HomeMy WebLinkAbout1119 Highland AveN
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Application Nuhber
Application pin number .
Property Address
ASSESSOR PARCEL NUMBER:
Application t)4)e description
subdivision Name
Property Use
Propert.y zoning
Application valuation . .
2L-OOOOO777 Dare 8 /La/21
859980
1119 }IIGHI.AND AVE
05 -30 - 14-5-9- 0040- 0000 -
ELECTRICAI, ONI,Y
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS7 RESDNTIJ S]NGIJE FAMIITY
0
Application desc
Aladn
THOMAS C AND IYNNETTE R BEATTI
15850 JAC(SON DR
FONTANA CA 92336
ADT IJtC
11824 N CREEK PARK!{AY, N
sTE 105
BOTHEI,I, IiA 98011
1206)'tL9-0347
Permit
Addiri.onal desc
Permi.L Fee .
Issue DaEe .
Expiration Date
54.00
B/tL/2t
2/ O7 /22
ELECTRICAIJ ALTER RESIDENTIAL
Plart Check Fee
valuation 0
Qry units charge Per1.OO 54.OOOO ECH EI,-SINGLE CIR LIMITED RES
Ex!ension
64 .00
Charged C.edi!ed Due
Permit Fee Total
Plan check Total
Grand fotsa1
64 .00
- 00
54 .00
64 .00
.00
54. 00
.00
.00
.00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESULTS:I}iSPECTOR:
DITCH
SERV'ICE
ROUGH-IN
FINAI
COMMENTS:fi-\
PERMIT WILL EXPIRE Stx (6) MONTHS FROM LAST INSPECTION
Signature of o,mer or Electrical Contractor X
G:\EXCHANCRBUILDING
Date:
.00
I
ELECTRICAL PERTM IT APPLICATION
Fublic Works and l-ltilities Department
321 E. 5th Str€et, Port Angeles, W.4 98362
360.41 7.4735 | www.cityofpa.us i elecrricalperrnits@citrvofpa.us
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Proj ectAddress: 1119 Highland Ave
Project Descrip 11on. Telecommunications worldwireless alarm installation of all in one system
tr Single-Family Residential E Duplex /ARU Building Square footage
Name Beatlie, Lynnette R Email:
Mailing Address. 1 119 Highland Ave Phone 626483-4544
Mailing Address. '11824 N CREEK PKWY N, SUITE #105 Exp iration Date. 3/2019
Ph6ns. 206-371-2237EmailJENNIFER@NWPE
Item
Service/Feeder 200 Amp.
Servicei Feeder 2014OO Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 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 20'l-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feedei601- 1OOO Amp.
Poftalto Portal Hourly
Signal Circuivlimited Energy:132 99 .
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Themostat (Note. $5 for each additional)
Unit Charoe
$120.00
$146.00
9205.00
$262.00
$373.00
$5.00
$63.00
$5 00
$7s.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
Quantitv Total x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
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 elect cal installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
46B, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
O8IO9I2O21 JENN IFER COVELLO /? ,,L.ou4ru
Date Print Name Signa (tr ner F Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAIVILY
\2ms Apr LLC License: l!l!!!l!!l!!_
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$ -.,
$ 64-:'
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