HomeMy WebLinkAbout327 Columbus AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS? RESDIITI, SINGLE FAMIIY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatsion Nuhber
Appfication pin number
Property Address
ASSESSOR PATCET NI'I4BER:
Appfication type description
Su.bdivision Name
Property Use
Property Zoning
Application valuation
19- 00001959 DaEe 72 /1-2 /1-9
393427
327 CO],UMBUS AVE
05 - 3 0- 0 9 - s - 2 - 3 353 - 000 0-
ELECTRICAI ONLY
Application desc
DHP
CHARLES W R PETERSON
327 COLUMBUS A\TE
PORT ANGELES !]A 98352
(360) 457,9334
CASCADE EI,ECTRIC
PO BOX 369
PORT T]ADI]OCK
136A) 379-s347
& VAC INC
wA 98339
PermlE
Additional desc
Permit Fee
Tssue Datse
ELECTRICAI ALTER RESIDENTIAL
1-4 CIRCUTTS
75.00 Plan Check Eee
L2/t2/L9 valuaEion
6/09/20Expiratsion Date
Qty unit Charge
00
0
BASE EEE 75 .00
Charged Due
PermiE lee ToLal
Plan Check Total
Grand Total
75 .00
.00
75 .00
75.00
.00
75.00
00
00
00
oo
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN t)zt/za .[)(,+P
FINAI il"rlro JF 6
COMMENTS:
Date:
.-s
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--"s)
Paid CrediEed
DATE:RESULTS:
Signature ofowner or Electrioal Contractor X
Dec 10 19,03:47p p.1
ELECTRIC ALP ERMIT APPLI CATION
Public Wbrks and Utitities Dbpartment
321 E.5rh Street, Porr Angeles, WA 9g362
160.417.473 5 I www.cityofta.us I clectricalpermits@ciqyofpa.us
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ProiectAddress /*t:v
Project Description:Dtac tts l-le +f putry F
ingle-Family Residenlial E Duplex /ARU Buitding Square footage:
Name
Mailing Address:
Email:
Untt Charoe gue!$a
Phone
Lieense:
Expiratjon Date:
Phone:
$
Name:
Mailing Ad
Email
Item
ServlcerFeeder 2OO Amp.
Service/Fe€de. 201 4OO Amp.
Service/FeBder 40't€OOAmp,
Servic€/Feeder 601-lm0 Amo_
SeMce/F€ eder oyer I 00O AInp-
Brandt Circuit W/ Servica F€eder
B.andr Circuit w/O Seryice Feeder
Each Additional Branch Ciro.Jit
handr Cilriib 1-,1
Tefnp. Service/F€eder 200 Amp.
Temp. Seoi(rFeed€r 2O1-400 Amp.
Temp. Servioe/Feede. 401€00 Amp.
Temp, ServicelFeeder601-1000Amp.
Porbl to Portal Houdy
Slgnal CircuiuLhited Energy - t&Z OU
Manufacbtad HonE ConrEdion
Owner as defined by RCl,/V. 1 929.26i : (.t ) Ow'rer w0l
r€quired to hir€ an electical contractor if above said
trehl (Qu t1y r Ur*t Chargel
$--$120.U'
$146.@
@5.m
s2,@
$373.0O
$5.00
s63.(x,
$5.00
$7s.@
$93.00
$1 l o.00
$149-0O
3168.00
$96.00
$64.00
$r20.00
$102.OO
$56.00
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$--s_Renewab{e Bec. Ene€y: sKVA Syslem or less
Thermoslat (Nob: 55 br Aqgh additiorEl)
Flllt t@ Sqiiure.Fet .
EaAr Artoitiora'i sOO i(uae tuet*
. Ea{fi Outbtlitding I Derach€d Garage
Eacn S'flirldng Egd.l lrotTub '
rOTAL
occupythe stluchtre fortt o years afterth
propeny is for sale, lsnt qr lease- permit
$
s;z=T>
is dectrical pe,nit is finalized. (2) O,vner is
ereirBs afier sk monttlg It last hspec{k}o-
ArEr Eading the *ove staternent, I hereby sertit
am rnamng lhe ehchicalinshllation oralteration in cDlFliance with th€ El€dricd taws, N.EC., RCfiI Chapter 19.2a, UIAC.
lhat I am lhe qJvner of tie above named property s a lk€nsed electtical contracto(. I
Ch+br295-468, The PodAr,geles icipal
l*,
Code,and Wlity S ns ard PAMC ,4.05.050 regadiry Etecticat permit Appticatiorc.
Signak!r€ (El Owner Electrical Contraclor / Adminish-ator)Name
{ca lL'
D
[E]ectricel Per,.nitApplications may be submiEed to City Halt or electrtca us or fared to 36O.417.471i1
1 - 2 SINGLE-FAMILY
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ELECTR1CAL CONTRACTOR INFORMATION