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HomeMy WebLinkAbout2125 W 18th StELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 RESIDENTIAI MEDIUM DENSTY 0 REPORT STATE SATES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) -s !_$ C2 Application Nuniber Applicatior piIr number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning Appl j.cation valuaEios 19- 00000 901 Date 6/1-2/)-9 420342 2125 W 1811t ST 06 - 3 0 - 99- 0 - 1- 04E0 - 0000- ELECTRICAI, ONLY Applicatsion desc Circuit repairs Contractor CAIEB J AND HEIDI A COPKO 500 sE 177TH AVE #T224 VANCOLryER WA 98683 SI]AMP ELECTRICA! CONTRACTING PO BOX 383 PORT ANGEI,ES VIA 983 62 (360) 4s2-1589 Permit Additional desc PermiE Eee Tssue Datse Expiratsion Datse ELECTRICAL AITER RESIDENTIAI 1-4 CIRCUITS 75-OO Plan Check Fee 6/L2/L9 valuat.ion t2/09/t9 0 oty units charge Per BASE EEE Extension ?5.00 Fee sunmary Charged Paid Credited Due Permlt l'ee IoEal PIan Check Total Grand Tocal 75 .00 .00 75 .00 75_00 .00 75 .00 00 00 00 00 00 00 PERMIT WILL EXPIRE SIx (6) MONTHS FROM I.A.ST INSPECTION INSPECTION TYPE DATE:INSPECTOR: DITCH SER\'ICE ROUGH-IN t lzsl.q dF "HP FINAL '= lzu'liq ## COMMENTS: ,! Signature of owner or Electrical Contractor X . o0 \._ RESULTS: Date: j.. - u_$i htGLE-r, sMllv ELECTRI CAL PERMIT APP ONICAT l ,:, l,l;- rl, ..: i, ,i I ltli, t:t,, I il :;,.: ia.l1.,,,:i .' 'rl , ., l, '-,'' i.:j:r-l , !:' i i"l :1:'-- :,,11 :l !,r ., ,., ., i,1 .I, ,:i. :I,r.-..::|.' l''-r'i lll--rl;i:',,'ii!;i L:r ZVL* 1rt, Li expirafion Date. Phone RECEIVED JUl,t I 1 2019 *har{r*} Prci€ct Address Name. L,loilirg fiirnail llalr .Sqltri(ilifeeile r 200 AmB, SeryrcelF€edqr 2,01-400 Arnp- Seni{iciFsedar 401€08 AmF. Serul.c./Fqeder tjo1-1 000 Amp. $en EP=JF(l*der ov*r 1000 A.n$. Er&n.fi C,rcuil w/ Selvica Fecdot Elnn<a Circu{ Wio Seflr'icr Feeder fa.h AddriEndl Eianch Crcut llra{cl-' C irsurts 1-4 'l'E{rp. SErvioe/Feeder 200 A.np. 'lemp, Sel,-€€rFe*.{irlr 201-40BAmF 'lemr, .l;en{*,rFe(der 401-600 Anrp 'ferlrp S(1t..Ge/Feeder 601-1 0O0 Amp. rortaltc Pr{-l ilourly sqndl Crrqrirl-nnii(ld tinergy . 1&2 DU- tulinuf$du,e{: 110n1e ilon$ea:lioIr Rar.wable Eleq- Ene.*y 5KVA Sy3tern {rf le68 thernroslat (l.lola: 55 for rach additiohall PrujBcl tlescriptlon I}..Iiirrgle.FarnilyRrsidrmtial[lDUpleXIA&[lBuikiihgSqUarefoota9e:-.-.,* irJtne Er!sil: Phr:nel,4ailinu Address: *. $120.0t1 5i i10.00 s?85.00 928?,00 $373.00 lt5. tto $3.40 SS:00 $75 00 $93_0O sl10.o0 5r4!r.00 $t 68.00 $96.00 $64.00 $120.0{J s'102.0{) $56.00 $ c s s s . s s [r $ $ I *I'> . lY ) $-'...",- $ .. ..__ 5 -_',".-... $ . *__ $ TOTAL Alter .eicirut {ie abovE stalemenl, I her*l}y oEflrly ihdl t anl tlre (Arrner ol ttre dtrqv{: tanrBd proFertt ot a licensed Eleolllftll r:anfiilctor I a makinq th& ele(&cal irrstall,rllcn or Blterati$n in comrlliance ,Jlilh ihe ':lectfical l3rs. N.LC,, RC'qV. Chapler 1S.28, !VAC. Cilaarar ?!6- .168, Thc Cily ol eles Municpai ulility €nd PAM$ 14.05.050 raoanling Eleetriqsl Ferni't A$piicai$il$ s t n;!te Print Name [Eleetrieal PErrn rt .Appt.-atio n $ ]uay $iqnature Lf-l Owner f:i Electricai Co trtn r r?,d.r.I-a-l[.P: be :iuhmilted tr) Clly l'lall or Eleslriljalp€rmits(Ocjlyofua.!s or {axed lo 36b]{ strElor) (xt. l-* t.-\ P ?otl A,PPROVED ELECTBICAL INSPECTION WIRING REPORT 417-4735 NOT APPHOVED DITCH .tr .. ROUGH IN/COVER .,...o SERV!CE tr . FINAL tr tr tr D COBR.ECTIONS NEEDED: NOTIFY II{SPECTOR [rrHEl,l CORRECTIOTIS ARE COMPI.STEDWTHII'I 15 DAYS _DO NOT REMOVE- V'/"qln P-1D\ INsPECTQB \-T',&2 owNEB 4)nnY **.a'9>1-CONTFACTOF Ffl)tz-t ,+ lLl F.T'.tcjlc---T-fLt4 ..#5*u"T'EY %V"o"" ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOT APPROVED DITCH APPROVED ROUGH IN/COVER .tr BC"- ......SERV|CE tr n....FINAL pconnedrous rurroeo,€.#Ylnt* ,'tr--Q.nr Dxta& 4 {EuftS A...fi F*:* h+(sta$c belreg tr tr tr tr ?r]*t qa*tt- Z*trYs2-Vov-UqD ,{*o grqrft DATE PEnivllT+t94bl NSPECTON ?BP ow(EF Att*nY *LLez- CONTRACTOB , u>\fZ)tJL to-{@ ) tasrnt- ?p-*yc4 elz-*-W *@ :F.r- .srre -str N:r,c 214./1- NOTIFY INSPECTOH WHEil CORRECTIOMi ARE COMPLETED WTHIN 15 DAYS _ OO NOT REMOVE-