HomeMy WebLinkAbout2030 W 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Applicaiion Nurber
Application pin number
ProperEy Address
ASSESSOR PARCEL NUMBER:
Applicatsior tsype description
subdivision Name
Property Use
Property Zoning
Applicatsion valuation
19-00000946 Date
23 7814
203 0 w 5T1l ST
o5- 3 0 - o1- 5 - 6 - 0010- 0000 -
ELECTRICAL ONLY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
5 /20 /te
RS7 RESDNTL S]NGLE FAMILY
0
AppficaEion desc
outsside ouEleEs
PAUL S AND SAftAH E MATTSON
2O3O W 5TH ST
PORT ANGELES WA 983 62
EXTRA MILE TECH & E],ECT
418 N. RACE ST.
PORT ANGELES l.lA
135A) 457 -s222
, iLC
94362
Permit
Additionaf desc
PerrniE lee
Tssue Date
Expiration Date
68 .00
6/20/19
L2/a1/19
ELECTRTCAI AI,TER RESIDENTIAL
.00
0
Qty Units Charge Per1.00 s.0000 EcH
1..00 53 . 0000 EcH
EL-ECH A.DDNT BRANCH CIRCUIT
EL-R- BRANCTI CIR Wo/ sER FEED
Extsension
5-00
63.00
Charged Paid CrediEed Due
Permits Eee Total
PIan check Total
Grand Total
58. O0
. o0
58.00
00
00
00
00
00
00
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH.IN z/q/t9 JP TP
FINAL *lr) n .Ay
Signature ofowner or Electrical Contractor X Date
Valuation
68 .00
.00
68 .00
INSPECTOR:
#
COMMENTS:
ELECTRICAL PER MITAPPLICATION
Public Works and Utilities Departrnent
321 E.5th Street, PortAngeles, WA98362
36A.41"1.4735 | www.cityofpa.us i clectricalpermits@sityofpaus
Email:
Phone:2d
Ucense:exfR4r4r?73 P b
Expiration DaE:
-74:a6-2on
Phone;360 -<lLI - tZ3A
RECE,UFD
JUN t g :1i/ts
!oIl!
l
)
-D.\L
$-'
Project Address:30 +r- a.{-
Proiect D6cription:a*il-sr)- @.^.#G,Ss
S/single-Famity ResidenUal E Duplex /ARU Building Squarc 6otage:
Maling Address
Name:€x
Mailing Address:
Email:
LE Te
o* 3t.a8
&a
SorvicE/Feeder & Anp-
Servicer'Feeder 20l-{X} Arnp-
Service/Fssder 4O1{@ Arnp
S€wier'Feedet 60l-tfrB Amp-
Service,/Feeder over 1000 Arnp,
Branch Cirouil tM SewtcB F€€dcr
Branch CirciJit Y{O Servic. Feede.
Each Additional Eranat! Ci$uir
Brarch C[.qritB 1-+
Temp. SeN*:e/Feeder 200 AIIp.
Temp. Servie{Focder 201400 Anp-
Temp. Service,IFeeder 4016m Amp.
Temp. Service/Feeder 60l -1000 Arnp
Portal to Porbl itordy
Signal Cftrrirlimited En6€y - 1&2 DU.
Manutactrred HqI|e ConrEdbn
RenBnable Ekrc. Energy: SKVA Syetem or bss
Itemo$at (Note: $5 tor €adl addiliona0
FiEt 1@ Sq€re Fe€t
. Esdt Add6onal 5@ squore r8€tr'
. Eadr OutbuidiB, D6b.hrd Gr€e
Eedr $rirB?u'ng Pod, HotTub
Unit Charoe
slm.m
$r45.00
$205.00
$262.m
s373.00
$5.00
$83 00
$5.00
s-/5.00
$93 00
$110.00
s149.00
$r68,00
$96.00
$64.00
$120.00
$102.00
$s5.00
$120.00
${o.00
t4.m
sI10.00
ouanttv febl {&rarfiy x Unit ClErg€}
I
I
TOTAL
---7-;--A---'-e74a.-
-w.-a-
s
o
$
$
$
s
5
$
$
$
D
$
$
$
$
$
$
t
s
&l,'|er as deftred by RC 1,1928261: (,) olr,lrerwi{ ocorpy the sfucdlte fort ro year6 afrerthis eleckical pernit is firalid- (2] Orvner b
r€quired to hire an elodioal corkador it above laid propeny ,s fur <.ts. lEnt or lease- Permi G)eirtss afilr six mofitns of last hspsction.
Aior r€ading thc abovo stateme*, f hsreby csrtiry $lgt I aln lie owner ofthe above named prope(y or a lbensed sl€ctrical cont'actror. I
am rftakilg tle ele€fr&al instdHbn s eterdion in conptrance wi[l tha ebceical b!ss, N.E.C-, RCW. Chaptsr 19.28, tirAc- Chapbr 296.
.t68, The ot Port Argelee MuriqiprJ Code, ed uttrty Speqifcations and PAlt{C 14.05"050 regarding Elccficd Pe{mit Apptrealions.
L,t<".€**trlOatePrirt Name Srignahre (fl Onmer Eec-bical Contracbr / Administ'ator)
lElectsical PermitApdications may be submithd b City Ha[ or ebctuicalpermits@ciayotsa us or faxed to 360.417.47 1l]
1 - 2 SINGLE.FAh{ILY
Nan€: