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ELECTRICAL PERMIT �..
CITY OF PORT ANGELES 's
360=417-4735
Application Number 16-00001209 Date 8/12/16
Application pin number . . 925734
Property Address . . . . 1316 MORNING CT REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06-30-14-6-7-0480-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Application desc
Temp
Owner Contractor
GREEN CROW PROPERTIES INC BOTERO & SON ELECTRICAL
PO BOX 2439 940 TAMARACK WAY
PORT ANGELES WA 983620312 PORT ANGELES WA 98362 •
(360) 452-4766
' Permit ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee . . . 93.00 Plan Check Fee . . .00
Issue Date . . . 8/12/16 Valuation . . . . 0
Expiration Date . 2/08/17
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00
Fee summary Charged Paid .Credited Due
Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE ( jclw
ROUGH-IN
FINAL A-7
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
CITY OF PORT ANGELES PERMIT APPLICATION -
Building Division/Electrical Inspections '-o' r - _, s ^ ,
4 1 ..y ,h a �• I �!
321 East Fifth Street— Port Angeles Washington,98362 , "w, ;
1141111111,
Ph: (360)417-4735 Fax: (360)417-4711 11411111PF 0
Date: 1 &2 Single Family Dwelling
*Plan Review May Be Required Please Complete Electrical Plo Review-triftpmation Sheet
Job Address: I 3 I cul o,C.,& vp co 0.21
Building Square Footage:
Description of above po.z.....
,'c), A w 0
Owner I rmation ell-AP Contra ation
Name: —ex_2.►-, C.,.j Name: fS �dy�
Mailing A ress: MailingAddress: •0 R3 ' ?ems
City: State: Zip: City. State:1 4-Zip: 91,?dpy
Phone: Fax: Phone: Fax: /
License#1 Exp. License#1 Exp.
Item Unit Charge Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $ .
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 75.00 $
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 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-Stat
NEW CONSTRUCTION ONLY:
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 $
$ 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 Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of o. i- - ectri al contractor or electrical administrator: 0 cash 0 Check
/
I Credit Card# 1
X ' 1 ) d Dated:7 / 2 '/L, 0612012
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