HomeMy WebLinkAbout2140 W 4TH ST - Building (2) ..........
ELECTRWAL PERMIT
criy OF PORT ANGELES
-16941,7-473-5
Application Number . . . . 18-00001495 Date 9/26/18
- Applibation pin number . . . 060460 REPORT STATE SALES TAX
Property Addres's . . . . . . 2140 W 4TH ST
PARCEL-NUMBER: 06730-00-9-4-0030-0000- -, on your excise tax form
Appifcation typ`e'dei6rip,tion ELECTRICAL - ONLY— to" Cfty-Of Pon Angetes
Subdivision Name . . . . . . (Locadon Code 0502)
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
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Application desc
GARAGE HEATER AND MOTION LIGHT
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Owner Contractor
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BOERNER, MARILYN KAY KIRSCH ELECTRIC INC.
2140 W 4TH ST P. 0. BOX 3396
PORT ANGELES WA 98362 SEQUIN WA 98382
(360) 683-6819
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 75�00 Plan Che'ck Fee .00
Issue Date 9/26/18 valuation . . . . 0
Expiration Date 3/25/19
Qty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL /fig,
CON54ENTS:
PERMIT WtLL EXPME SIX(6)MONTHS FROM LAST INspEcnON
Signature of owner or Electrical Contractor X Date:
I - 2-SINGLE-FAMI-Y
ELECTRICAL PERMIT APPLICATION
Public Works and Litilitic.;- 1)cpartmL!ra
3"i F. 5t� Stre�;I, Po! nplr-�, WA 98.362
alpi�r il"!iKJI ri.US'
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Project Address.
Project Description--Pc�- go, 9'p- L*-11�7—
I ingle-Family Residential DuplexIARU Building Square footage,
Narrw Email�
Mailing Address,-alnln-k Phone.4t!b�- �-
41090 _5
N a m e -PN <--r- V2�\ c- License:
M \ddress Expiration Date:
Email: 61 r-I's Phone-'-'�-'L
i: 7777�
PA
ECT I-ETAILS
Unk MAES QUAGM T9W(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Servi oeJFee&r 201-400 Amp. $148,00 S
Service/Fe6der 401-600 Amp. $205,00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Bmnch Circuit W1 Service Feeder $5,00 $
Branch Circuit W/O Service Feeder $63;00 $
Each Additional Branch Circuit $6.00 $
Branch Circuits 1-4 $75.00 $
Tamp, ServiceiFeeder 200 Amp $93,00 $
Ternp ServIce/Feeder 201-400 Amp, $11000 $
Te mp, Service/Feeder 401-600 Amp, $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 . $—
Portal to Portal Hourly $96-00 $
Signal Gircuftll-imfted Energy-1&2 OU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each addiVonal) $56-00 $
7.
ac 44#01
E h 500 '
fir, _74Z ,
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 in
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six rnonths of last inspection
After reading the above statement, I hereby certify that I am the owner of the above named prpperty OT a lioe�nsed electrical contra(ztor. I
am making the electrical installation or alteration in compliance with the eiecti al laws,N,E..C., RCW ch ter 19,28,WAC C hapter 296-
468,The City of Port Angeles Municipol Code,and Utility Specifications and C 14.05,05 egarding lectrical P Mit ApplicaTions
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Dale Print Name Signatur�q C)Wnjrjo ElecF-ActPontractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hat)or electricaipermjts@cityofpa.us or faxed to 360.417�471 11