HomeMy WebLinkAbout520 Whidby AveELECTRICALPERMM
CITY OF PORT ANGELES
360417-473s
UNXNOWN
0
s
t
\-
6-
AppLicat.ion NuRber
Applicalion pin number
Property Addres6
ASSESSOR PARCEL NUMBER:
Applicat.io'l tsype de6cripiion
Subdivision Name . .
Plope!Ly use
Plopert.y Zoning
Application valuation
21- 00000166 Datse 2/12 /27
602372
520 VIHIDBY AVE
05- 3 0-10-5 -0- 9140-0000-
ELECTRIC}I ONI,Y
ApplicaLion desc
Service change
CASEY AND JI,LIA I4ADER
502 E WHIDBY AVE
PORT A.}ICELES TIA 98362
l5o9l 429-5524
MEYER ELECTRIC
42 GEOI,AINE IdAY
SEQOIM
.360) 477 -2202
wA 98382
Permi !
Additsional
Pefini! Fee
Issue Date
ExpiraLi.on
aes c
Date
140. O0
2 /t2 / 21-
8/tL/2L
EI]ECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Vafuation
00
0
ory Unil Chalge Per
4 . 00 s. 0000 Ecr{
1 . 00 120. 0000 ECE
20.00
120.00
EL.BBANCH CIRCUIT W/FEEDER
EL. O.2 O O SRV FEEDER
Fee sufinary charged Paid credited Due
Permit Fee I'ota1
Plan Check rotal
Granal Total
140. OO
,00
140 . OO
140.00
.00
140.00
.00
.00
.00
.00
.00
. o0
REPORT SALES TD(
on your excise tax fotm
to the City of Pori Angeles
(Location Code 0502)
INSPECNON TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS r{)L
PERMII WILL D(PIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature ofowner or Electricat Contractor X_ Date:
G:\EXCHANCRBUILDING
ELECTRICAL PERMIT APPLICATION
I)rrblic Works and L.irilities l)cplllnrcnl
il I f . :dr sliect, P{r Ange les, \1A 9t{.161
i60.,,i I 7.471-5 I u.rvrv.citvollrn-us I elrotricJlpi:nnitsr'irltit.r.o (1x"ttr
o kJk'r!A'te
1(Z
le-Family Residential E Duplex / ARU Building Square tootage
Email:
Mailing Address s €Phone:
llo
3
f
N
t\\N
Project Address:
Pro Description:
Name
Name:
Mailing
Email:
dress e a-Al.
t-,1 rl*'.\ q-\e-
\r'/\
License
Phone
Expiration Date:.(o lo
1 -1
Ig!a! (Quantity x Unit Charge)lZc>
zO
<-
Item
ServicelFeeder 200 Amp.
SerYic€rFeeder 201 -400 Amp.
Servic€/Feeder 401-600 Amp.
Service/Feeder 601-'10O0 Amp.
Servic€/Feeder over,0O0 Amp.
Branch Circuit w/ Service Feeder
Branch Circuil w/O Servlce Feede.
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Servic€/Feeder 201-40O Amp
Unit Charoe
$120.00
$146.00
t205.00
$262.00
$373.00
$5.00
$63.00
s5.00
575.00
$93.@
$110.00
$149.00
$ 164.00
$96.00
$64.00
$120.00
9102.00
556.00
$120.00
$40.00
$74.00
$110.00
f,$
$
$
c
!
$
$
$
I
$
$
$
$
$
$
l
$
)
$
@
(-tr(-
Temp. Service/FeBder 401-600 Amp.
Temp- Service/Feeder 601-1 000 Amp.
Portal lo Porlal Hourt
Signal CircuiuLimited Energy - '1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: 5KVA System or less
Thermostat (Nole: 55 for each additio.al)
First 1300 Square Feet
Each Additional 500 square feet"
Eacfi Outbuilding / Detached Garage
Each Swimming Pooi / Hot Tub
TOTAL
Owner as defined by RCW.19.?8.261: (1) Owner will occupy the structure for two years after this ele
oP)lD
required to hire an eleclrical contraclo. if above said property is for sale, rent or lease. Permit expires afier
ermit is fiialized (2) Owner rs
six months of last inspectr0n.
AfteI reading the above stalemenl, I hereby cerlify ihal I am the owner of the above named property or a licensed electrical contractor I
am making lhe electrlcal installation or alteralion in compliance wilh the eteclrical I , N.E.C RCW. Chapier 19 28, WAC. Chaprer 296-
468, lhe City of Porl Angeles Municipal Code, and Ulility Spe ciiications 3nd 14 regarding ctrical Permit Applcatrons
Prinl Na e Signature (ner Electrical Contractor / Administrato0
[Eleckical Permit Applications may be submitted to CibT Hall or eleclricalpermits@cityofps.us or faxed to 360.417.4?11]
1 - 2 SINGLE-FAMILY