HomeMy WebLinkAbout804 E 3rd StApplicaEion Nunber
Appfication pin nudber
Property Address
ASSESSOR PARCEI NTIMBER:
Applicallon t.!'pe description
Sulrdivision Name .
Property use
Property zonj.ng
Application valuatj.on .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604t7-4735
PTJBLIC BUILDINGS & PARI(S
0
19-00000488 Dare 4 /O4 /t9
419464
804 B 3RD ST
06-30- 00- 7- 7- 0405 -0000 -
EIJECTRICSI ONLY
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-$
L
$ctt
Applj"caLion desc
Move switches
Owner ConEractor
TRACY DEI.ACRUZ
804 E 3RD ST
PORT ANGELES
BOBIS EI,ECIRIC INC
2293 DEER PARK RD.
PORT ANGEI,ES
(360 ) 4s7-6887
wA 983523824 wA 983 62
Permit
Additsional desc
Pernit Fee
Issue Date
Expiration Date
ELECTRICAI ALTER RES IDENTIA'J
1.4 CIRCUTTS
?5. O0 Plan Check Fee
4/O4/L9 Valuarion
1-o / ot/t9
00
0
Qty Unit' Cbarge Per
BASE EEE
Extertsion
75 .00
Fee summary
Permit Fee Total
Plan Check TolaI
Grand ToEaI
75. 00
.00
75. 00
75.00
.00
75.00
.00
.00
,00
.00
.00
.00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM T.A.ST TNSPECTION
INSPECTION TYPE RESULTS INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN +l<h>{F =roD
FINAL qlE l9 g Y#
COMMENTS:
Signature of owner or Electrical Contractor X Date:
=:?::. :iti--- :::it:::" T:.
DATE:
;:rr/yFD
'ft*;l,
LiZ,:tr..
ELECTRICAL PERM IT APPLI CATION
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Lr)Project Address
Projecl Description mtw 3 su.lJc /tl /dr> t ttt
Name
Mailing Address
Name:
Mailing
Email:
/c /tt,
ss
. :.r,.' :
ti""nn, (lilE* tF f
Email: _?3 o'>-/Phone
Expiration
Ouenfltv Iqhl (QuEnlity x Unit Charge)Itm
S€rvicalFe€d6r 200 Amp-
Se.vice/Focder 201-400 Amp.
Servk€/Feed€r 4O1€@ Amp
Service/Feeder 60'l - 1000 Arnp.
Servic4r'Feeder over 1000 Affp.
Branch Circuit W SeMc€ Feeder
Branch Circuit w/O S€rvice Feeder
Each Addrtonal Branch Circuil
Branch Circ{it6 1-4
Temp. S€rvice/Feeder 200 Ar p.
Temp Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401€00 Amp
Temp. Service/Feeder 601- 1000 Amp
Portal to PortSl Hou.jy
Signal CrfliulimiEd Energy - 'i&2 OU.
Manufachrrgd Home ConrEcl,oo
Renewable E,ec. Energy: 5l(/A Sy6tem or hss
Thermostat (Note: $5 lor each additional)
Filll t300 SquaE Fe€t
Elch ldditional 5OO lqugrB Ee("
E6.Jl OitbsiHing / DetEcfisd GsrEgp
Eadr Swimming Pool / Hot fub
Urit Charoe
$120.00
$146.00
s205.00
$262.00
$373.00
55.00
$63 00
$5.00
$75 00
s93 00
s110.00
$149.00
s168.00
$96.00
$64.00
5120.00
5102.00
$55.00
9120.00
s40.00
g/4.00
t110.00
s
5
$
$
$
s
s
$
s
$
$
$
$
l
$
)
s
$
$
t
W:
TOTAL
Owner as defined by RCVV 19.28.261: (, ) Owner will occupy the stsu.turc for two years after tilis elecrricirt permrt is finaii2ed. (2) O1,,r/ner rs
required to hile an eledrical contacdor if above said property is forsale, rent orleasa. permit expires alt:r six months of la3tjrspection.
Afi€r reading the above statemsnt, I hereby certit that I am fie owner of lhe above named property or it liconsed eiedncat cont.acior I
am making the eleckical ifl€tallation or alteration in complianca with the electriaal la\,!s, N.E C-, RCW Cf,.rpte. 19.28, WAC Chapter 296-
468 of PortAngeles Municjpal Code, and Utrlity Specifications and pAMC 14.05.050 regarding Permit Applications
e
Date Print ame Signature (E cal aontractor / Administrator)
Ti7-
lElec{rical Permit Applications may be submitted !o City Hall or electricalpermits@cityofpa u: or laxed to 360.417 .4711.t
1 - 2 SINGLE-FAMILY !
t!
t\.l-sIr-
lc(\i6tvw
E Single-Family Residential D DuplBx I ARIJ Building Square footage:
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