HomeMy WebLinkAbout2116 W 16th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-4t7-4735
RESIDENTIAI MEDIT'M DENSTY
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ApplicaEion Number
ApplicaEion pin number
ProperEy Address
ASSESSOR PARCEL NU}IBER:
ApplicaEion lype description
Subdivision Name
Property Use
Property zoning
applicalion valuation
21-00001595 DaLe 12/03/2!
813 93 2
2116 W 15TH ST
o6 -30- oo-r-1-0435 -0000 -
EI,ECTRICAJ, ONIY
Application de6c
Panel upgrade
DA&REL M VINCENT
?11 E FROI{T ST
PORT III{GEI]ES
BMERO & SON EIE(TRICAIJ PLLCpo Box 702
CARI.SBORG WA 98324
(360 ) 461-9132
wA 98352
Permit
AddiEionaf
Permit Fee
Issue Date
Expi!atioll Date
120.00
t2/ 03 /2a
5 / O\/22
ELECTRICAL ALTER RES]DENTIAI,
Plan Check Fee
valuation
.00
0
Oty unit charge Per1.00 120.0000 EcI{ EL-0-200 sRV FEEDER
Extension
120. OO
Charged Paid Credi!ed Due
Permits Fee Total
Plan Check Total
Grand Total
120.00
.00
120.00
120.00
.00
120.00
.oo
. o0
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION ryPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE t)et)oz-tr BP
ROUGH-IN i)ithz-(P YX
FINAL
COMNIENTS:qk
Signature ofowner or Electrical Contractor X
C:\EXCHANCNBUILDING
Date:
,I - 2 SINGLE-FAMILY
TRICA E ITAPP
Public Works and Utilities I)eparrmsnt
32 I H. 5rh Streer, port Angeles, WA 9g362
364.417.4135 | www.ciryofpa.us I olcctricalpermits@cityoiira.us
r0o
IE'
*tt rhProjecl Address:/a )
Pro.iect Descri p8on:
Single-Family Residential E Duplex /ARU uilding Square footage:
Name Email:
Mailing Address:Phone
Name:
Mailing Address:
Email
Servlcs/Feeder 200 A$p.
S€McdFseder 201-4@ Amp.
Servic€/Fe€der 40 1 60O.Amp.
Service/Fe€dor 601 -l 000 Anp.
SerYic€/F€eder ovBr 1 O@ Arnp.
Brarch Circuit W Sewice fuedet
Brancfr Clrcuit WO Seryice Feeder
Each Addiuonat Brenoh Circuit
Blaflch Cin its 14
Temp. Servlce/Feeder 200 Amp,
Temp. Servicay'Feeder 201-400 Amp.
Temp, Serviae/Fegdor 4Oi 60t Amp.
T6mp. ServicdFe€der601 l,@0 Amp.
Portal lo Portal Hourly
iranufaciircd Home Cofl n6
Ref,ewable Elec. Energy SKVA Sysiem
Thermostai $5 for each addiiiona
License
Expiration Daio:
Phone
Charge!
$120.00
$146.00
$205.00
$252.00
$373,00
$5.00
$63.00
$5.00
$75;00
$93.00
$11o,oo
$r49.00
0166.00
$e6,00
$64.00
$120.00
$102.00
$56.00
TOTAL
Owner as defined by RCW1S.28.261 (1 ) Owner will occupy the struclu.e for two year6 a(erlhis electrical pe.mit is finalized,(2)Own.rtsrequired to hirP an electrical @nractor if above said property is for ssle, r€nl or I6ase- Permit erpirgs atter six rnonlhs ot last lrspsci{onAtter reading lhe above stalement, I here by cerfify lhat I am the owner ofthe above ramed properiy or a lkens€d electrrcal confactor Iam making the e,ectricalimtalation or alteration in compliance with the electrlcqt laws, N E.C., RCW. Chapter I , WAC. Chapte.296-4€B, The Cit of ponAflgeles Mu nicipal Code, al}d Utilily Speo,ficalions and PAMC t4 rmit Applieations.
Oate Print Name Signature (E Contractor / Administrator)
lElectrical Permit Apptications may be submited to Cig Halt or eleckicalpermits@cityofpa.us or faxed to 360.417.47111
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