datse
140. 00
6/t1/19t2/t4/t9
EI,ECTRTCAI AITER RESIDENTIAL
Plan Check Eee
Valuation
oo
0
otsy u its Chaige Per
4.OO 5.OOOO EcI{ EI, BRANCH clRcUIT W/FEEDER
1.00 120.0000 Ect{ EL-0-200 sRV FEEDER
20.00
120.00
charged Paid CrediEed Due
Permit Fee Total
PIan check Totsal
Grand Totsal
00
00
00
00
00
00
00
o0
00
140
440
140
140
PERMIT WILL EX?IRE Slx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE r)r)n &4Qj)
ROUGH-IN -zlslfr s>+
FINAL a.lc* I B D +d\
COMMENTST
=-]
Signature ofowner or Electrical Contractor X Date
.00
.00
.00
DATE:
1 -2 SING LE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Departrnent
321 E.5th Slreet, Port Angeles, WA 98362
i60.41 7.47 3 5 | www.cityofpa.us I electricalpermis@cityofpa.us
BEcEtyp.,
tun rt tii !ol
It
-ot
-$N
Proiec,t AddrEs:7
Name:
^oo 4 Sz-,< vic-e +4k)
fl Duplex / ARU Building Square botage:
Email:
-"a-* >/'< <F-Phone:
IZ
9-<"j/t-
Mailing Address',/D Zo o- 77t-7za
Name:€x
iilaillng Address:
Email:
o* SlfEol
tjffjnse:€xfa4af ?73 P be*piuwio^e,@
Phorc;. 360 -''lLI-t339
&l[
ServicdFo€&r 200 Anp-
SeMc€rFs€der 201-400 Arnp.
Service/Fo6dar ilol3m Amp
Service/Fe.&r @1-1000 &!p.
Selice/F€eder o\rar 10@ Anrp.
Branch Cirujit w/ Scwica Foodar
Brandr Cirorit WO Sewice Feeder
Each Addfional &an6t Circu,t
B€ncfi Ciraiits 14
Iemp. ServildFee&r 200 Anp.
Temp. SeoidFceder 201-400 &fip.
Temp- Se,vice/l:tedrr :t01S00 Amp-
Temp- Serl,,ir/Feeder 601-1@ Amp
Portal to Porbl lbrdy
Signal Ciuriu-idted Energy - 142 OU.
Manuiact rBd HarE Conn€dim
Ren€,yrable Ebc Energr: SltVA Sysbm or less
Themoltat (Ne: $5 br eadr addilioml)
FHl3osqlalrFer
.. Eadr A.tfrio tl 600 rqllsrG Ed"
. Ead OllqfdrE, O*.rEd cE qs
Eadr S:rrirmirE Poa / Hd Tub
Unlt Charoe
s120.00
$146.00
&05.00
@6200
t3rc.m
95.00
$63.00
$5.00
$-/5.00
$93 00
$110.00
$149.00
sr68.@
$96.00
$64-00
$120.@
G102.00
9s5.00
lr20.oo
s10.00
g?4.00
31r0.00
Ou.nttt trStsl(qr.nftyrUnltCharge)/22.c'$
$
s
$
$
$
$
5
s
$
$
3
$
$
s
IIt
5
0
42-; v
-74\"\-
OwlEr as defaEd by RC1V 19.2E261: (f ) Ownerlrill ocapy lhe shJcture fo. ltrc years a&r this electical permit is fnalizcd. (2) o\rns b
Equired to hile ar elecfical cortraclor if above sai, property is fur sah. raot or leasa Fcrmit eeires after sir months of lalt'rupaclton.
Affer rpading lh. above 6labmsnl t heeby ce'try that I am the owner ofthe above named prcpeltlr or a licensed ele(tir8i contredor. t
am mski,lg lie eEdrical irEtdlation or a[eration in co{rp[ancs yrilh the el€c.fical lai,s, N-E.C., RCI/V. Chagter 1928, UAC. ChapEr 29&
468, The City ot MAngdes Municipal Code, and U$ity Specjfications and PArrrC ',4.05,050 Electjcal Permit fu plicslions-*:fu
Oate Print Name Signature (E orvner Electsical Contractor / Adminishator)
lElecttical PermitApplications may be submitbd to City Hall or electricalpemits@cityotsa us or faxed lo fiO-417.47111
r
TOTTL
ELSCTRICAL