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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . : , , za'00000uzo Date 3/23/16
Application pin number , . , 528774
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aaomoaoa PARCEL momoER. 06-30-09-5-2-1485-0000-
Application type description ELECTRICAL ONLY on your excise tax form
oobui,iuiuo Name . . ,. . v :
Property Use . . . . , , , ` to the City of Port Angeles
Property xcminy . . . ' ° . - (Location Code 0502)
Application valuation a
Application ueac
Convert carport to garage
Owner Contractor
...........
SAMUEL T AND anmna o
Loznw000
owmEa
zzzs coonos ST
rooc ANGELES
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(sso) 808 -7376
Permit
ELECTRICAL
ALTER RESIDENTIAL
Additional deac
Permit Fe= � .
68.00
plan Check Fee f ,
,00
Issue Date � � ` ^
3/23/16
Valuation � � , `
u
Expiration Date " '^
9/19/16
Qty Unit cuazse
Pei,
Extension
1.00 510000
Eco oL Eca
aoomz aaANco czucnzr
`5.00
1,00 «s.0000
oce mL~o
oaAnce czn WO/ aEm FEED
63.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
«a.nn
68.00 ,,00
,no
ezao Check Total
.ou
.00 .00
`oo
ocaou Total
68.00
68.00 .00
,00
INSPECTION TYPE DATE: RESULTS: INSPECTOR,
DITCH
SERVICE
FINAL
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: _ 1I
11 & 2 Single Family Dwelling
J
Plan Review Mat Be equlre, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above � �° �- -��; I> r cam. L°�'r�
p
tC "���....�
Owner Inormatlon
Contractor Information
Name: O *1 ,1 it a :� ^w ur::>
Name: _ ...__
Mailing Address ( lG
Maili Address: ...
_
City „ �� ��Se Z �'.
—ra
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.ng
City
State: Zip:
Phone e?) " . '� Fax:
Phone:
ax:
License # / Exp, __.. .... .._..........
License # I Exp._._._...
w _ _...� . .,..._..............__
Item
Iii Ch
Total! t le la y I I It Chao)
Service/Feeder 200 Amp.
$120,00
$
Service/Feeder 201.400 Amp.
$14600
$_
Service/Feeder 401 -600 Amp
$ 205,00
$—.._ .. .
Service /Feeder 601 -1000 Amp,
$ 262,00
$
ServicelFeeder over 1000 Amp.
$ 373.00
_
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
$-----
Temp. Service/ Feeder 200 Amp.
$ 9100
$
Temp, Se vice/Feeder 201400 Amp.
$110.00
$
Temp. Service /Feeder 401 -600 Amp.
$149,00
$
Temp. Service /Feeder 601 -1000 Amp .
$168.00
Portal to Portal Hourly
$ 96:00
$
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64,00
Manufactured Home Connection
$120,00
Renewable Electrical Energy - 5KVA System or Less
$102.00
$_....
Thermostat
$ 56.00
$
Note: $5.00 for each additional T -Scat
NEW C N§TRU TlCil"
First 1300 Square Ft.
$120,00
$�
Each Additional 500 Square Ft. or Portion of
$ 40,00
$._, ....,
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$110.00
$
I1 =Total
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, I 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 -46B, The City of Pod
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: El Cash l" Check
Dated: 46 credit Card# .... 011p.._�_
112012
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APPROVED No"r APPROVED
N.] . ... . -.. . , ,, � ,, - DIM 0
'bzc. � -- � — - . ... — ROUGI I WCOVER 0
0. SERVICE — - — - ...... 11
0.
CORREMIONS NEEDED:
NOTIFY INSPECTOR WF-lEN
ARE COMP111 lll:..:..TED MTHIN 5 IIDAYS
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