HomeMy WebLinkAbout915 S Lincoln StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -413s
RS7 RESDMTL SINGLE FAIIILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
G.
dS
ts
NApplication Nunrber
Application pin number
Property Address
ASSESSOR PARCEL NI]IIBER:
Appf ication t)'pe descriptsion
subdivision Name
Property Use
P]:operty zoning
Application valuaEion
19- 0000132 0 Date 8/29/19
23!7 60
915 S LTNCOIN ST
0 6 -3 0 -00 - 0- 2- 9045 - 0000-
ETECTRICAL ONLY
Applicatsion desc
ttouse rewire
Contractor
BOB'S ELECTRIC INC
22 93 DEER PARK RD,
PORT ANCEIES
(360) 45?-588?
wA 943627848 wA 983 62
Permit
Additiona] desc
PermaE l'ee -
Issue Dat'e .
Expir,ation DaEe
270 . OA
B/2e/te
2 /2s /2a
EI,ECIR]CAL AI,TER RESIDENTIAL
Plan Check Fee
valuation
00
0
QEY
10.00
1.00
Unit Charge Per
5, OOO O ECI.I
120.0000 ECLI
EL BRANCH CIRCUIT W/EEEDER
EL.O 2OO SRV FEEDER
Extension
1s0.00
120.00
Charged Paid Credited Irue
Permit Fee Totsaf
Plan Check Totsaf
Grand T'otsal
00
00
00
214
274
o0
o0
00
2'7 0
270
00
00
oo
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
I
ROUGH.IN rt ltq /t?A\TzP
FINAI h lil /tq \-2*Y WP
COMMENTS:
S ignature ofowner or Electrical Contractor X Date
TUCKER MARK A
915 S LINCOLN ST
PORT ANGE],ES
REC
lUn t
F/t/FD
2ntr
ELECTRICAL PERM IT APPLI CATION
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Project Address ?ts t ol;, ,tl* /
Projecl Description t*l F<-
P. Single-Family Rssidential D Duplex / ARU Building Square footage;
Name:
Nlailing Address
u-rkr EmailI Phone 2 ZA:7VS-ont
Name:
Mailing dd
Email:
Itm
Service/F€sder 200 Amp.
Service/Fe€de r 201 -400 Amp.
Servica/Feede. 40'1 .6@ Amp
Servlcef eed€r 601-1000 Amp.
Servrce/Feeder over 1000 Arnp.
Branch Circuit w/ Seruce Feeder
Branch Circuit w/O Seryice Feeder
Each Addtional Brdnch Crrcuit
Branch Circuits 1-4
Temp. Servioe/Feeder 200 Amp.
Temp Service/Feed er 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. SeNicelFeedef 601- 1000 Amp
Podal to Portal Hourly
Signal Clrorjulimiled Energy - 1&2 OU.
Manufactured Home Conneclion
Renel#able Elec. Energy: sKVA Systern or b3s
Thermostat (Noter $5 for each additional)
Firn 1300 Square Feet
Each Additiorel 500 squa€ ft€lt"
Each OubuiHing / DeEcned GsBEe
EacI Swiffir ng Poo! / Hot Tub
f
Phone
f$el ((.iu8nti9 x Unit Ch.rge)
/2a . a-o
Lfo r*j
Eate:
$---
s$;-{LLt}-
Unll Charae
$120.00
$146.00
$20s.00
$262.00
$373.00
$s.00
s63 00
$s.00
s75 00
s93 00
s110 00
$149.00
$r68.00
$96.00
$64.00
$120.00
9102 00
$56.00
$120.00
340.00
ft4.m
$110.00
$
$
s
D
$
s
s
s
$
$
$
$
$
$
s
$I
$
TOTAL
€fu*es,'f '
F<z@'^(rrtrK
Ownea as defmed by RCW19.28.261: (1) Owner will oasupy lhe struclure tor two years after this eJectricll pe.mit is finalized. (2) Owner is
required 10 hke an electrical con$actor if above said prop€ny is for sah, rsnt or leas!. Permit expi€s ar::r sir months of last inspectioi.
AF.er reading lhe above stalement, I hereoy certiry that I a.l1 the owner ofthe above named property or .t licensed eteciricat contracio. I
am making lhe electracal installation or alteration;n compliance with the electrical laws, N.E C RCW. Chjpler'19.28 WAC. Chapter 296-
468,he Ciy of Port
,t(
Ang eles Mun icipal Code. and {.Jtility Specifications and PAMC 14.05.050 ing ctricrl Permit Applicaiions
Date am Signature (E I iontraetor / Administrator)
lEleclrical Permit Applications may be submitted to City Hall or electricalpermits@ciiyofpa u. orfaxedto360.417.471'tl
1 - 2 SINGLE.FAMILY
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