HomeMy WebLinkAbout2120 W 16th Street - BuildingINSPECTION TYPE
ELECTRICAL PERM IT
INSPECTOR
DITCH
SERVICE
CITY OF PORT A
ANGELES
ROUGH -IN
360-417-4735
Application Number . . . . .
17-00000633 Date .5/17/17
Application pin number . . .
261229
Property Address . . . . . .
2120 W 16TH ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
06-30-00-1-1-0440-0000-
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . . .
to the City Of Port Angeles
Property Use
Property Zoning . . . . . . .
RESIDENTIAL MEDIUM DENSTY
(Location Code 0502)
Application valuation . . . .
0
------------------------7---------------------------------------------------
Application desc
Temp service
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Owner
Contractor
NASH, TOM M. AND AMY V.
ALASKAN ELECTRIC
S19 W 9TH ST
237 ROBERSON RD
PORT ANGELES WA 983635107
PORT ANGELES WA 98362
(360) 775-0720
(360) 582-3874
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Permit . . . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee . . . . 93.00
Plan Check Fee .00
Issue Date . . . . 5/17/17
Valuation . . . . 0
Expiration Date 11/13/17
Qty Unit Charge Per
Extension
1.00 93.0000 ECH 'EL-TEMP
SRV 0-200 SRV FDR 93.00
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Fee summary Charged
Paid Credited Due
---------------------------
-------------------- ----------
t
Permit Fee Total 93.00
93.aO .00 .00
Plan Check Total .00
.00 .00 .00
Grand Total 93.00
93.00 .00 .00
INSPECTION TYPE
DATE:. RESULTS:
INSPECTOR
DITCH
SERVICE
ROUGH -IN
FINAL
COb0flaiTS:
PERMIT WILL EXPIRE SIX (6) MONK: FROM LAST IN6r ra r tuA
Signature of owner or Electrical Contractor X Date:
CMEXCHANGEIBUR DING
CM OF PORT ANG" PRO= APPUCATION
BWMI&g Dww"Nketriew Iaspeetio
321 EW FM SftM—P-0- BOX 1150 / port AR04S W*lb!Dgbml 98W
Pb: (360) 417-4735 Fax: (30) 4174711
Daie,-5-46—il
X18, 2 SM910 FamHy Dwelling
A
MM
"OWN
$120-00
sw4afeader 2014W Amp.
$146.00
Sere M*90*404NAmp
$ 206-M
Sw"I-'asdor 6014000 AMP.
$2P—ou
$
Set-AMFOOjer Over IWO AMP-
$373M
$
Bram G=rout WService Feeder
$ 5.0D
Watch Cffcuk VW0 Swim Feeder
$ 63.OD
Each Adftnai Watch Citcult
$ 540
Branch Circuits 14
Temp, Sat" Feeder 2DO knp.
$ 75.00
$ 93.00
Temp. Ser kafFs@d9r2W400Amp.
$110.00
$
To". 5errbalFeedw401m= AnvL
$149.00
Temp. 8QAkWF08d@r60I-IMD Ano.
$ IaOD
POW to Porro Hotoy
$ %M
SOW O=JU tin=ted EmW -1 & 2 FmWy OxAg
$ UM
Mann tired deme Connection
$120.00
$
RwwmWe tear Energy - 6KVA Sy*m or Less
$ 102.OD
$
Thetmostal
$ 56.00
$
NOW $5.00 for each admaw T-Stat
ONLY;
First 13M SWM Ft,
$ MAU
Emb AddWW 5M Square Ft or Portion of
$ 40.00
$
Each O*Awft or Dahchad Getage
$ 74.00
$
Each SwinunkV PW or Hot Tub
$110 30
$
$
Omer as defined by RM19.20.261: (1) Owner wilt occupy the ebut;Ue for two years alter this Wecbkd permit
is Unalma (2) Owner is mquked
to him on 4K*W conitacW I above said property is for sate, rot or tease. Powd wcVm Ow shmaft of W kmpect=L
After m*" the above slaWnent I hensby cm*
#md I am the oww of the above named pqwty or a kmmW
okcWW ombacktr, I am nuidnq
the ale*k;W ittatatFation or altatation in cmWlance with the oWc*d laws, NEC, RCK Chapter 1928, WAC. Chapter 296 468, The City of Pod
Ang" Mw**l Code. and Uft Spedkabom
and PAMC 14.05.050 momfing Ekottical PmmAp*stiom,
81matom of owner, elecuical 0onbactor or 618cmcd adminhollor: C3 CNA 0 cbea
m1111110
ilill
TO/TO 3!DVd SAS '103-13 NVASVIv ECESZGV096 VV:60 LTOZ/91/90