HomeMy WebLinkAbout1307 W 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360417473s
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ApplicaEion Nudber . ,
Applicat.ion pin nu ber
Properly Address
ASSESSOR PARCEL NUMBER :
Applicat ion . type descripEion
Subdiviston Name . .
Property Uge
Property zoning
Applicat.ion vafuation . .
19- 00000479 DaEe
7 9 7365
1307 W 6TH ST
06 - 30 - 00 - 0 - 1- 2 075- 0000 -
EIECTRICAL ONLY
4/0L/L9
RS7 RESDNTL SINGIE FAI.,IILY
0
Owner Con!ractor
TUESDAY TAYIOR
1307 W tTH ST
PORT ANGEIJES
42 GEOI.AINE WAY
SEOUIM
1360) 41't -2202
wA 98363 wA 983a2
Permi t
Additsional desc
Penmit Fee
fssue Date
Expiration Date
ELECTRICAI- AI,?ER RES IDEIITIAI
1-4 CIRCUITS
75.00 Pfan Check Fee
4/al/ t9 ValuaElon
9/28 /19
00
0
Qty UaiE Charge Per Exte sion
7s .00
Fee sunmaly
I-ermlc !ee 'Iota.L
PIan Check Total
Grand Total
75.00
.00
75.00
75 .00
.00
75 .00
.00
.00
.00
00
00
00
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PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEC|ION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN d/t ln @ gP
FINAL ,i/s )rt *F
COMMENTS:
Signature ofowner or Electrical Contractor X Datel
ApplicaEion desc
E]eclrical repairs
BASE FEE
:li:T:- _::ti :::it::: i:
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ELECTRICAL INSPECTION
WIRING REPORT
4't7-4735
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SEFTVICE D
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NOTIFY ll,lSPEeTOR WHEN CORRECTIONS
ARE COMPLETED wlTHIN 15 DAYS
- DO NOT REMOVE _
PEBMIT 3
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INSPECTOB\b7
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CONTRACTOB
APPROVED
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W_.......HOUGHIN/COVER
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1 - 2 SINGLE-FAMILY
E ECTRI RMIT A ATION CIIYED
Public Works and Utilities Department llAf.
321 E. 5th Street, Port Angeles, WA 98362
360.4 17.4735 I www.cityofpa.us I electricalpermits@cityofoa.us
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Project Address
Project Description:
ll Single-Family R esidential n Duplex / ARU Building Square footag e.'
r
io lA
Name
Mailing Address
Email:.r_Dr-\
!6 Phone:
Name:
Mailing
Email:
Ad o_(/License 'nl it /7 cu)/Expiration Da te
Phone
Ouantitv !gla! (Quantity x Unit Charge)
TOTAL
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp
Service/Feeder 401600 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 201{00 Amp.
Temp Service/Feeder 40'1-600 Amp.
Temp Service/Feeder 601-1000 Amp.
Portalto Portai Houdy
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charqe
$120.00
$146.00
$205 00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
9110 00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
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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 certity that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in complaance with the electrical laws, N. E.C., RCW Chapter 19.28, WAC. Chapter 296-
46B. The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.0 050 regarding Electrical Permit Applications
t./43
Date nt Name Sign re (E E Electrical Contractor / Administrator)
PROJECT DETAILS
[Electrical Permit Applications may be submitted to City ffa'U or epermits@cityofpa.us or faxed to 360.417.47111
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First 1300 Square Feet
Each Outbuilding / Detadled Garage
Each Swimming Pool / Hol Tub
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OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
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