HomeMy WebLinkAbout1812 W 12th St.l N
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
ApplicaEion Numlcer
Applicalion pin nuriber
Property Address
ASSESSOR PARCEII \TUMBER:
Application !],?e description
subdivision Nane
ProperEy Use
Propertsy zo.ing
application valuatsion
21- 000007?8 DaEe 5/25/2t
013 534
1812 Vl 12TI{ ST
06 -30- 00 -o-3 -6212 - 0000 -
ELECTR]CA', ONI,Y
RS? RESDNTIJ SINGLE EA]VIILY
o
Application desc
Garage
JEDEDIA]I .JOI{NSON
PO BOX 422
NEAH BAY(360) 640-4234
ANGELES EI,ECTRIC
524 E. 1ST ST.
PORT ANGEI]ES
l36A) 4s2-9254
wA 98357 wA 98362
Addit ionat
lssue Datse
EIECTRICAL ATTER RESIDENTIAL
1-4 CIRCUITS
75.00 Pfan Check Eee
6/25/2L valuaEion
12/22/21
de sc
00
0
Expiration DaEe
Qtsy units Charge Per
BASE FEE
ExEension
15.00
Charged Paid credited Due
Permit Fee ToEal
PIan Check ToEal
crand ToEal
75.00
.00
75.00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E RESIJ'LTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
COMMENTS;4t<
PERMIT WILL EXPIRE SL\ (6) MONTHS FROM LAST INSPECTION
Signahrre of owner or Electrical Conhactor X
G:\EXC}L{NCE\BUILDING
Date:
75.00
.00
75.00
DATE;
1-2S INGLE-FAIVILY
ELECTRICAL P ERMIT APPLICATION
Public Works and LJtititics Dopartment
321 E. 5th Sttect. Porl Angelcs, WA 98362
360.4 17.4735 | wwwcityofpa.Lrs I electlicalperrnits(qicityoflpa.r.rs
A). /# S-,?t
le-Family Residential n Duplex / ARU Building Square e:
Email:
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Project Address:
Project Description
w'{,nn
Name:
Mailing Address:Phone:,Vr-6yD- YzgE
ELECTRIcAL CONTRACTOR I N FORIUATION,,
1r13ms, Angeles Electric, lnc.
Nilailing Address. 524 E. First Street, Port Angeles, WA 98362
License:ANGELE146ORS
Email , ksimpson@olympus.net
Exp iplisn ga1s. ?1312022
Phone: 360-452-9264
PROJECT DETAILS
llem
Service/FeBder 200 Amp.
Servics/Fesd6r 201-400 Amp.
Service/Feed€r 401-600 Amp.
Service/Feed€r 601-1000 Amp.
Service/Feeder ov6r 1000 Amp.
Branch Circuit W Service Feeder
BIanch Circuit WO Sorvice Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp, Service/Fs6der 201-400 Amp.
Temp. Service/Feeder 40'l-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connectlon
Renevvabie Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Fhst 1300 Square Feet
Each Addiuonal 500 square feet", r': ',r ;1i l,
,.i.. Each Outbulldlhg / Detached Garage
Each Swimming Pool / Hot Tub
Unit charo8
$120.00
$146.00
$205.00
s262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120,00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv lqtal (Quantity x Unit Chargg)
--t-**74-
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46B, The City of Port Angeles Municipal Code, and Utility S cations PAMC 1 .050 regarding Electrical PermitApplications.
Ken Sim son
Pr nt Name Signa (fl E Etectrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47'11]
Owner as defined by RCW 19.28.261: (1) Owner will occupy the struclure for two years after thls electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, ronl or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby ce.ti{y that I am the owner of the above named property or a licensed €lectrical contractot I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAc. Chapter 296-