HomeMy WebLinkAbout1015 W 8th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
trs
--f-
Application Number
Application pin number
Property Add!ess
ASSESSOR PARCEL NUIV1BER:
Applicatsion Eype description
subdivision Name
Property Use
Property Zoning
Appllcation valuation
17-00000814
7!422A
1015 W 8TH ST
05- 30. 00 0 2 4185-2001
ELECTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Datse 7
RS7 RESDNTL SINGLE FA}IILY
0
ROGER F FETEN
PO BOx 235
CAILSBORG
OWNER
wA 983 24
Permit
Additional
Is sue Date
387.00
6 /a9 /1'7
a2 /16 / a1
ELECTRICAL ALTER RESIDENTIAL
PEI
BASE FEE
Plan Check Fee
Valuation
.00
0
Extension
387.00
Expiration Date
Qty Unit Chalge
Charged Credited Due
Permi! Fee ToEal
Plan Check ToEal
Gr.and ToEaf
38f 00
00
00
387
387
00
00
00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
COMMENTS 4
PERMIT WILLEXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Elecaical Contractor X Date
FINAL
CITY OF PoRT ANGELES PERN-{IT APPLICATION
Building Division/Electrical Inspections
321 East Filth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 117-t735 Fax: (360) 117-1711
tt \
Is
\Date
* Plan Rev
Job Addrcss:
Bu ldlng Squa re Foolage
Descnption of above
iew May Be Requ ired, Pl ase coo
1 & 2 Single Family Dwelling
Elect Plan ew Information Sheet
f
owner ln
Name vl
Add
Cityi State zip:983
Phone
License E/ Exp.--
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401 600 Amp
Service/Feeder 601 "1 000 Amp.
ServiceiFeeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/ Feeder 200 Amp.
Temp. ServiceJFeeder 201-400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder601-1000 Amp .
Portal to Portal Hou y
SignalCircxiu Limited Ene.gy -'1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Eleclical Eflergy - sKVA Syslem or Less
Thermostal
Note: $5.00 for each additional T-Stat
n Contractor lnformation
Name:
1 Mailing Addrcss
City:State:_Zip:
ax:Phone:_Fax
Lcense #/ Exp
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
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$.-
$75
$
Total {Qtv Multiplied bv Unit Charqe)q -'
$
$
$
$---{-
$
$
$
$
$
$
$
$
NEW CON l0N ONLYI
First 1300 Square Ft
Each Additional500 Square Ft or Portion of
Each Outbuiiding or Detached Garage
Each Swimming Poolor Hol Tub
$_$_
$$-FTrou
Owner as defined by RCW 19.28.261: (1) owner will occupy the structure for two years after this electrical permit is linalized. (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 readjng the above statement, I hereby certify that I am the owner of tlle above named property or a licensed electrical conuactor. I am making
the electrical installation or alteration in compliance with the electical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of port
Angeles Municipal Code, and Utility Specifications and PAI\y'C 14.05.050 regarding Electrical Permit Applications.
Sign er, electrical or electrical administrator:E cash E check
E CrEdit Cad,
X Dated:/--l Ll- l+01101n012
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