HomeMy WebLinkAbout516 W 4th Street - BuildingApplication Number . . . . .
Application pin number . . .
Property Address . . . . . .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Application valuatioA . . . .
ELEMWCALPERMT
MY OF I)ORT ANGELES
36"17-4735
16-00001837 Date 12/12/16
646410
516 W 4TH ST
06 -30 -00 -0 -0 -8415 -0000 -
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Owner
Contractor
--
------------------------
ZIEGLER, JAN
------------------------
ELECTRIC SERVICE
3920 MARICOPA DR
503 RHODES RD
SANTA BARABARA
CA 93110
PORT ANGELES
WA 98362
(805) 687-0771
(360) 452-6424
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Permit . . . . ...
ELECTRICAL ALTER RESIDENTIAL
Additional desc .
.
Permit Fee . . .
. 120.00
Plan Check Fee
.00
Issue Date . . .
. 12/12/16
Valuation . . .
. 0
Expiration Date
6/10/17
Qty Unit Charge
Per
Extension
1.00 120.0000
BCH EL -0-200 SRV FEEDER
120.00
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Fee summary
-----------------
Charged
---------- ----------
Paid Credited
---------- ----------
Due
Permit Fee Total
120:00
120.00 00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
120.00
120.00 .00
.00
INSPECTION TYPE
lff-ce-j-'q
SERVICE
ROUGH -IN
FINAL
DATE. RESULTS:
J2/1 4 /1 & 1 4W
PERmrr WILL Emu six (6) momms FROM LAST NspBcnoN
Signature of owner or Electrical Contractor X
GAEXCHANGEWILDING
le
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date: -
FROM : FAX NO. : Dec. 12 2016 7:48AM P1
E
CITY OF PORT ANGELES PERMIT APPLICATION 33 F
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SW*W"*20140OAmp. $i" $
SWvbAFswW401-WAmp 520500 s
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S 37340
$
&WA Ck" wl service Feeder $ Soo
Malth Ckulk WO Sere Feeder $ WD
FaCh Addi" Much Ckok $ &W
VW4 Ckub 14 s 75100
Tw4LSwVkmfF*Ww200AM $ 93 $
TOW Sw4bWwdar2014W AMp. S110.00
TeWSwWo&Fd@ft40l-WAwo S 14940 $
TmqL Sw*aFeWWWl-1000 Amp. S 168.00
POW 10 Portal Hourly $ 98-00
ftW OMW Uwftd Erb/ -1 It 2 Fan* Dwaft $ 64A
MWX*dumd Ham conra*n $120.00
PmwwaW EbcVcd FmW - WA System or Less s 102.00 $
Tboumsw $ 56.00
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Emb AdcMWW SOD Sqmm FL or Podm of $ 44.00
Each oubal" aroeoftdemw S 14.00
Emcb9AaAVPbdurHdTv6 $11000
120. 00 Tvta1
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b 1*0 art eleChit', 2t wtwh Wabow sad pmperty is forsae, md or loom ptant G)Cpku sow* IsKild oflast kl9p*CftL
.�;�=� ,: Affer the above sfata�nt,1 hereby estfdythat! am the awrter ofthe above rrarryad prapsrty erre 600rreed elt�riOal contractor_ l E
She do Irstdadw or aftraft in ewapkabs vAM the Wuhlaw, w, KF -C, FtC* OmplK 192 *
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Cl emac-s" A 40,
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