HomeMy WebLinkAbout113 W 3rd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
.D
Applica!ion Nunber
Application pin nuniber
Property Address
ASSESSOR PARCEL NWBER:
Applicalion El,pe description
Su.bdivision Naine .
Property Use
Property zoni.ng
Applicatsion valuation
Owner
RICI( HOSIER, JANET CAI.DRON
18 - 0000194 5 DaEe L2/31/tA
442005
113 W 3RD ST
06 - 3 0 - 00 - 0 - 0 -5f 68- 0000 -
ELECTRICAL ONIJY
UN1(NOW1']
0
Contractor
BOB'S ELECTRTC INC
22 93 DEER PARK RN.
POR? ANCELES(360) 4s?-5887
wA 983 52
Permit
Addillonal desc
Permit Fee
Issue DaEe
Expiration DaEe
EIJECTRICAL AIJTER RESIDENTIAL
1-4 +5 CIR
100.00 PIan Check Fee
L2/ 3L/ tB valuacton
6/29 /te
00
0
Qty Unit Charge Per
s. o0 5 .0000 EcH
BASE FEE
EL-ECH ADDNT BRANCH CIRCUIT
Extensior1
75_00
25.00
Fee summary Charged Paid Creditsed
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Due
PermiE Fee ToEal.
!.Lan cneck'Iotal
Grand Total
100.00
.00
100.00
100 .00
.00
100 .00
.00
.00
.00
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN rltlm €]*p
FINAL t14|ts -+\-/sp
COMMENTS:a,
Signature of owner or Electrical Contractor X Date;
INSPECTION TYPE
REGEIUED \
\
--...(\N
ELECTRIC A LP ERTVIITAPP ATC to N
i'tihjir \\llks anrl i.tllili:,; l)l.t,-u'.it,.-: r:
i].: I j1h \lrar: J)..:i \il,jrld.- \\.\iisl{i]
if,t/.; l,-, il.il i..rrr.,.cilt,r.i',r.rr. il(a:'iiiirirJl.l:'!:'.i,ri.i'-\r.rlltn..\
DEC 2 3 201$^
EITCIRIOIL
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Proiect oescription
P Singl€-Family Residential E Duplex IARU Building Square footage
-lt o-1 a/'1 fi+l ,t-0{t-il,e
Name L
Mailing Address
Name:
Mailing
Email:
lut(a
lc 4/.(,
ef.Emait.
-
Phonei _
Expiration
Phone
&E
S€rvice/F€odar 200 Amp.
Servica/Ferder 201 400 Amp.
Service/Fesder 401 $00 Anlp
Se.viaelFeeder 601-1@0 Amp.
Servicey'Feeder over 1000 Arr9.
Branch Circuit w/ S€ruca Feeder
Eranch Circuit WO Service Feeder
Each Adddional Branch Circuit
Branch Circurts 1-4
Temp- Service/Feeder 200 AIrp.
Temp Servica/Feeder 201-400 Amp.
Temp- Service/Feeder 4Ol 400 Amp.
Temp. Servicer'Feeder 601-1000 Amp
Portal to Portal Houdy
Signal Ci.cuiulimibd Energy - 1&2 OU.
Manufaclur6d Home ConrEc,tion
Renewable Elec. Eneryy: sXVA Systsm or bss
Thermostat (Note: $5 for eadr addilional)
Filll 1300 SquaB Fa6t
Esch AddilirnEl 500 4u8ra bet"
Each Oufuildng / Dctdted Gsr8ge
Eech Swimming Pool / Hol Tub
Ourrlltv lqlel (Cluantty x Unh Ch8rg€)
TOTAL kua:-
Owne. as defined by Rclry.19.28.261: (1 ) Owner r,/ill occupy the strudure for two years afler thB eiectric.;l permit rs finalized. (2) Owner is
required to hire an elec,tacal contrac,tor r, above said property is for sale, rent or lease. Permit expires ar:3. six months ol last iospection.
Aft€r reading the abovc statemant, I hereby certiry that I am the owner ofthe above named propeny or :r licensed electracal contractor I
am making the electrical iostrallation or a eration in compliance with the elec'trical laws. N.E C., RCW Ct rpter 19.28, WAC. Chapter 295-
468.
Urlt Charqe
$120.00
s146.00
s205.00
s262.00
$373.00
s5.00
$63 00
s5.00
s75 00
s93 00
$ r10.00
s149.00
8r68.00
s96.00
$64.00
$120.00
$102.00
$56.00
sl20.00
s40.00
gr4.o0
t110_00
D
$
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$
$
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5
$
$
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Angeles Municipal Code,Specifications and c 14.05 regarding Electnc!l PermitApplications
Date Print Sign (- Ovrner lStsElectricar Contraclor /Administrato4
The Citv of Port
)nE'hr As,
lElectrical Permit Applications may be submitted to City Hall or electricalpe.mits@cityofpa u i or faxed to 360.417.4711]
1 - 2 SINGLE-FAMILY
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