HomeMy WebLinkAbout133 W 7th StApplication Nulrber
Application pin nufiiber
Property Address
ASSESSOR PARCEL NU}.IBER:
Applicatsion_ tsype descripEion
subdivision Name
Property Use
Property Zoning
Applj.cationvaLuation .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RESIDENTIAIJ HIGH DENSITY
0
18 - 00001870 DaEe r2/Ll/ra
534150
113 W TTLi ST
05 -3 0 - 00'0 - 1- 6560 - 0000 -
ELECTRTCAI, ONI,Y
REPORT STATE SATES TAX
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
cs
sJu
Application desc
remove knob and culJe wiring
Contractor
Dawid A Hendrickson
13',1 W 7TH ST
PORT ANGELES
(350) 77s-1045
II OWNER
wA 9S3626010
Pefirit
Addltional desc
Pernit Eee
Issue Date .
Expi!atsion Datse
ELECTRICA], ALTER RESIDEI{IIAI,
1-4 CIR + 5
105.00 Pl,an Check Fee
!2/ 13/ lA Va.lUaEtOn .
6/|a/t9
00
0
oEy Unic Charge Per
5.00 5 .0000 EcH
BASE FEE
EI,-ECTI AI}DI{I BRANCH CIRCUIT
Extsensi.on
75 .00
30 .00
Eee summary Charged Credited Due
Permit Fee Total
Plan check ToEal
Grand T'otal
105 .00
.00
105 .00
10s . o0
.00
r.0s .00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM T"A.ST INSPECIION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN r)o ln R }P
FINAL <)rc lril $>d)
COMMENTS:
T
Signahre ofowner or Electrical Contractor X Date
-..#5*.*"/ttsrY
"e\ffi"
ELECTRICAL INSFECTION
WIRING REPORT
417-4735
..... DITCH
Sfiagta!--... BouGH rN/covER . .
DATE
70
owN
CONTRACTOR
AODFESS)33 JZ
APPROVED NOT APPROVED
o tr
o
D
o
D SERVICE. . .
FINAL
COFIRECIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECNONS
ARE COMPIETED WTHIN 15 DAYS
-M NOTREMOVE-
F€f-ffznDrr _Fzzor-z- 4a=r
ELl-2 sF
1 - 2 SINGLE-FAIMILY
ELECTRICAL P ERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 wrrw.cityofpa-us electricalpermits@cityofpa.us
WE( Poar Atea-<+
on 0t *Rs UrtZtr)Gr
t \uProject Address:
Project Descripti
fi/Single-Family Residential D Duptex / ARU Buitding Square footage
O\ANER INFORMATION
Name
Mailing Address
Email LLE7n sr- P.l, vl ttsoz Phone 36o 775- to4b
JL lL r
31 hl
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address
Email:
License
Expiration Date
Phone.
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401€00 Amp.
Service/Feeder 601 -'1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuat WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 40'1€00 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Houriy
Signal CircuauLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermosiat (Notei $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet''
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146.00
$20s.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
Quantitv Igtal (Quantity x Unit Charge)
30'd
7
--z-
I
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL /o 5. ao
Owner as defined by RCW19.28.261: ('1) Owner will occupy the struclure 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 perty or a licensed eleclrical contractor I
am making the electrical installation or alteration in compliance with Chapter,l9.28. WAC. Chapter 296-
468, The City of Port lVuniopal Code, and Utilty Specrfi ard ng Electrical Permit Applications
/2- t0-irA4.
Date Print Name
[Electrical Permit Applications may be subm
r E Electrical Contractor / Administrator)
c or epermits@cityoha.us or faxed to 360.4't7.47i11
1'o
1
s
Name: