HomeMy WebLinkAbout1734 W Hwy 101ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 00000679 DaLe 5/\a/78
335307
1734 W HI,IY 101
06 30 08 3 3-0050-0000-
RT,F,CTRICAL ONLY
UNl(NOI,IN
0
REPORT STATE SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
N
t6{J)
Applicatsion Number
Applicatsion pin number
Properly Address
ASSESSOR PARCE! NUI'IBER:
Application t)?e descripEion
Subdivision Name
Property Use
Property Zoning
Application val-uation
Application desc
lolr voltage DaLa / Voice
Owner Conlractor
STEPHEN H AND AMY L KENNEDY
511? MOI'NTA]N TERRACE WAY
PORT ANGELES tiA 983 52
ANGEI]ES COMMUNICATIONS INC,
102 ROSS LN.
PORT ANGEIJES, WA
PORT ANGELES WA 98352
1350t 451-43'/5
Permlt
Additional desc
permat Iee
Issue Date
Expira!ion Date
96.00
5 /to /ta
!L /a6 /LB
ELECTRICAI, AI,TER COMMERCIAL
Plan Check Eee
ValuaLion
00
0
Qty Unit Charge Per
1.OO 96,0000 ECH EI]-I]fIYIITED 1ST 15OO SQ FT
Extension
96.00
Charged Pa id Credi- ted Due
PermiE Eee Total
Plan Check Tolal
Graad Total
96.00
.00
95 .00
95 .00
.00
96 - 00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ct le )'n D
FINAL u')all1 JP \AP
I
PERMTT wlLL EXPIRE Slx (6) MONTHS FROM I-{ST INSPECTION
Sig1rature of owner or Electrical Contractor X Date:
B;>
COMMENTS:
IVII II TI.FAMIII Y / CO[\,I\,FRCIAI
ELECTRICAL PERM IT APPLICATION
Public Works and Utilitics Department
321 F.l. 5th Street, Port Angeles, WA 98362
360.417.4735 | rarruw.cityofpa.us electricalpermits@cityofta.us
RECE,l/E I
1'o
=I
cLct t fil{)A
Project Address:
-2. I tlr ol )!t (l (j ?ctr
La,J J
.t kC
c- 5 r\ sr-
L-'c 6a
Proie.t Oescription
E Multi-Family Residential {Commercial/ lndustrial/ Public Building Square footage
Name:Email:
t) t r t ,'t
t
9 License:
Expiration Date:
Mailing Address
Name
Mailin
Email:
j;] 1--
g Address !,
(phone: ]t-L + l7 I l7e
Item
Service/Feeder 200 Arnp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 €00 Amp.
Service/Feedor 601-1 000 Amp-
Service/Feeder over 1000 Amp.
Branch Circuit w/ S€rvie Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuat
Branch Circuits 1-4
Temp. SeNice/Feeder 200 Amp.
Temp. Service/Feeder 20 1 -400 Amp.
Temp. SeNice/Feeder 401{00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to PorEl Hourly
Signal Cirqlivlimiied Energy - Multi+amily
Signal Circuiylimibd Energy/First 't 500 _sf - Commerdal
(Note: $5.00 for each edditional 1500 s0
Renewable EIee Energy: sKVA System or less
Thermostat (Note: $5 ior each additional)
Ouantitu flItal{quaatty r Unit Charge)Unit Charoe
s132.00
$160.00
$225.00
e88.00
$410.00
s5.00
$74.00
$5.00
$86.00
$102.00
s121.00
$164.00
$185.00
$s6.00
s88.00
$98.00 /
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
!
s 113.00
$56.00
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occlpy the structure for two years ater this eleclrical permit is finalized. (2) Owner is
required to hire an eleclrical contraclor if above said property is for sale, rent or lease- Permit expires after six mooths of last inspection.
Aft'ar reading the above statement, I hereby certi, that I am the owner ofthe above named property or a licensed elestrical contrador I
am making the electrical i,tstallation or aLte.alion in compliance with the electrical laws N.E Chaptel! 9.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and 4.0 regarding Electrical Permit Applications
s 7 C.
Print Name Signature (fI Electrical Contractor
lElectrical Permit Applications may be submitted to City Hall or electdcalpermits@cityofpa.us or faxed to 360.417.47111
G
o-
-lJoffI
Phone:_
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
