HomeMy WebLinkAbout529 E 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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I
fiI
ApplicaEion Number
ApplicaEion pin number
ProperLy Address
ASSESSOR PARCEL NUMBER:
AppLicaEion El'pe descr:iption
Subdivi.sion Name
Property use
Property zoning
ApplicaLion vafua!ion . .
21- OOOOI5O 1 DaEe tt/L't /2t
344542
529 E 6TH ST
06 -30 - 00 - 0 - 1- 9775 - 000 0-
EI,ECTRICAL ONLY
0
ApplicaEion desc
STEVEN FORREST AND
PO BOX 3229
PORT ANGELES
KAMEO NEI,S
wA 98352
ROCHE EI,ECTRIC & CNSTTNG INC
688 OAK WOOD DR
SEQUTM WA 98382
/.425) 293-2357
PerniE
Additionaf dese
Permits Fee
Issue Datse
Expiratsion DaEe
120.00
at/!7 /2L
5 /16 /22
ELECTRICAL ALTER RESIDENTIA!
00
0
otsy Units charge Per1.00 120.0000 EcH E!-0-200 sRv FEEDER
ExLension
120.00
Paid crediled Due
Permits Eee Tolal
Plan Check Total
Grand ToEal
724
t2a
00
00
00
!20
12a
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST
Signature of owner or Electrical Contractor X
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAI,
COMMENTS
G:\EXCHANGE\BUILDING
Charged
Plan Check FeeValuatsion . . .
.00
.00
.00
nlaln I :Fv
ff-"s-,
Date:
a
:
Public lV,.'r.ks ar:d Utrlities Deoartntenr
321 E. 5dr Srreei. por.t Angeles, &A 9gl(rZj60.417.4'?35irvwr+'cityofj:a.usleleirrici.rlpcrnritsriq.ciryotpa.us
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Proiect Address:529 E 6rh st
Projec{ Description:
E] Single-Famiiy Residential
Name:Forest
fl Duptex /ARU Building Square
Email:lectric.com
Mailing Address :285 Wye Rd Phone: 360-827-5868
Name: Roche Electric & Consulti Inc.
Mailing Address
ndos ectric.co
[e!q
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feedsr 401-6OO Amp.
ServicelFeeder 601-l OO0 Amp.
Service/Feeder over 1O0O Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Seryice Feeder
Each Additional Branch Circuit
Branch Circuits ,l -4
Temp. Service/Feeder 200 Amp.
Temp. SeMce/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-,tOO0 Amp.
Portal to Portal Hourly
Signal CircuiyLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA S ysiem or less
Thermostat Note: $5 for each additio
I
License: ROCHEECS3lJO
f-z-Exp iration Date: 0412A12023
Phone: 425 293 2357
quautw Ioltl (ouanrity x Unlt Charge)
c 120
$_--
$ ___,_
$_.--
$.-
$=-_.-_-
$.-_-
$.-----
$--."-
$_.-=--s.._-
$120.00
$146.00
s205.00
$262.00
$373.00
$s.oo
s63.00
$5.00
$75.00
$93.00
sl10.00
s149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$
$
$
$
$
$
TOTAL
Owneras defined by RCW_19.28.261: (
required to hke an electdc€l cont acto.
1) Owner will occupy the structure for two
if above said property is for sale, rent or lease. Permit expires after six months of
years after this electrical permit is fnalized
last inspection.
(2) Owner is
After reading the above statement, I hereby certiry that I am the owner of the above named propafty or a licensed glecbical contractor. Iam making the electrical jnstallation or alteration in compliance with the electrical laws, N E.C., RCW,19.28, WAC. Chapter 296-468, The City of portAngeles Municipal Code, and Utility Specifications and PAMC i4.Eleclrical Permit Applications1'116t2021 orlando Roche
Print Name Signature 1[ Ownei Contraqtor / Ad ministrator)
Oate
tL lectricar Permit Apprications may be submifted to city Ha, or erectricarpermits@cityofpa.usr
1 - 2 SINGLE.FAMILY
Email:
I thir Ctr|rga