HomeMy WebLinkAbout516 S Chambers StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SINGLE FA]'4IIY
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REPORT STATE SALES TD(
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
No
:s\
T\S
Application Number
Applicacion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicaiion t)?e description
Subdivlsion Name
Property Use
Property zoning
Application valuation
20 - oooools? DaEe 2/1,t/2o
60 028 8
515 S CHAMBERS ST
05 - 3 0 -00 - 0 - 1- 9280 - 0000-
ELECTRICAL ONLY
Owner
ROGERS DAVID M/VICKI A
516 S CHAMBERS ST
PORT .iNGELES \1A 983626425
EXTRA MTLE TECH
418 N, RACE ST,
PORT ANGEIES
\36a) 45"t-5222
& EI,ECT., ],LC
wA 98352
Permit.
Additional desc
Permit Fee
Issue Date Valuation
Expiration DaEe
Qty Unit
1.00
1.00
Charge Per
5.0000 ECH
53 .0000 ECH
EL-ECH ADDNT BRANCH CIRCUTT
EL-R- BRANCH CTR WO/ SER FEED
ELECTRICAI, AI,"ER RESIDENTIAL
0
Extension
s.00
63 .00
charged Paid Credited Due
68 .00
.00
58 .00
58 .00
.00
58.00
00
00
00
00
00
00
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN zln lzr>d fl<Y
!t- lru-a 4a Ta>
COMMENTS
Signature of owner or Electrical Contractor X
Application desc
DHP
58 .00
2/rt/20
8/09/20
. o0
Permi! Fee Total
Plan Check TotsaI
Grand ToEal
FINAL
Date:
1 - 2 SIf{GLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Deparhnent
321 E. 5th Skeet, PortAngeles, WA 98362
360.417.473 5 | wwucityofoa.us I electricalpermits@cityofpa-us
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Project Address:9l{ 5"".*-t, ot t'+e"<j
[1 Ouptex leRU BuiHing Square ftotage:
+FT
Phone:zcd-4a a- 66Gz-
t;en*:EXTk4nr?73 R b
Expiration OdE, /2-2b - 2ot 7
Phone:1Lo -,161 - t ?3e
Ie&l {euanEy x Untt Charge}
Name:
Mailing Address:
Name:IE
Maillng Address:el 3lr-6
Enail: FX
Itrm
Seryice/Feoder 200 Amp-
Seryicer'Her 201-{00 Amp.
ServicelFe€der rtol SlO Arnp
ServiceiFesder @ l-1000 Amp-
ServieerFeeder otrer 1000 Amp_
BEnch CirEuit W S€rvice Fd6r
Brsndr Ckcuit tMO Service Feeder
Each Addilioml BEnch Circuit
Branch Ch ils 1-4
]bmp. Service/Fee{rer zlx)Arry.
Temp. Service/Feeder 20, -4OO Afip.
Temp. SeM'cetre€der it01400 Anp.
Temp. Service"/Feeder 601-1000 Amp
Portal to Po(al Hourly
Signal CiremLimiEd En€rgy - l&2 ol.J-
Manufgctured tlofi e Connedim
Rsnswabb Ehc. E elgy: sKVA SyEGrr or l€s
Thermo€tat (Not6: $5 br eac$ sdditionat)
First t@ SSJae Fee{
,. EEdr A&itional 5o0 squale fE€{-
. Each OdbrddirE / Dehhed Carage
Ea.h $ imriE Poot , Hot'ftb
UnitCha.oe
s120,00
$146.00
s205.00
$262.00
$373.00
s5.00
$63.00
q5.00
g/5&,
s93 00
$110.00
$r49.so
$168.00
$e6.00
$54.00
$r20_@
s102.@
$56.00
$120.@
840.00
gr4.m
3110.00
Elnail:
Ouart lv
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t
TOTAL
$
$
$
$
$
s
$
$
$
$
$
$t
$
$
$
$
I
$
s
Onneras (fu by Rcttt 19-28-251: (l ) Ownerivdt ocolpy ttte stucturB fortwo years aflerthis ele.ti6l pelmit iE frlalized- (2) oir,tler brequired b hire an eledical co tradot if above 3d propedy b ror s8b, rEnt or lease, permt c:Olres affer sir rnonlh of lasf lnspocfon-
Afur reading th€ €bove staiemEot, r hereby cert? tH I am Itle srner of lhe doire sa..r€j FnFi:.r' G- n s;i.;:: ::-::_: :-.:-j-... i
an nddng the e*edical l4stalldon or at reion in corTfia4oewi0r ths elecfiiEalbtrE, t{-E-C., RC1,ri. Chaper i 928, t,vAC. Chap{er 29G
(o/. a'
468, The City of Podtugeles Msnicipal Code, and uflity SpecrficattuE ard PA!'iE 14.05.050 reganting Ebctid Pemit Applicarions.
'\1 5r-1 f€rV....
Date Prir* Narne Siigfiahrre (E Owner Ae{fical Contra.*or / Adminisbabr)
nJ'"":,
lEle(;hical PermitApdi:atiGls may be submiEed b City Hall or ebctuicaFemits@dtyoE us or faxed b 36 0-412 -4711')
goFl
CORRECTIONS NEEDED:
t9
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
.,,.,DITOH ntr
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NOTIFY INSPECTOR WHEN CORHECTIONS
ARE COMPLETED WITHIT{ 15 OAYS
_DO NOT REMOVE_
'Zlru )u-,
PEFIIIT +a-@a INSPECTOF-@
OWNEI]
CONIRACTOF
L
AD
NOTAPPR
.......ROUGHIN/COVER #:
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