HomeMy WebLinkAbout802 I St (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTIJ SINGI'E FAM]I'Y
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Applica!ion Nwiber
Application pin number
ProperEy Address
ASSESSOR PARCE! NUMBER:
Application twe descripEion
Subdivision Name
Property Use
Prope.ty Zoning
Application valua!ion
21- 00000555 Dale
407435
802 r sr
06 - 30- 00-0 - 2 -5208 -0000 -
ELECARICAI, ONI,Y
5/rr/2r
ApplicaEion desc
Bathroom h..4ff
Conl!actor
RONAI,D BREITBACH
802 r sr
PORT ANGEI,ES
l,360) 9r2-2079
KIRSCE EI,EC?RIC INC
P. O. BOX 3396
SEQUIM(360) 583 - 5819
l{A 98353 wA 98382
PermiE
Addilional desc
Permit Fee
lssue Dale
ELECTRICAIJ AI'TER RESIDENTIAI'
1.4 CIRCUITS
75.00 PLan Check Fee
5/rf/2! val.ualion
tL/o?/2)-Expiralion Date
Qly Unit charge Per
BASE FEE
.00
0
Extension
75 .00
Charged Pa id credired Due
Permit Fee Total
Plarr Check Tota}
Grand Tota1
?5.00
.00
75.00
?5.00
.00
75.00
00
00
00
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00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN qlzalc.t ,P :ft
FINAL
COMMENTS nx
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECT
Signature ofowner or Electrical Contractor X
C]EXCHANGE\BUILDING
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Date:
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ELECTRICAL PERTUIT APP LICATION
Fublic Works and Utilities Department
321 E. ,{th Sh'eet. Port Angeles. AA 98.162
160.4 I 7.4715 | wrvw.cit,"-ofpa.us I elccrricalpel.rlits@.cityofpa.r.:s
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Project Address 802SlSt
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Project Description Add circuits for bathroom heater
E Single-Family Residential E Duplex / ARU Building Square footage
[rlsms; Ron Breitbach Email
Mailing Addres s 802StSt Phone 3609122079
Name Kirsch Electric License Kirsce1032JW
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'l-400 Amp.
Temp. Service/Feeder 40'1-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
AtI3rtiU f-otal (Quantity x Unit Charge)
$'120.00
$146.00
5205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$
$
$
$
$
$
$
$
$
$
$
'$
75.00
TOTAL
Owner as defined by RCW 19.28.26'1: (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-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Perm it Applications.stlt21 Terri Kirsch
Date Print Name Signature 1p Owner ! 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
OWNER INFORMATION
f,"\{KsEtilEiIPN
PROJECT.DET-AILS
lilailing Address: PO Box 3396 Expiration Date:
-
Emait kirscheleckic@gmail.com phone: 999_99!_9!19_
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$40.00
$74.00
$110.00