HomeMy WebLinkAbout1232 E 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESD$AT SINGI.E FAMILY
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Applicalion Number ...
Applicalion pin nurnber
Property Address
ASSESSOR PARCEL NUMBER:
Application type descriplion
Subdivision Name ,
Properly sse
Properry zoning
Application valuation .
21- oOO01s93 DaLe 12/ 03 /21
794362
1232 E 5TH ST
05 - 30- 00-o-1- 9000 - 0000 -
ELECIRICAI, ONI,Y
Appl.ication desc
TelecommunicaLion
RICIIARD AND KIM DAY
T232 E 5TI{ ST
PORT ANGEI,ES
1360) 47't-397A
ADT LLC
11824 N CREEK PARKWAY, N
sTE 105
BOTHELL WA 98011
(2051 7L9-0347
wA 983623619
Permil
Additional desc
Permit Fee
IEsue Date
ExpiraEion Date
64 .00
L2 /03 /2r
6 / oL/22
EIECTR] CA-IJ ALTER RESIDENTIAL
Plan check Fee
VaIuat ion
.00
0
Qty Unit Charge Pex
1.00 54.0000 Ecl{ EL-SINGIJE CrR tlMrTED &ES
ExEension
64.00
charged Pa id credited Due
PemiL Fee total
Plan Check T'ota1
crand Total
64.00
.oo
64.00
54 .00
.00
54.00
00
00
00
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
FINAI
COMMENTS;fif.
PERM rT WILL EXPIRE SIx {6) MONTHS FROM LAST INSPECTION
Signature of oulner or Electrical Contractor X
C:\EXCHANCRBUILDINC
Date
ELECTRICAL PE R]VI IT APPLI CATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA98362
36A A17.4735 | wrvw.cityofpa.us I electricalpermits@cityofpa.us
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Project Address 1232 E sth St
Project Description
E Single-Family Residential ! Duplex /ARU Building Square footage 2369
Name Bresniker, Tami Email:
Mailing Address. 1232 E sth St phone 858-231-7764
Name. ADT LLC License. ADTLLL.881DO
Mailing Address 1'1824 N CREEK PKWY N, SUrTE #105 Exp i1q1ie6 Q6ts 3/2019
pl,6ns.. 206-371-2237Emait JENNIFER@NWPERMIT.COM
Servicei Feeder 200 Amp-,
Serviceif eeaer !0:taoO amp.
Servicei Feeder 401-600 Amp.
Service/Feeder 601-r,000Amp.
Service/Feeder over 10OO 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. Servicei Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeddr 601- l OOO Amp.
Portal ro Portal Hou y
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110 00
. .. $149.00
$168.00
$64.00 . . I
$120.00 $
$
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Thermostat (Note; $5 for each add
468, The City of PortAngeles Municipal Code, and Utility Specifications and P
12101 12021 JENNIFER COVELLO
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 certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical ilstallation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
$
14.05.050 reg arding Electrical Permit Applications(i"",%
Date Print Name Signature (!wner Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
Telecommunications worldwireless installation.
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