HomeMy WebLinkAbout115 E 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMUITITY SHOPPING DISTR
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NApplicatsion Nufiiber - . .
AppficaEion pin number
Propertsy AddreBs
ASSESSOR PARCEL NI]MBER:
Appl"icatsion Lype description
subdivision Name . ...
Propertsy use
Propertsy zoning
Appficationvalualion .
2r-ooo0L572 Date t2/ o)-/21-
775!44
115 E 5TH ST
06 -30- o0-0 -L-5875 -0000 -
ELECIRIC,I\I, ONLY
Application desc
Telecommunicaiions and alarm
COUGITENOUR BR]AN
101 E 5TIt ST
PORT ANGELES
ADI I,'JC
11924 N CREEK PART!'WAY, N
s?E 105
BOTHET,L WA 98011
/.206)'tL9-0347
Permit
AddiEional desc
Permit Fee .
Isaue Dale . .
ExpiraEion Date
5{.00
t2 / 0L/ 21
s /30/22
ELECTRICAI AI-TER RESIDEI TIAI
Plan Check Fee
valuation
00
0
otsy Unit Chalge Per
1.OO 64.0000 ECH EL-SINGIE CIR LIMITED RES
Extelrsion
64.00
cha!9ed Paid Credited Due
Permits Fee Total
PIan Check Total
Gra.d Total
64 .00
.00
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 NSPECTOR:
DITCH
SERVICE
ROI]GH.IN
FINAL
COMMENTS:fr)<-
PERMIT WILL EX?IRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature of ou,ner or Electrical Contractor X
C:\EXCHANCE\BUILDINC
Date
wA 983523013
I
1 - 2 SINGLE-FAMILY
ELECTRI C AL PERTMITAPPLICATION
Public trVorks and Utilities Department
321 E. sth Stteet. Pol1 Angeles, \1A 98362
360..+ 1 7..1 73 5 | wrwv.c ityoipa.us e lectricalpermits@cit1,ofpa.us
1 '15 E Fifth St
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NProject Address
Pro.ject Descript 16n. Telecommunications work/wireless alarm installation
Name Saldavia, Sonia Email
Irilailing Address l l5 E Fifth St p66ng.83'l-588-2152
Name ADT LLC li6gnsg. ADTLLL.881DO
Mailing Address '1'1824 N e REEK pKWy N, SUTTE #105 Exp iration Date 3i2019
Phone. 246-371-2237Emait J EN N IFE R@NWPERM lT.
Item
Servic€/Feeder 200Amp.
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. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
x Unit Charge)
$205.00
$262.00
$
$
$
$
$
$
$
$
$
$
$
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
Porta' to Portal hoLr y
Signa Clrcuivlimited Energy - '1&2 DU.
Manufactured Home Con $120.00
$102.00Renewable Elec. Energy
Thermostat (N ote: $5 for each additional)
TOTAL
Print Name Signature (Own E Electrical Contractor /Administrator)
Owner as defined by RcW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
Afte. reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles N4unicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications.
1 1 I3OI2O21 JENNIFER COVELLO
[Electrical Permit Applacations may be submitted to City Hall or electricalpermits@cityofpa. us ot faxed to 360.417.42 j,11
1'o
3
It
tr Single-Family Residential E Duplex / ARU Building Square footage:
OWNER
X!.r1X&SX{Lli$}ffi}i* l}t r.Jn'!&X
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Date