HomeMy WebLinkAbout838 W 9th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4135
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REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Applicatsion pin number
Property Address
ASSESSOR PARCE! NUMBER:
Applicatioo t!?e description
Subdivision Name
Pr.opertsy Use
Propertsy Zoning
Applicatiofl valuation
18 - 00001755 DaEe 11/13118
2t3170
834 W 9TH ST
05-30-00-0-2-9940-0000-
ELECTRICAL ONIJY
Application desc
Temp €ervice
RICHARD J & LISA G HOEFMAN
34 020 50TH AVE. S
AUBURN WA 98001
\253) ',7 97 7974
UPPER LEF? EI,ECTRIC LLC
13 05 ROOK DR
PORT ANGEI,ES WA 98362
135O) 45a-',|'72A
Permit
AddiEioEal desc
Permit Eee
Issue Datse
Expirat.ion Date
93 .00
t1-/1-3/rB
s/1-2/t9
Plao Check Fee
Valualion
.00
0
oty Unit Charge Per1.00 93.0000 EcH EL-TEMP SRV 0-200 SRV FDR
Extension
93.00
Fee summary Charged Paid Creditsed Due
Permit Fee ToEal
PIan Check Totsal
crand Total
93.00
.00
93.00
.00
.00
.00
00
00
o0
PERMIT WILL EXPIRE SX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
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COMMENTS:
Signature of owner or Electrical Contractor X Date:
ELECTRICAL TEMPORARY SERVICE
93 .00
.00
93 .00
SERVICE
FINAL
ELECTBICAL INSPECTION
WIRING REPORT
4174735
OATE:
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NOTIFY INSPECTOR WHEN CORRECNONS
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE-
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. . . SERVICE.
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ELECTRICAL INSPECTION
WIRING REPORT
417-47$
NOT APPHOVEDAPPROVED
DITCH
ROUGH IN/COVER ..
SERVICE
CORRECTIONS NEEDED:
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NOTIFY IilSPBCTOR WHEN CORRECNONS
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_ DO NOT REMOVE-
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Public Works and Utilities Department
321 E.5th Street, Port Angeles, \1498362
360.417.4735 i www.cityofpa.us I electricalpermits@cityofua.us
N0!'ll
EITIIRICAI
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Project Address Z artn
Dt€ingle-Family Residential ! ouplex / ARU Building Square footage
Name
Mailing Address
Name
l\railing Address
c/c.e&4,r,..Email
f c-4!
Phone
Licenseo
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Expiration Date
Phone:
PROJECT DETAILS
Email
Date
o-, (
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'1 -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 201400 Amp
Temp. Service/Feeder 401600 Amp
Temp. Service/Feeder 601-'1000 Amp
Portalto Portal Houdy
Signal CircuiVLimited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Frrst '1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub
Quantitv Elbl(Quantity x Unit Charge)
TOTAL
Owner as defined by RCW19.28.261 : (1) Owner will occupy the structure for two years after this eleclrical permit is finalized. (2) Owner is
required to hire an electrical contraclor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
Afrer readang the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contraclo. 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 Municipal Code, and Utility Specifi cations and PAM 05.050 regarding Electrical Permit Applications.
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Unit Charqe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$ r'10.00
$149.00
$168.00
$96.00
$54.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
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$
$
$
$
$
$
$
$
$
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$
$
$
$
$
$
$
$
$
Signature (E r E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
la r') la^^l Te-n^,.'tProject Description
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Print Name