HomeMy WebLinkAbout1618 W 15th StApplication Number
Appl j.calion pin number
ProperEy Address
ASSESSOR PARCEL NUMSER :
Applicatiorl, type descriptsion
Subdivision Name
Property Use
Property zoning
Application valuatsion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS7 FESDNTL SINGLE FA}4I!Y
0
18 - 0000182? DaEe l2/).1/ta
848977
1518 W 15TH ST
05- 30 - 00 - 0 -4 - 3 504 - 0000 -
EI,EC?RICAL ONLY
REPORT STATE SATES TAX
on your excise tax form
to the City of Foft Angeles
(Location Code 0502)
oo
INN._t
AppficaEion desc
MeLer Ja,, repair
ConEracEor
CHRIST]NE IIAR}{ON
1518 W FIF?EEI{IH ST
POR:I ANGELES
OWNER
wa 98363
Permit
AddiEional desc
Permit Fee
Issue Date
Expirat.ion Date
96 .00
t2/Lt/ta
6/09/19
ELECTRICAL AITER RESTDENTIAL
Plan Check Fee
Valuation
00
0
Qty Unlts Charge ler
1.OO 95.OOOO ECH EL-TRIP EEE-INSPECT EX. INSTAL
Extension
95. 00
Charged Due
Permlt Fee Totaf
Plan Check Total
Grand Total
96.00
.00
96.00
96 .00
.00
95.00
00
00
00
PERMTI] WILL EXPIRE Srx (6) MONTHS FROM LAST INSPECTTON
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
SERVICE z)>)n +\saD
ROUGH-IN
FINAL Dhil?B #B
COMMENTS:
Signa ture of owner or Electrical ConEactor X
Paid Credited
.00
.00
.00
DITCH
Date;
ELECTRICAL PERI\T IT APPLICATI
!o
1
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Public Works and Utilities Department l'lLL :) Z0lA
, oo + r z +# r l,iffi:?::X ti:Tf:; ilI",l ilb'., o"*ffi
r bl!.r,w t6+L Strecl-
Project Description:&{/l S
[l Single-Family Residential D Duptex / ARU Building Square footage:
Name Cnr'r 5h,'te- |+o,r rrun
Mailing Address \t lg '^i i Stb- *te,r*.Phone:+11-4,+?,\a ru.1
Email:\z rVr,l l.v:trr"u,
Item
Service/Feeder 200Amp.
Service/Feeder 201400 Amp.
Servic€/Feeder 401600 Amp.
Service/Feed€r 601-1 0@ Amp.
Service/Feedsr ovor 1@0Amp.
Branch Circuit W Service Fesd€r
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiyLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable EIec. Energy: sKVA Syslsm or less
Themostat (Not€: SS for each additional)
First
unlt Charge
s120.00
s146.00
s205.00
s262.00
s373.00
s5.00
s63.00
s5.00
s75.00
s93 00
s 110.00
s 149.00
s 168.00
5%.00
564.00
5120.00
s 102.00
s56.00
s120.00
$40.00
574.00
$11o.oo
Quantlv Total (Ouantlty r Unit Charge)
*4rr*---i-*-
5
s
5
s
5
s
S
S
5
s
s
s
E
5
Eac feet"
Each Oetached Garage
Each Swimming Pool/ Hot Tub
TOTAL
Owner as delined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is flnalized. (2) Owner as
required to hire an electrical conkactor if above said prope.ty is [or sale. renl o. lease, Permit expires aller six months of last insgection.
After reading the above slalement, I hereby certify that I am the owner of lhe above named p
am making the electrical installalion or alteration in compliance with the electrical laws. N.E.C.
roperty or a lcensed electrical contractor. I
, RCW. Chapter 19.28. WAC. Chapter 296-
468. The City of PortAngeles Municipat Code, and Utitity Specifcarions and pAMC 14.05.0 50 regardin g Electrrcal Permit Applications
tll lb Chnihnrz l*ar.rrn Ybrr'''t,oo
Date Prinl Name Sionature t IYl Owner f] Electrical Contractor / Administrato0
[Electrical Permit ApPlications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.4j7.47111
1 - 2 SINGLE-FA[/ILY
Project Address:
OWNER INFORMATION
ELECTR'CAL CONTRACTOR INFORMANON
Name:
-
-
License:
Email: phone:
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PROJEC' DETAILS
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