HomeMy WebLinkAbout101 W 12th Stt !
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS? RESDMTIJ SINGI'E FAMII'Y
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applicarion Number
ApplicaEion pin number
Proper!y Address
ASSESSOR PARCE! NUIIBER:
ApplicaEion type descriptsion
subdivision Name . -.
P.operty IJEe
ProperEy Zoning
Applica!ion valuation
21-00001263 Date l0 / 06 /2t
875020
101 W 12rH ST
06-30-00-0-3-4492-0000-
EI,ECIRICAI, ONLY
Applicat'ion desc
Bathroom
POPE CAROL
r01 w 121'll sT
PORT ANGELES
AIASI(AN EI,ECIRIC
237 ROBERSON RD
PORT ANGELES
(360) s82-3874
wA 98362 wA 98352
Permil
Additionaf desc
PermiE Fee
Issue Date
Expiration DaEe
ELECTRICAIT AIJTT;R RESIDEI{'TIAI
1-4 CIRCUITS
75.00 Plan Check Fee
Lo/o6/21 valuat ion
4/04/22
00
0
Qty Unit Charge Per
BASE FEE
ExLension
?5 .00
Charged Paid Credited Due
Permit Fee Total
Plan Cbeck ?oEaI
Grand Tota]
75.00
.00
75.00
75 .00
.00
75.00
00
00
00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
SERVTCE
ROUGH-IN eln J zz &np
FINAL qlq )zz -4\dP
COMMENTS:
I
PERMN WILL EXPIRE StX (6) MONTHS FROM T.A.ST INSPECTION
Signature ofowner or Electrical Contractor X - - Date
G:\EXCHANGRBUILDING
I I
\
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
4174735
NOT APPROVED
D]TCH, . .
.... .. ROUGH |N/COVER..E......SERVICE tr
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CORRECTIONS NEEDED:
OATE
-L Lt INSPEC
CONTBACTOF
DI lu, i2ADONESS
1a,,,{PZtcf-4)/ Li-
rn Lra a4-<Lt N&
NOTIFY INSPECTOR WHEN CORRECTIOT{S
ARE COUPLETED WITHIN .r5 DAYS
- DO NOT REMOVE-
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1-2S NGLE.
ELEC TRICAL PE MITAPPLIC ATION
Publ ic !!i: rks and [.lti I i ties l)eparrnrerr r
121 E- 5tlr Street. Polt Angeles, r.',',\ 983(r3
160.4 17.4'735 | rvlr,w.cityofla us I elecrriclLlpcrnritsrZaciryolpa.us
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I\FProjsct Address:l0l Ln-?bgutz*
Project Description:Izryl,tl bSre-rrsz--
Name f-a-p
ngle-Family Resldential E Duplex /ARU Building Square footage:
Prtex-Email:
Mailing Addrass:
Name:
Mailing Address:
Email:
leE
SeMce/Feeder 200 Arnp.
Service/Feeder 201-400 Amp.
Service/Feed€r 401 {00 Amp-
Service/Feed€r 60't-i000 Amp.
SeMc€/Feedgr ove|I 000 Amp.
B.and! Circult W Service Feeder
Erandl Circuit WO Seruico Feede.
Each Additionsl Branch Circuit
Eranch Ci.cuits 1-4
Temp. Sewic€/Feeder ZOO Amp.
Temp. Service/F€eder 201400 Amp.
Temp. Service/Fesdsr 40i -600 Amp,
Temp. Service/Feeder 601-lO0O Amp.
Portal lo Ponal Hourly
Signal CircuiuLlmlted Energy - 1&2 DU.
Manutactured Home Connecuon
Renewable Elsc. Energy: sKVA System or less
Thermostat : E5 for ea€fi additlona
Phone:
Licensel
Expiration Date:
Phone:
0120.00
$'146.00
$205.00
$262-00
$373.00
s5.00
s63.00
$5.00
$7s.00
$93.00
sl t0.00
8149.00
$r68.00
$96.00
$54.00
s120.00
$102.00
$s6.00
IOltl (Qu.ntlty r Unlts_s_
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owner as defned by RCW.19.28.261; (1) omerwilloccupy ths saucture for two y6ars afrer this electrlcal permil is linElized. (a) ownor isrequired to hire an electrical cDntaactor if abova said property is for sale, rent or lease. Permil expires afler six months of last inspecUon.
TOTAL
AtGr rsading the above statement, I he{eby cG.tity that I am the o^,n6r ol the above named propedy or a licensBd electrical cont acior. Iam makjng th€ elactlcal installation or allBration ln cofiplian c€ wibr th6 slectrical laws, N.E.C.. RCW Chapter tg.2g, WAC. Chaptor 296-468, The City of portAngeles Municipal Code, and Utility PAMC 14 050 regarding Electrical PemitApplioolions
Print Nam6
lElectrical Permit Appli
SignaturE (E Owner lectrical Contractor / Administrator)Dale
.Zb
cations may bB submltted to City Hall electricalpermits@cityofpa. usl
Ouantltl
ELE CTRICAL CONTRI\CTOR rm*ffitr{finwrillt