HomeMy WebLinkAbout2204 S Laurel StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS? RESDNIL SINGLE FA}1]I,Y
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Appfication Number
Applicalion pin numlcer
Properly Address
ASSESSOR PARCEL NUMBER I
Application trpe description
subdivision Name
Propertsy Use
ProperEy Zoning
Application valuation
22 - 0000043 7 Date
831850
2204 S LAUREIT ST
06 -30- 09 -5 -2 -1700 - 0000 -
EI,ECTRICAI ONI.Y
4 /1-5 / 22
Applica!ion desc
Alar:m / Data
RUTH ANNE PAGE
2204 S I,-AI'REL ST
PORT ANGELES
ADT LLC
11824 N CREEK PARKWAY, N
sTE 105
BOTr{EL]- WA 98011
.205)'119-0347
NA 983622526
Peflrit
Additional desc
Permit Fee
Issue Dale
ELECTRICA! A],TER RESIDENTIAL
SIGNAI CIRCUIT
64.00 Pfan Check Fee
4 /'15/22 va]uaL ion
to/L2/22Expiration Date
Qly units Charge
00
0
BASE FEE 54.00
Charged Paid credited Due
Pldn Check lota1
Grand ToEal
54.00
.00
54.00
.00
.00
.00
.00
.00
.00
64.00
.00
64 .00
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
COMMENTS:
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G:\EXCHANGRBUILDING
Date:
RESULTS:
FINAL
ELECTRICAL PERM IT APPLICATION
Pubtric Works and Utilities Depaftment
321 E. 5th Street, Port Angeles, WA 98362
36A.41,7.4735 | www.cityotpa.us I electricalpermits@cityofpa.us
2204 S Laurel St
1lo
3
p
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Project Address:
Project Descripti on Telecommunications work/wireless intrusion alarm installation.
Name Ruth Page Email:
[,{a iling Address 2204 S Laurel St phone. 360-460-7759
l\,{ailing Address 11824 N CREEK PKWY N , SUITE #,I05
Email.JENNlFER oN/
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over lOOO Amp.
Branch Circuit W. Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp
Temp. Service/Feeder 40'1-600 Amp
Temp. Service/Feeder 601:1000 Amp.
Portal to Podal Hourly i -
Signal CircuiyLimited EnerOy - 1&2 DU
$149.00
$168.00
$96.00
$64.00 1
$
$
$
Exp il2tisn ps{s 3/2019
Pl16ns'. 206-37 I -2237
LJnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
Quantitv Quanti nit Charge)
$
$
$
$
$
6
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each add
TOTAL $
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 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, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Apptications.
O4I 1 412022 JENN I FER COVELLO
"".Ua'Date Print Name Signatu p Electrical Contractor/Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
tr Single-Family Residential E Duplex / ARU Buitding Square footage: _
Name ApT LLC 1i6s656. ADTLLL.881DO
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