HomeMy WebLinkAbout524 S Cherry St B (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RESIDENTIAI, H]GI,I DENSITY
0
REPORT STATE SALES TD(
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
6
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Application NunJcer
Application pln number
Property Address
ASSESSOR PARCEL M]MBER:
Application L]?e description
subdivision Name
Property Use
Pr.operty Zoning
Applicatsion valuation
18-00000559 Dat.e 4/t9/7a
2AtA32
524 S CT{ERRY ST B
05-30-00-0-0-9370 0000
EIECTRICAI ONIJY
Application desc
12 00 sqft remodel
Orrne r Contractor
INI{ABTT LLC
330 I{AD]SON AVE S STE 108
BAINBR]DGE IST,AND WA 98110
UPPER LEFT E],ECTRIC
1306 ROOK DR
PORT ANGELES
(360 ) 46\-7't20
LLC
wA 98362
Permit
Additional desc
Issue Date
Expiration Date
ELECTRlCAL AI]TER RESIDENTIAL
Plan Check Fee
valuat ion
00
0
Qty Unit Charge Per
2O.OO 5.OOOO ECH EI] BRANCH CTRCUIT I{/FEEDER
1.OO 12O.OOOO ECH EI, O-2OO SRV FEEDER
Excensioj]
100.00
120.00
charged Paid Credited Due
224 220
220
.00
.00
00
00
00
00
00
00
00
00
00
INSPECTION TYPE RESULTS:NSPECTOR:
DITCH
SERVICE ,t )n /rg tr :BP
ROUGH.IN
FINAL
COMMENTS:4^f.Lr,r_
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
220 . AA
4/19/LB
1a /L6 / rB
Permr,c !'ee Lota L
Plan Check Totsa1
Grand ToEaf
DATE:
Signature ofowner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERIU IT APPLIC ATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityolpa.us I electricalpermits@cityofpa.us
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Project Address *5Zl S (.v-" rr -4
Project Description lZc;o :-,b t*) E*"\,i i 5"-", - -
00
t
u\v)
-_0
! Single-Family Residential E\Duplex / ARU Building Square footage
Name Email
lvlailing Address
Name
lvlailing Address
Email:
\.c-i'a License
Expiration Date
Phone:
Phone
Item
Service/Feeder 200 Amp.
Servic€/Feeder 201 -400 Amp.
Servic€/Feeder 401 -600 Amp.
Servic€/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 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feede. 601-1 000 Amp
Portal to Portal Hourly
Signal CircuiUlimited Energy -'1&2 DU.
Manufactured Home Connection
Renewable Eiec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
FiIst 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub
Unit Charqe
$'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
$'r10.00
Suantitv IqEl(Quantity x Unit Charge)
-1 -
I ZC2$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW19.28.261: (1)Ownerwill occupy the structure for two years after this electrical peImit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires afte. 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-
468, The City oi Port Angeles Municipal Code, and Utility Specifi PAMC 14.05.050 regardrng Electrical Permit Applications
3c*<e
Print Name rg nature (D er E Electrical Contractor / Administrator)D
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.4'17.4711]
O\ANER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
J
PROJECT DETAILS
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