HomeMy WebLinkAbout220 N Albert StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
RS7 RESDNTI, SINGTE EA]VIILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
*o
\--a
J
--J
Appfication Nufii3er
Application pin numlcer
Propertsy Address
ASSESSOR PARCEL NWBER:
application tl4)e descripEion
Subdivision Name
Property Use
Property zoning
Applicafion valuatsioo
19 - ooooo 9?z Datse 6/2e/t9
9 53119
220 N AIJBERT ST
06-30- 00 - s - 1-4100 - 0000-
ELECTRICA1 ONIY
Application desc
Bedroom remodel
Contractor
JOHNSON PAIIL A
220 N ALBERT ST
PORT ANGEIES
EXTRA MIIE TECH & EIECT
418 N. RACE ST.
PORT ANGELES WA
1360) 457 -5222
, LI,C
98362wa 983523308
Permit
Additional desc
Permits Fee .
Issue Date
Expiration DaEe
58 .00
6/28/te
1-2 / 2s /t9
EJ-ECIRICAL A],TER RES IDENTIAL
00
0
otsy Units Charge Per
1.00 5 .0000 ECl{
1.00 63 .0000 ECH
EI-ECH ADDNT BRANC1I CIRCUIT
EL-R- BRANCH clR wo/ SER I.EED
Extsension
s.00
63 .00
Fee summary Charged Paid Credited Due
Permat Fee Total
Plan Check TotaI
crand Totsal
68. 00
- 00
58 .00
00
00
00
00
00
00
PERMm wLL EXPIRE SIX (6) MONTHS FROM t.\ST INSPECTTON
INSPECTION TYPE DATE:RESULTS:INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL t)
tlextr-L-=lv---)*Y
Signature of orvner or Electrical Contractor X Date
Plan Check Fee
Valuation
68 .00
.00
58 .00
COMMENTS:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Departmcnt
32t E.5th Street, Port Angeles, WA 98362
3 60.41 7.473 5 | www.cityofoa-us I electricalpermits@cityofpa.us
f,f??!;f
1lo
I
*
Proiect Address:?o il-^+t"
'-a
I
--$
$
, r"-)C i rc. i--Jd ,1/t\boJ Roor 4 rl,\c e-
a ,\)Ernail:Nama:
Mailhg Address:
Name: €X1z r-e
i/hiling Address:O. Bort 3lLz
Phone:-Juql
E*n*:EXTtQ*/tr?73 R l"
Freirdion Dats:
Phone:lLo -,1b/, - t 838Email:ol
lhm
Se.vic€r'Foeder a)0 Arnp-
SeNicerFiEder 201aO0 Anp-
SerykdF€eder {01€00Amp
SeryicdFeeder 601-1000 Amp.
ServicerF€eder orer i0@ ArF-
Branch Cirorit l,V S€rvice Feeder
Brandl Ckadt WrO S€{vicc Feedar
Each Additional Br8rrch Cir(rrit
Erarch Circuits 1-+
Terp. Ser E/Fee&r 200Arp.
Temp Servi:e/Fe€der 201400 Arnp.
Temp. Sewioe/Feedcr 40'1500 Amp.
Temp. Se{vice/Feeder 50t-10@ Arrlp
Portal tq Poial thdy
Signal Cicrulinfted Energy - iE2 DU-
Manufacfu red Horne Cqnnedbn
Reneryable EtsG' Energy: 5KVA SygEm or bss
The rosist (Nob; t5 forqadr addilional)
FrS lS0 Sq.ar! F€et
. EsdrA.tfrond 50O ql81€ ftci"
. Esch Orbuld'mg, Dcbcn d GsrsgE
EEch Sxrirrdng Pool / Hot Tub
Unit Cha.qe
sr20.@
$r46.00
@5.00
$262.m
t373.00
$5.00
sd|.00
$s.00
$75.m
$83 @
$r10.oo
sr40.@
$r68.00
s86.00
$84.00
3120.q,
$102-00
s58.00
sr20.@
t40.00
E4.m
31J0-OO
Ouantltv troEl (CLtlofry r Unlt Chrrge)
b?.n'6,.'
iD
s
$
E
$
$
$
s
s
$
0
$tt
$
sI
3
s
$
$
3TOTAL -cr.=
O',.\m€r as ffi by RCI /.1928.251: (1) Ou,nerui ocalpy the stu(firc fort o ),.ara aftar this el€Etica! pe.rnn b frialized- (2) otfner is
rEquired to hire an electical @rttactor if abolre seid pfopgty b br sale, rBnt or lese- Fermtt eryt'res aRe|r six months of l€st irEpe€iton.
Afur Gading thE sbove siat€mert I hereby oerdfy tllat I am lhe o$,ner ofthe above nam6d property or a licensed ebafical contractor. I
am rnakirE the electrical in*dletion or abrali,on in cofiD$ance wifi tle electizl tst s, N-E.C-, RC]W. Ch4,ler 19.28, tt0AC. Cnapbr 29&
468, The City of Po.t Argd€ Munidpal Code, sod udfty SFecificatohs and PAIrc ,4,05.050 regardirE Elect*;al Permit Appl,c.liolls-1 t.*lb=;*"-"-,-Q
Date Print Name Sigflalure (fl Owner Co(lMor / Adminishator)
lElectrical PermitApCications may be submitted b City HaU or dedricalpennG@cityofra us or tared to 360.417.4711]
1 - 2 SINGLE-FAMILY
tr Duplex /ARU Building Square fuotage:
-
