HomeMy WebLinkAbout3129 Regent StApplication Number
Application pin num]ce r
Property Address
ASSESSOR PARCEL NUMBER:
Application tl?e descripEion
subdivision Name
Pr.operty Use
Property zoning
Applrcation valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS7 RESDNTL SINGLE FAMILY
0
18 - 0oo 01446 Date 9/14/18
'746322
312 9 REGENT ST
0 6 - 3 0 - 15 - 5 - 3 - 013 5 - 0 000 -
EI,EC?RICAI, ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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J-F
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ApplicaLion desc
Duct less heat pump
JOSHUA AND AMANDA COOK
312 9 S REGENT ST
PORT ANGEI,ES WA 983623'14'/
OWNER
Permit
Additional desc
Is sue Date
Expiration Dale
53.00
9/a4/18
3/73/1e
E],ECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
00
0
Qty Unit Charge Per
1.OO 63.0000 ECH EIJ R BRANCH C]R wo/ sER FEED
Extensio11
53.00
Char:ged Pa id Credited Due
Permrt !'ee 10tat
Plan check Total
Grand ToEal
63.00
.00
63 .00
53 .00
.00
53 .00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN 1- zt- ts lf
FINAL ?-?"1"/E ,+f
COMMENTS:
pERMrr wtLL EXPTRE StX (6) MONTHS FROM LAST iNSPECTTON
Signahrre ofown€r or Electrical Contractor X Date:
.@
ELECTRICAL PERM IT APPLICAT roN
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4 17.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
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0-Project Address 3 2q 5,5
Project Description Zdt1l
S Single-FamilyResidential D Duplex /ARU Building Square footage
Name
lMailing Address iqq 5 .nl .l'-
Email: a'
n +1r,3La Phone q3-'24]
)l.ut "h0
+I
OWNER INFORMATION
Name: 6tJ {](r2 License
l\ilailing Address
Emaill
Expiration Date
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Servrce/Feeder 201-400 Amp
Service/Feeder 40'1-600 Amp
Service/Feeder 601 -1 000 Amp
Service/Feeder over'1 000 Amp
Branch Circuit W Servic€ Feeder
Branch Ci.cu t W/O Service Feeder
Each Additional Branch Circuit
B.anch Circults 1-4
Temp Service/Feeder 200 Amp
Temp Service/Feeder 201-400 Amp.
Temp Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Signal Circuiullmited Energy - 1&2 DU.
Manufactured Home Connec,tion
Renewable Elec. Energyr sKVA System or less
Thermostat (Noter S5 for each additional)
First '1300 Square Feet
Each Additional 500 square teet"
Each Outbuilding / Detached carage
Each Swimming Pool / Hot Tub
Quantitv fOEl (Ouantity x Unit Charge)
)c6 .)c^ ,l
Date Print Name Signature (Owner ! Electrical Contractor / 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
$168.00
$96.00
$64 00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0
$
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owner as defined by RcW'19.28.261: (1) owner will occupy the structure for two years afrer this etectncat{3#Pis tnatizea. 1z; Owner is
required to hire an electrical contraclor if above said property as for sale, rent or lease. Permit expires after six months of last insp€ction.
Afte. reading the above statement, I hereby certify that I am the owner of the above named property or a licensed eleclrical contraclor. 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 Port Angeles Municrpal Code, and Utility S a PAMC 14.05.050 regarding Electrical Permit Applications
i
1 - 2 SINGLE-FAMILY
E
^s'43to
1-2
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ELECTRICAL CONTRACTOR I NFORMATION
TOTAL
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360 .417 .47111