HomeMy WebLinkAbout808 WHIDBY AVE - Building (2)INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR.
DITCH
SERVICE
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4-W
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Application Number . . . . .
18-00000534 Date 4/16/18
Application pin number . . .
649802
Property Address . . . . . .
808 WHIDBY AVE
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -10 -5 -1 -0900 -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 002)
Application valuation . . . .
0
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Application desc
Meter repair
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Owner
Contractor
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PENINSULA HOUSING AUTHORITY
------------------------
ANGELES ELECTRIC
2603 S FRANCIS ST
524 E. IST ST.
PORT ANGELES WA 983626710
PORT ANGELES WA 98362
(360) 452-9264
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Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00
Plan Check Fee '00
Issue Date . . . . 4/16/18
valuation . . . . 0
Expiration Date 10/13/18
Qty Unit Charge Per
Extension
1.00 120,0000 ECH EL -0-200
SRV FEEDER 120.00
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Fee summary Charged
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Paid Credited Due
Permit Fee Total 120.00
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120.00 .00 .00
Plan Check Total .00
.00 .00 .00
Grand Total 120.00
120.00 .00 .00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR.
DITCH
SERVICE
q
4-W
_V?0
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
04/12/2018 08:02 FAX 360 452 9265 Angeles Electric IM 0001/0001
Project Address:
Project Description:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION :I>;tiT
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
C -A IVW
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❑ Single -Family Residential ❑ 'Duplex / ARU Building Square footage:
Name:
Mailing Address:
Name.
Mailing Address:
Email: G
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Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401.600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder601-1000 Amp.
Portal to Portal Hourly
Signal CircuittUmited Energy -1&2 DU.
Manufactured Hone Connection
Renewable Elec. Energy: 51NA System or teas
Thermostat (Note: $5 for each additional)
$120.00
$146.00
$205.00
5262.00
$373.00
$5.00
$63.00
$5.00
$'75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
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Emait:
Phone:
License: gJ%&&JLJ= rAE?_&Z1
Expiration Date:
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JQW (Quanitlty x Unit
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Owner
(0-"Owner as defined by RCW.19.28.261. (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, l hereby certify that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
48B. The City of ort Angeles Municipal Code, and Utility Specificetio and PA 1 05. 0 raga ing Electrical Permit Applications.
qh is
Date Print Mame Signature (❑ Owner d I Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermitsCeityofpa.us or faxed to 360.417.4711]