HomeMy WebLinkAbout3321 Mt Angeles RdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS9 RESDNTIT SINGI,E EAj!III,Y
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Applica!ion Number
Applicatsion pin nunber
Propertsy AddresE
ASSESSOR PARCE]- NUMBER:
Appf icatsion t)'pe description
subdivision Name
Property Use
Property zoning
ApplicaEion valuation
22 -OOOOO388 Date 4/06/22
523't'-l 6
3321 MT ANGEIJES RD
06-3 0 - 14 -5 -4 - 0560 -0000-
E],ECTRICAI, ONIY
ApplicaEion desc
Kitchen / service
RYAN W ]\ND MOI,I,Y M SMITII
3321 MT ANGELES RD
PORT ANGELES I]A 98362(360) 461-4200
UPPER LEF? ELECTRIC LLC
1305 ROOK DR
PORT ANGELES WA 98362
136Al 46t-1720
Permit
Additional desc
PermiE Fee
lssue Date
Expiralion Date
ELECfRICAIJ AIJTER RESIDENTIAI
1-4 CIRCUI?S
195.00 PlaIt Check Fee
4/06/22 valuaLion
ta/ 03 / 22
QEy Unit Cha.ge Per
1.00 120.0000 ECH
BASE FEE
EL O 2OO SRV FEEDER
Exlension
r5.00
120.00
.00
0
Charged Paid credited Due
Permit Fee TotsaI
Plan check Total
Grand To!a1
195.00
.00
195.00
195 .00
_ 00
195.00
00
00
00
00
00
00
PERMTT WILL E)(PIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TD(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature ofowner or Electrical Contractor X
INSPECTION T\?E DATE:RESIJ'LTS
DITCH
SERVICE 4ln)z-,^tr 1d
ROUGH-IN i'),loz e t1}
FINAI
COMMENTS:
GIEXC}LANCRBUILDING
Date:
INSPECTOR:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.117.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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UOProject Address: 3321s Mt Angeles
Project Descrip 1;sn. panel upgrade kitchen remodel
tr Single-Family Residential E Duplex / ARU Building Square footage
Name ryan and molly smith Email:
Mailing Address Phone
Name upper left electric License
Mailing Address:
Email. upperlefte le
Expiration Date
Phone:
Service/Feeder 200 Amp,.-r - '
Service/Feederr201-400 Amp.
Service/Feeder 401-6OO Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 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 401-600 Amp.
Manufactured Home Con
$120.00
$146.00
(E na
$63 00
$5 00
s,5 oo 1_
$93 00
q1t n nn
$149 00
$ 168.00
$96 00
s6d oo
Quantity
120
nit Charge)
Thermostat (Note; $5 for each additional)
Owner as defined by RCW 19.28.261r (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor jf above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.4t4t22 chace botero
Date Print Name Signature (E Owner p Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAIVIILY
ElEiNEmUtrfiEtilr$rcm
Item
Renewable Elec. Energy: SKVASiatem or less
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$_
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e75
$
TOTAL
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