HomeMy WebLinkAbout2321 S Peabody StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SINGLE EA}IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-_a
sd-C\i
ApplicaEion Nurdber
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NTI\,IBER:
ApplicaEion t),pe description
Subdivision Name
Propertsy use
Property Zoning
Application valuation
19 - 00001140 Date 7 /31/1,9
s23940
23 21 S PEABODY ST
05 -3 0 - 10- 5 - 0 - 174 8- 0000-
ELECTRICA', ONIJY
Application desc
smoke detectors
Contractor
.fON AND SULENE V C IGAUSE
PO BOX 1525
PORT A.}.IGELES WA 98352
KIRSCH ELECTRIC INC
P. O. BOX 33 96
SEQUIM
(360) 683-5819
wA 98382
Permit
AddiEional desc
Permit Fee
fssue Date ,
Expiration Date
ELECTRICAI ALTER RESIDENTTAL
1-4 CIRCUITS
75.00 Plan Check Eee
'1/1t/ t9 va.Iua! i on
1-/27 /20
00
0
Qty UniE Charge Per
BASE FEE
Extension
75.00
Charged Paid Credited Due
Permit Fee ToEal
PIan Check Total
Gr.and Totsa1
75.00
.00
75.00
75 .00
.00
75.00
00
00
00
00
00
00
PERMTT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\,'ICE
ROUGH.IN n/zslD &'r4P
FINAL "i/ziln w (t+F
u
Signature of owner or Electrical Contmctor X Date:
COMMENTS:
i:
1-2 SIN G LE-FAM ILY
E LE T IC LP E MIT AP PL IC ro N
rubUc l,Vbr ks ano Uijli.ries Depa :nent
3l I E. irh Srree:. por.l .{n{c.les- r,iA 9g_161
360..1 I 7.d7-i5 ! ri'r,rr.cirr otpn. r.rs I e le-clr.icaipernlits.g. ii1.otpu. r.\::o
erdial E Ouptex /ARU Building Square footage:
P
if?i;ff (D
I
!$
Irl,l-
l-cto,ProjectACdress:a3
Name
f e
Mailing Adciress
Name:
Maiting
Email:
Enraii:
Phon -l-)
Licen
Expiralio Date:-'-<--)Phone
Qu:ntttv Total (Quantity xU nit Charge)Service/Feeder 20O Amp.
Service/Feeder 2Ol-4OO Alip,.
Servrce/Feeder 4O1-600 Amp.
service/Feeder 6oi-1 0oo Arnp.
S ervCe/ Feeder over i 0OO.Am p.
Branch Circuit W/ Service,Feeder
Branch Circuit W/eservlce Feede,
Ea* Additional B.ench Cirqrit
Branch CirGJiG rl -4 |
$205.00'
$262.00.
s373.00
s5.00
'$.120.00
'
9J 46.00
s75.00
$93.OO
$ 110.00
$149.00
$168.00
$96.00
s64.00
9120.@
$102.00
$56.@
$120.00
$4O.@
$"/4:00
$110.0o
$
$
$
$
$
,$
$
$-T-:
Temp. S€rvicdFgeder iOOAmp.
Iefip. ServiceFeeder 20*400 Amp|_ ,._
Temo. Seivic€/Feed€r 10i 5€O Amp.
Tem o. ServiceJFeediv OOr-t OOO lmp.
Po[alto Porta, Hourty .
Signal CtrcuiuLimited Enbrgy - 1&2 DU.
Manufactured Home Co.nectjon
Renswa e =l€c Energy: sKvA.System or tess
Inermostat (ijob: gS for eacfi €dditimal)
First l30O Squarc Feet
Each Addltionat 5OO square bet..- Eed| Ousuildjng / Deiacied Garage
Eadl $.dmrning pool / Hot Tub
s
$
U
$
$
,-$
s
$
s
: !-+-
TOTAL $
reguired lo hire an elec,tr;cal contractor if above said ffopefty is fur sale, rent or lease. permit elqirG aner six months of i ast inspection.After reading the above statemeflt,I h€reby cerfry that I am the owner of the above named Property or a licensed dectrbal contsactor, I
am making trte electrical installation or alt€ratjon in @mpliaflce with the eleclricat laws, N.E.C., RCW. Chapter 19.28, rillAc-ChapEr2gA.168, The City of port Angeies li{unicjpsl Code, and Utility Spacjications and PAMC 14.05-050 regardir€Applications_solr --Te-rz i.scA
Own€r a6 defDed by RCW. i9.28.261i (1) Owner wi[occupy the st.ucture for two years afler this electrical permit is ,inalized.(2) Owner is
Oate
fEiectrical Permit
print Name
Applicatons may be subm
Signature Orner Administrator)
iued to City Hall or electricatpermits@cityofpa-us or faxed to 9@.417.47111
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