HomeMy WebLinkAbout1002 E Park Ave (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -473s
RS9 RESDIITL SINGLE FAMILY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
5
-\
$
Application Nudber
Appllcation pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application ts,?e descriptio
subdivision Name
Property Use
Property zoning
Application valuation
19- 000009?6 Date 6/2a/L9
879472
1OO2 E PARK A1G
05 - 30 - 14 - 5 - 6- 0112 - 0000 -
EI,ECTRICAL ONLY
App1icaEi.on desc
Bed and baEh remodel
I4ARSH .]ERRY I,/ DEBORAH A ET AL
1119 47TH DR SE
BOTI-iEI,I, I{A
BOTI{EI]L WA 98021
EXTRA MII]E TECH & EI,ECT., LI,C
418 N. RACE ST.
PORT ANGEI]ES WA 98362(360) 45't -5222
Permit
Addit ional
Issue Dai:e
desc
ELECTRICAI ALTER RESIDENTIAI,
1-4 CIRCUITS
75.00 Plan Check Fee
6/28/ 19 valuarion
t2 /2s /L9ExpiraEion Datse
oty unit Charge
00
0
Per
BASE EEE
Extension
75.00
Fee summary charged Paid Credited Due
PermiE Fee Total
Plan Check Total
Grand Total
75 .00
.00
?5 .00
75 .00
.00
75. O0
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN zlttlLq P #
FINAI-nlmTg E B
COMMENTS 6F"V t\rElr.,,r- 4o;r',cr{ Vost
Signature ofowner or Electrical Contractor X Date:
APPROVED
tr ...
NOT APPBOVED
DITCH
-B'.?ae-v rar- - . . BoUGH lN/covER
C SERVICE
tr FINAL
coBREcroNS NEEDED: FAiO f2- C4 vfi-z.- -6? frool-
9ti.V * \7*-r+,
NOTIFY INSPECTOR WHEN CORBECTIONS
ARE COMPLETED wlTHIN 15 DAYS
_ OO NOT REMOVE-
ELECTRICAL INSPECTION
WIRING REPORT
417-47&5
tr
D
D
tr
'T/*),1 fi-17 6
INSPECTOB-rhP
CONTHACTOF
ADDBESS
1 - 2 SINGLE-FAMILY
ELECTR!CAL PERM rT APPLTCATTON
Public Works and Utilities Department
321 8.5& Skeet, PortAngeles" WA 98362
360.417.4735 | www.cityoflpa.us I electricalpermits@cityofpa.us
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Proi6t Address:/doz €,+5r ?aL
Proi?cl Descriplion:L) .".- a ) n-u*.)\x {o, F'j *'B"-*'c {-l"c
[[ SingleFamily Residential D Duplrax /ARU Euilding Square tuotage:
Nama:lfLiL Email;
Mailing Address:/aoz E P,+rzg €f p1r6n". 306 -; .)o - 7O9?
Name:€x
Mailing Addr$s
Email:E-N
L te €l c License:€xrP$ftrr?73 R I
P.o. Box 3t,!8 PA q9 3bL Eeiration Dab:/2-zb-2ot7
c Phe.re:160-,1L1-f3BB
lbm
Servioe./Feede. 200 Amp-
Serviccr'Feeder 201-100 Arop.
Service/Feeder 401-600 Arp
SeruicelFeBdsr 50 1-1000 Amp-
Servic€r'Fceder or€r l0O0 Amp-
Branch Circ it w/ Seryice Feeder
Braflch CiIlIit I IO Sewioe Feeder
Eacll Additional Brandr Cirqrit
Eranch CiroIb I-,1
Tefi p. S€{vicerFe*r 20O Anp.
Temp. SerulxrFesder 201-400 Amp.
Ternp. SeMoe/Fee&r lO1$(X, Arnp.
Temp. SeoiceiFeeder 601-1000 Amp.
Pottal to Portel Houdy
Signal Cirorulimiled E ]e gy - 1&2 OU.
Manubc'tulBd HorrE ConrEelion
Renewable Elec Energy: 5lgA Sysiafi or lees
Themostat (NotB: $5 br eadr sddilioaeD
Ftlrt i3$ Squsre F€et
.. Edr Addlioflel 50O squal€ ftst"
, Each olJbutdr.rg / Oatadrcd Garsoe
Ear't Ss&Ilrtlhg Pool, Hqt Trrb
Unit Charoe
sl20.m
$146.00
&05.00
$262.00
$73.m
$5-00
s.00
$5-m
$75.00
$93 00
$'r10.00
$149.00
s168.00
$s6.00
s4.00
$120.00
$102.00
$56.00
sr20.00
s40.fl)
s'r4.00
s110.00
Ouendtv ldbl(QtriEfy r Unit Charge)
$
$
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$
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$
$
$
$
$
$
$
$
$
$
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s
$
$
$
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$
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Owler as defined by RC,Ur.tg28261: (1) O$,nerdl ocqlpy the Gtrudurs fiorlr,.o y€|arE afierthb et€.*icd perdt i6 kdized. (2) Ouner b
rsquired io hile an eiecuicel contraclor if aborre sai, Flperty b for sab, re6t or hase- Permit c4fr6 aflsr sk mordfis ot last i!.spedion-
Atcr readhg thc above datsmsnt I herBby c€rti8 lhat t am Ule orrlner oftig abolle ,ra.rEd properly oa a [censed elerficat aDntractcr- I
an m*ing 8le €lec&icd instslldion or aileralion in coflp6ance witrl tlra EEttical lalls, N-EC-, RCW. Chap€r 19.28, !wAC. Chspbr 29&
{68, The City of P(rf Angeles Municipd Code, ard Uffity Secifcafioffi and PArrC 14.6.&50 rcgadiu Elecfical PermitAMcaioas.
-S}=R.> S'.---^.-P
Date SIgneture (fl O$rner Electical Coatraclor / Admiristrator)
(-''7f- ,'t
[Electical Permit ApCicatioB may be submitted to city Hal or electr,calpero{ts@ciayo&a us or fa:(e{, b 3@.417,41111
I
TOTAL
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