HomeMy WebLinkAbout3767 Canyon CirELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Appficatsion Number
ApplicaEion pin number
Property Address
ASSESSOR PARGL NUMBER:
Application type descriptsion
Subdi.vision Name .
Property Use
Property Zoning
Application valuation
19 - 000012 9s Datse 8/27/1-9
8'792t0
3 767 CANYON CIR
05-30-1s-s-8-0140-0000-
ELECTRICA! ONIJY
0
Application desc
Eireplace insert
JEAN E CARLSON
3 76? CANYON CIR
PORT A,]{GELES
EXTRA MTLE TECH & ELECT., LLC
418 N, R}CE ST,
PORT ANGELES WA 983 62
(360) 451 5222
wA 943526 721
Permit
AddiClonal
Permit Fee
Issue Date
Expirat ion
d..;
DaEe
63 .00
8 /27 /a9
2/23/20
ELECIRICAL AI,TER RESIDENTIAL
Pfan Check Fee
Valuation
00
o
Oty Units Charge Per
1.00 53.0000 ECH E!-R- BRANCIi CIR WO/ SER FEED
Extsension
63.00
Fee summary Charged Paid Credited
Permit Fee Totsa1
Plan Check Total
Grand Total
63 .00
.00
53 .00
53 .00
.00
63.00
00
00
o0
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
SERVICE
ROUGH.IN gJn lrq &EE
FINAI e,l*.Jn N :,p
PERMIT WILL EX?IRE SIx (6) MONT}TS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
Due
DITCH
COMMENTS:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
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Public Works and Utilities Deparkrent
321 E.5th Street, Port Angeles, WA 98362
360.4 | 7.473 5 | wwwcityofpa.us I electricalpermits@cityofpa.us
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Duplex / ARU Building Square footage:
Name:3-er+J a -,r | 9o.,r-Email:r-\
Mailing Address:ir<in Phone:36a-5o4 -2etL
Name:a-€x TE License:7
.O. Bolt 3116 PA qeTbL Epiration DaE:-2b-20t7
,.,/e f Phone:qco -{tcl - ra?gMailing Address:
Email:
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ServicdF€eder 401-6@ Amp
SsrvicdF€€der @ l-1(E0 Anp
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Terp. Se{vice/F€€.br /Ot5fi, Amp-
Tefip. Seoioe/F€€d€r 601-1000 AI|p
Portal b Porbl Houiy
Signal Cirarulirnibd E Ergy - 182 OU-
Manuhcfu cd Hsre Connedon
Renswaue Eba Enetgy; slffA Sysbti or bss
thermosf* 0{o€ SS tu €ch sddtiOrlgl)
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er SltIrIeE Fool rtldlub
Unlt Cha.oe
$r20.m
3t48.m
$405.00
$262.00
stx].00
$5.00
$63.(x)
$5.00
sr5.m
$93 m
E110.00s 9.m
$r68.00
s6.00
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s120.@
$102.00
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340.00
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Owner as defined by RCUr.19.28261: (1) Ownerw l ocqrpy the sfudure iorlwo yeatE afiar this ele.fical p6rmit is fitElized. (2) Otirner i8
rsquiEd to hirc an effiicd contraclor if above 8ai, property is for sale, rellt or h8se- Permit clqirBs afrEr sk molllhs of last ittspedbn.
Afrer reading lhe alovg 8tBbmeG I hereby cerury tffi I am llre oi,ner of th€ above tamed plope y or a licensed ele(trical contaclor, I
am rnal(rE the eHical irEtalathn or 8lteratbn in complance wi$ $s clo(trical lau6, N.E.C., RCW. Ch4br I 9.28, llrAc. Chspter 296-
468, The Oty of Port&rgeles Municipal Code. a(d t tility Sp€cificatbns and PAMC 14,05-050 regading Ehdicd PefitlitAtplications,
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Date Print Name Signature (Ormer E Electsical Contraclor / Adminisffior)
lEleclrical PermitApplications may be submitled to City Hall or electricalFermits@cityoQa us or laxed b 360-417.47'11]