HomeMy WebLinkAbout111 W 7th StELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-417-4735
3
ts
Application Numicer
Applicat j"on pao number
Propertsy Address
ASSESSOR PARCE! NUMBER:
Application ts!'pe description
Subdivision Name
Property Use
Property zoning
Appficatsion valuation
19- 00000681 Date
1a6416
111 W ?TH ST
05 - 3 0 - 00 - 0- 1-5590- 0000-
ELECTRICAL ONIJY
RESTDENTTAI, HIGI,I DENS]TY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
5/1-3/t-9
ApplicaEion desc
Service change
Owner Contsractsor
FR.A.DKIN, STEVEN L
111 W ?TH ST
PORT ANGEIES
(952) 567 0113
ELECTRIC SERVICE
503 RHODES RD
PORT ANGELES,360) 452-6424
wA 98362 wA 983 52
Addi ts iona I
Permit Fee
Issue Date
Expirat.ion Datse
12A.OA
5/t3/t9
tt / 09 /t9
EI,ECIRTCAI, ALTER RESTDENTTAI-
Plan Check Fee
Valuation 0
Qty Unit Charge Per
1.00 120 .0000 EcH EL-O-2OO SRV FEEDER
Extension
120. 00
Fee summary Charged Credited Due
Plan Check Total
Grand Total
120
120
120
\24
00
00
00
00
00
00
00
00
00
00
00
00
PERMIT WILL EXTTRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:lNSPECTOR:
DITCH
SERVICE <ltln *VP
ROUGH.IN
FINAL rhblfr dP :#fr
COMMENTS:
1
Signature of owner or Electrical Contractor X Date:
.oo
I
ELl-2 sF PECE/YED 1)o
3I'1AYELECTRICAL PERM IT APPLICATION t 0 20t9
Public Works and Utilities Department
321 E. 5th Street, Poft Angeles, WA 98362
3 60.4 I 7 .47 3 5 : wvw.c it-vof pa.us electricaipermits@c it),ofpa.us
--D
o.\N
Project Address ItL Y{ -Tqt
Project Description S
E Singte-Famity Residential C Ouplex /ARU Building Square footage
OWNER INFORMATION
Name S c,Email
Mailing Address 5tl E lfn Phone 366 -177. 1.oz I
Name:
Mailing
Email:
Address
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401500 Amp.
Service/Feeder 601-'l 000 Amp.
Service/Feeder over 1000 Amp.
Branct Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. SerYicdFeeder 40'1600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Hourly
Signal Circuiylimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Firsl 1300 Sqiare Feet
Each Additional 500 square iaet"
Eacfi Outbuilding / Detacfied Garage
Eacfi Swimming Poo! / Hot Tub
q License: E L EC 7. S, )? ZS D?
Expiration Date:
Phone: 3G
o-
s-ab6.2 8v
Ouantitv Ietsl (Quantity x Unit Charge)l2o.o
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.@
$40.00
$74,00
$110.00
$
$
$
s
$
$
s
$
$
$
$
I
$
$
$
$
$
$
I
$
$
$
0
--T-6- c<r
TOTAL lGs.r"o
Owner as defined by RCW 19.28.261r (1) Owner will occupy the strudure for two years after this eleclrical permit is finalized. (2) Owne. is
required to hire an electncal contractor if above said property is for sale. rent or lease. Permit expires after six months of last inspeclion.
After reading the above siatement, I hereby certiry that I am the owner of the above named property or a licensed electncal contraclor I
am making the electrical anstallation or alteration in compliance with the electncal laws, N.E.C , RCW. Chapter 19.28, WAC. Chapter 296-
46B,ot PortAngeles Municipal Code, and Utility Specitl cations and PAMC 14.0 050 rega rding Electrical PermitApplicationsI6))l4
Print Name S ignature (! Owner Q Electrical Contractor / Administrator)
ELECTRICAL CONTRACTOR INFORMATIONt
PROJECT DETAILS
D
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
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