HomeMy WebLinkAbout429 W 4th StApplicalion Number . .
Applicalion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application tylle description
Subdivisi.on Nane
Property Use
Property Zoning
Application valuat ion
19 - 0000004 ? Date 1/L0/19
426300
429 W 4TH ST
06 -3 0 - 00 - 0 - 0 - 73 50- 0000-
EIJCTRTCAL ONtY
ELECTRICALPERMM
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
Service change
Owner Contractor
LAwsoN EDWARD E/JUDY
429 W 4TH ST
PORT ANGELES WA 9A3622220
NORTH PENINSUT,A ELECTRIC
751 FRESI{WATER PAR( RD
PORT ANGEIJES WA 98353
1360) 47'7 -L-|64
PermiL
Additsional desc
Permit Fee
Issue Dale
Expi.ration DaEe
120.00
L /L0 /19
7 /09/19
Plan Check Fee
Valuat.ion
ELECTRICAI" AITER RESIDENTIAI
00
0
Qly Unit Charge Per
1.00 120.0000 EcH EL-0-200 sRv FEEDER
Bxtension
120.00
Charged Paid Credited Dr.re
Pemit Fee To!a1
Plan Check Total
r20.00
. oo
120. O0
120. O0
.00
120 .00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE t ),o /ts 4v 'Y4,P
ROUGH.IN
FINAL t/rclq N
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
- 2 SING LE-FA ILY
ELE CTRI CAL P ERM ITAP PLICATI ON
1 nrcayros
JAll ot ttltg ,*_
^rffifi! l$
Public Works and Uiiiities Dcpa monr
i2t ts.5rh Streer, pon Angeles, WA9g362
360.417.4735 | www.ciryofpa.us I electricalpcrmits/@cityotpa.us
Proiect Oescriptjon:
--z-z_-ti- Single-Famity R
ProjectAddress:\^ Lq
esidential n Duplex tARU Buit ding Square footage:
Email
phone:
Name:
Mailing Address
Name:
Mailing
Email:
C
$120.00 \
TOTAL
Expiration Date:
z-Address.,<- )
Ptrone: 8L-t-'11-q
Item
Seryicef Feeder 200 Arnp_
Unit Charde Guantlty Iotr! (Quandty
s \Jtrx Unit
$
s
I
$i
s
$
$
s
$
c
$
s
s
$
!
$=--
i*g-'t
SeMcer'Fe€der 201-400 tunp.$146.00
Servic€r'Feeder 401€00 Amp $205.00
Servic€r'Feedar 501-.1 OO0 Amp.$262.00
Service/Feeder ove l O0O Annp.$373.00
Branch Circuit W Service Feedcr $5.00
Branch Circuit W/O Service Feeder $63 0C
Each Additional Branch CirqJit $s.00Branch Cirolits 1-4 s75.00Temp. Se.viceJFeeder 200 Amp.593.00
Temp. Service/Feeder 20 t -400 Amp-$110.00
Temp. Servioey'Feeder 4016m Amp.s149.00
Temp. SeNica/Feeder 60i-r000 Amp $168.00
Portal to Portal Holrly s96.00Signal Circlriulimited Energy - 1&2 OU $64.00
Manuf'ac-tjaed Home Connecrtion $120.C0
Renewable Etec. Energy: sK\r'A Sys{ern or tess 5102.00Ihermostat (Note: SS tbr each ad; ional)s56.00
First '1300 Squa.o Feet $120.00
E&h Addili$al 5@ sglal9 Eet.s40.00
Each Oulbqilding / Detacied GaEge s74.00
Erch Swimmirg pool / Hol Tub s110.00
s \3t:,.Owher as defined by RCWIg 28.261: (1) Owner will ocoJpy the stsucture for two yearsrequared to htre an erectncal cofiractor i, above saio prooerty is forsal.. |'"nt or_tJ"""_
after this electdcalpeimit is fioaiized. i2) Owner is
At6r reading the above slalemenl, ,hereby certity
Permit exf,iaes after sir oonths of last jnspection
that I am the owner of the above named property or a lioensed eteckical contracto. Iam making the electricai installation or alteration in compliance with th€ gteclrical N.E C,. RCW Chapter l9.2B, WAC. Chagter 296_468, The City of po.t Angetes icipal Code, and Utilrty Specificatiofls ard 14.05 050 .egad,og Permit Apptications.-- (]8 q tV.e-r
Date Print Name Signature/E-_.qlrner fI Elecbical Contractor /AdministEtor)
[Elect'ical Pgrmit Appllcstion€ may be submi&ed to city Ha or etectricatpermils@cityofpa. us or faxsd to 860-4.17.4711]