HomeMy WebLinkAbout912 E Park AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDNTI. SINGLE FAI,IILY
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REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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-ssApplicatio Nuriber
Application pin nr.mber
Property Address
ASSESSOR PARCEL NUITIBER:
Application t)?e descripEion
subdivision Name . .
Property Use
ProperEy zoning
Applj-cat'ion valuation . .
18 - 0000193I Date l/03/19
858788
912 E PARK AVE
05 - 3 0 - 15 - 1- 1- 0350 - 0000 -
ELECTRICAI, ONI,Y
Ouner Contractor
IJEON AND NANCY BOGUES
912 E PARK AlE
PORT ANGELES WA 983626?59
(350) 457-64s3
O!iNER
.00
0
Qty UniE Chalge Per
1.00 120. 0000 EcH Er-0-200 sRV FEEDER
Extensiolt
120.00
Charged Pa i,d credited Due
Permit
AddiEioial desc
Issue Date
Expiration DaEe
EI.ECTRICA], AI,TER RESIDE}ITIAI,
2OO A SVC MAST
120. oo Plan Check Eee
l/o3/t9 valuat.ion
7 / 02 /t9
Permit Fee Totsal
Plan Check TotsaL
Grand ToEal
120.00
.00
120.00
120. 00
.00
120.00
.00
.00
.00
00
00
00
PERMTT WILL E)(PTRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE /z- 2.e - /,)P -,/-^.
ROUGH.IN
FINAL /)-).L-/2 IP kfr
COMMENTS:
Signa ture of owner or Electrical Contractor X Date:
Er l-2 sFLt-
ELECT N
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.47 35 J www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address:Q.tL a*sr ?a.oia- Auero l-s
Project Description
E Single-Family Residential E Duplex / ARU Building Square footage
Mailing Address ?rz r Porr
Email
Phone 3Go {tl - ((-5\
Name C License
Expiration Date
Ph one :1(-o . *7 -r'L3>
Iglgl (Quantity x Unit Charge)t7o
llailing Address
Email
Item
Service/Feeder 200 Amp
Service/Feeder 201100 Amp.
Service/Feeder 401-600 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 201400 Amp.
Temp. Servrce/Feeder 401S00 Amp
Temp Service/Feeder 601 -'1 000 Amp.
Portalto Portal Hourly
Srgnal CircuiULimited Energy - 1&2 DU.
lvlanufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet .
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
c
Unit charoe
$120 00
$146.00
$205.00
$262.00
$373 00
$5.00
$63 00
$5.00
$75.00
$93.00
$110 00
$149 00
$168.00
$96.00
$64 00
$120.00
$102.00
$56 00
$120.00
$40.00
$74.00
$110.00
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Owner as delined by RCW 19.28.251: (1) Owner will occupy the structure for two years afler this electncal permit is finalized. (2) Owner is
required to hare an electncal contractor if above said property is for sale, rent or lease. Permit expires afrer six months of last inspection.
After reading the above statement, I hereby certify 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 elecirical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The Caty of Port Angeles Municipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applications.
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OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
lz-],9.. Lot oe L,t{e.\\,
Date Print Name Signature (E} Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47'l1l
1 - 2 SINGLE-FAMILY
Name:
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