HomeMy WebLinkAbout220 S Pine StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174',735
PUBIIC BUILDINGS & PARKS
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Application Number
ApplicaLion pin number
ProperEy Address
ASSESSOR PARCEIJ NU4AE&:
Application r}?e descripEion
Subdivisior Name ....
Ploperty Use
Property zoning
Application valuation .
21-00001563 Date L2/OL/21
895a50
220 S PINE ST
06-30-00-0-0-4980-0000-
ELECTRICAI, ONIJY
Applicatsion desc
Heat pump I ?
IAWRENCE D SMITIISON
220 S PINE ST
PORT ANGEIJES
I'IEYER ELECTRIC
42 GEOI.AINE I{AY
SEOUlM
116A) 4'1t -2202
wA 943622235 wA 93382
Permit
Additional
PermiE Fee
Issue Date
Expiralion
EIECTRICA! AITER RESIDENTIAL
1-4 CfRCUITS
75.00 Plan Check Fee
L2/ot/2I valuaEion
s/3a/22Datse
BASE FEE
.00
0
ExtenEion
75 .00
oty Unit Charge Per
charged Paid credited Due
Permi! Fee ']lotal
Plan check Total
Grand Total
75 .00
.00
75.00
75.00
.00
75.00
.oo
.oo
. o0
_ 00
.00
.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
FINAL
COMMENTS ?z-v
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G:\EXCHANGRBUILDING
Date
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
OT RO ED
DITCH . .
... ROUGH |N/COVER . ....
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COBREC-NONS NEEDED:
?K?sv-^(-
NOTIFY INSPECTOR WHEN COBRECTIONS
ARE COMPLETED WTHIN 15 DAYS
_ DO NOT REMOVE _
?bfiezx ac- "*s.'- inoe-
F T7 +.
5,-.
1 - 2 SINGLE-FAMILY
LP MIT APPLI AT o
Public 'r,.rks arrd tJtilities Dopurtttlunt
321 E. 5ttr Strcct. Pot t Angcles' i'. t. 9[i.]61
t 60..1 I 7,473 5 | www.cityu flu us I clcctricalpcrrrritsr?r.oityot pa.us
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s.$rwPlno 31.S*J{^Project Address:
Project Descriplion:eet
Name:
Mailing Address:
Name:
Mailing Address:
I
Single-Family Residential fl Duptex / ARU lding Square footage:
Email:td rl{xu".@ 7 Ce)ox -(:t
Phone:j 6o- qB t -4iqs
Llcense:
Expiratjon Date:lo /,?-l
c
Email:Phone:a6o-tO V. Z?2L
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service/Faador 200 Amp.
Sewica/Fesd er 201-400 Amp.
Servica/Feeder 401{00 Amp.
Servica/Fsed er 60t-1000 Amp.
Service/Feedar owr 1000 Amp.
Branch Clrclil W Saryice Feedsr
Branch Circuit WO Service Feodar
Each Addilionel Branch CIrqJll
Brandr Cirsjits l-4
Temp. SeMcdFeeder 200 Amp.
Tamp. $rvice/Fsedar 201-400 Amp.
Tsmp. Ssrvica/Foedsr ilo1-600 Amp.
Temp. Servioo/Feeder 601-l(x)0 Amp.
Portel to Portal Houtly
Signal Clrcuiul.lmited Enslgy - l&2 DU.
Manufacturod Home Connection
R€nswabls El€c. Energy: sl(VA Systsm or lass
Thormostat (Nole: 35 tor 6ech sdditional)
FIEI 1300 Squst! F6.t
Eadr Addlddrsl 500 squara h.l"
EBdr Oxbufldlng / D6rEdtrd @ragr
Esdr Srlmmhg Fool / Hd IS
glltofht ldal (Quanuty x Unlt Chargg)
TOTAL
,7
ot.rner Es deflnod by RCW.19.28.261: (l ) Otyner will o€upy th€ strucura tor two yoaB altcr lhls oloct icel permit is finalizad, (2) Own6r ls
Fquir€d to hirc an Elodrical confador i, aborre saki propsrly is fot !a16, ranl or less€, Pe {t oxpl'rr a0er Blx months of b8t Insp€clion.
Aner readlng the 8bovo slatomsnl l heraby csrtify lh3t I am th€ oxner of named propefty or 8 licgngsd elsctrical conlractor. I
am making lhe eledrical inslallauon s slteration in cmPliance with the e , N.E.C., RCW. Chaptsr 19.28, WAC. Chaptsr 29&
468,The C ol Porl Angeles Utility r4.05.050 Eloclrical Psmit Appllcations.
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Print S Elecldcal Contractor / Administrator)
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[Electical Permit Apflications may be submitted to Hsll or eleclicalpormits@cityofpa.usl
lnLcn (9A
$120.00
s146.00
t205.00
$262.00
s373.00
95.00
s63.00
35.00
075.00
093.00
s110.m
s149.00
3168.00
396.00
364.00
s120.m
3102.00
t56.00
3120,00
340.m
t74.00
3r10.m
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