HomeMy WebLinkAbout1214 W 12th StRS7 RESDNTIT STNGITE FAMT]'Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\
Application Number
ApplicaEion pin udber
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsion type description
Subdivision Name
Property Use
ProperEy Zoning
Applicatsion valuation
19- 00000853 Date 6/06/L9
75724O
1214 W 12f'!{ ST
o6-3 0 - 00- o-3 - 580s-0000-
EI,ECTRTCAI, ONLY
Applicarion desc
Ser:vice
ConEractor
HOCKETT TIMOTHY L
1214 W 12TIl ST
PORT ANGELES
EXTRA MILE TECH & EI,ECT., I,LC
418 N. RACE S?.
PORT ANGELES WA 983 62
136A) 451-5222
wA 983 63 7004
Permit
Additional desc
Permlts Fee
lssr.re Datse
Expiration Date
120 .00
6/06/1-9
t2/ 03 /19
ELECTRICAL ALTER RESIDENTTA],
00
QEy
1.00
Units Charge Per
120.0000 Ecl{ El,-0-200 sRv EEEDER
Extension
120.00
Charged Paid Cr.edited Due
Permit Fee Total
PIan Check ToEal
Grand ToEal
120. 00
.00
120. 00
00
00
00
124
).24
00
00
00
00
00
00
PERMM WILLEXPIRE SIX (6) MONTHS FROM IAST INSPECTION
INSPECTION TYPE DATE:R.ESULTS:INSPECTOR:
DITCH
SERVICE .lzq)vt <\)-.2 (>fAR'>
ROUGH.IN / '/,
FINAL
=lz-q)tc.,dF :e
COMMENTS:
-u '/'/
Signature ofowner or Electrical Contractor X Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-4735
Valuatsion 0
1-2SING LE-FAMILY HFt:tt,ts 'ooi
=st-l-ol(I Cfil\n'\rl
ELECTFII CAL PERMITAPP CATIOI\I JUH
Public Works and Utilities Department
321 E.5th S{reet, Port Angeles, WA 98362
36A.417.473 5 | wwrv.cityofpa.us I electricalpermis@cityofpa.us
t €d-,l*."fProject Address:
Mailing Address:
E nail x
( 9-€.4< | l4lo L fto"F q 4 kzz
E Duplex /ARU &rnding Squae footage:
Name:
Ma ing Addres8:)/
Name:
E nail:
Le Te.o. Bor SjLg PA q93bL
ol
Phone:
License:€xrtu+4r77 3Pb
Expiration Dab:/2 -e6 - io.i
ptrone:36?-.f61-r3ge
llEm
Servhe/Fesder 2@ Amp-
S€ryic€/Feeder 201-400 Arnp.
ServicelFeader 401€O0 Arrp
SeMca/Feeder 601-t 000 Arnp-
SerYic€rFeeder over 1000 Antp.
Branch Cilcuit W Service Feeder
Brand Circuit WrO Sen ice Feeder
&ch Addito{Bl Bran.fi Cirerit
Branch Cl.clits 1-4
Temp. SeflicelF€e&r 200Anp.
Temp. Service/Feeder 201-4{10Anp.
Temp. Sewice/Feeds 2t016fi) Arnp-
Temp. SE /ice,lFeeder 60, -f 0(x) Amp
Po*al to Portal Heurly
Sigrcl CrqjitLimited Energy - 182 DLr.
ManufactJred H@De Connedion
Renewable Elec. Energy: 5l$/A System or less
IB.rnostat (NotB: SS for each addilioral)
Fi.€( l3m SSJ€ie Fse{
.. Each rSdfiioflsl 5@ squsrs Ed"
, Each Outhdding / De6(,led car€e
€8dl slflinfllnlg Fd , Hot Tub
Ou. llv IrlEl (Oualltq x Untt Chsrge)
$
5
$
I
E
s
$
$
$
$
$
$
$
E
!
i!
$
s
s
$
$
a
$
Owne. a9 d€fined by RCW t928-261: (I ) Ow'|e lilletllpy the stru€ture tio. two y€grE after ttlis etecticat pe.mit b fnaliEd. (2) Olwef i6
rrqured to hiIe an ebdtical coftarior if above sai, ptoperty is for sab, r€r* or lsase- Femitexpires afier six modnr of h.st tEpe{tton-
After Esdhg the above staEment, I hereby certry that I am Ere ournef oftie aborre narned prcpefty or a ficsnsed etsctical cDntaclor. I
am maldng lhe elecoical hsblalion or eteralion in colplance witrl dre elscticat bus, N,E.c., ncrir chder ts.u, ltiAc cb@br 296:,
TOTAI-i)4."'
468, Tne City ol PortAngeb-s Municipsl Cqde, and Specifutions ad PAMC 14-05.050 regadnE Ele€trtcal permitApplicauons.
b '-"-ft- t;^4J
Date Print Name Signat re(E Ol,Iner Confactor / Adminbtator)
/7
[Electsical Permit ApPlicatbns may be submilbd to City Hafl or electricalpermG@ciBo@ us or faxed b 3€io-412.4711j
Unit Charoe
sl20.@
$146.@
$205.00
&52.00
os73.m
s5.00
$63.00
s5.00
$75 00
$93 00
$110.00
8149.00
$r68.@
$96.00
$&8.00
$120.@
fi02.00
s56,00
$120.0r,
3'#L0O
trr4.@
$1r0.00