HomeMy WebLinkAbout222 E 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS7 RESDNTL SINGIE FAMILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-s
.ss
Applicatioo Number
Application pin number
Property Address
ASSESSOR PARCEIJ NUUBER:
Applicaclon t!?e description
suldivision Name
ProperEy Use
ProperEy Zoning
Application valuation
19- 00001955 DaLe L2/to /t9
730460
222 E 1AIE S't
06- 30- 00 - 0 - 3 -4220 - 0000 -
ALECTRICAI. ONLY
Applica!ion desc
Service change
JEFFREY D AND DIANE R R.AI,STON
222 E 11TH ST
PORT ANGELES WA 98362
(360) 808-5289
ANGELES ELECTRTC
524 E. 1ST ST.
PORT ANGELES
l360) 4s2-9264
wA 983 62
Permit
Additional desc
Pefinit Fee
lssue Dage
Expiration Date
145.00
12/tO/t9
6/o't /2o
ELECTRICAL AI,TER RESIDENTIAL
Qty UniE Charge
1.00 145.0000
Per
ECH EL-201-4OO SRV FEEDER
Plarl Check Fee
valuatioo
.00
0
Extsension
145.00
charged Paid Credited Due
Permi! Fee Total
Pfan Check Total
Grand Total
a46
146
00
00
00
),46
146
00
00
00
00
00
00
00
00
00I
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE tlq 20 tr "Gr
ROUGH-IN
FINAL
COMMENTS:E-x ,tlg)'zt
Signature ofowner or Electdcal Contractor X Date
-
APPROVED
€:-.,&Er-r*c-
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPHOVED
.....D|TCH.......
ROUGH IN/COVER . ,
tr
D
tr
SERVICE
. FINAL .
tr
tr
tr
tr
eln /e /1-/15{TeP
INSPECTOR
CONTFACTOF
AODBESS
.7 -.1
i-'A
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED wlTHIN 15 DAYS
_ OO NOT REMOVE-
At-Y*-r--rr- Et ez-
connicrrousrueEoro, B Aai zzD,$44 t 0> cL
<r?n--tn/l- udfr€
l2/O9/2O19 08:55 FAI 360 452 9265 Anaeles Electric @ooor/oool
1 .2 SINGLE-FAMILY
CTRI ALP T APPLI
Public Works and Utilities Department
321 E. sth Street, PortAngeles, WA 98162
360.4 l7 .4'7 35 | www.cityotpa.us I electricalpermits@cityofpa.trs
Email:
RECEIVED
Dtc - I20,9
!o
$
N
i-
*-Da\q
ProjectAddress:2Z
Single-Family Residential Duplex /ARU Building uars footag6:
Neme:
P
Mailing Address:Phone:
Item
Servic€y'Feeder 200 Amp,
Service/Feeder 201 400 Amp.
Servic€y'Feeder 401 €0O Amp.
Servicey'Feedar 601-1 000 Amp.
S€rvice./Feeder over 1000 Amp.
Branch Cirqri! W SeMce Feeder
BEnch Circuit WO Service Feeder
Each Additional Branch Cirexit
Branch Cirdrita 1-4
Temp. Servic€/F€sder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/F€eder 401{00 Amp.
Temp, Servicc,/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Ci.qriuLimited Energy - t&2 DU.
M anufac'tu r€d Home Connecdion
Ronewable Elec. Energy: sKVA Systsm or [ess
lJall.Gharcr
$120.00
$146.00
$205.00
$262.00
s373.00
$5.00
$63.00
$s.00
$7s.00
$93.00
$110.00
0149.00
i168.00
$96.00
E64:00
$120.00.
$102:00
Altrdiil IO!aI (Ouantity x Unlt Chary.)
$_$ /rL@$_
$-
$_-
s_
$-3_3--
E-
$
$t,
$-_
$--
_T
Themostat (Nota: $5 for each $-
TOTAL
Owrer as defined by RCW.I928261: (1) Owner willoccupytha stluclurs for two years afrar this dec'fical pcnnit isllnaliz6d' i2) 01 nsris
required to hir€ an electrical contracror if abov. said prop€rty is br sale, rsr[ or laase. Pamit expires after six month8 of last lnsp€clion.
Aner reading the aboye statement, I hereby certify that I am the olmer of the above named property or a licengsd electical contrsctor' I
am making the etectdcal installatim or alteration in complianoe wih the electrical hh,s, N.E.C.. RCW. Chapter 19.28, WAC. Chspter 296-
468,City of FortAngeles Municipal Code, and Utllfry Spsoificati ons PAMC El€drical Psrmlt APpllcalion8.
Ken Sim son
Print Name tr er Electrical Conmcfor / Ad ministtator)
[Electricat Pormit Applicetions may be submitted to City Hall or electricalp€mits@cityoha.us or faxed to 3 @.417.47111
Name: Angeles Eleckic, Inc. g6666; ANGELEI460RS
Mailing Address: !24 E. First Street, Port Anqeles, WA 98362 Expiration Data: 439---
Emait: lsimpson@olynpus.net pnone:9!@_
'1
PROJECT DETAILS
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