HomeMy WebLinkAbout835 W 5th StApplication Number
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Propertsy Address
ASSESSOR PARCE! NUMBER:
Appf ication t]'pe description
Subdivision Nane
Propertsy Use
Property Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS7 RESDNTL SINGLE FAMILY
0
19- 00001053 Date 7 /1-'1/L9
209431
835 W sTH ST
05-30 - 00- 0 - 1- 0240 - 0000 -
ELECTRICAI ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
AddiEion wiring
Contractor
JOIIN COI,LINS & KIMBERLY BLINOE
PO BOX 2671
PORT ANGELES t{A 98362
(350) 450 0 895
EXTRA MILE TECH
418 N, RACE ST,
PORT ANGELES
1350) 457 5222
WA
, LLC
94352
&
Permit
Additsionaf desc
PermrE !'ee
Issue Datse
Expiration Date
113.00
i /a'7 /a9
a/13/20
Qty Unit Charge Per
10 .00 5 .0000 ECH
1.00 53 .0000 EcH
EI,.ECH ADDNT BR.ANCH CIRCUIT
EL R BRANCH CIR i,IOl SER FEED
00
0
Extension
50. 00
63 .00
Fee summary Charged Paid CrediEed Due
Pernit Fee ToLal
PIan Check ToLal
Grand Total
00
00
o0
113.00
.00
113 - 00
.00
.00
.00
113
113
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM II.ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DMCH
SERVICE
ROUGH-IN 2-tE-t1 4.tr F6
FINAL bl6lfi ff "E\
COMMENTS
Signahrre ofowner or Electrical Contractor X
ss:
os(p
ELECTRTCAI, ALTER RESIDENTIAL
Plan u[ecK !ee
Vafuation .
Date:_
1 .2 SINGLE.FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Departunent
32I E. 5th Stree! Porr Angeles! WA 98362
360.417.4735 | www.cityofraus I elecrricalpermis@cityofra-us
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Projec{ Descriplion:c_.a/L.* uJ irz-o a-D
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Li-nse:
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Name:€r+.L
Mailing Ad&Es:
Email:
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ServicdFeederrfi€OA.P
Sen i{gF8qrer 6O1-t@ Arrp-
ScrvicerFeeder o€r t(xro AIp-
Mr Cilu.dlrlrs€rr/icr tuq
Braftdr qtqiit Urc Scn ice Fegdcr
Each AddnirrEl Branch Cirqrit
E.ardr CIllrllis 1-4
T€rnp- SeflirrFeeder aE AflF-
Te'Ip. S€rvtE F.€der 201-am ArlIl.
Te[fF. S€n ioe/FGe&r 4lr'l€{r0 Anp.
Te{lp. S€n i-,Feed€r qlr-f @Amp.
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Fh3tr3(IlSqeH
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E i Srtumiq F@l, Hot Tub
Unit Chsrqs
sr20.m
s?B,m
t?05.(n
s26Z(x'
ttrl3o
s.00
$63.00
$5.00
5'l5,m
$93 (b
cfl0.00
s't49.m
sl€8.m
s.00
t84.@
3120-m
0102.@
ED
$20-@
l{o00
5r4.m
tr1o.@
Oulntn &ll{qt.l itrr lrnlClrrie}
9_
E-
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/4 -Hl:;-
$
s
5
s
6
s
E
s
I
s
I
$
s
s
E
TOTAL
5_., //3. "-
Owner as defned by RCUr.1S28261 : ('l ) Owneru/il occupy the qtrudu.e for two yeara ansr USE electical permit i! frdiz8d- (2) oilvnar ts
tsquited to hire an elecfical conbador if above teid propert, iB for sslc, Icr or kasa- Fermit opircs aiEr six modrs of lad i$adon-
Afur Bading lhe above sefltenq t heIEDy ceniry $at I am 0le or,ner of ttE sbov6 narrEd proporty or a licensed ebctlicat contrgclor. I
am mddng the ele0fiical illsta$alior ordbrati in comptance wilh 0iE ebofiical Ews, N.E.C-, RCW. Chapter 19.2S, t AC. Cttap€r2gS
aOB, The 6ty o, Po,tAr8des Munictprl Code. 8txt t frrty Spedi€ations Ird pAfrc 14.05.0SO Eecticd Permit Applcatons.
-1 /f rt
Oate Prlnt Nam€SEnature (E Ot ner Conffir/Admidffir)
tEbcfrlcal PernalApdicdions may b! submfrcd lo C[y H8[ or electicalpe.mlb@ci@. u3 or lbcd b 36o.417.4?tf l
