HomeMy WebLinkAbout728 W 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
\F
S
\.\lApplication Number
Applieat.ion pin nu ber
Prope!!y Address
ASSESSOR PARCEI, NUMBER:
Application Eype description
S\rbdivision Name -
Properly Use
Property Zoning
Applicatlon valuation
18 - 0000155? DaEe tO/24/7A
815 7 gs
?28 W 5TIi ST
06-30 00 -0 - 1- 5932 - 0 000 -
EI,ECTRICAI, ONI,Y
REPORT STATE SATES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
0
Appl.icaEion desc
sept ic lifr starion
ANIOTJOC( NORMAN A
814 GOI,F COURSE RD
POR? ANGEI,ES
BOB'S ELECTRIC INC
22 93 DEER PARK RD,
PORT A.\GELES
(350) 457 5887
wA 943624940 wA 98352
68. O0
1a / 24 /a8
4 / 22/19
ELECTRICAL ALTER RESIDENTIAL
Plan check Fee
Vafua!ion
00
QEy UnrE Unarge Per
1 .00 5.0000 EcH1.00 61.0000 Eclt
Extension
5 .00
63 .00
EL-ECII ADDNT BRANCH CIRCUIT
EL R. BRANCE CIR WO/ SER FEED
Fee summary charged Paid credited Due
Permit Fee Tolal
Plan check Total
Grand ?ota1
58.00
.00
58.00
68.00
.00
68.00
00
00
00
00
00
00
I
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH tr, hlB N -sx
SERVICE
ROUGH.IN rllztl*.+p =EE-
FINAL tt?ztf B &%1,
COMMENTS
Signature of owner or Electrical Contractor X Date
Permit
Additio:laL desc
Permit Fee
Issue Date ,
ExpiraEj.on DaEe
I
flEOE,YEI
ELECTRICAL P ERMIT APPLICATIOru
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I'ublic \\oiks arid {,rilities I )cjrertn''inr
.i: i i . 51h Strcii. P(nJ,\rlr.lcr. \\'\ q8-i62
l6li..ll 7.471-t \ru\\.cityoiira.ur, clcciric:iipcflrits:a:ci ,,",0,,,Jf$#lffril
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Project D€scripti
ts Sinsle-Family esidentia I ! Dlplex /ARU Building Square footage
Name
MailingAddress I / f G.,ttr
L. . .-n ;'. : '..1;:.' ...l]1:.:,,
ea /'t L ,T .License
Expiration Llate
o))Name:
Mailing
Email:
3ress
b;t Phone ,J i, -?6t -{)7 r
Itom
Service/Fsgder 200 Amp
Seruice/Feedsr 201-400 Amp.
Service/Feeder ,{01 $00 Amp
ServicelFeeder 601- r 000 Amp.
Service/Feeder over 1000 Arnp.
Branch Circ!lt W/ Servica Feeder
Branch Circuii W/O Service Feeder
Each Addftronal B.anch Circuit
Branch Circ.i.rits 1-4
Temp. Se.vioe/Feeder 200 AtrO-
Temp Service/Feeder 20'1-400 Amp.
Temp. Seryice/Feeder 401€00 Amp.
'lemp. SeNice/Feeder 601- 1000 Amp
Portalto Podal Houny
Signal Ckcuivlimiled Energy - 1&2 OU.
Manutactured Home Connection
Renewabl€ Elec. Energy: 5KVA System or bss
Thermoslal (Notei $5 tor each additlonal)
Fir8l 1300 Square Feet
Esch Addrijonal 500 Equae fe€{"
Each OubuiHing / Detacfied Gsrlge
Erch Swimming Pool/ Hot Tub
Unit Charq€
$120.00
$146.00
$205.00
$262.00
$373.00
$63.00
$5 00
$75 00
$93 00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102 00
$56.00
s120.00
$40.00
s74.00
tr10.00
OuaBttts Igal(Qua ity x Uoit Chargc)
$
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$
$
$
$
$el b;Oo'
ti, I t
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bb
$
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$
$
$
$
$
$
$
$
$
$
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Owner as delined by RCW 19.28 261: {1) Owner wi,l occupy the structure lor fwo years after this ele r cal permit is finalized. (2) Owner is
required to hire an elecinaal contractor if above said properiy is for sale, rent or lease. Permit expires afl!. six monihs of lastinspection
Aft€r reading lhe above stalement. I hereby certit lhat I am the o!.rner of the above named property or a licsnsed electrical conllactor I
afi making the electiical installation or aiteration in compliance lyith the eleclrical laws, N.E C , RCW Chapter 19.28 WAC Chapter 296'
468, The of Pori Angeles Municipal Code, and Ul;lity Specificatrons and PAMC 05.050 regarding Electncal Permrt ApplicalionsCitv
)'i4e
Pri Name ature (Owner F.Electrical Jontractor/Adminiskatoo
U
Date
IElectrical Permit Applications may be submitted to City Hal] or electflcalpermits@cityofpa u: or faxed to 360.417.47111
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1 - 2 SINGLE-FAMILY
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TOTAL
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