HomeMy WebLinkAbout2607 S Laurel StApplication Nuft&er
Application pin nunrber
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
ProperEy zo!ing
Application valuaEion
RS7 RESDNTII SINGI,E FAI"]ILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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-.1
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Application desc
Basement and trailor outlet
Coatractor
SANDWICK MARJORIE F
2607 S LAUREL ST
PORT ANGELES
Ol.INER
wA 983622s33
Permit
AddiLional desc
Permit Eee
Issue DaEe
Explratj.on Date
68.00
I /22 / )-'7
2 /18 /aB
ELECTR]CAL ALTER RESlDENTIAI,
Plarl Check Fee
valuatsion
00
0
Qty unit Charge Per1.00 s.0000 ECH
1 .00 63 . 0000 ECl{
RT, IICH ADDN'I BRANCH CIRCUIT
EL R BRANCH CIR WO/ SER EEED
Extension
5. 00
53.00
Eee summary Charged Paid Credited Due
Permit Eee Total
Plan Check ToEal
Grand Total
58.00
.00
68.00
58.00
.00
58.00
00
00
00
.00
.00
.00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:1_
PERMN WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'.7-4735
17-0000117? Date 8/22/r'l
5'/9554
25 07 S IAUREL ST
05 -30 - 10 -5 - 0- 0532 -0000 -
ELECTRICA! ONITY
-..#5k*"T'BYqffid
ELECTRICAL INSPECTION
WIRING REPORT
4174735
....DITCH...
. .... BOUGH IN,/COVER ..
SERVICE tr
FINAL . , .tr
APPROVED
D
tr
tr
D
CORRECNONS NEEDED tre ,\. (,-;Ef T--Tt'agrr nE
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a <fA (l-B,', aRrl^.)r,zta-_axJ
tLPIT arJY
Y%E=-Vur a6ll?U $f oFJ elJT-<,PF
t^)f€-E-
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTH]N 15 DAYS
-DO NOT REMOVE-
DATE:
n-))f"INS
D
ADORESS vzE)--
f!lE r
Crry or Ponr ANcnr,ES PERlrrr AppLrcATroN
Building Division /Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
f,
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{Date..6 - '-1- - I 7 _1 & 2 Single Family Dwelling
. Plan Review Itilay Be Required, Please Complete Electrical Plan Review lnfonnation Sheet
Job Aodress: aui. I r-- *.<-(
ffiffiqtia€f,aoeEe
Description oLBs LJ. ' L €1..(--t
Owner lnformation Contractor Information
Name:
tulailino Address
itv
hone
Name
t Pl,oae'ju '{'; t
3rt ^d*,,qt<2-bb 7 so
State:
-
Zlp q<3 L2-
al
Llcense # i Exp
c
Ll
State; _ Zip: _
Fax:
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1400 Amp.
Service/Feeder 401$00 Amp
Service/Feeder 601-1 000 Amp
Service/Feeder over 1000 Amp.
Branch Circuil W Service Feed
Branch Circuit W0 Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 0nly
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401$00 Arnp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Houdy
Signal CircuiV Limiled Energy - 1 & 2 Family Dwelling
l\ilan ufactu red Home Connection
Renewable Eleclrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each addilional T-Stat
NEW GONSTRUGTIOT{ ONLY;
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each outbuilding or Detached Garage
Each Swimming Pool or 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
@
s
$
$
I $::zt-!_>
V .=.=::LI*t
s
s
$
$
$
$
$
$
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$_
$
Owner as defined by RCW.19.28.261: ('1) 0wner will occupy the structure for two years after thjs elecfical permit js flnalized. (2) Owner is required
to hire an eleckical contractor if above said property is for sale, rent or lease. Pennit expires after six months of last inspection.
After reading the above statement, I lTereby certify flTat I am the owner ofthe 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 296468, The City of port
Angeles Municipal Code, and Utiliiy Speciiications and PAIVIC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: E cash E check
E CreditCard #
!o2l06nu2
\,
Total (Qtv Multiplied bv Unit Charqe)
q
(X) -
.-)