HomeMy WebLinkAbout235 W 6th StELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-4t7-4735
R€SIDENTIAI HIGH DENS]TY
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Applica!ion Number
Application pin number
ProperEy Address
ASSESSOR PARCEL NUMBER i
Applicatsion type descriptsion
Subdivision Name
ProperEy use
Property Zoning
Applicationvalualion -
19- 00000324 Dare 3/0't /t9
'7 7',l S6A
235 W 6TH ST
06 - 3 0- 00,0 - 0 - 924 0 - 0000 -
ELECTRICAL ONLY
KEITH,]A!4ES
2]5 W 6TH ST
PORT ANGELES wA 983 62 5 008
NORllI PENINSUIA ELECTRIC
751 FRESTiWA?ER PAR( RD
PORT ANGELES WA 9A3 5:]
l.360) 411-1764
Permits
Additsional desc
Permits Fee
Issue Date
Expiratsion Date
63 .00
3 / A',| /L9
e/a3 /a9
ELECTR]CAL AL?ER RESIDENTIAL
Plan Check Eee
Valuation -
00
0
Qty Unit Charge Per
1,OO 63.0000 ECH EL-R- BRANCH CIR !,]o/ SER FEED
Extension
53 .00
charged Paid CrediEed Due
Permit Fee ToLal
Plan Check Total
Grand Total
53 .00
.00
63.00
63 .00
.00
63 .00
00
00
00
00
00
00
REPORT STATE SATES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN
FINAL ?-G - t?
COMMENTS:
IIIIII
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Sigrature of oln:ner or Electrical Contractor X Date
AA
ELEC TRICAL PE RIVIIT APPLICATION
Pubiic \iioiks and I;iiiities i)cpartmcnt
'-i2l 1.. 5$ Strest, Pofi
^ngelcs,
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-16C.4 I 7.4735 j u'rrvr.ciiyolpa.us I elecuicalpctmiriQrcit;"oipa.us
Pojeaeooress: 235 W 6th Street
Project Oescription I altered circuit
X Single-Family Residential U Duplex /ARU Building Square footage
. Kdith James '
Ema I
Name:
Mailing
License northpe930mz
Address.Expiration Date
Email north penrnsu ae EC Phone 360 477-1764
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North Peninsula Electric
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Servics/Foeder 200 Amp.
Seryic€/Feeder 201-400 Amp.
Serv,celF€sdsr 40'1€00 Amp
Servica/FEed€r 601 -1 000 Amp.
Servicer'Feeder over 1000 Amp-
Branch Circ!it w Servic€ Feeder
Brsnch Circuit W/O Service Feeder
Each Additional Branch Circut
Branch CirqJits 1-4
Temp. Servioe/Feeder 200 Amp.
Temp Servioe/Feeder 20 1-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 6011000 Amp
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 OU.
Manlfaciured Home Connec{ion
Ronewable Elec. Energy: 5l(/A System or less
Thermostat (Note: $5 for each additional)
FiGt 1300 Squar€ Foet
Each Fdctitional 500 gquara lbef'
Each Outbuilding / D.eta€hed Gardge
Eafi Mmming Pool / Hot Tub
Unit Charoe
s120.00
$146.00
$205.00
$262.00
$373.00
$5,00
$63 00
$5.00
$75.00
$93 00
$110.00
s149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
c40.00
s74.00
$110.00
ouantltu lglal (Ouanllty x Unit Charge)
63 001
s
$
!
$
$
$
$
$
$
5
$
$
$
$
$
$
$
$
sTOIAL 63.00
Owner as defined by RC1rr 19.28.261: (1) Owner will occupy the siructure for two years atler this eleotrical permlt is tinalized. (2) Owner is
requared to hire an electncal contiactor il above said p.op€rty is forsale. rent or lease. Permit expires afte.sir months of last anspecron.
After reading the above staternent, I hereby certif) thal I am the olvner o[ the above oamed property or a licensed elecldcal contracto. I
am making the electrical installation or alleration in complrance with ths electrical laws, N.E C., RCW. Chapler 19.28, WAC. Chapter 296-
488, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applicalions.
March 01 2019 Kimberl Rae Walker Kiwbarl Raa Walkar
Date Print Name Signature fi Owner Electrical Conlractor/Administrator)
[Electrical Permit Applicalions may t c submided bc City Hall or eleckicalperfiits@cityolpa.us or raxed to 360.417.4711]
MlI1 - 2 SINGLE-FAIVIILY
Name:
Mailing Address: Phone:
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