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3922 Nygren Pl (2)
ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 RS9 RESDNTL SINGI,E FAMILY 0 NNJ$ Applicatj.on Number Applj.calion pin number Pr.operEy Address ASSESSOR PARCE! NUMBER: Application t)?e descliption Subdivision Nane . . Proper!y Use PioPerEy Zoning Application valuation 22 - 00000139 DaEe 2/09/22 806663 3922 NYGREN PIJ 06 -30- 15-5-3 -0090-0000 - EI,ECTRICA', ONI,Y Application desc Heat pump Contract.or HENKE RICHARD H 3 922 NYGREN PI PORT ANGELES BXTRA MII,E TECH 418 N. RACE ST. PORT ANGEI,SSi3601 457 -5222 & EI.ECT , LLC 94352wA 98162190{ PermiE AddiEional desc Permil Fee lssue Date Expiration DaLe 63 .00 2/08/22 8/07/22 Plan check Fee Valuation .00 0 Qty Unj.ts Charge Pe! 1.00 63.0000 EcH EL-R- BRA.llCt{ CIR t{O/ SER FEED Extension 53. 00 cbarged Paid Crediced Pemit Pee Totai Pian Check Total Grand ToEal 63 .00 .00 53 .00 63 .00 .00 63 .00 .00 .00 .00 .00 .00 .00 REPORTSALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature ofowner or Electrical Contractor X INSPECTION ryPE DATE:RESULTS INSPECTOR: DITCH SERVICE ROUGH-IN zlq lzz #w FINAL zh)zz M COMMENTS: I G:\EXCHANGE\BUILDING lt I =)i Date: 1 - 2 SINGLE-FAMILY -Bo l*T PF+u*". Proiect Address: Nt!&=wF t0 Project Desoriptiicn:€x t s l ,^ 'o J) ^.t d-{ i\i } l,-." ^,-J u.)r rz+t t(a Itt* l ) r.r n"r P rI singl€-Family Residen{al B Ouptex /ARU Building Square ioot60e: Narne: Mailing Address: ,,t ke ^J fLa Email:NTA lt-t Phone:,60-y'et - /{zl Ucense:EXTRAMTg73R6 ExpiEtion Date:12t?An1 Phone:368457-5222 Sqial {Qra!6g x Unit ChaIge} $-_ $- $-' $.-*-s_ $ $_ $-. $_ $-- $- $_ $-- $_ $_$_ $_ lhpfls; Ext'a Mile Tedt & Electioai MaiFng Ad&ese: P.0- Box 3128 Fort Wa 98362 Email: Item S:en icerFeeder AX)&I8. Sen icdFe€{Er $i-4lt0 Arfip- Service/ker{}1600Affip- ServicadFeader 601-1000 Amp- Seriri{:e/Fe€der over 10& Amp- Bran* Srsrt W, Sen ice Feeds Bmncft Cira*t tryro S:eryice Feeder Each Additional Brad| Circuit granf,h Grqlb 1-4 Temp- $ewic8lFoeder r00 Amp- Iemp- SenncarFe€der2$t-rl.&, jqmp- Iemp. $ervicerFeder 401-600 Anlp- Temp. $BM6rFe€der 601-1000 Amp. Portal to pgItd Hqdy Slgcal CL(,.r.t&,mibd Enagy - 1&2 DU. [,laR ha&r"€d Hofile Conneclion RerE lable Aec- Energf SKVA Syslern or bss Thetmosht {Note SS nor eadr ad{!tior}d) FiGt'1300 Square Feet kr Adffionat slxt sqrare het-- kch ou{xrikfing / De{adrer! Guage Ea{$ S$rrnmlng poot , HotTub */*Saott X\{" Smasal UnftCtrarae $12{L(x1 $r46Ir0 s205.00 $264.00 $373.00 $[00 883Jl0 $srn ras-oo s.00 $110-00 fi49-00 $16 r} s&00 $6/t-oo $120.@ $1(}2.00 $56-{X} $120-m $4O-00 $,4.O0 $1lono Qr.Enli8, TOTA!. $ $_ $_ $_ $ G3'-' Olvner as dEined by RCn -1924f61: {1) Gn{rerufll oDcupiyfh€ sBucture brtoyo yeqs &rltrs deefiid pqmft is fttalLBd-(2) Onn€risrcquired io hirs an elecbical sonbacror if abcve sdrl pupexbr is fur sde, rentor le6e. permit egireB trrs& rDrdtls of last inspeabr.AftBr reading &e aboye *terna*,I hge&, cerfB, ttd I ant fia.rmsdthe 6ove named pIoperty ora fic€nsd elecfoi:at contacbr. Iam fi]aking the electircd ins6aiio{!oraFer&n h eonU iancswifrts shafical hrls. N.E.G, R61,1. Ctu 611S.2& WAG GhsptEr2g6-468, The eiv d Port Arqeles M&li€ipd C6de, and t rf(ty SlecificatiirE and PAMC 14.O5,(EO rcgardng Eec&iel PenrrltAppticstions- 1^ Date Print Narne Sbnanre(E Owner E Beaeical Cofiramr / Adminhhafior) fHecbicat pennitApplicdiqn$ may be srbrnfeed b CiIy ibfl or or tu(ed io 360.417.4711I $_---