HomeMy WebLinkAbout409 S Valley Sthr
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Application Number
Application pin nurnber
ProperLy Address
ASSESSOR PARCEL NUMBER.
Application ts),pe description
subdivision Name
Property use
Propexty zoning
Application valualion
22- 00000159 Date
'7 43972
409 S VAI,I,EY ST
05 -30 - 00-0- 0-8525- 0000-
EI,ECTRICAJ, ONI.Y
2 /t4 /22
0
Applicatior1 desc
Manu. hone service
ConErac!or
HAROI,D .] BUSI]MAN/ KARI.A FERRIER
409 S VALLEY S?
PORT ANGELES WA 98362
APS E],ECTRIC
546 BENSON RD.
PORT ANGEI,ES
(350) 452-57s3
wA 98353
Permi t
Additional desc
Pernit Fee
Issue Dale .
ExpiraEion Dale
120.00
2/t4/22
8/).3/22
ELECTRICAI, A TER RESIDENTIAL
Plan Check Fee
valuaEi.on
00
0
Qty unit Char:ge Per
1.OO 12O.OOOO ECII EI,-I4ANF IIOME SERVICE & FEEDER
E]](tension
120.00
Chalged Paid credited Due
Permit Fee Total.
Plan Check Total
crand Total
L20
t20
00
00
00
t20
120
00
00
00
,00
.00
,00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE;RESULTS:INSPEC OR:
DITCH d>il2-e-N d
SERVICE zl4hz ,A,:*
ROUGH.IN
FINAL zbd)-zz 4Y -p
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date;
G1EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
2 SING E-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Porl Angeles, WA 98362
360.417.473 5 | www.cityofta.us I electricalp€rmits@cityotpa.us
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--DPro.ioct Address:4o1 .5. i allv
Pmje6t Osecriptlon:&n ..] m 'L
.El Singlc-Family Residentlal E Ouplsx i ARU Bulldlng Square botags:
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Name:Email:
Maillng Atldrees: krr[ rr r'r- ,\ p6on"
Name:
Malllng Addrees:
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Expiration Date:
Phone:
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Email:
EL,ECTRICAL CONTRACTOR INFORMATION
&B
Sarylc./F*dsr 200 Amp.
S6rulca/F3.d6r 20t.400 Amp.
SsrvicdFaEdsr /lt)1€00 Amp
Sewlco/Feodsr 601.1 000 Amp.
86Mc./F68d6r ov€r 1000 Amp.
Brondt Cilruit W S€Moe F$d€r
Brench CiroJh WO Sarvioa Feodor
Each Additional Branch Cilrult
Brrnct ClrEUib t-4
T6mp. SoNice/F$dsr 200 Arylp.
Timp. Scrvl€B/Fscdcr 201-400 Amp.
Tsmp. SsYica/Fesdcr /101500 Amp.
Tamp. SsMcdFeodor 6011000 Amp.
Portal lo Fonal Hourly
Slgnal Clmutui.imihd Enargy - l&2 OU.
Manufaclur€d Homs Connscthn
R6n6wabl6 Elec. EnoEy: sl(VA Systam or lers
lhcrmoslot (Not!: $6 br ladl sddldonol)
Fillt la00 squu. Fst
, Ea(fl Additon.l 600 lqurG ts6t''
, Erdr Oueu[dlng / mdr.d Gsni.
Erdt $vimmlne Pool / Hot Tub
s120.00
$14t1.00
s205.00
8a82.00
s373.00
s5.00
$63.00
s5.00
$75.00
$93.00
s110.00
s14S.00
s188.00
$88.00
$64.00
0120.00
s102.00
s56.00
$120.00
t10.00
s74.00
s110.00 TorAL g J-?J .'l:l
Ov{rlar ao dBfinEd by RCW.18.28.261; (1) Ownervdllocc{py thc atrudure tor t/vo yasI. diar thl! shcfical pomlt iB flnalircd. (2} Orfiar it
rcquirud to hirc 8n elecldosl oontrador lf abow ssid pmperty lr fur sals, l€nt or lor$. Plrmit axplr€! af,lr slx month, o, li inrpscoon.
Abr Eading thc abovs ttalcmcnt, I hereby c.rtlfy that I sm th! own€r oftho ebovs nrmrd pDparty gr a llaensld alcaticsl contracior, I
8m msklng the electrical imhllation or alteration in oomplisnco wilh th6 6l6c,t i€al laws, N.E.C., RCW Chspbr 19,2E, Vlr{C. Chapbr 29&
IChl (Qr.nttty x Unn Chrrgs)
Psrmlt &pllcstions.
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408, Tho City ot
,9-tt s)Angeles M Code,
ef
Dat€Prl Slgneturs (E El Elecflcel Contractor / Administrator)
[Elsctrical Permlt Applicstions may be submittsd h Cily Hall or electlcalpermits@cityofpa.us or tared to 360.417.4711i