HomeMy WebLinkAbout1135 Eckard AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
R-s7 RESDI\IT! SINGTE EAI'4IL,Y
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Applicati.on Number
Application pin nwnber
Propertsy Addre6a
ASSESSOR PARCEI. NUMBER:
Application E),pe description
Subdivision Name - - ...
Propertsy Use
Propertsy zoning
Application valuation
21- OOOO14?3 DaLe r1l15/21
160249
1135 ECKARD A\TE
05-3 0- 14 -6 - 8 -0050 - 0000-
EI,EC'IRICAJJ ONLY
Application desc
Alarm
ROY AND SIIERRY IJ IiENSHAW
1135 ECKARD AVE
PORT ANGE],ES WA 98352
(350)
]\DT LLC
11824 N CRXEK PARKWAY, N
srE 105
BOTHELL WA 98011
1206l't19-0347
Permit
AdditioDal
Permit Fee
Iaaue Date
de6c
54.00tL/ts/2t
5 / \4/22
ELECTRICAI AITER RES]DENTIAI
Pl.an Check Fee
Valuati.on
.00
0
Expiratsion DaLe
otsy Unit Charge Pe!
1.OO 64.0000 ECH EI,-SINGIJE CIR II!'IITED RES
Extenaion
64.00
Charged Paid Credited Due
Peimits Eee Total
PIan check To!a]
Gland Total.
54.00
.00
64.00
64.00
.00
54 .00
00
00
00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Pod Angeles
(Location Code 0502)
INSPECTION TYPE DATE RESULTS:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:w
PERMIT WILL EXPIRE SIX (6) MONTHS FROM T-AST INSPECTION
Signatue of owner or Electrical Contractor X
Gi\EXCHANCE\BUILDINC
Date
| rusructon,
I
1 - 2 SINGLE-FAMILY
EL ECTRICAL PERM IT APPLICATION
Public Works and Utilities Depadmett
321 E. 5th Street, Port Angeles. WA 98362
.160.-t I 7..17-15 I wrwv.citvolpa. us I electricalpermits@cityofpa.us
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3
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\NProject Address:
Project Descripti on. Telecommunications woruwireless alarm installation
E Single-Family Residential ! Duplex /ARU Buitding Square footage:
Name Henshaw. Roy Email
N4ailing Address l 135 Eckard Ave phone 702-281-4816
ELECTRICAL CONTRACTOR I NFORMAT1ON
frlsrns ADT LLC License. ADTLLL',881DO
Mailing Address 11824 N CREEK pKVVy N, SUITE #105 Expi rs1;en P31s 3/20'19
Ph6ns' 206-371-2237Emait. JENNIFER@NWPERMIT.COM
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'1 -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. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Poftal to Portal Houriy
Signal Circuivlimited Energy - 1&2 DU
Manufactured Home Connectaon
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
&lal (Quan it Charge)
$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
$120.00
$102.00
$56.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
64
TOTAL
468, The City of Po( Angeles Municipat Code, and Utility Specjfica
1 1 IO3I2O21 JENN IFER COVELLO
Date Print Name S ig natu re er F 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.
After reading the above slatement, I hereby certify that I am the owner of the above named property or a licensed electrjcal 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-
tions and PAMC 14.05.0 50 r_egarding Electrical Permit Applications.(:r"",%
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or fa xed to 360.4.17.47111
1 135 Eckard Ave
OWNER INFORMATION
PROJECT DETAILS
Ouantitv
1
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