HomeMy WebLinkAbout606 E Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Application Number
Apptication pin number
ProperLy Address
ASSESSOR PARCEL NU]VIBER:
Applicatsion type descripEion
subdivision Name -. .
Propertsy Use
Property zoning
ApplicaE j.on valuation
21- O0oOO279 Datse 3/04/21
'7 71885
605 E I,AURIDSEN BLVD
06 -3 0- 1.0-4 -3 - 0700- 0000
EI,E'TRICAL ONI,Y
RS7 RESDNTL SINGLE FA]'4ILY
0
ApplicaLion desc
Sub panel, lleacer and Kitchen Cir
ARTERBERRY SYLV]A M
505 E LAURIDSEN BL\,D
PORT ANGELES
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
\350) 4s2-9264
wA 983627955
Permit
Addilional desc
Permit Fee
Issue DaEe
Expiration Date
140.00
3/a4/21
8/31-/21
EI,ECTRICAI, AITER RESIDENTIAI,
QtsY
4 .00
1.00
uniE Charge Per
5.0000 EcH EL
120 _ 0000 ECH EL
Plan Check Fee
Valuation
.00
0
BRANCH C]RCUIT W/FEEDER
O.2OO SRV EEEDER
20.00
120.00
Charged creditsed Due
Plan Check Total
Grand Tolal
140.00
.00
140.00
140.00
.00
140.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE INSPECTOR:
IJITCH
SERVICE
ROUGH.IN 4)*lzt 4.f dZ
FINAL
COMMENTS:€X
Signature ofowner or Electrical Contractor X
G:\EXCHANCE\BUILDTNG
N
Date
wA 98362
RESULTS:
ELECTRICA PERIVIT APPLICATION
Prrblic Works antl Utitritics Deparhnent
l: I Ii. 5th S{rce l. Porr Angclcs, WA 981(r2
".160.4 i7.47.15 | ivlvw.ciryo {pa.us I elccrricalpcr.rnirs(iiicityo lpa.Lrs
Family Residential E Duplex / ARU Building Square footage:
Email:
Phone:?{t_-s/f
L
Project Address:
Projg,rDe
Lg'Sinqle"
scription
Name
[4ailing Address:
Name:Angeles Electric License;ANGELE1460RS
Mailing Address:
Ep311. ksimpson
524 E. First Street Exp ir^1ion 971s. 3131122
s.net
Item
Service/Feeder 200 Amp. . .
Service/Feeder 201-4OO Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp_
Service/Feeder over lOOO Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Addilional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU,
Manufaclured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Nole: $5 for each additional)
Phone 360-452-92A4
Ouantitv
$12o.oo
$146.00
$205.00
$262.00
$373.00
$s.00
963.00
$s.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00.
$56.00
$
$
$
$
$
$o
$_
Owner as deflned by RCW.19.28.251 : (1) Owner will occupy the slructure for two years after this elechi permit is finalized. (2) Owner srequir€d to hire an electrical contractor if above said property is for sale, rent or Iease. Permit expires after six monlhs of last inspection
After reading the above statement, I hereby certify thal I am ihe owner of the above named property or a licensed electrical conhactor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E C., RCW. Chapter 19.28, WAC. Chapter296-
468, The City of Po
)
rt Angeles Munici
Ken Sim
I Code, and Utility
son
pa ions and '14.05.rding Electrical Permit Applications
Signature (Owner Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to Cily Hall or electricalpsrmits@cilyofpa.us or faxed to 3,60.417.47111
1 - 2 SINGLE-FAMILY -U
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TOTAL
Print Name