HomeMy WebLinkAbout605 I StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'.7 -473s
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUI4BER:
Application tl,?e description
subdivis:ion Name
Properly Use
Proper!y Zor1ing
Application valuation
18 -0 0 001410 Date
77234O
605 r sT
06-30 0 0 - 0 - 1 - 515 0 - 0 0 0 0
ELECTRICAL ONLY
9/a)/18
ApplicaEion desc
1'4 CIRCUITS
RS? RESDNTL SINGLE FAMTI,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
,]AMIE I, BLAYI,OCK
PO BOX 1703
PORT ANGEITES
OI"INER
wA 983 62
Addi rional
Permit Eee
Is sue Date
EI]ECTRICA]T AITTER RESIDENTIAI
1-4 CIRCUITS
7s - 00 Plan check
9/t3/tB valuation
3 /t2 /a9
desc
Fee 00
0
Expiration Date
oty units Charge
BASE EEE
Extension
75.00
Charged Pard Credited Due
Permit Eee Total
Plan Check ToLal
Grand Total
75.00
.00
75 .00
75.00
.00
75 .00
00
00
00
00
00
00
PERMIT WILL E)(PIRE SIX (6) MONTHS FROM LAST INSPESTION
INSPECTION T\?E DATE:RESULTS INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN q ln/,*ff *
FINAL q)ihe .g =sjPCOMMENTS:
Signature ofo$ner or El€ctrical Contractor X Date:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles. WA 98362
3 60.4 17 -47 3 5 I wwwcityofpa. us e lectricalpermits@cit-vofpa. us
SEP \
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ItrSPrCDOfuS
Project Address
Project Description
,Q Single-Family Residential I Duplex i ARU Building Square footage
Name
\e
Email L.
PhoneMailing Address 1 -1
OWNER INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 40'l 600 Amp.
Service/Feeder 60'l-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-'1 000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA 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
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s.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
Ouantitv Iqb! (Quantity x Unit Charge)
7{aat
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL 2<,oo
1-
Date Print Name Sign Owner !lectrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417 .47111
1 - 2 SINGLE.FAMILY To
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Mailing Address: Expiration Date: _
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Owner as defined by RCW19.28.261 (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 properly 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 MunicipalCode, and Utility Specifications and PAMC '14.05.050 rega[ding Electrical Permit Applications.
ELECTRICAL CONTRACTOR INFORMATION