HomeMy WebLinkAbout109 W 3rd StApplica!ion Number
Appficatiorl pin number
Pnoperty Address
ASSESSOR PARCEL NIIVIBER:
Application E)?e description
subdivisloo Name
ProperEy Use
Propertsy zoning
Application valualion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 - 00001429 Dale 9/r3/tB
350380
109 W 3RD ST
05 -30 -00-0 - 0 - 5368- 00 00 -
EI,ECTRlCAL ONLY
UNKNOh'N
REPORT STATE SATES ilX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Conlractor
COSTA, PH]LLIP
111 W 3RD ST
PORT ANGELES
BO?ERO & SON ELECTRICAL PILC
PO BOX ?02
CARI,SBORG WA 98324
(350) 46r-9132
wa 9a3522A24
Permit.
Addilional desc
PEIM1L FEC
Issue Datse
Expiration DaLe
120.00
e/t3/LB
3/12/le
EIJECTRICAL AI'TER RESTDENTIAL
Plan check Fee
valuation
00
0
Qty Unit Char:ge
1.00 120.0000 ECI]EL O 2OO SRV FEEDER
Ex!en6ion
120.00
Charged Paid credited Due
Per:mit Fee'Iota1
Plan Check Total
Grand Total
120 .00
.00
120.00
120
120
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE tln)rc &>ft
ROUGH-IN
(/
FINAL ql14)tB 6Y "&PCOMMENTS:
l/
Signature ofowner or Electrical Contractor X Date:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Sheet, Port Angeles, \lA 98362
360.4).7.4735 www.cityofta.us i electricalpermits@cityofpa.us
?DN
t E !o
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a$ETEITR*E$.
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Project Description
Single-FamilyResidential n Duplex ARU Building Square footage
l\ilailing Address
d
?,--tProject Address
Name
lvlailin
Email:
g Address a
Email
Phone
License
J>Expi ration Date
Phone
050
Iqh! (Quantity x Unit Charge)Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Arnp.
ServiceiFeeder 401600 Amp.
Service/Feeder 601-'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 20'l-400 Amp.
Temp. Servic€/Feeder 401.600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feel"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
LJnit Charqe
$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
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Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrjcal 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 th named pro
C,, R
or a licensed electrical contractor. I
Chapter 19.28, WAC Chapter 296-am making the electrical installation or alteration in compliance with the
46B.ity of PortAngeles Municipal Code, and Utility Specifi
Date Print Name ar E Electrical Contractor /Administrator)
t--.,r crrtu\Atr Y
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
E
[Electrical Pe rmit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .4711)
1 - 2 SINGLE-FAMILY
Name:
TOTAL
Electrical Permit Applications.
INFORMATION