HomeMy WebLinkAbout915 W 7th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
RS7 RESDNTL S]NGLE FAMIIY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatlon Number
ApplicaE j-on pin nudber
Property Address
ASSESSOR PARCEL NUMBER:
Application t),pe description
Subdivision Name
Proper.Ey Use
ProperEy Zoning
Application valuation
19 - 00001576 Date to/30/L9
122884
915 W ?TH ST
05- 30 - 00 - 0 - 1- 5?78- 0000 -
EI,ECTRICAL ONLY
Application desc
Dl]p
Conlrractsor
XATHLEEN 1, MCDERMOTT TTE
909 W TTII ST
PORT ANGEIES WA 98363
136OJ 47'7 O964
O!iNER
Permit
Additional desc
Permit Fee
Issue Date
Expj.ration DaEe
53 .00
ro /30 / !9
4 /2'7 /2a
ELECTRICAL AITER RESIDENTTAI,
00
0
oty Unit Charge Per1.OO 63.0000 EcH EL-R- BRANCH CIR wol sER EEED
Extension
63 .00
Fee sumnary Charged Paid Credited Due
Permit Eee Tot.a1
Plan Check Totsal
crand Total
53.00
.00
53.00
63 .00
.00
63 .00
00
00
00
00
00
00
PERMIT WILL EXTIRE SIx (6) MONTHS FROM LAST TNSPECTTON
INSPECTION TT?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN ev rElp
FINAL ;),)lt I dr XF
COMMENTS:I
Signature of owner or Electrical Conkactor X Date:
-a
s..J
0.
Plan Check Eee
Valuation
t;t;m t
ELl-2 sF
ELECTRICAL PER MIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
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360.417.4735 |
qts \,,/eJtProject Address:
Project Description:
.us electricalpermits@cityofpa.us
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W\",st fi.-,n- fi,.trap tnl*a,
Name:r-o Email:
Phone l
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Mailing Address +c<<.1
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name: P*n: c,-r. Lr", h\,,.rv',
[/ailing
Email:
Add t 9 v <,,.{-ls
\<^Crrvrr 'Co
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Lice nse:
n Date
Phone Co -7 -6q
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 500 Amp.
Service/Feeder 601 -1 000 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/Feedet 2OI40O Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Podal Houriy
Signal CrrcuiULimited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy; sl(y'A 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
468, The City of PortAng
lo"Lg - \"a
eles Municipal Code,
lhircIrlce
$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
$s6.00
$120.00
$40.00
$74.00
$110.00
Crl.n$U
TOTAL
fqEl (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
$
$
$
$
Owner as defined by RCW19.28.261: (1) Owner will occupy the structure for two years afler this electric€l permit is finalized. (2) Owner is
required to hire an electrical contraclor if above sajd properly 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. Chapter 296-
and Utility Specifi
J (-1. /\)!^
cations and PAMC 14 regarding Electncal Permrt Appltcations
Date Print Name Signature (Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711)
1 - 2 SINGLE-FAMILY
D Single-Family Residential E Ouplex / ARU Building Square footage.
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