HomeMy WebLinkAbout1424 Rook DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'135
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Application Nunlf,er ,
AppficaEion pia nufiber
Property Address
ASSESSOR PARCEI NL]MBIR:
Application t,'pe description
Subdivision Name
Property Use
Property Zoning
Appf icat j.on valuation
19 - 000014 97 Date 10/01/19
8 91?8 0
1424 ROOK DR
06 -30 - 14 - 7-2 -0210- 0000-
E],ECTRICAL ONI,Y
RESIDENIAL SF 9OOO
RS9 RESDNTL SINGI,E FAI4I'Y
0
Applj.cation desc
Temp
GIIEEN CROW ]NSESTIIIENTS CO. TLC
P. O. BOX 2419
PORT ANGELES WA 98352
UPPER LEFT EIJECTRIC IJLC
13 06 ROOK DR
PORT ANGELES WA 983 62
(360) 46L-'t'720
Permit
Additi.onal desc
Permit Fee
Issue DaEe -
Bxpiration Date
93.00ta/ot/t9
3 /29 /20
ELECTRICAI TEMPOBARY SERVICE
Plan Check lee
Valuat1on
00
0
oty Unit Charqe
1- 00 93 .0000
Pe!
ECH EL-TEMP SRV O-2OO SRV FDR
Extension
93 .00
Fee su nary Charged Paid Credited Due
Permit Fee Total
Plan c.lec]( "I'ota1Grand ToEaI
93.00
.00
93.00
93 .00
_ 00
93-00
00
00
00
.00
.00
.00
REPORT STATE SAI-ES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE ,/o-3-t?,&l=iea
ROUGH.IN
FINAL /O- 3- t7 @ #)
COMMENTS:
PERMIT WILL E)(PTRE SIX (6) MONTHS FROM Lq.ST INSPEC"TION
S ignature of owner or Electrical Conkactor X Date:
ELECTRICAL PER MIT APPLICATION
Public Works and Utilities Department
321 E. sth Street, Port Angeles, WA 98362
360.417 .4735 I wr, r.cityofpa.us I electricalperrnits@cityofpa.us
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Project Address
Project Description
Name Email
Mailing Address Phone
License
lvlailing Address Expiration Date
Phone:Email
Item
Service/Feeder 200 Amp
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
Servlce/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Clrcuit 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 201-400 Amp
Ternp. Service/Feeder 401-600 Amp.
Temp Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal Circuivlimited Energy - 'l&2 DU.
Manufactured Home Connection
Renewable Elec Energy: sKVA System or less
Tlernostat (Note $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Quantitv Igla! (Suantity x Unit Charge)
TOTAL 1\oc.
Owner as defined by RCW 19.28.261: (1) Owner will 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 certity 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-
46B, The City of PortAngeles Municipal Code, and Utility Specifi catio nd PAMC 14.05.050 regarding Electrical Permit Applications
n-.
Date Print Name ignature (E Owner ! Electrical Contractor /Administrator)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
s5.00
$63.00
53 UU
$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
$110.00
I
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$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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$
$
4-Fa
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lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417 .47111
1 - 2 SINGLE-FAMILY
! Single-Family Residential D Duplex / ARU Building Square footage:
-
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
IECT DETP LS
Name: