HomeMy WebLinkAbout1012 Madrona Street - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 •
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Application Number 16-00001237 Date 8/18/16 0%4
Application pin number . . 583036
Property Address . .. . . . 1012 MADRONA ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-08-5-8-1305-0000-
Application type description ELECTRICAL ONLY. On your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning UNKNOWN (Location Code 0502)
Application valuation . . . 0
Application desc •
Ductless heat pump
Owner Contractor
BURWELL, J ROSS EXTRA MILE TECH & ELECT., LLC
703 S LIBERTY ST 418 N. RACE ST.
PORT ANGELES WA 983626664 PORT ANGELES WA 98362 -
(360) 457-5222
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 63.00 Plan Check Fee . . .00
Issue Date . . . 8/18/16 Valuation . . . . 0
Expiration Date . 2/14/17
Qty Unit Charge Per Extension
1.00 63.0000 BCH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid .Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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CM OF PORT ANCELE8 PERMIT APPLICATION
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321 East FI Street—P.O.Box 1150/Pert Angeles Washington,98362 ;ailliii,--
Ph:(36))417-4735 Far(360)417-4711 wq1111111.' CA
Data Cl--I 7—I i _ill&2 Single Redly Dialing
*Plan Fteview%by Be Rewired,!Nose Complete 12111cal4ce,Review Informal=Sheet
Job Addresm /0/-2 Al(,-,11-4-1'1
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Description dams 4/.-t,-- (1,ii,Lc.4.4.01" +0 at c.P.es s I-7----r4-71- f a*v
NanCiwilmer 1114:114tn 425-Mot...41 j .8 LA K.40 4 I( IblacCaniniderEASAfenaldA gi -Ea/ 4 Etedamet I
Naiing Address • ‘d ,./.9 -0_ 11" .9. Worse '3 1 2.11
CAT ?A SINK c...li-24E A'- re;< 40. to Mac 1,0% Az it VIM
Phew '-7 7 2-0.2Thrz Phew 4ostCPAiraLd/12
License Stem. License*/
Usk Charm Sibt Total givilultilied lw UM Chaired
SemiceiFeeder XV Amp. $120.00 $
• SemicaFeettar201-400Aumi. $14640 $
ServiceiFeeder4111-600 Amp $205.00 $
ServiceiFeeder 0014000 Amp. $2E100 $
SanicafFsoder war 1000 Amp. $313.00 a
Branch Circa WI'Service Feeder $ 5.00 $
Branch Circuit 910 Senrice Feeder $ 63.00 / $ 6 3•
Each Addiorial&midi Chcoll $ 5.00 $
Bench Cho&1-4 $ 75.00 $
Temp.Service/Feader200 Amp. $ 93.00 $
Temp.Senkar-seder 201-400 Amp. $110.00 $
Temp.Sendcarteder401-600 hue. $149.00 $
Temp.SerdcaFeeder 601-1000 Amp_ $161100 $
Portal fo Portal Ho* $ 96.00 5..
Signal Daunt Limited Emmy-1&2 Faulty DoeNng $ BM $
Manufactured Home Commotion $120.00 $
Renewable Electrical Energy-5KM System or Less $102_00 - $
Thermostat 555.00 $
Rota$5.00for each adual T-StEt
NW CONSTRUCTION ONLY
First 1300 Square Ft. $120.00 $
Each Pildiliona1500 Square Ft.or.Portion of ; 40.00 $
Each Obeid%or Detached Gmage $ 74.00 $
Each Swimming Pool or Hot Ttrb $110.00 $
$ 4.2?." Tolat
Owner as defiled by RCW.1928.261:(1)Owner vrilloccup/the amble far lay years after faded:ice,penults lineked.(2)Owens required
b hire an dectrical conbacter if above said=party is for sale,rentor lease.Pena GoTees atter six modhs of last inspecion.
After reading the elbows deigned,I hesebycerify that I am the°overalls above named property or a reensed deckled contracted am makbs
the electrical instalerron or deration In complence NEI the electrical law,N.EC.,RCW.Chapter 1924 WAC.Chapisr 296-4613,The Cy of Port
Angeles Munialpal Code,ad try Spectications and PAC 14.05.060 regamkg Bechtel Pere*Applcations.
Signeture of owner,dechical contractor or decfrical administrator: D cash I:3 mem
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0119113112