HomeMy WebLinkAbout210 Vashon AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
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Applicalion NuRber
applicati.on pin number
Property Address
ASSESSOR PARCEI] NUI.4BER:
Applicatsion t),pe descrj.ption
subdivision Name
ProperEy Use
Ploperty zonlng
Application valuatsioa
21- OOOOl4g? DaEe )'r/LA/21
098374
210 VASHON AVE
06- 3 0- 10-5 - 0 - 0420- 0000-
EI,ECTRICAj, ONLY
RS? RESDNTL SINGIE EAMILY
0
Application desc
Mobile connect
DIEM AND KEV]N HOULT
130 W 11TH ST
PORT ANGEIES WA 98362
(360 ) 4 51- 9008
MEYER ELECTRIC
42 GEOLAINE WAY
SEOUIM
136A) 47 7-2202
!{A 98382
120.00
n-/La/2L
s/r7 /22
ETECTRICAI, A-LTER RESIDENTIAI
00
0
Qty Unit Charge Per
t .oo 120.0000 Ecl{ Er,-0-200 sRv FEEDER
ExEeltsi"o!!
120. O0
Fee gumrnary
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
PermiE Fee fotsal
Plan Check Total
Orand fota]
120.00
.00
120 .00
120.00
.00
120. O0
o0
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signa ture ofowner or Electrical Contractor X
INSPECTION T\?E DATE:RESULTS INSPECTOR:
DITCH L/* )uo-62 '42F
SERVICE xlc)zz-w -N
ROUGH.IN
FINAL 2)O/.tz 67 =64
COMMENTS -(
GIEXCHANGRBUILDINC
Datc
Permil
additional desc
Pemit Fee
Issue Dale ...
EXpiraEi.on Date
Plan check Fee
valuaEion
:::::::- ""-:::: - :::1::i ----:::.--
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TRI PE PPLI ATI
Publi$ Wurks and LJtilities Dcpartntcnt
321 E. 5th Strect. Port Angeles' \!'\ 98361
1 60.4 1 7.473 5 | www.cityolpa us I cleutricalpcr:rri tsr?r uityo lpa.us
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Projecl Address:
Project Desoiption:.t/"h,(u..^oA
Single-Family Residential fl Duplex /ARU Building Square footage:
Name:
Mailing Address:
Name:
Mailing
Email:
Itom
Sorvice/Feeder 200 Amt.
Service/Feeder 201 -400 Amp.
SeMcer'Feeder 401 €00 Amp.
Service/Feeder 601 -l 000 Alnp^
ServiceiFeeder over 1000 Amp.
Branc*r Circuit W SeMce Feeder
BEnch Cirojit WO Service Feed€r
Eaci Addilional Branch Cirqjit
Brandr Circults l-4
Temp. SeMc./Feeder 200 Arnp.
Temp. Service/Feeder 201-400 Amp.
Tsmp. SeMc€'/Fesder 401400 Amp.
Temp. S ervice/Feeder 601-1000 Amp.
Ponal b Porial Hourly
Signal Cirarirl.imlted Energy - 1&2 DU.
Msnufaclurod Home Conneclion
Renewabla Elec. Energy: SKVA System or lasi
Thermoslpt (Note: 35 for each additioral)
Flrrt 1300 gquao Flrt
Esdr Addufial 500 rqrs'r l3gt''
E6d O.rlbulldlr€ / Dstadrrd Garsgc
Eadl swlnmhg Pool / Hd n b
Email:
Phone:o-
License:
Expiralion Date:Lt/.L.2.
Phone:44-1--
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$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$53.00
$5.00
s75.00
s93.00
$110.00
E149.00
3168.00
s96.00
s64.00
6120.00
fi02.00
s56.00
E120.00
E40.00
t7,(.00
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Owner as d.tlasd by Rcw. t 9.28161: (1) Oryner will occupy tho alruc[uro for lwo yaars altar lhb oloctdcal psrmit ls finalizad. (2] owner lg
rcquirsd to hlra 8n clccttical contrador It abovc st6 ptoperty is for sal6, rant or laags, Pormlt sxpiros anE Blx months of last lnspadion,
Ai6r roading lh6 aboys ltatomonl, I hrtsby cartify that I Em &a o^,nor of abovo nanod paoporty or a licansed aloctdcal contrtclor. I
am maklng the alact lcal lnstallatjon or sltoratlon ln cDflrplianco tha N.E.C., RCW. Chepror 19.28, WAC. Chapte,2gG
Porl Angslar Mun e Ulllity 14,05.050 Eloctrtcal Pormlt Appthatioffi .uz
?n Nams Sign (E owner Electdcal Contraclor / Adminislrator)
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[Eectrical Permit Appllcauons may bE submilt City Hall or oloctricalpsrmlts@cityofpa.usl