HomeMy WebLinkAbout1421 S Oak StApplication Number .
Applica!ion pin number
Property Address
ASSESSOR PARCEL NI'MBER:
Applicat.ion tlT,e descript ion
Subdlviaion Name -
PropelEy Use
Property Zolring
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
18 - 00001909 Dar-e 1-2/20/ta
2506s0
1421 S OAX ST
05-3 0- 00 - 0-4 -2278 -0000 -
EI,ECTRICAI ONLY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\\o
ApplicaEion desc
Service Repairs
Contraqtor
BRIAN AND NATAITIE FURFOR!
1421 S OAX STREET
POR" A,]IIGELES WA 98362
APS ELECTRIC
546 BENSON RD.
PORT ANGELES
(350) 452-5753
wA 98363
Permit
AddiEional desc
Permit Fee
lssue Date
Expiration Date
120.00
12/20 /tB
6/La/t9
ELECTRICAL A],TER RESIDENTIAI-
Plan Check Fee
Valuation
00
0
oty Unit Chalge Per
1.00 120.0000 ECH EL-0-200 SRV FEEDER
Extet!3ion
120 .00
Fee sumnary Charged Paid Credited Ehle
Permit F'ee Totsal
Plan Check lotal
Grand Total,
120
720
00
00
00
120
120
00
00
00
.00
.00
.00
.00
.00
.00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECIION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE ol.q)ft *g t t- Or,! 6 p)
ROUGH.IN
FINAL n)erIG N
COMMENTS:
Signa ture of owner or Electrical Contlactor X Date :
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RS7 RESDNTL SINGLE EAMILY
0
EI I.2 SFLL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
E. 5th Street, Port Angeles. WA 98362
wrrwc ityofo a.us electricalpermits@cityofpa.us
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360.417.4735 trtfi'atcAr
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4Project Address
Project Description
Name
\ nd Sier,fl r.5 tr *o6ryrekr
ngle-Family Residential n Duplex / ARU Building Square footage
Email t14G-r
zi,.n41'71
€Orvr
Mailing Address 4[\ r\\ Q a-s lt bo'lQ Phone qta
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
Email:
License
Expiration Date
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Servlce/Feeder 201-400 Amp
Service/Feeder 401€00 Amp
Servic€/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 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp Service/Feeder 601-1000 Amp
Portai to Portal Hourly
Signal CircuiyLimited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec Energyr sKVA System or less
Thermostat (Note $5 fo. each additional)
Fust 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.00
9168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$120.00
$40.00
$74.00
$110.00
Quantitv Total(Quantity x -Uait Charge)
I-ZDO'$
$
$
$
$
$
$
$
$
b
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261 : (1) Owner will occupy the structure for two years after this electrical permit is flnalized. (2) Owner is
required to hare an electrical contrac'tor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certiry that I am the owner of the above named property or a licensed eleclrical contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N. E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles MunicipalCode. and utility Specifications and pAMC 05
e F"Sn{
.050 reg
d-
ignature (f,n Owner E Ele
g Electrical Permit Applications.
cal Contractor / Administrator)
lz-t 'l
Date 5
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
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1 - 2 SINGLE-FAMILY
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