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HomeMy WebLinkAbout126 Forest AveELECTRICAL PERMIT CIry OF PORT ANGELES 360-417-4735 N )3 CB Appfication Number . ApplicaLior pin nulnbe! ProperEy Address ASSESSOR PARCEIJ NUUBER: Appl j.cation Lype descrj.Ption Subdivislon Name . .. Properly use ProperEy zoning Applicalion valuation 22 - ooooo118 DaEe 2/ol/22 667214 126 FOREST AVE o6-30-09 -5-2 -3530 - 0000- EI,EC!RfCA! ONIJY RS? RESDNTL SINGLE AAMII,Y 0 CASEY DIETZ AND KAIIIE ESS 126 FOREST AVE PORT ANGEIES WA 98352 l9o7) 221-3426 EXTRA !.1fT.E TECH & EI,ECT., Ll,C 418 N. RACE ST. PORT ANGEI,ES WA 98352 (36A) 451-5222 Additsional Permit Fee Issue DaLe ExpiraEion desc Dale 58.00 2/ 0\/22 7 /3a/22 ELECTRIC}l, AITER RESIDENTIAIJ Plan Check Fee Valuation 00 0 Qty unit charge Per 1,00 5.0000 EcH 1.00 53.0000 ECIr Extension 5, 00 63.00 EL-EC}T ADDNT BRANCII CIRCT'IT EL-R. BRANCH CIR WO/ SER FBED PERMTT WIL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION PermiL Fee Total Plan Check ?otal Grand Total 68 .00 .00 68 .00 58.00 .00 58.00 -oo .00 . o0 .00 .00 .00 REPORT SALES TAX on your excise tax form to the City of PorT Angeles (Location Code 0502) INSPECTION TYPE DATE:RESULTS:INSPECTOR: DITCH SERVICE ROUGH.IN z)q)zz *:SP FINAI-zjq)e ,N COMMENTS: Signature of owner or Electrical Contractor X G:\EXCIIANGRBUILDING Date: ApplicaLion desc DItP char:ged Paid clediled Due I I 1 .2 SINGLE-FAMILY P T -uo 3 + FlN ProiectAddrEss:D L t),.-+To-rra* ff-,1--:r.t .E;rc=w Project Descriplion:*l ,o -4n Singl+Famity Residental B DuCo( /ARU Building Square footage: NamB: C r*s ^Email: FUA Maillng Address:/2 6 *t- Name: Extra IvHe Tectl & Ele{tical lv&ailing Addr6s:P.O- Box 3128 Port Wa 98362 Emat extamie@ohrmDu-sJEt rJ.. c ,.2 -i){* d-, D^. N i-+. u F.z! r I Phone:1a 1-)j.3-)qzC License:EXTRAMTg73R6 Expiration Date:12t26121 Phone:36M57-5222 IEm SarvlcerFeeder 200 Amp. SsvhrrFesder 2oi-{fff Anp- S€ryl&der 401-600 Arnp- S€rvi:€rFee&r 6O1-iO(b Arnp- S€rvb€rksd€f orer 10@ Arp- Smnch Cnurit W Service Feeder Bmnch Ciltritw/O Servtr Feeds Each tuldfr-mat Brandt (:itqfr Branch Citlnts 1-4 Te{Ip- SennceJF€ed€r 2fX] Afirp- Tsmp- seMcsrFeedor 201-4OO Amp_ Temp. Servir:e/Feerter 4{t1-6{n Amp. Temp, ServicdFB€der goj-ioIX) Arnp- Portal b portd HqrV $gral Cttrduliorfbd Energlr - 1SA OU. Manutacfrr€d Hdne Coonecfoll Reo*r*to Ehc. EleISr: SI(VAS![6 Er or bss ThermosH (l,loE: $5 tur edl adddord) Frl:sl 1300 Square Fe€t Each &Hlidd 500 sSEe het" Each Outxlitfr€ / Oetactred @rage Eadr SItIIntrE pod, IhtTub Ouanfit/ Toral (Quaffify x Unh Cltarge) (rl ..'-"----7-17-- llnit Chzoe $120.q] $146-U, $205.00 $262.00 &i73.00 $r!0 $Eln0 $6.00 $-75,00 $93.00 $110.00 $1,+9J)0 $168-00 s,6.00 $er-00 $120.00 $102.00 $56.00 $12oln $'10.00 $74.00 $110-00 $ $ $ $ $ $ $ $ $ ! 5 $ $ $ $ $ $ I I $ $ $ $ $ owner as defined by Rcw-1928-61: ('l) otun€r$, ooo4vrhe sfilctre hrtwyeal6anertr-rs decttual pemfristu!&ed- (2) owngrisrequlred to hire an electical contsactor if alore "a:o propeity b br;;; o. hre. permlt e,ryLos afler sir morfls orbst inspeciion- TOTAL Aftar rea{Sng the above sHgment I he6y certry lhst I am the oHner ofihe *oye named prcperty or a Ee.]sed ehctric€t co{tac,tor- Iem makhg the etecficd imtallalio{r or alteration in compfiancew llho €hcMcal& .'s, N.E,C., RCW. CtBpler1928, WAG. Chapter29&468, Th€ CEy of port Arigetes Municipal Code,and Uflity Sped'ficatidftE and PAMC '14.05.060 rsgarding Becfical Permil Applications-/-tc)-zz- SCOtt M.Smasal Print Narne SigraturB ([] Owner 5a Ehctrical ContBctor / Adminisfrator) lEbctsical PermitApptcarions may be subrnttbd to City lbB or or faxed b 360.417.47111 Date