HomeMy WebLinkAbout510 S CHASE ST. - Building ELECTRICAL PERmrr
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00001430 Date 9/25/18
Application pin number . . . 870150
Property Address . . . . . . 510 S CHASE ST, REPORT STATE SALES T"
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0000-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR (Location Code 0502)
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
ANTHONY AND SARAH E SHAW ELECTRIC SERVICE
510 S CHASE ST 503 RHODES RD
PORT ANGELES WA 983626118 PORT ANGELES WA 98362
(360) 452-6424
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc GARAGE 1-4 CIR
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 9/25/18 valuation . . . . 0
Expiration Date . . 3/24/19
Qty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 7S.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00
INSPECTIONTWE DATE: RESULTS: INSPECrOR.
DITCH
SERVICE
ROUGH-IN
FINAL
CON04ENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 2 SINGLE-FAMILY
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ELECTRI CAL PERMIT APPLICATI
AIN"
Public Works and Utilities De' partment
321 E.5th Street, Port Angeles.
VA 98362
360.417.4735 1 www.cityofpa.us I clertricalpermitsCa)cityofpa-us
Project Address:
F
Project Description, )7 . VI 4ip n
IC Single-Fan*R"dendal 0 Duplex ARU Building Square footage,
QV�NER INFOR�OATION
Name.
Mailing Adc ess: Phonw-
FLECTPiCAL CONTRIZI,,JOR INFOR.0.4-110N -7
i J;e A#. Lkmnse: IZLEV-TSJ6 0
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Mailing Address'. J1103 eA _,4 2_Expiratio Date,
Email- d-ArP_+le-In,&016-�-F QVN v AnVV--% Phwe:
PROJFC,'T DETAILS J
(4iia*x UMChaijej
ServlawFeeder 2W Arrip.
ServW&T-eeder 2DI-4WArnp. $
ervk*/Fee&r 4014MAnip, M-00
Service/Feetler WI-IODGArnp.
Servies/Feeder am I=Amp- $
lkanch Cu=it W Sktwca Feeder $5.00
Wanch CftUR%W Senfte Feed" $6&00 $
Each Adclition.al Wanch Q=d $6.00 $
Branch Vrouils 1-4
Terap.SerAceffiseder 200 AnV. "3-00
Ternp,Servioeffeeder 201-400 Arnp. $110.00 $
Temp,Servl�eeder 401,400 Amp. $149,00
Term,SerikaMeaderS01-10W Amp. $
Portal to Portal Hourly S".00
Signal CinaMirrilited EneW-1&2 DU. i84-00
Manufaebtred Home C*nrmcdm $120.00,
RenewaW Bec.Energy-6KVA*Man or less V02.00
Thermostat(Noft;$5.for each adcIftiongl)
$W.00
TOTAL
Owner as defined by RCW,1928.261:(1)Owner will occupy the structure for tm years~this ekcbical peffnit:is finalized.(2)Owfwis
required to Nre an elei�l contractor if above said property is for sale.rentorlease.Permit expkes after six Mond*of la�HIEPOC&M.
After reading the above 3Wernent.I hereby certify*sat I am the owner of the above narned propwq or a kx,-n--.ed ekm*kal contractor I
am maWng ft electrical installation or afteration in conViarm with the electrical laws,NSC.,RCW.Chapter 19,28,WAC.Chapter 296-
465,The City of Port Ar*ekm Municipal Code.and Utft Speeftedons and PAMC 14.05-MO regarding Electrical Pemiit Applications,
Date Print Name Signature(t] Owner fur Electrical Contractor I Adminiftrator)
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[Electftal Permit AppRcetions may be submitted to City Hall or electricalpennitsocityofpa.us or Uxed to 360.417,47111
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