HomeMy WebLinkAbout331 E 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Application Nufibe! . .
ApplicaEion pin number
Piope!ty Address
ASSESSOR PARCEL NUMBER:
Application Eype desc!iption
subdivision Name
Ploperly Use
Property Zoning
Apptj.cation valua!ion . .
21- 00001369 DaEe 1O /26/27
537904
331 E 12TH ST
06 -30-00 - 0-3-4180- 0000-
ElECrRlcAI OIILY
RS7 RESDI{I'L SINGLE FAIqILY
0
Applicalio!! de6c
DHP
MICHAEL G AND ANN K SIIII{ERI,AND
331 E 12TH ST
PORT ANGETES $A 983627907
(360 ) 228-5174
EXTRA MltE TECII & ELECT., LIJC
418 N. RACE ST.
PORT ANGEIES IlA 99352
1350) 45't -5222
Addt EionaL
Iaaue DaEe
Expiration
deac
Date
53.00
to /26/21
4/24/22
EIJECTRICA! AI'TER RESIDENTIAL
Plan Check Fee
Valuation
00
0
Qty Uni! charge Per
1.00 63.0000 EcI{EL'R. BRANC!{ CIR WO/ SER FEED
Exlension
63 .00
Fee eurmary Charged
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
PemiE Fee Total
PLan Check ToEal
crand Totsal
53 .00
.00
6t .00
63 .00
.00
63 .00
.00
.00
.00
.00
.00
.00
Paid Crediled Due
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESLTLTS:NSPECTOR:
DITCH
SERVICE
ROUCH-IN to/zo/zt &*
FINAL m/z-z )zr -EEO
COMMENTS:
Signature ofowner or Electrical Contractor X
G:\EXCHANGE\BUILDING
Date:
I
I
I
I
I
Il(Dl
l*!J
\,^ls
1*'qril,t
1 - 2 SINGLE-FAMILY
Poiect Address:'3i +ST /?rL ,h-r-+
PRiect Des.ription:n). ",
A Singb.%mity Resktenfral tr Ouplex / ARU Building Square foorage:
Name:
Mailing AddrBss:33t €4<.1 2tL
Name: Extsa Mib Tech & Eledrical
Ltailhg n66"o.P.O. Box 3128 Port Wa 98362
EnEiL e)darrde@otwnotls.net
Email:N./A
phona. 3bo-r?t>-rt zy'
License:EXTRAMTg73R6
Expiration Date:12126121
Phone:36M57-5222
Iteor
Seryice/Fesdcr Zn Ary.
S€n kdFeod€r 2Oi-{O0 Afip_
Sen icerFeeder 4O1SO Anp.
Servico/Fes(b @j-1OOO Amp.
SerutdFe€d€r ffir 10{b Amp-
Brandl OIqdt W Seruce Fe€der
Brandl qmrgt WrO Sen ioe Feed€r
Each AddXond Branct Orurit
Branch ClIqfls 1.4
Terp. SqvbalFeed€. 200 AflF.
Terp. Se.vtcerF€ed€r arl-qx, Amp.
Iemp. Sewbs,F* 40t{D AIp.
Temp. SsvlcetF.eeder 6Of -i(DO Amp.
PortBl b Portal Houdy
Signd qrurit Lin&ed Energy - i&2 DU.
Uatudarhnsd Hqne ComEdion
Renemtdo Ehf- EreAS sKVA rysbrn or bss
thermctat (ltob: $6 ftr eadl dtroftd)
Ftust 1300 Sqge Feer
furAufiord S0O s$EB het-
Each Altui&lg/Ded€d caqe
Eadr $uirndng pool, tft Tub
OrErdtv Td(Ata ittr x frnft ChargE)UntChds6
$1A.@
$1,16.(x)
@5.00
$264.00
s,?3-00
$5Io
s-o0
sllo
5.15-00
$9a00
s110.(b
$1,t9O0
$168.U)
ss.00
$4L00
$12O.0O
$10200
556-00
$120.qt
$40-m
tr/4.O0
$1ro-00
s
s
$
$
$
$
$
E
$
$
$
$
$
$
$
$
$
$tI
$
$
$
b7.'"
TOTAL Gec
Owner Bs ddned by RC1l .1 92E261: (t) otim€rym ocs 'py the sfircnre brtsD )€ars &r this decfoical permt k!finalizDd- (2) OtM,er lsrequired b hile an ;bcti:d conFacE f abore said lmporty b hr.a!A, rEnt a l€6e- PerIIfi sq,ares afler stx rpntrs of last i}spedi.rn.
Afier reading the above s@nerE,I hssby erry h I an tF omer of tE Sove nalrad trqerty or a lcensed decEhat ortachr- Iam maki@ tha dectricd trshXdiqr aaftErdirn h compr8rrwftfE abctiaal bG, I{.EC., RCW. Chd 1928, WAC. Chaprer 29e468, The Cey of Fdt futgeles tkmit pd Code, and tjfl[y Spec.fic6 iffi6 and
Scott M. Smasal
Print Name
PAMC l4-O5.050 regiarding Ekcticd PonnitAppltcations.
$gnaire(tr Oilnr€r E Electbal Cotratu /ArlmkBxrdor)
[Electical PermitApplcatons may bo submrtbd to Gty Hd or or faxd to 360.417.47111
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