HomeMy WebLinkAbout802 I StApplication Number
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Property Address
ASSESSOR PARCEL NUIyIBER :
Application type description
Subdivision Name
Properly Use
Property zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18-00000774 Dare 5/2L/tA
914958
802 I ST
06 30 00 0 2 s208 0000-
ELECTRlCAL ONLY
RS7 RESDNT' SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CO
Itr
Application desc
Fire repairs
Owner
RONAI,D EREITBACI]
802 I ST
PORT P.]IGE],ES
\35A) 912 2A79
UPPER ].EFT EI.ECTRIC I,IC
13 05 ROOK DR
PORT ANGELES WA 98362
135O) 45t-'7720
wA 98363
Permlt
AddiEional desc
!ermlE !'ee
Issue DaEe
ELECTRICAI AITER RESIDENTIA],
1_4 CIRCUITS
115.00 Plan Check Fee
5/21/ LB valuaLion
t:L /t7 / taExpiration DaEe
Qty Unit
8.00
00
0
Charge Per:
5.0000 EcH
Extension
75.00
40.00
BASE FEE
EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited Due
Pernit Fee Totsal
Plan Check Totsal
Grand Total
115
115
00
00
00
00
00
00
00
00
00
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN zln)m F s
FINAI 4/r, ln .R '/tD
COMMENTS:7
PERMIT WILL EXPIRE SD{ (6) MONTHS FROM LAST INSPECTION
Signatue ofowner or Electrical Contractor X Date
115 - 00
.00
1.15 - 00
DATE:
ELECTRICAL PERM IT APPLICATIO
Public Works and Utilities Department
321 E. 5th Street. Port Angeles. WA 98362 MAY
360.4 17 "4735 w-lrw.cityolpa.us i electricalpermits@cityofpa.us rttclRtcJli
INSFICTION:
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hrotil{l\l--r4oL 5 i j\reel-
Project Description
E Single-Family Residential E Duplex / ARU Building Square footage
Mailing Address
Email
Phone
Name
l\4ailin
Email:
It€m
Service/Feeder 200Amp.
Service/Feeder 201400 Amp.
Service/FeCder 40 1 -600 Amp.
Service/Fgeder 60'1 -1 000 Amp.
Service/FEeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuq WO Service Feeder
Each Addition-al Branch Circuit
Branch Circuits 14
Temp. Service/FEedlr 2OO Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First '1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
License
Expiration Date
Phone:
Ouantitv Iq!a[ (Quantity x Unit Charge)
()
n-f-
g Address
(l te
Unit Charqe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$7s.00
$93.00
$110.00
$149.00
$'168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
--g--r--
TOTAL
Owfler 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 prope(y is for sale, rent or lease Permit expires after six months of last inspection.
After reading the above statement, I hereby certity 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 Chapter 19.28, WAC. Chapter 296-
468. The City of PortAngeles lVunicipal Code and Ut,lity Specifications and PAIVC 14.05.050 regarding Electrical Permit Applications.
R"leC
Date Print Name Signature (ELOwner E Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.471'l]
OWNER INFORMATION
O a_(-oo
PROJECT DETAILS
1 - 2 SINGLE-FAMILY
Project Address:
Name:4
F ee,{ r dc.-
ELECTRICAL CONTRACTOR I NFORMATION
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