HomeMy WebLinkAbout227 Forest AVE - Building x�
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Ex
AL PERMIT a
My CF ART ANGELES
36647-475 z
Application Number 20-00001432 Date 12/21/20
Application pin number 902320
Property Address . . . . 227 FOREST AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-8-0014-0000
Application type description ELECTRICAL ONLY
subdivision Name . .
Property Use . . . .
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . 0
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Application desC
DHP
Owner Contractor
JENSEN DEBORAH H EXTRA MILE TECH & ELECT., LLC
426 RHODES RD 418rN. RACE ST.
PORT ANGELES WA 983621919 PORT ANGELES WA.98362.
(360) 457-5222
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional dese .
Permit Fee . . . 68.00 Plan Check Fee .00
issue Date . . . 12/21/20 Valuation . . 0
Expiration Date 6/15/21
Oty Unit Charge Per: Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT' 5.00
1.00 63.0000 ECH EL-R BRANCH CIR NO/ SER FEED 63.00
F Fee summary Charged Paid Credited Due
Permit Fee Total _ 68.00 68.00 .00 .00
Plan Check Total, .00 .00 .00 .00
Grand Total 68.00 ' 68.00 .00 .00
REPORT SALES TAX
on your excise tax fain
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL 15t;L Lab
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MflN flS I:Rt3M LAST'INS'PEC3`I N
Signature of owner or Electrical Contractor X Date:
GAEXCHANGESUILIIING
i
I - 2 SINGLE-EMILY �
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
A 321 E.5th Street,'Port Angeles,WA 99362
360.417.4735(wvrnv cityofpa.us(e1ectaricalpermits@cityofpa.us
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ELECTRICAL - . INFO
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Mailing Address: 1 .b- B oac 3 l xg PAR b 2, Exprntftn Date: q
Email: M 14f—&P 0 tlTas. q161 13 19 _
PROJECT DE TAILS
t� Unit Charge anaft 12W(Q='=Vx unft Charge)
ServipelFeeder200Amp. $120.00 $
Servla/Feeder 2044W Amp. $14&00 $
Service/Feeder 4014M Amp $205.W $
Service/Feeder 60i 1000 Amp. $282.00 $
ServicelFeeder over 1000 Amp $373.00 $
Brenda Circuit tdllf Service Feeder $5.00 $
Branch Circuit SMO SerAx Feeder $63.00 _ $
Each Additional Branch CircxA $5.0Q 1 $
Branch Chwits 1-4 $75.00 $
Temp.Se rvicafFeeder 200 Amp_ $93.00 $
Temp.ServicelFeeder 2DI400 Amp. $110.00 $
Temp.ServiceiFeeder 401-600 Ramp. $149.W S
Temp.Sennaffi 601-100OAmp. $166.00 $
Portal to Portal Howty t woo $
Signal Circu i.imil3ed Energy-U2 DU. $54.00 $
Manufactured Home Connection $120.00 $
Renewable Elam 8wgy:5KVA Sydem or less $102.W $
Thermostat"6r$5 for each addftxml} $KW S
Fist 1300 Square Feet $120.W $
Each Additional 5DO ire feW $40-00 $
Each Outbuilding 1 Detached Garage $i7 4 fm $
Each SWmnft Pool 1 Not Tub $110.00 S
TOTAL $
Owner as defined by RCK19.2a261:(1)Owner vA occupy the structure fortwo years anerthis etect fad permit is .(2)Owner is
required to hire an electrical contractor if above said property is for sale.rot or lease.Permit expim+es after six months of fast inspection.
After reading the above statement i herby cararti}y that I am the owner of the above named property or a licensed electrical contactor.)
am making the electrical installation or alteration in compliance with the electrical taws,KEG.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of PartAngeles Mwiacipal Code,and Utility Spetf cationnss and PAMC 14,05.050 regarding Electrical PermitApplications_
bate Print Name Signature(0 gamer[3 Electrical ConbractorIAdministrator)
[Electrical PermitApplicaftm may be submitted to City Hail or elechicalperaftQd1yolpa.us or faxed to 360.417.4711]