HomeMy WebLinkAbout920 S Lincoln StApplication Nunber
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ASSESSOR PA]1CEt NUMBER :
Application type description
Subdiwision Name
Property Use
Propertsy zoning
Application valuatsion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTI] SINGLE FAMILY
0
19 - 00 000204 Dale 2/07/19
0'7'7 232
920 S IJINCOLN S"
06,3 0 - 00 - 0-2 - 9180 -0000 -
ELECI'RICAIJ ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code A502)
--9
w*I-
ApplicaEion desc
Dishrrasher
Ordner CoI1tsractor
PORT ANGEIES PROPERT]ES I,LC
PO BOX 2116
sEouIM wa 9a3 a2
SEOUII4 VALLEY EIEC"RIC
11 LONE EAGLE I.ANE
SEQUIM WA 98382(360) 681-3330
Permits
Additionaf desc
Permits Fee
Issue Date
Expiratioo Date
ELECTRICAL AI]1ER RESf DENTII\I
1-4 CIRCUITS
75.00 Plan Check Eee
2/01/ t9 va luation
B/05/te
00
0
Qtsy Unit Charge per Extension
75.00
Charged Pald Credit.ed Due
Permlt Fee t.otaf
Plan Check Total
Grand Totsa1
75 .00
.00
75 .00
75 .00
.00
75 .00
.00
.00
.00
00
00
o0
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN z l"x )n s -FE
FINAL ilrsin JV s/
COMMENTS:
Signature ofowner or Electrical Contractor X Date
q
I I 1-2 SF
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 | www.cityofoa.us I electricalpermits@cityofoa.us
72, ; /il/coLl/ -t7.
RECEIVED
FEB - 6 20n
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3
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Project Address
Project Description:/ C<i- - ,/-r/a4l/ip
E Single-Family Residential ! Duplex / ARU Building Square footage
OWNER INFORMATION
Name:Emarl
lvlailing Address Phone:"a)-/zrr-atr<z
Name:
Mailing
Email:
Address
7L//t_License: -
Expirati
Phone:
7
/t I A ult on Date:
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ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp
ServiceiFeeder 40'1S00 Amp
Service/Feeder 601 -'1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Crrcuit W Servic€ 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.
Portal to Portal Hourly
Signal CircuiVLimited Energy -'1&2 DU.
Manufaclured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Noter $5 for each additional)
First 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
$5.00
$7s.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv fghl(Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3
7cq)
Owner as defined by RCW 19.28.261 : (1) Owner will occupy the struc{ure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor 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 certify that I am the owner of the above named property or a licensed electrical contractor l
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 Port Angeles Municrpal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
TOTAL
a2-Or-Z/f
Date
-/l,/.
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417.4711]
(L
2K/9
Print Name Signature (E Owner fl Electrical Contractor / Administrator)