HomeMy WebLinkAbout1130 Water StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Appllcation Number
Applicalion pin number
Property Address
ASSESSOR PARCEL TIUMBER:
Appticalion Eype descriPlion
subdivision Nane
Property Use
Property Zoning
Applicaiion valualion
21-00001130 Date
2 9 5110
1130 ViAIBR ST
05 - 30- 00 -s-3 -0210- 0000 -
EI,ECIRICA], ONI,Y
e/]-o/2L
N
=$)o
I
0
Application desc
RV. ouEletss
cont!actor
Permit
Additsional
Permit Fee
Issue Date
ELECTRICIL ALTER RES]DENTIA],
1-4 CtRCt TTS
75. oo Plan check Fee
9/to/27 valuaEion
3 /Ot /22
00
0
Expiration Date
otsy Unit charge Per
BASE FEE
Extenaion
75.00
Permits Fee Total
Plarl check ToEal
Gra.d Total
75 .00
.00
75.00
75.00
.00
?5.00
.00
.00
.00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI-
COMMENTS:f^
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of ouer or Electrical Contractor X Date:
G:\EXCHANGE\Bt.I It.DlN(.;
I,INDA (AY CIIII,DERS ANOEI,ES ELE TRIC
1130 WAAER ST 524 E. 1ST ST.
PORT ANGEI,ES T4A 983624230 PORT ANGEI,ES WA 98362
....__ .___l:::l 111-11-'1.-------
charged Paid Credited Due
ELECT RICAL PE Rt\4 IT APPLICATION
Public Wolks and t/tilities Dopal tment
321 E. 5th Stl'eet, Pot ADgeles, WA 98362
360.4 ll7.47 35 | wwucityofu a, us I electricalpormirs(zlcityo;fpa.rrs
N^fro,
esidential n Duplex/AR Building Square footage
Email:
Phone:
Project Address:
ProlPDescflpl on:
L|I srngre-Famrty H
Name:
Mailing Address:
Name:Anoeles Ele ctric, lnc.
Mailing Address. 524 E. First Street, Port Angeles, WA 98362
1i6gns6. ANGELE1460RS
Email:ksimpson @olympus.net
Exp tation Date 21312022
Phqnsl 360-452-9264
Item
Service/Feeder 200 Amp.
Service/Foeder 201-400 Anrp.
Service/Fe€der 40'1 -600 Amp,
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circult W Service Feeder
Branch Circuit WO Service Feeder
Each Additlonal 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 -1000 Amp.
Portal to Portal Hourly
Signai CircuiULimited Energy - 1&2 DU.
Manufactured Home Connectlon
Renewable Elec. Energyr sKVA System or less
Thermostat (Note: $5 for each additional)
:,.r1t,,, First 1300 Square Feet
,i,ir-r..ir:i,ii'r..ti, Each Addltional 600 square feet"
: , .i, tr, ' Eaoh- Outbuilding / Detached Garage
.:.:Each Swimming Poal / HstTub
Quantltv lljal (Quantity x Unit Charge)
-7P-
$120.00
$146.00
$205.00
$262.00
$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
$s6.00
$120.00
$40,00
$74.00
$110,00
*;an-
$
$
$
$
$
$
$
$
$
$
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$
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owner as defined by RCW 19.28.261: (1) owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an eleclrical 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 wiih the electrical laws, N.E.C., RCW Chapter 19,28, WAC. Chapter 296-
468,ily of Port Angeles Municipal Code, and Utility S tions and PAMC 14.05.050 re garding Electrical Permit Applications,
Ken Sim son
Print Name SI gnature (!
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
1 - 2 SING"LE-FAIVIILY
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TOTAL
$ Electrical Contractor /Adminishator)