HomeMy WebLinkAbout519 Thistle StApplicatlon Nunrber
Applicatlon pin rumber
Property Address
ASSESSOR PARCEI, NUMBER:
ApplicaLion twe description
subdivision Name
Pr:oper!y Use
ProperEy Zoning
ApplicaEion vafuation
RS9 RESDNTIJ SINGLE FA}II]'Y
0
18-0000158? Daie L0l10/18
6263 5A
519 THISTLE ST
06 l0 15 s 4 0450-0000-
ELECTRlCAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appllcation desc
Ductless heat pump
REED PAUI] M
519 TH]STLE S?
PORT ANGELES
OWNER
wA 983621935
Permil
Addi-lioral desc
PermiE Fee
Issue Date
Expiration Dale
ELECTRICAL AI]TER RESIDENTIAL
1-4 CIRCUITS
131.00 Plan Check Fee
ta/to/ta valuarion
4/a8/19
00
0
Qty Unit Charge
1.00 56.0000
BASE FEE
EL I,1TI TI]EF}IOSTAT
Extension
75.00
55. 00ECH
Charged Paid Credited Due
Plan Check Total
Grand Total
00
00
00
131
131
.00
.00
.00
00
00
00
131
111
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS PROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN n/rz lrx w >r*P
FINAL tJlrL)R F
COMMENTS
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
lrP
Date:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Departrnent
321 E. 5th Street. Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@cityolpa.us
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{Project Address {t? -fh ,rtl, t A r^"1 QQ?e z
Project Description
Single-Family Residential E Duplex / ARU Building Square footage /Acg
Name Email
Mailing Address .,.1 C .TVtiDnone
Name:License:
lvlailin
Email
g Add ra tion
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Quantitv Total louantitv x unit CharoetItem
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1.600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 60'1 -1 000 Amp.
Portal to Portal Houdy
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
$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 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 rf 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 named property
am making the electrjcal installation or alteration in compliance with the el laws,
a licensed electrical contractor I
apter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications 05 Electrical Permit Applications.
Print Name Signature (Owner ! Electrical Contractor / Administrator)
OWNER INFORMATION
PROJECT DETAILS
ELECTRICAL CONTRACTOR INFORMATION
[Eleckical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417 .4711]
1 - 2 SINGLE-FAMILY
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