HomeMy WebLinkAbout1734 W Hwy 101 (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 - 000 00s43 Dale 4/16/LB
104894
1734 W HWY L 0l.
05-30- 08- 3 -3 -0050- 0000 -
ETECTRICAI, ONLY
IIN(NOWN
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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Applicatsion Nuniber
Application pirl nunbe!
ProperEy Address
ASSESSOR PARCEI, NUMBER I
ApplicaEion t],?e description
suldivision Name .
Properly use
Proper!y zoning
Applicati-or valuation
Appli-cation desc
Generator.s and circuits
Contractor
STEPHEN E AND A]VIY L KENNEDY
5117 MOUNAAIN TERRACE WAI
PORT ANGELES WA 98362
OWNER
Permi!
AddiEional desc
Permlt Fee
I ssue Date
E)q)iration Date
182.00
4/t5/18
L0 /73 / tB
ELECTRICAiT ALTER COM!'IERCIAIJ
Plan Check Fee
Valuat ion
00
0
QEy Unit Charge Per10.00 s.0000 ECH
1.00 132.0000 ECE
E],.BRANCH CIRCUIT W/FEEDER
EI,-COM O-2OO SRV FEEDER
Extension
50.00
132.00
Fee summary Charged Paid Credit ed Due
Permi.! Fee Total
Plan Check ToEal
Grand Totsa1
182. 00
.00
182.00
182
182
00
00
00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESUI-TS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN q loln *?.BP
FINAL ilolh w
COMMENTS:t- t I
Signature ofowner or ElecEical Contractor X Date:
Org.P
ELcoM MULTI-FAM ILY / COMMERCIAL
ELECTRICAL PER IT APPLICATIO
Public Works and Utilities Department EI ,U'JEU
Project Address nsq ,o l.{\)Y tDl
Project Description L ,r-N ,rz- !5 o 1-7-
! Multi-Family Residential rcornmercial / lndustrial / Public Building Square footage
O!\NER INFORMATION
Name: 6fl2I}-tE-xJ K NEPY Email
Mailing Address €lt1 " t, nTa"l -:r'E|'PhCE w*V Phone 2 ->--
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
Email:
License
Expiration Date
Phone;
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servicei Feeder 401600 Amp.
Service/Feeder 601-1 000 Amp.
ServicelFeeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits '14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-'l 000 Amp.
Portal to Podal Houdy
Sign / Outline Lighting
Signal CircuiULimited Energy - Multi-Family
Signal Circuivlimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: 55 for each additional)
Ouantitv Total louantity x t nit Charoel
)vz"o
/az@
Unit Charqe
$132.00
$160.00
$225 00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102 00
$121.00
$'164.00
$185.00
$96.00
$88 00
$88.00
$96.00
t
t o--
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
TOTAL
Owner as deflned by RCW 19.28.261: (1) Owrer will occupy the struclure for two years after this electrical permit is finalized. (2) Owner js
required to hire an eleclrical 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 certiry that I am the owner of the above named property or a licensed electrical contraclor. I
am making the electrical installation or alteration in compliance with the electrical laws, N. E.C., RCW Chapter '19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (E Owner I Electical Contractor /Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
,.,
321 E.5th Street, Port Angeles, WA98362 AF
360.417.4735 www.cityofpa.us electricalpermits@cityofpa.us
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