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Application Number C?00000838
i " ' Application pin number 8628315
Property Address 423 3 RACH ST, on J/our exdse �
P.4jISSOR PARCEL NUMBER: 06-'30-00-0-1-7655-0000- t0 file City of Pori
Application type-description ELECTRICAL ONLY Code� � � 0502)
Subdivision Name
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Property use
Property Zoning R97 RSSDNTL SINGLE FAMILY
Application valuation . - 0
. ---� _- .---------- ------ ------------------------
Application desc
Washer / Dryer
Owner ContraCtor
_- _-•---------- -
WILLIM BODNAR ALASIAN ELECTRIC
423 RACE• ST," 237 `ROBERSON ED
PORT AN69L$S MA 98352 PORT'AM09LES WA 98362,
(360) 504 2849 (360) 582-3074
-- Permit- ---- ------8LSC1`!lT11 �. A TER RESIDWIAL
it tf al+-deac 1-4 CIRCUtT3
PerdiiL,,Fise 75.00 Plan Check Pee 00
Issue D�€te I1291.20 Valuation 0
E3*ira tjon Date 1/a5 f Z1
Qty Iftit Charge Pot Extension
$18 P 75.00
--------- ----- _- __
F04 sum zy Charged Paid- Credited Due
- - *--------- ---------- --------- - -
Per t ----------- -
fee Total 7t.00 75.00 00` 00
hlaTi thick Total .00 00 00 pp
Grand Total 75.0Q 7s.00 .00 00
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IlPEC �tTYPE. DATE: RESULTS: INSPECTOR.,
DrrCH
SERVICE
ROUGH-IN
FINAL
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PE"W W[Lt.M PWZ St1F`(6)MONTHS FROM LAST&N O
Signature of owner or Electratractor X Date:
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ELECTRICAL PERMIT APPLICATION
Pul- |ic
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Pori
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�23 Race St, o�
Project A�mn pru
Project Description: W10Ve washer and dryer circuits to laundry closet, and relocate2 switches
2] Bingk*Fomi|yReoidenba| [] Duplex/ARU Building Square footage:
Nome: William Bodnar Email:
Mailing Address: 1G74 Thrasher Ln. Medford OR,97504 phone.
ELECTRICAL CONTRACTOR INFORMATIOW
Name: tKAN ELECTRICAL SERVICES LLC License:ALASKE S947DO
Mailing Address:PO BOX 3998, SEQUIM WA,98382 Expiration Date:0312012022
Email:aksparky2@qwestofrice.net Phone:360-582-3874
item Unit Charne Quantity Total(Quantity x Unit Charge)
Service/Feeder 2DOAmp. %120.00 *_--_-____
Service/Feeder 201-400xmp. *146,00 *
GmrvicefFeedm401-60VAmp, *205.00 ---___ $____-____
Gonv*efFoeUer0O1-1UO0Amp. $202.00 $_________
Gomice[roe*er over Y000Amp. u373,00 $________
Branch Circuit wN Service Feeder $5.00 ---___ *________
Branch Circuit W/O Service Feeder $0100 $
Each Additional Buan&Circuit $5.00 $_________
Branch Circuits 14 $75.00 1 $ /o/m
Temp. Service/Feeder 20OAmp. $90.00 $________'
Temp. Service/Feeder 2V1-0OAmp. $11OD0 $__-______
Temp.Service/Feeder 4u1-600Amp. $14e.00 %_---______
Temp.Semime/Foedmr801-1000Anp. $188�00 $______-__
Portal to Portal Hourly $96,00 $___-____
Signal G|muN1|mued Energy'1&2DU_ $64.00 $__----___'
Manufactured Home Connection $120.00 *
Renewable Elec. Energy�5KVA System mless $102.00 $_---_____
Thermostat(Note.$5 for each additional) $56.00 $
First 1 $120.00 .*
Each Additional 500 square feet'` $40.00 . - ¢/ ' '
Each Outbuilding/[etached Gsmsgm $74.00 ___ m '
Each Swimming Pool/Hot Tub $1%00 __ $
TOTAL $ 75.00_-___.
Owner as defined by RCW.19,28.26 1:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner io
required to hire an electrical contractor if above said property is for sale, rent or(ease. Permit expires after six months of last inspection.
After reading the above statement, |hereby certify that I am the owner of the above named property or a licensed electrical contractor. |
am making the electrical installation or alteration in compliance with the electrical laws,N.E.C,,RCW,Chapter 19.28,WAC Chapter 296-
40B.TheCUyofPnrtAngo}ooMunicipa\Cudo.andUb|itySpecifioadnnnandPAMC14.05.U5OmgadingE|octocalPonnitxpp|icahonn.
Date Print Name Signature(0 Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted ho City Hall or elect, ca|perm|te@Lotyofpeusor faxed<o35O.417.4711]