HomeMy WebLinkAbout1206 Dutch DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'135
RSI1 RESDNT SINGLE FA]VIIIJY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appfication Number
Applicatsion pin numloer
Property Address
ASSESSOR PARCEL NUMBER:
Appf icatsio$ t)?e description
subdivision Name
Property Use
Property Zoning
Application vafuaEion
19 - 00000011 Date 1/17 /1-9
I93 519
1206 DUTCH DR
06 - 3 0 -01- 8 - 0 -0100- 0000-
BLECTRICAI, ONIY
Application desc
PV system
Contrac!or
ROBERT AND KIMBERLY HENSON
2275 OGDEN ST
DENVER CO 80205
SUNERGY SYSTEMS INC
4545 LEARY WAY NW
SEATTLE
l2o6) 29t-OA86
wA 98107
Permi-t ELECTRICAI ALTER RESIDENIIAL
AdditioDal desc
Permi.t Fee 120.00 Plan check Fee
Issue DaLe . . A/17/19 valuation
Expiratsion Datse 1/1-6 / 19
Qty unit Charge Per
1,OO 120.0000 ECI] EL-O-200 SRV FEEDER
00
0
Extenslon
120.00
Charged Paid Credited Due
Permits Fee Total
Grand Total
t20
120 720
00
00
o0
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN tlzqln {.r}P
FINAL qla ln 4P -trt
COMMENTS
I
Signature of own€r or Electrical Contractor X
.00
.00
.00
Date:
H
ELECTRICAL PERIV IT APPLICATION
Public Works ard Utiiities Depafirnelrt
321 E. 5th Street, Pol1 Angeles. 1\A 98362
3 60.4 1 7.47 3 -s i wrvri.'. cit-v-olpa.us I electi'icaipennits@cit1.'o$a.us
FOF|ilTF
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Project Address
Project Descript ;en. ROOFTOP PHOTOVOLTAIC
|r]sms ROBERT HENSON
Mailing Address 1206 DUTCH DR, PORT ANGELES WA 98363
EmaiI ROBERTHENSON@YAHoo Collr
pnone..720-255-4134
Name. SUNERGY SYSTEMS- JON LANGE fisgnss SUNERSi9O5D4
N/ a iling Address. 4546 LEARY WAY NW, SEATTLE, WA, 98107 Exp i12{166 P21s 4/19
Email JONL@SUNERGYSYSTE[4S.COM phsns.. 206-571-4726
Item Charge)
Service/Feeder 200 Amp.
Service/Feeder 20'l-4OO Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over'1 000 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.
Portal to Ponal HoJrly
Signal CircuiVLimited Energy - 1&2 DU.
l\.4anufactured Home Connection
Renewabre Erec. Energy: sKVA System or less
Thermostat (Note: $5 ior each additional
TOTAL
Own er as defined by RCW.19.28.261. ('1) Owner will occupy the structure 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. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapte|l9.28, WAC. Chapter 296-
46B, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
12113118 JON LANGE
Oate Print Name Sionature rTl Owner 7 Ele I Contracto 7 Administrator)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
Ouantitv
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IElectrical Permit Applications may be submitted to City Hall or epermits@cityotpa.us or faxed to 360.417.47111
1 - 2 SINGLE-FAIMILY
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F-s
tLt-1206 DUTCH DRIVE
n Single-Family Residential n Duplex / ARU Building Square footage:
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INFORIMATION
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