HomeMy WebLinkAbout808 W 4TH ST - Building (6) ELECT iI;i'ERMTI`
' E '{ ANGELES
3' -417-4735
Application Number . . . . . 19-00001419 Date 9/16/19
Application pin number 043437 REPORT STATE SALES TAX
Property Address . . . . . . 808 W 4TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0200-0000_
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . (LtGat;�!?Code`0502)
Property Use
Property Zoning . RS7 RBSDNTL SINGLE FAMILY
Application valuation 0
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Application desc
Rewire existing garage
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Owner : Contractor I
---- - ----- - ----- - --- - ------- ---- j
ALFRED DEESE JR/BARBARA DEESE OWNER
808 W..4TH ST;
PORT ANGELES WA 98363
(360) 4S2-5029
Permit- . . . ELECTRICAL ALTER RESIDENTIAL,
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Bate . . 9/16/19 valuation 0
Expiration Date 3/14/20
Qty- Unit Charge Per ' Extension
BASS FEE 15.00
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Fee summary Charged x - --- paid Credited. Due
Permit`Fee`Tota1 7S:00- 7S.00 .00 00
Plan Check Total 00 .00 .00 .00
Grand Total, 75.00 75.00 .00 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
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SERVICE
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ROUGH-IN
FINALpi 1170
COWENTS
PERMIT W LL EMM Silt(6)MONTHS,FROM LAST INSPECrIOiV
Signature of 0wner+ot E C6btractor X Date:
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities []ep&rtDleDL
�21 E. 5th Street, Port Angeles, \VA 983h2
360.417.4735 *v/w.dtyoFhu.ua ! c|cuoic4lpcmoitnCaciryoFnuua
Project Address:
q��ingle-Family Residential El Duplex/ARU Building Square footage: 4-P P S 7 75-
OWNER INFORMATION
Name: Igi Email: 76
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Char_ge Quantity Total(Quantity x Unit Charge)-
8mvice/Feeder 20Amp, $120.00 $______
Service/Feeder 2O1-4OUAmp. $146.00 $-_________
Service/Feeder 4O1'0O0Amp. $205.00 $_________
Service/Feeder GU1'1OOOAmp. $202.00 $__________
Service/Feeder over 10UOAmp. $373.00 $_________
Branch Circuit wN Service Feeder $5.00 $________-_
Branch Circuit W/O Gamiue Feeder $83.00 $_________
Each Additional Branch Circuit $5�00 $
Branch Circuits 1-4 $75.00 � $_--7�'�,_-_
Temp.Service/Feeder%UOAmp, $93.00 $__________
Temp. Service/Feeder 2O|4OOAmp. $110.00 $__________
Temp. Service/Feeder 401'GOOAmp. $148.00 *_________
Temp.Service/Feeder 8O1-1OOOAmp. $168.00 $__________
Portal to Portal Hourly $96.00 *______--_
Signal Circuit/Limited Energy-1&2DU. $84D0 $_________
Manufactured Home Connection %120.00 $____---_--
Renewable Elec.Energy:5KVA System orless $102V0 $__-___---'
Thermostat(Note:$5 for each additional) $56.00 $__-___---
First 1300 Square Feet $120.00 $__________
Each Additional 50O square feet" m40.00 $_________
Each Outbuilding/Detached Garage $74.00 $______--_
Each Swimming Pool/Hot Tub *110.00 *
TOTAL $
Owner es defined byRCvK1g,28.2O1:(1)Owner will occupy the structure for two year's after this electrical permit io finalized.(%)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, |hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
om making the electrical installation oralteration in compliance with the electrical laws, N.E.C..RCVK Chapter 1S.28.VWAC.Chapter 296-
Specifications regarding Electrical P iApplications.
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Date Print Name Signat&e([] Owner F-] Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711
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