HomeMy WebLinkAbout1707 E 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appl.ication Number
Application pj.n nulnloer
Property Address
ASSESSOR PARCEL NUMBER:
Application ts],?e descriptsion
Subdivision Name
Property Use
Property Zoni[g
Application valuati.on .
19 - 00001993 DaLe L2/17/19
99420L
170? E 4TH ST
05-10 - 00 - 5 - 5 - 013 ?- 0000 -
EI,ECTRICA], OIII,Y
Application desc
DHP
contracEor
OL\.MPfC IULFILLMEN'I FAI,IILY LTD
PO BOX 999
PORT ANGELES WA 98362
(350) 460-5892
EXIRA MIIJE TECH
418 N. RACE ST.
PORT ANCEI,ES
13601 457 -5222
& ELEC?. , IJIJC
wA 98362
Permit
Additional desc
PermrE t'ee
Issue Date
Expiration Dale
63 .00
L2/11/19
5/t4/20
ELECTRICAL ALTER !'ESIDENTIAL
PIan Ctleck Fee
valuati.on
00
0
Oty UniE Charge Per
1.OO 63.0000 ECH EL-R. BRANCH CIR WOl SER FEED
Ext€ltsion
63.00
Fee summary charged Paid Crediied Due
Pennit Bee TotaL
P1a[ Check Total
Grand Tota}
53 .00
.00
63 .00
63 .00
.00
63 .00
,00
.00
.00
00
00
00
PERMM WIL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN zlzvlzo -8 TP
FINAL zlz'{lzo &w
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
1 - 2 SINIGLE-FAMILY
LLECTRICAL PERM IT APPLI CATION
Public Works and Utilities Departunent
321 E.5& Street, PortAngeles, WA 98362
3 60.41 7.473 5 | wwrv.cityofpa.us I electricalpermits@cityofua.us
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Proied Address:
ftoject De$ription:
D SinglB,Fadly Residerdial [] Duplex /ARU Building SquaI€ {ootage:
Name:Email
Phone l-o -)d
Lieense:7
7bL Expiration Dale: /-?L - 2ot I
Phone;1Go -.16t - ,3ts g
Mailing Address:/7o 7 /t
Narr'e'- Ex{a-lLs -i-s
Meilino Address o o)L 7l r-8
EInAII: E €ol
Lo.
ltem
S€wicelFe8der 200 Amp-
Se,vicalFee@r 201400 A$ip-
ServicElFee&r,101.600 Amp
ServicdFeeder 601-1 000 Arnp.
Sewice/Feeder over 1000 Arnp.
Branch Circuit w/ SsrviEa F€eder
Branch Cirulit WO S€{vbe Feeder
Eaci Add ional Erandr Cirqit
Bra$r! Cirrrib lrt
Temp. Servie/Feeder 200 Anp.
Temp ServicelFeder A1-400 Arnp.
liemp. SeliceJFeed$ 4O1€O0 Amp-
Temp. Service,/Feeder ml -1000 Amp
Portal to Portal Houdy
Signal Cirqrtlliriled EneEy - 1&2 DU.
Manuiadured Hgne Connedion
Renewebl€ Elec, EneEy: 5l$/A Syst8m or lgss
Thennostat (Nots: 55 tur sa.h a{tdiiioflsl)
Fil* 1300 Sqls€ ftEt
EEdr Addfiioral 50O qualE &d"
Eadr O.eirfdx€ , Debdled @r{e
Eet,l Swiflrin€ Pool I tldt Tub
Unit Cha.qe
$1m.00
$'r46.m
$20s.00
$262m
$373.m
$5.m
ffi-00
s.00
$75 00
$93 00
9tr0-00
$r49.00
sr68.00
s.o0
944.@
s120.00
$r02.@
$56.00
$120.00
$rto.00
9r4.00
$110.00
Ouan$tv Tot l {Quaffig, x Unlt Charge}
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Or/!,.rer as defined by RCW. t 92&261: (l ) Owrerr.r l occrlpy the sfudure iortllro yea.s atterthis €l€Ehical pefi*t E finalized (2) Oriruer is
rEquired to hile an eleddcal co$trador iF above said propefiy b 6rsab, re$t or l€sa Penrit q)pires afrar sk nq ths of last in3rection.
Aier rading tfie sboye Btabflleflq I hereby cerliry that I a.n lhe cn ner ofthe aboye mrled pope.ty or a fcensed eleckical con!'actor I
am making ltte eldicalinsbllation or afterElion in cormlance wi& Ul8 eleotl€l la$rs N-E.G-, RCV{ Ch4br 19.28, K,AC. C]r4ler 295-
468, The City of PortAngdes Municipal Code, and Uiltty Sp€cificaiions and PAII C 14.05.050 Eiectical Peniit Applicatlons.
/f
Oate SignatrJre (Owner Contractor / Administr'ator)
lE eckical PernitApplicatbns may be submitled to City Ha[ or eleclricalpernits@cityo&a us or faxed lo 380.417.47111
Prirf Name