HomeMy WebLinkAbout505 W 4TH ST - Building (3) 77`�
ELWMCAL PERmrr
-CITY.OF PORT AN� GELES
360-4,17-4735
Application Number . . . . . 19-00000123 Date 1/23/19
Application pin number 020082 REPORt.STATE SALES TAX
Property Address . . . . . . 505 W 4TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-74OS-0000-
Application typo description ELECTRICAL ONLY to the City of Port Angeles
Subdivision,Name . . . . . .
Property Use . . . . . . . . (Location C00%0502)
Property Zoning. . . . . . . . RS7 RESDNTL SINGLETAMILY
Application valuation . . . . 0
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Application desc
Bedroom heater
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Owner Contractor
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See Confidentiality List EXTRA MILE TECH & ELECT., LLC
505 W_4TH ST 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-5222
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 1/23/19 valuation . . . . 0
Expiration Dat.e 7/22/19
Oty Unit Charge Per Extension
1.00 63.0000 SCH EL-R- BRANCH CIR WQ/ StR FEED 63.00
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Fee summary Charged Paid Credited I Due
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Permit Fee-total 63.00 63.00 .00 .00
-Plan. Check Total .00 .00 .00
Grand Total 63.00 63.00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR-
DITCH
SERVICE
ROUGH-IN
MNAL
' v
CON54ENTS:
PERM1T WILL UPIRE SIX(6)MONTHS FROM LAST INSPECnON
Signature of owner or Electrical Contractor X Date:
I - 2 SINGLE-FAMI ID
ELECTRICAL PERMIT APPLILATII&- PEP
Public Works and Utilities Department
321 E.5th Stree% Port Angeles, WA 98362
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360.417.47351www.cityofpa.uslelectricalpermits@cityofpa.Lt
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Pm*Description: AJ C-t-,-z-C -,�A 1 4--, W-t 14 IPJ
9"Singlo-FamilyResdential 0 Duplex/ARU BukllngSquarebolaW
Name: e /n 1 7 aj2zz-; I Email:
MailingAddress- ed,, c;,�
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MallingAddress:-P.O. 71�CJL SIX3 PA !19 3�(,7- ExpiratlonDabr /-2-A4-201cl
Email: AM4 An f I-e--(!F 0 tXe R 0-1. 6_,fC_r- Phone:-3(ao-4161 13 3 9
7777M
PROJECT D AIU§-:�'
Jim Unit Chame 9waft Tdd(auamft x Unit Cberge)
ServiceiFeeder 200 Arnp. 3120M
Serv1ceFeeder2M4WAmp. $146.00
Service1Fs@dsr4M4=Amp. MSM
sffvica�erwl-1000pimp. SEEM $
Servicaffiseder over 10WAmp- $3M.00 $
Branch Circuit W Service Feeder $5.00 $
Branch Circuft M Service Feeder MOD $ ko
Each Additional Branch Circuit $&00 $
Branch Circuits 1-4 $75M $
Ibmp.Senilceffieeder=Amp. $93-00 $
Temp.Service/Feeder 2014W Amp. $110.00 $
Temp.Sarviceffiveder401-MArnp. $149M $
Temp.ServiowfFbeder W1-1 000 Amp. SIM00 $
Portal to Portal Hourly $91100 $
Signal Circultilimiled Energy-182 OU. $54.OD $
Manufactured Home Connection $120.00
Renewable Elm Energy 5KVA SyMern or less M-00
Themx9ft (Note:$5 for each add-ftmQ $M00 $
FkM 1300 SWM Feet $120M $
Each Additional 5W square fear' $40-00 $
Each 00dft I Delached Garep $74.00 $
Each Swimn"Pool I Hot Tub $110.00 $
70TAL s L,-3-
Ownersadefined byRCK192B26l:(1)Ownerwil occupy the abucture for two years afterthis electrical permitieffradmd.(2)Owneris
required tD hire an ekKbical contractor if above said property is lbraels.rent or Iwo* Permit aKpbw after siK months of Ind Inspection.
After reading the above slatement,I hereby certify flurt I am the owner of the above named property or a licensed electrical contractor I
sin malting the electrical Installation or alteration In compliance with the electrical Wis,N.EC,RCW.Chapter 192%MC.Chapter 2W
468,The City of PtxtMgelw Municipal Code.and My Specifications and PAMC 14.05,MD sle�Permit Applications.
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Date Print Name Signabire(0 Owner ff Eleftical Coribmtor I AdminlWalor)
(Electrical PermitApplicadons maybe submMedto Cily Hal orelechical 111*- mdtyofoa-usorfaxedto3SO-4l7.47111