HomeMy WebLinkAbout1516 W 7th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDI{TL SINGTE EAMILY
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REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaLion Nu ber
Application pin nuniber
Property Address
ASSESSOR PARCEL NUMBER :
ApplicaEion Eype descriptsion
Subdivision Name
Propertsy use
ProperLy zonlng
Application valuation
19- 00000075 Date t/t5/t9
741050
1516 W ?TH ST
06- 3 0 -00 - 0 - 2 -4 512 - 0000'
ETECTRICAL ONtY
Applicatron desc
Meter repair:
Owner
IORTMAE WOODS
1516 W 7TH S?
PORT ANGELES
SlMPSON ELECTRfC
243 03 6 W HWY 101
PORT ANGELES
136A) 45',7 - 9210
wA 943 63 54 04 $lA 983 53
Permit
Additional desc
Permit Fee
Issue Date
ELECTRTCI\I A]-TER RESIDENTIAL
1-4 CIRCUITS
75.00 Plan Check Eee
t/!5/t9 vaLua!ron
7 / 14 / )-9Expiration DaLe
oty Unit charge
00
Per Extsension
75.00
Charged Paid Credited Due
Permi! Fee Totsa1
Plan Check Totsal
Grand Totsa1
75 .00
.00
75 .00
75. 00
_ 00
75_00
.00
.00
.00
o0
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE nhhe sp w
ROUGH.IN
FINAL trh lfr SF
COMMENTS:
Signature of owner or Electrical Contractor X Date
0
AASE FEE
VF
ELE TRI ALP ro
Public Rrcrks and t.ltilities Department
.ill Ii. 5lh Srrcct. Po.t Ang.:L's. 11A 9816:
l{t0..1t7..17-j-i r,r rvu.c itvofira.us ricctr ic llpr:rrr its irr,lcityoliia. ur
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\Proj ectAddress: 1516 W 7th Ave Port Angeles, WA
Project Descripti on. Meter Repair/Seal per city
E Single-Family Residential E Duplex / ARU Building Square footage
Name Steve Greqory
Mailing Address 4209 S. Redrick Rd Port Anqeles, WA 98362
Email
p6eng. 360-460-0293
Name Simpson Electric LLC License. sltvPSELgT3RQ
Exp iration Date: 12111 12019
Pi1e6g 360-457-9270
Mailing Address P.O. Box 1086 Port Anqeles, WA 98362
Email dlsimpson5l @gmail.com
Item
Service/Feeder 2OOAmp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1OOO 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 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Houfly
Signal Circuivlimited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additiona
Unit Chqroe Total (Quantity x Charge)
$'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
$56.00
75.00
$
$
$
$
$
$
$
!
$
$
$
$
$
TOTAL
Owner 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 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 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 Chapter296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectrical pemit Applications.1-11-19 Andrew P Simpson drAzr*p
Date Print Name Signature (! Owner I Electrical Con r / Administrator)
1 - 2 SINGLE-FAMILY
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: ETECfRi]II1AL C O N TRACTO R
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IElectrical Permlt Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.4.17.4711]