HomeMy WebLinkAbout106 E 1st St (2)Qs
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-4t'1-4735
18 00000336 Date 3/a4/)-8
8986'.7 2
105 E 1ST ST
06 30-00 513135-0000
ELECTRICAL ONITY
CENTRAL BUSINESS DISTRICT
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
,
\N
\6'Applicatsion Number
Application pin number:
Property Addr:ess
ASSESSOR PARCEL NUMEER:
Application t)?e descniption
subdivision Name
Property Use
ProperLy zoning
Application valuation
Application desc
Heat pump and T stat
Contractor:
JOIIN/EVELYN WESTREM, TRUSTEES
WESTREM REV I,IVTNG TRUST
1006 E BALBOA BI]VD
NEWPORT BEACH CA 92561
(360) 583 3414
PENINSULA IIEAT INC
]82 KITCHEN.DICK RD
SEQUII.4(360) 581 3333
wA 983 82
Perni L
AddiLional desc
Permi! Fee
lssue DaEe
Expir.ation Date
56.00
3/14/ta
9/la /18
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
valuati.on
00
0
Qty Unit Charge Per
1. OO 56. OOOO ECH EL-IJVT-TIIER]IIOSTAT
Er.tension
55.00
Charged Paid Credited Due
Permil Fee Total
Plan Check ToEal
Crand ToEal
56. 00
.00
56.00
00
00
00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM I-AST INSPECTION
INSPECTION T1?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
%r
Signature ofowner or Electrical Contractor X Date
56. 00
.00
55. 00
COMMENTS:
.FA ILY C d,fr.L
E LECT RIC ALP RMI TAP PLIC ATI i{
Publio t/orks and tJtilities Department
l2l Fi. 5th Street, port Angetes. WA 98162
360 -4 17.4735 I wrvw.ciryofpa.us i electricalpermits@cityofpa.us
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Project Address EE +ii
Project Description
E Muti-Family Resiaential El{-o-nrmercia l/lndustrial/Public
tf ,l-I
Building Square iootage
Name
Name:
Mailing
Email:
Email &I'6_9.f ,,.^C.,lMailingAddress: t :x IJ,if-Phone:
License.
.r;,- -lr Lt
{",:\
Address
p6s.t. .!t,, a,<;
Expiration Date: t ,, 20 )lrri* - r l-321 )
C t1'5 G
Item
Servic€/Feeder 200 Amp.
Service/Feed€r 201-1OO Amp.
Servics/Feeder,tOi600 Amp.
ServiceJFeeder 60l-1 O0O Amp.
Service/Feeder ove. I 000 Amp.
Branch Ci.qJit W Service Feeder
Branch Ci.cuil wlo SeMce F€eder
Eact Additional granch Circlit
Branch CirqJits 1-4
Temp. Service/Feeder 2OO Arnp.
Iemp Service/Feeder 201400 Amp.
Temp SeNice/Feeder 401€OO AnF,
Temp. Servicer'Feeder 601-t 0OO Amp
Po(al to Po.tal Hourry
Signal Circtlivlimited EneEy -
Signal irst 't 500 sf - Commerciat(Note: $5 0O Ioi each additional i500 sfl
Renewable Etec. Energy: sKVA System o' bss
Thennostat (Nole: $5 br eadt additonal)
Owner as detined by RCW 1g 26.261 (.r) O\.rne
reqLrired to hre ar eledhca. contractor { above
Quantitv &ld (Qua ntty x Unit Chrrge)
$-_--
$--
5-"-.
$----s_--
Uoit Charee
s132.00
9160.00
$225.00
$288_@
$410.00
s5.00
$74 00
$5.00
$86.00
$102.00
$121.00
$164.00
s185.00
996.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$113.00
s56.00
$_--s ';6- +
i-z i.t 'a -TOTAL
r will occupy the struciure lor two years afte, this electrical permit js tinalized.(2) OwneriB
Afler reading the above statement, I
said property ls for sale, rent o,lease. Permit ereiros afrer six months of last inspection.
hereby certify that I am lhe owner ofthe above named prope.t/or a licensed elegtricat contrador Iam making lhe eleckical installatioo or a teration in compliance with trte eteclrical la$/s, N.E .c., Rcw Chapter 19.28. WAC. Chapter296_468, The City of port MunrcipalCode,and Utility Specific€tjons and 14 regerding Eledncal permrt Applications.
Anqeles
Z tz S'{"ri
Date Print Name Signature (fi lectrical C ontractor / Administrator)
ELcoit
!C
OWNER INFORMATION
ELECTRICAL CONTRP iCTOR lNFORiitATtOlrr
PROJECT DETAILS
lElectrical Permil Applicalions may be submited to city Hallor etectricalpermits@sityofpa.us or faxed to 360.417.4711j
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