HomeMy WebLinkAbout1827 W 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Application pin number
Property Address
AsSESSOR PARCE! NUMBER:
ApplicaEion type descriPEion
Subdivision Name
Property zoning
Applica!ion vafuaEion
2!-ooooo73o Date 6/t5/2L
74t650
1827 W 121r ST
05-30-oo- 0 - 3 - 5155 - 0000-
EI,ECTRICAI ONIY
Application desc
TIMOTHY IYNN JOHNSON
13 22 !,IASI{INGTON ST *1788
PORT TOWNSEND WA 98368
l6a8) 602-4s92
OW}iER
Permit
Additional desc
PermiE Fee
lssue DaEe
Expiration Date
120.00
6 /!5 /2a!2/L2/2t
ELECTRICAI, NEW RESIDENTIAL
Plan Check Fee
Valuacion
00
0
Oty u il charge Per
1. OO 120.0000 ECI{ E!-R-SQFT FrRST 1300 120.00
Charged
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Paid credi!ed Due
Permit Fee ToEal
Plan Check ToEaI
Grand Total
120.00
.00
120.00
00
00
00
00
00
00
00
00
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120
L20
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE INSPECTOR:
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Signature ofowner or Electrical Contractor X
G:\EXCFIANCRBUILDING
Date:
RESULTS:
SERVICE
COMMENTS:
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1-2StN GLE-FAMILY
ELECTRI C AL PERIMITAPPLICATION
Public \\brks and tftilities Depaltment
32 I E. -sth Street. Port Angeles, WA 98i162
160.4 I 7.473-s | *,rvwcitvofpa.us I electricalpermits@cityofpa.us
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tsProjectAddress: 1827 W 12th Street. Port Anoel CS wA 98363
E Single-Family Residential ! Duplex / ARU Building Square footage 512
Name: Timothv L. Johnson tmatl: lt L nnJohnson m il.com
Name License
Mailing Address
Email:
Expiration Date
Phone:
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. Servic€/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeoer 601- 1000 Amp
Porlai to Poa(al Houdy
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63 00
$5.00
$75.00
$93.00
$'1 '10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
A!a!li!. Lelal Unit Charge)
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$
$
$
$
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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 Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
0611 4121 Timothv Johnson (,
Date Print Name Signature (E Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
Project Description: New Construction
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O!ryI{ER INFORMATION
tvtaitins nooress: PO Box 1788. Port Townsend WA 98368 phone: 608-692-4592
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
First 13OO Square Feet $120.00
$40.00
$74.00
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub $110.00