HomeMy WebLinkAbout731 S Alder StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTI SfNGLE FA]VIILY
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REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER :
Applicat.ion t),?e description
Subdivision Name
ProperEy use
ProperEy zoning
Application valuation
19- oooo1599 DaLe L1-/ ol/a9
899852
731 S AI,DER ST
06 -30- 11- 5- 5- 0620 -0000-
ELECIRICAI, ONI,Y
Applica!ion desc
tlfi O$e hon,^".o,
DANIEL C AND JUDITH D HENDRICK
731 S ALDER
PORT ANGELES WA 98352
l36AJ 4s7 -a6'7'7
GEIITECH NORTTIWESI L],C
2 7650 WOODSIDE RD NE
KINGSTON WA 98345
(800 ) 554 0778
Permit
Additional desc
Permit. Fee
Issue Date
Er?iration Date
120.00
1A/ Ot/19
4/2e/20
ELECTRICAI A],TER RESTDENTIAL
Plan Check ree
ValuaEion 0
Qty Unit Charge
1.0 0 120 . 0000
Per
ECH Et.O.2OO SRV FEEDER
Extension
120.00
Fee summary Charged Pa id Credited
Per:mit Eee Total
Plan Check Total
crand Total
120.00
.00
120.00
a2a
a2a
00
00
00
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o0
o0
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T}?E DATE RESULTS:INSPECTOR:
DITCH tt/,/'/ t?bP YAP
SER\'ICE
ROUGH-IN n),+/n d,P'€
FINAL ri )+ )n N .r-d7
COMMENTS:
Signa ture ofowaer or Electrical Contractor X Date:
. o0
Due
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OWNER INFORMATION
ELl-2 sF
1 - 2 SINGLE-FAMILY
AL PERMITAPPLICATI
Project Address
Description
Single-Family Residential Duplex / ARU Building Square footage
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofoa.us
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Email:l./)
Mailing Address:Phone: .VZ'
License
iration Oate
Phone: V,z' "'fof-G( E I
Name:
Mailing
Email:
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ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201{00 Amp.
Service/Feeder 401$00 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 Arnp.
Temp. Service/Feeder 201 -400 Arnp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Po(al to Portal Hourly
Signal CircuiuLimited Energy -'1&2 OU.
Manufu ctured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Firsl 1300 Square Feet
Eac*r Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
lt Quantity x Unit Charge),.
LJnit 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
Total
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.26'l: (1) Owner wll 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 contraclor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specificati ons and PAMC '14.05.050 regardrng Electrical Permit Applcatrons.
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Date Print Name Signature (E Owner ectrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
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