HomeMy WebLinkAbout922 S Laurel StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDN?L SINGLE FAMILY
0
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S\
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\Application Numlrer
Applicatsion pin number
Property Address
ASSESSOR PARCEI, NUMBER:
Application ts).pe descriptsion
subdivision Name
Propertsy Use
ProPer!Y Zoning
Appfication valuaEion
21-000016s5 Date 1-2/2L/21
4312L5
922 S I,AUREL ST
05 -3 0- 00 0-2-9290-0000-
ELECTRICAL ONLY
ApplicaLion desc
Bathroom remodel
,fUL]E R GREENBERG
922 S LAUREL ST
PORT ANGELES
1206) 910 5174
EXTRA MIIE TECH & E],ECT., LLC
418 N. RACE ST.
PORT ANGEIJES WA 98362
l35A) 45',7 -5222
wA 98362
Permit
Additional desc
Pernits Fee
Issue Date .
ExpiraEion Date
68.00
t2 / 21/ 2!
6/le/22
00
0
QEy Unit Charge Per
1.00 5-0000 EcH
1,00 63 .0000 EcH
Extension
5.00
63.00
EL- BRANCH CIRCU]T W/FEEDER
EL.R- BFANCH CIR WO/ SER FEED
charged Paid Credited
Permit Eee ToLaI
Plan check ToLaI
Grand Totaf
68.00
.00
68.00
00
00
00
68 .00
.00
68.00
00
00
00
REPORTSALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN /7' tj -3,4P
FINAL dtr Jzz-X
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
GIEXCHANGABUILDTNC
E],ECTRICA], AI,AER RES]DEITTIAI
Pla:1 check Fee
Valuation
,4*
1 - 2 SINGLE-FAMILY
Proiect Adress:5" ^,tt
Project Decription:d.+t-,.\"-.<,",.. J a_
tr Single+amily Resldental tr &rplex / ARU Building Square {ootage:
ffiFw
TC
4- oJt
Name:
MBiling
tl<€Email:tUA
Addre3s:7,-,{
License:EXTRAMT973R6
Expiration Date:12t26t21
Phone. 360457-5222
Name: Exha Mile Tech & Elecficai
Mailing Address:P,O. Box 3128 Port Anqeles.Wa 98362
Email:
Item
Ssvi@Feeds 2(xrArp,
SerYioe/Fesder 2014@Ary-
SorvbelFeedsr 40i-600 Arnp-
Servica/Feeder 6O1-i 0O0 Amp.
S€rvice/Feds. orer 1Un Arnp.
Branch Cirqritw, SeMca Feeder
Branch Cir. it WrO Seryica Feeder.
Each Addfr'onat Bramfi ClErit
Brdrch CirE it6 1-4
Tenp- SeoicerFeeder 2@ Anp"
Temp. ServiceJFeedsr 2014m Anp-
fomp- SeryirdFeeder 4{f 1600 Amp-
Temp- ServicerFeds dflno0o Alrlp-
PorlalbblHqdy
Sigflal Cirujt/Limited Ene{gy - 1&2 BU-
Manutacfured Hofite Connecfi oa
Rene$rable Ehc. EneQla sl(VA Sysiem or bss
themosEf (],tote: gS for eadr addliwnt)
First 13m Square Fd
Eaci Addfiomt S00 squarE tued..
Eacfi Outhl <fing / D€*a.'led Garage
EachSafimrtugM/HotTub
Quantitu Totil (Quadtty x Unit Charge)Lrnh Charue
$120.00
$l,16l[
$20s.00
$262.@
sl73-00
$5JX)
$63.00
$5,O0
sts-00
$93_00
$110.00
S1,r9-OO
$168.00
$96-00
$64.00
$120.00
$1@-00
ss6-00
$12O.0O
$40-0o
s-14-00
$110.00
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Owner as ddnerl by RC1ilr.192gA61:l) Oq,ner!till oDo.lpylhe Su€turefortw years aner $!s eledical permt is fi.Elized" {2) Owner isrequircd to hire an el€(tical contraclor if above said pro0erty b for sale, ,ent or lease. P€rmit eryirs afler sh montfts of last inspedion,
Aftor reading &lB above s-tatemenL I tlersy cerlify tlat I am lh6 olner of lhe ebot8 named properv or a licensed eledical cortractor. Iam rnaking tre etedicd insEfatbn or fuirn in corrpli.mce wih &e €lectrical hrrs, N.E C., RCW CtEpter 19,28, WAC- Chapter ZgG468, The Cfy of pod Artget€s Munkipal Code, and U$ity Specitcalions and PAMC '14-05.050 regarding El€ctdcal Permit Applications.12-2a^2( Scott M-Smasal
Date Print Name Signature (D Owner E Electbal Conffi, Adminiskaror)
E€l
[Elecfricd PermitApplicalions may be oubmiued to G y Hag or or faxad to 360.417.47.111
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