HomeMy WebLinkAbout1027 W 7th StELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
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Application Number ...
Applicatsion pin nunber
Propertsy Address
ASSESSOR PARCEL NU BER:
Applicat j.on !yPe descriPtion
subdivision Name .
ProperEy Use
Propertsy Zoning
ApplicaEion valuaEion . -
2L-ooooo448 Dale 4 /ts/2!
404288
r02? w ?TH ST
06- 30-00 -0 - 1-s664 - 0000-
ELECTR]CAI ONI,Y
RS? RESDNTL SINGLE AAMIIJY
0
CI,AR],ES JOHNSON/MARY SCOFFIEI,D
238 Vtrrr],rA!,Is RD
SEQUIM WA 98382
(205) 930-4804
BI.ACK DIA.IIIOND ELECTRICAI CONTR
502 BLACK DIAI,IOND RD
PORT ANGELES }JA 98353
(350 ) 555-to3s
Permi E
Additional desc
Per.mi! Fee
Issue Date
Expiration Da!e
63.00
4/L5 /2t
to /12l2L
ET,ECTRICAIJ AITER RESIDEi!:T]AI,
Pla[ Check Fee
Valuatioo . .
00
0
ory u$iE
1 .00
charge Pei
53.OOOO ECII E!-R- BRANCH CIR WO/ SER FEED 53.00
Due
Permits Eee To!al
Pfan check To!al
Grand aoLal
63 .00
.00
53.00
53.00
.00
63.00
00
00
00
_ 00
.00
.00
REPORT SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE REST,TLTS:INSPECTOR:
DI fCH
SERVICE
ROUGH.IN
FINAL
Af
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
C:\EXCHANGE\BUILDINC
Date;
Application desc
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COMMENTS:
ELECTRICAL PER tUIT APPLICATION
Putrlic Works and Utilities I)epartmenl
3l I E. 5th Str€et. Port Angeles. W{ 98,162
-160.4 I 7.4715 I wr,"u,.citvolpa.us I elecricalpermits,,@cit1.'olpa.us
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Project Address 1027 W 7th
Project Description Ductless
n Single-Family Residential ! Duplex / ARU Building Square footage
Name JohnSon Email:
p6sng. 206-409-1227Mailing Address
frl2ms; BDE li6gnsg; blackec894d2
Mailing Address
Email:
Expiration Date
phone. 360-461-3957
Item
Service/Feeder 20O Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40 1600 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. Servjce/Feeder 401-600 Amp.
Temp. Service/Feeder 601- 1000 Amp.
Portalto Portal Hourly l
Signal CircuiyLimited Energy - 1&2 DU
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96 00
$64 00
IOlal (Quantity x Unit Charge)
1
l\,4anufactured Home Connection
Relewaore Elec. Erergy sKVA System or less
$s6.00Thermostat (Note: $5 for each additi onal
TOTAL
Owner as defined by RCW 19.28.261: (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 certlfy 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.
4-14-2021 Benjamin Shamp
$120.00
$102.00
$
$
$
$
1 - 2 SINGLE-FAMILY !o
3
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Date Print Name Signature (p Owner E Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111