HomeMy WebLinkAbout514 E Ahlvers RdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDNTL SINGLE FAM1LY
o
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AppLicaLion Nu ber
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicaiioo .t)?e descripEion
Subdivision Nane
Properly Use
ProperEy zoning
Application valuation
18 - 00001907 DaXe 72/20/tA
064950
514 E AHLVERS RD
05-30 - 15 -4 - 2 - 902 0 - 0000 -
ELECTRICAL ONIY
Appfication desc
Replace mast and service wires
Owner
IOPEZ CONRADO/,'ANGE
514 E AIILVERS RD
PORT ANGELES
EIJBCfRIC SARVICE
503 RHODES RD
PORT ANGEI,ES
1360) 452-6424
wA 983 52
Permi !
AddiLional desc
Pemit Fee .
Issue Dale
Expiralj-on Date
120.00
1-2/20/18
5/t8/L9
ELECTRICAI, AII'ER RES IDENTIAL
Plan Check Fee
valuation
00
0
oty Unit Charge
1.00 120.0000
Per
ECH EL-O-2OO SRV EEEDER
ExEension
120 .00
Fee summary Charged Pald Credited Due
Permlt Fee ToEal
Plan Check TotaI
Grand ToEal
!20
t20
.00
. oo
. o0
120
120
00
00
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)
INSPECTOR:DATE:RESULTS:INSPECTION TYPE
DITCH
/a_lZ-7o -19 #SERVICE
ROUGH.IN
/Z-ro- lE ,lfFINAL
COMMENTS:
It
PERMIT WILLEXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signa ture ofowner or Electrical Contractor X Date:
wA 983523710
ls
FROII FAX ND.Dec. 1? 2A7A ?:a?Pl'l P!
REGEIUED
SING E ILY
EL CTRIC AL PER MIT AP PLI roN
Public Works and Utilities f)epartment
i2l E.5rh Street. Port,\ngeles, WA 98362
360.417.47 35 1 w.!lnl.cityofpa.us I clccrricalpermir@citvotira.us
Email
Mailing Address:<r9 E- h A I vtt {Phone:
Name
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Eicnf,rl
Iilsr&flms
Projec.t Addres6:
Project Description
E Single-Family Residential U Duptex / ARU Building Square iootage:
Name:
Mailing Address
Email
Itcri
Service/Fseder 200 Amp.
Servica/Feeder 20'l -400 Anp,
Service/Feeder 401 .600 Arnp.
Service./Feed€r 60'1 -1 000 Amp.
Seftice/Feeder over l00O Amp
Brandt Circuit w/ Ssrvica F€sdcr
tsranch Cirou WO Servk- Feeder
Each Additional Brancr! Circuit
Brana$ Circuits 1-4
Temp, Service/Feeder 200 Arnp.
Temp. Service/Feeder 20140O Arnp-
Temp- SeMce/Feedel 401€OO Arnp.
Temp. Seryice/Feeder 60'1-1 000 Amp.
Ponal to Portal Houdy
Sbnal Circuiulimited Energy - 1&2 DU.
ManuJEcfu rEd Hqme ConrEciion
R6n6wable Elec. EneBy: slq/A System or bss
Thefitoetat (Note: $5 tor €ach additonel)
Licensc: F,LEt:f St r3 29,
Epiration Date: t A-Z! -l,
er,on., 3c6ffif*E
glrlSx IqE! (cluanlity x Unit Ch.rgs)
s120.00
5146.00
$20s.00
$262.00
0373.00
$5,00
6{13,00
$s,00
s7s.00
$s3 00
9110.00
$149.0O
$166.00
$96.00
s&l.00
9120.00
s102.00
$56.00
I l2a- <'tn$
s
5
$
$
5
E
$
$
5
D
iD
$
s
TOTAL s l?o.oo
Owner as defined by RCW,1 9,28.261 ; (1) OM,,n€r will scc{,py lhe struciure For two yaars ater lhb elecrical permit is finalized. (2) O,vner is
required to hare an electrical confador if above 38id propert iE for sale, refit or lease. PErmit expiGs after six monlhs of last inspection.
Afer reading the above gtatemenl I hereby ceatiry that I am the owner of the above named property or a licdnsed eleclncal contredgr. I
am making the eleclrical installalion or alteraion in compliance with the eleclrical laws, N,E.C., RCW. Chapter 19.2a. wAC. Chapter 296-
a6B, Thr Ciry of PqnAngates Municipal Code. and Ut lity Specificationg and PAMC 14.05 05O regardang ElccLicai Permit Applieatior'ts.
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
I -(/t
Date
t+
Pnnt Name Signature (E Owner ry Elesfical Confactor / Adminislrator)
[Electrical Permit Applications may be submitted to CiV Hall or epermits@cityoha.us or iaxed to 360.117 47'l1l