HomeMy WebLinkAbout721 E 5th StAppllcaLion Nurnber
Application pin nudber
Properly Address
ASSESSOR PARCEI, NUMBER:
Appllcatsion t}?e description
subdivision Name
Propertsy Use
Properly Zoning
Applicatsion valuatsion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17 - 000 01582 Date L0 / 3t / 17
'7 65992
721 E 5TH ST
06-30 00-0 17455-0000-
EIJECTRICAL ONI]Y
RS7 RESDNTL SINGLE FA]"IILY
0
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application deEc
l circuit
jonathan troj an
96 heaLher park rd
PORT ANGELES
NORTH PENINSUI]A EI]ECTRIC
761 FRESHWATER PARK RD
PORT ANGELES WA 98363
\36A) 417 -t164
IIIA 98:62
Permit
Additional desc
PermiE Fee
Issue Date
Expiration Date
EI,ECTRICAI, AIJTER RESIDENTIAI]
53.00
to/3)-/t'l
4/29/aB
Plan Check Fee
Valua!ioa
.00
0
Qty Unit Charge Per
1.00 63.0000 ECtt ErJ-R- BRANCH crR wo/ sER FEED
Extsension
53.00
Charged Credited Due
Pe.miE Fee Total
Plan Check Tolal
Grand Total
63 .00
.00
63 .00
63.00
.00
63.00
00
00
00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROt]GI{-IN
FINAL
COMMENTS:4-x
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signah[e of owner or Electrical Contractor X Date:
..I,I J
I
U\
e0
N
Crrv or PonTANGELES PERrflr Appr,rcarrox
Building Division/Electrical Inspections
321 East Fifth Strcet - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
4 e Z Snde family Dwelling
* Plan Review
Job Address:
MaV Be
$luircd,
Pleae Comfle! 94cticd Plan Review lnformation Sheet
Euilding Square Footage:
oessiption of above
Owner
Namei
Ma irE
Crty Statel U4 zP:Phone: ,-- Fax:
License # /
Itom
SewicdFeeder 200 Amp.
Service/Feeder 201 400 Amp.
SerYicdFeeder 401600 Amp
Service.Feeder 6011 000 Amp.
Servicereeda over 1000 Amp.
Brand Cimit W Service Feeder
Brand Circ1lit WO Ssvice Feeder
Eadl Addrlional Erand Circuil
Brfldr Circuits 'l-4
Temp. Service/ Feeder 200 Amp.
Temp. SeruiceiFeeder 201400 Amp.
Temp. ServicdFeeder 401{00 Amp.
Temp. Service/Feeder 601 -1 000 Amp .
Portal to Portal Houdy
Signal Cirqiiu Umited Energy - 1 & 2 Family Di/eiling
Manuf adured HorTE Connection
Renewat{e Eeclricd Energy - sKVA System or Less
Thefinostat
Noter $5.m for ead additional Tstat
t{Eyu coilsTRucTtoit oilLY:
First 'l 3@ Square Ft.
Eadr Additimal 500 Square Ft. or Portion of
Eadl Outhrilding or Detacned Garage
Eadr Swimming Pod or Hot Tub
on
c?Name:
lVailing
License # /
Cls i C-
YY-
City:State:zpl
Total (Qtv ultiplied bv Unit Charqe)
{'
Unit Charse
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
s 93.00
$ 110.00
$ 119.00
$ 168.00
$ 96-00
$ 64.00
$ 120.00
$ 1m.00
$ 56.00
$
$_
C
$
s
s
$ 120.00
$ 40.00
$ 74.00
$ 110.00
Owner as defined by RCW.19.28.261: (1) owner will occlpy be stuclure for two years after this electrical permit is finalized. (2) Owner is requked
to hire an electical contrcc'tor if above said pmperty is for sale, rent or lease. Permit expires after six montrs of last inspection.
After reading tre above stalement, I hereby certify that I am fie owner of lhe above named property
the elecbical installation or alleralion in comfliance witr tre electical laws, N.E.C., RCW. Chapter i
Angdes Municipal Code, and Utility Specifications and PAMC .14.05.050 regarding Electical permit
Total
or a lic€nsed electical contractor. I am making
9.28, WAC. Chapter 29&468, I}e City of Port
D cish
lo- 2-?.- n
Check
01rc1tm17
oate:/C - L?- l?
s
s
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Signature of o;rner, electrical contraclor or electrical administrator:
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