HomeMy WebLinkAbout1628 W 7th Street - Building a: WRIT
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ELECTRICAL PERMIT
CITY OF FORT ANGELES k .
361M1947 5 yQ l'
Application Number . . . . 20-00000084 Date 8/27/22 "
Application pin number 786460
Property Address . . . . . 1628 W 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4724-0000-
Application type description ` ELECTRICAL ONLY
Subdivision Name . . .
Property Use .
Property Zoning . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Update panel and kitchen remodel
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Owner Contractor
CAROL L BROWN SIMPSON ELECTRIC
i628 W 7TH ST 243036 W HWY 102
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 4S2-4137 (360) 457-9270
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Permit . . ELECTRICAL, ALTER RESIDENTIAL
Additional desc
Permit Fee'` 150.00 Plan Check Fee .00
Issue Date 1/22/20 Valuation . . 0
Expiration Date 7/21/20
Qty Unit Charge Per Extension
6.00 5.0000 ECH RL}BRANCH CIRCUIT W/FEEDER 30.00
1.00 120.0000 BCH EL-0-200 S" FEEDER 120.00
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Fee summary Charged• Paid Credited Due
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Permit Fee Total 150'.00 150.06 .00 .60
Plan Check Total 00 .00 .00 .00
Grand Total 150.00 150.00 .00 00
I
RERT SALES TAX
on your excise tax form I
to the City of Pat Angeles
(Location Code 0502) I
i
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE .I
ROUGH-IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX(6)M014THS FROM LAST MPW''IOIfi
Signature of owner or ElecUiW Contractor X Date:
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ELECTRICAL PERMIT APPLICATION
Public Works
and utilities Department
321 E. 5thStreet, Port Angeles, \VA98-362
360.417.47351vvvvp/chvuGnn.ua | e|eu{dco|pennitm6-a�ohvofbmus
Project Address: 1828VV7th St Port .
Project Description: update
K] Single-Family Residential El Duplex/ARU Building Square :
OWNER INFORMATION
Name: Carol Brown Email:
Mailing Address: 1628vv /nmSu phone 360'452'8*/1
ELECTRICAL CONTRACTOR INFORMATION
Name: Simpson Electric LLC License: SIMPSEL973RQ
Mailing Address: P.O.Box 1086 Port Angeles WA 98362 Expiration Date: 12111/21
Email: dlsimpson5l@ga!�ill.com Phone: 360-457-9270
PROJECT DETAILS
&M Unit Chame Quantily JQW(Quantity x Unit Charge)
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit ` ° $5.00 6 * 30.00
Branch Ci ha1 $75.00 *
Temp. Service/Feeder 20OAmp. / $9300 __ _ $�
Temp. Service/Feeder 2D1°4OOAmp. *110.00� ___ `' $___�_____�'
Temp. S mi F
/emp. uemice/reeder601-100O Amp. ` `-
Portal m Portal Hourly �W��.�� ����
~�~ �� � ��- '~~ . �� - ' -
Signal Circuit/Limited �
�- &20U. = ��$S4OO�� ` -_g_-__ � $_-__-____
Manufactured Home Connection $120.00
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional)
TOTAL
Ownerasdefined by RCW19.28.261:(1)Ownerwill occupythe structure fortwo years after this electrical permit is finalized.(2)Owner io
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,ThnQ\yofPortAngo|eoKUunioipa|Code.andUU|ih/GpeciOoationuandPAMC1 ording Electrical Permit Applications.
Date Print Name Signature(n Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]