HomeMy WebLinkAbout1203 Caroline StApplicat.iolr Nuniber
Application pin number
ProperEy Addreas
ASSESSOR PIRCEL NUMBER I
Application E]?e descriptsion
Sr.rbdivision Name
Property Use
Property zoning
Applicalion valuatsion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SINGLE FAIIILY
o
19- 00000338 Date 3/07/!9
2 313 90
1203 CAROLINE ST
06 - 3 0 - 00- 5 -3 - 064 0 - 0000 -
EIJECTRTCAL ONLY
)
U
Applicatsion desc
4 CIR
ConEractor
IiACHELE N BROWN
1203 CAROLINE
PORT ANGELES
(253) 249-9923
TWETER ELECTRIC
42] BI.ACKHAWK LOOP
PORT ANGELES
1360) 417-1151
wA 983 62 wA 98352
Permit
Additi.onal desc
Permi.t Eee
Issue Date
Expiration Datse
EJ]ECTRICAI AIIrER RESIDENTIAN
1-4 CIR
75.00 pfan Check Fee
3/07 /19 valuat.ion
9/03/L9
00
0
Qty Unit Charge per
BASE FEE
Extension
?5 .00
Pee sunmary Charged Paid Credited Due
Permi! Fee ?otsa1
Hran uneck'Iota L
Grand Total
75 .00
.00
75 .00
?5 .00
.00
75 .0O
00
00
00
.00
.00
.00
INSPECTION Tl?E DATF,:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN 3-7- t?/4?
FINAI ql n l,e >t
PERMTT WILL EXPIRE SIX(6) MONTHS FROM LAST INSPECTION
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature ofowner or Electrical Contractor X Date:
AA
COMMENTS:
ELl-2 sF
totl ELECTRICAL PERM IT APPLI CATION
Public Works and Utiiities Department
321 E.5th Street, Po( Angeles, WA98362
360.417.4735 | www.cityofoaus electricalpermits@cityofpa.us
P\J\Itt''Lrt
LJh
Project Address:
Pro.iect 0escripti
o
on o
Single-Family Residential E Duplex / ARU Building Square footage
Name
Mailing Address:a
Name
tvlailing Address
Email
C C:Phone
LicenseLExpiration Date
Email. phone /e
ELECTRICAL CONTRACTOR INFORMATION
OWNER INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 600 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/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601 I 000 Amp.
Portal to Porlal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufaclured Home Connec{ion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First '1300 Square Feet
Eacfi Additional 5O0 square feet''
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub
468, The City of Port Angeles Municipal Code, and Utjlity
3 .J6y4 L2e
Ouantitv IQih! (Quantity x Unit Charge)lJnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
s5.00
$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
$110.00
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$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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$
$TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afrer this elec{rical permit is finalized. (2) Owner is
required to hire an electrical contraclor 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 p
am making the electrical installation or alterataon in compliance with the electrical laws, N. E.C
roperty or a licensed electrical contractor. I
, RCW Chapter 19.28, WAC. Chapter 296-
14.05.050 regarding Electrical Permit Applications.
Print Name Signature (E Owner Electfl cal Contractor / Adminrstrator)
[Electrical Permit Applications may be d to City Hall or epermits@cityofpa.us or faxed to 360.4j1.47111
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