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Home My WebLink About2120 W 16TH ST - BuildingELECTRICAL PERMIT CITY OF PORT ANGELES 360=417-473 5 Application Number . . . . 17-00001103 Date 8/08/17 Application pin numb4W- . . 667072 Property Address e.2120 W 16TH ST ASSESSOR PARCEL NUMBER:.,', 06-30-00-1-1-0440--0000- Application type.description_..._ELECTRICAL ONLY Subdivision Name . . . . . .. Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL MEDIUM IIENSTY Application valuation . . . . ,0 Application desc New home ---------------------------------------------------------------------------- Owner Contractor NASH, TOM M. AND AMY V. ALASKAN ELECTRIC 519 W 9TH ST 237 ROBERSON RD PORT ANGELES WA 983635107 PORT ANGELES WA 98362 (360) 775-0720 (360) 582-3874 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 200.00 Plan Check Fee .00 Issue, Date . . . . 8/08/17 Valuation . . . . 0 Expiration nate 2/04/18 Qty Unit Charge., Per Extension 1.00 120.0000 ECH EL-R.-SQFT FIRST 1300 120.00 2.00 40,0000 ECH EL-R-SQFT ADDITIONAL 500 80.00 Fee summary Charged. Paid Credited Due Permit Fee Total 200.00 200.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 200.00 200.00 .00 .00 REPORT STATE SALES TAX on your excise tax form to the City of Pott Angeles (Location Code 0502) Date. CITY u PmT ANaE><,Es PEIi�II't' Apps, omoiv - Buii 321 East Fifth Street - P.O. Sax 1150 / :Port Angeltes VV'�iningtoo- 9ti362' Ph.- (360) 4174735 Fax: (360) 417-4711 Dade: AV`f—d l i�1 & 2 Single t`=14 Dwe1009 " loran Review May Be Required, please Corr► to lectrical Plan Review Information Sheet Job Address:+ mai �iWldri►g Square Foot�go:.-.-� -� . T f7asaii�tian orabovs Owner wwdonCatbractor lniormation Name: �.t;,0 1 StT�c,+ r�.ar� Nam;D /e'r 111/4 ? nlaohgAddrems: ca• `✓rr mailingAddles5: 2�d! Cit rs. eS+w .esJ L . Sifts ti�p: �� City: - P.z- Slate: _zip: -%Sk: 7 _.___.4,_- phone, :;� Fax: PMme:774'-O'7U!9 Farr, Lkense # r IRV. Iii alWit LJtx3rrse # I Exp. Q" Total rt�ty gtr n red bw Unit Charaej SeNioelFeeder 200 Amp. $120.00 $ $ 5sry WFeeder 201400 Amp. $146-00 $ ServMIF'eadw 401.600 Amp $ 205.00 - —. $ servicelFeedw 607-1000 Amp, $ 262,00 $ ServicelF'eedw over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch CircuitWIO Service Feeder $ 63.00 _ Each AddiWnW Branch Circuft $ 5.00 - -- — $ Branch Circuits 14 $ 75.00 $ Tamp. SepAoW Feeder 200 Amp, $ 93.00 — $ Temp. SwAcelFeader201-400Amp. $110.00 — $. Ternp. 5arvicWeeder401-600 Amp. $14900 $ Tamp. ServicalFeeder601-1000 Amp, $168.00 $$ Portal to Portal Hourly $ 96.00 Signal CirtaW limited Energy -1 & 2 Family Dwelling $ 64,00 — _ $ Mardadured Home Connecom $120,00 S Renewable Electrical Energy - SKVA System or Lass $102.00 $ Themmoatat $ 56.00 $ Note: $6.00 for each additional T-Stat tWP0WSTWWTWW ONLY.. First 1300 Square Ft. $120.00 ob $ t 2 EaM AddiWW 500 Square Ft. or Portion of S 40.00 �� $ � Each Outbuilding or Detached Garage $ 74.00 - _ $ Each Swimming Pool or Hot Tub $110.00 _ __ $ g . Owner as defined by RCW.19.28.261: (1) Owner wlfi occupy the structure for two years after this electrical pennA is finalized. (2) Omer is required to hire an electrical contractor if above said property is for sale, rent or lease, Permit wipires after six months of last inspectiarr. Atter reading the above statement, I hereby certify that I am the owner of the above named property or a licensed alectrieal contractor_ I am snaking Me Wecbical instaiiation or alteration in compliance wish the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296.466, The City of Port Anger Municipal Code, and Utifity 5pedlegons and AAMC 14.05.050 regarding Elechical Permit Applications. Signahrro of owner, elechlaal contractor or elestriaai administrator: 0 cub 0 ama TO 39Vd SAS '133-13 NtiASb-1d Es:i;5zStie96 5z:e1 ctez/�e/g® ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 -Application Number . . . . . 17-00001103 Date 8/08/17 Application pin number . . . 667072 Property Address . . . . . . 2120 W 16TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -1 -1 -0440 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation . . . . 0 ------'--------------------------------------------------------------------- Application desc New home ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NASH, TOM M. AND AMY V. ALASKAN ELECTRIC 519 W 9TH ST 237 ROBERSON RD PORT ANGELES WA 983635107 PORT ANGELES WA 98362 (360) 775-0720 (360) 582-3874 ----------------------------------- ---------------------------------------- Permit . . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 200.00 Plan Check Fee .00 Issue Date . . . . 8/08/17 Valuation . . . . 0 Expiration Date . . 2/04/18 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00 2.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 80.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ---------- ---------- ---------- ---------- Due ----------------- Permit Fee Total 200.00 200.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 200.00 200.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION RESULTS r REPORT STATE SALES FAX on your excise tax form to the City of Port Angeles (Location Code 0502) d' INSPECTOR: Signature of owner or Electrical Contractor X Date: