HomeMy WebLinkAbout711 Lopez AveApplication Nuniber
Application pin numlcer
Property Address
ASSESSOR PARCEL N!-MBER :
Appl.ication E)?e descript.ion
Subdivision Name
ProperLy Use
Properly zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18-00000644 DaEe s/oL/!A
106796
71]. LOPEZ AVE
0 6 - 3 0 - 1 0 - 5 - 2 - 13 0 0 0000
EI,ECTR]CAL ONLY
RESIDENTIAI] MED]UM DENSTY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
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Application desc
Phone , Data, Tv
Contractor
PENINSUI,A I]OUSING AI'THORITY
2503 S FRANCIS ST
PORT ANGELES WA 983625710
ANGE],ES CO},IMUNICATIONS INC.
102 ROSS IN.
PORT A.\IGELES, WA
PORT ANGEI,ES WA 983 52
(360) 457 -43 75
PermiL
Additional de6c
Permlt !'ee
Issue Date
Expi.ration DaLe
ELECTRICA]T AI'TER COI',IMERC]AL
I,OW VOI]TAGE
88.00 Plan Check Fee
5/at/tB va-rudti on
ta / 2E /la
00
0
BASE FEE 88. 00
Charged Credlted Due
Permit Fee Total
Plan Check Total
Grand Total
88.00
.00
88. 00
.00
.00
.00
.00
.00
.00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN s luln R *sE
FINAL ilJt'z lB R
COMMENTS:
I
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
QLy units Cbarge Per
88.00
.00
88.00
d
Mlfl At\,IIY cot\rr\rtrRclAl
ELECTRICAL PER MITAPPLICATION
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Name i\iN r 'A H t.t
Proiect Address
Mailing Addressl J?
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Project Oescription:
8-single-Family Residential E Duptex /ARU Buitding Square footage
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Email
Name:
Mailing
Email:
ress
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Phone:7t --t ti SZ
CLicense
/1 3 !i ration Date:I
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OWNER INFORMATION
PROJECT DETAILS
iielo Unn ehalpe
$132.0O
8160.00
u25.00
s288.00
i410.00
$5.00
s74.00
s5-00
$86.00
$102.00
s121.00
tl64.m
3185.00
ES.00
588.00
ss.00
Ouantitv Totsl(qusnt4y r U!!!! girrge)
SerYice/Feeder 200 Amp.
Service/Fecder 201-400 Amp_
Servicer'Feeder 401 €00 Amp,
Servicai Feeder 6011 000 Arnp.
Servicer'Feeder over 1 000 Amp.
Branch Cirqrit W S6rvic! F€ed€r
Branctr Cirqrit WD Service Fe€dcr
Eacit Additional &anch Circuit
Brancfi CiIqrils 14
Temp. Service/F€eder 200 Arnp.
Temp. Sen,ics/FE€der 201 -400 Amp.
Temp. Service/Feeder 4Ol €00 Amp.
Temp. Servicer'Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CiErit/Limited Energy - Mu{ifamfly
Signal CirqriuLimited ErErgy/First 1 500 sf - Comrnercbl
(Nob: $5.00 br 3acfi a&itioml 150O s0
Renewable Ehc, Energy: sl(y'A Sy3tqn or bss
Thermostat (Note: $5 lbr eadr additional)
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$
$
$
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$
$
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$
$
$
$
5
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$
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$113.00
$56.00
TOTAL
O,vner as defined by RCW.19.26.261. (1) O'vner wif, occlrpy the structure ior two years after this eledrical permit is finatized. (2) O,vner is
required to hre an ebdrical cortrac:tor it above said p.operty b ior sab, reflt or l€ase. Permit expires after six morths of last inspection.
After reading ttle above sbEment, I hcreby cerfiry thd I arn the owner of tie above named poperty or a tiaensed eleclricrl contractor. I
am making the elesti{Bl iGtallation or alteratiofl in compliance with Ote elecfical N.E.C., RClr/. Chaprer r 9-28, wAC. Chapbr 296-
.05.050 regarding Elect ical Pemit ApplicatiorE.The of Port
4 )1 146
Ang:PE MunidpalCqoe, and t tility Specrfi
.l) t i'rn} \r n,/Sor-
Pdrt Name Signature (fl OwnerE}-Electricat Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.471.11
ELcoM
Public Works and Utilities Department
321 E. sth Sfeet, Port Angeles, WA 98362
360.4 17.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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ELECTRICAL CONTRACTOR INFORMATION