HomeMy WebLinkAbout1107 E 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
36041',1-471s
RS7 RESDNTL SINGLE FAMTI,Y
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
F5.c
CD
Application Number
Applicalj.on pin number
Property Address
ASSESSOR PARCET NI]I.IBER:
Application t)'pe descriptsion
Subdivisi.on Name
Property Ose
Property Zoning
Applicat j.on valuation
18 - 0000154 8 Date !0/04/ta
155440
110? E 6TII ST
05-30-00 0-t-9155-0000-
EIJECTRICA]J ONLY
Applica!ion desc
Temp polver
ConE!actor
NAT}IAN MCBANE
110 W 2ND ST
PORT ANGELES
(350) 775-7208
BOTERO & SON ELECTRICAL PLLC
PO BOX 702
CARLSBORG WA 983 24(360) 461-9132
wA 983 62
Pernil
Additional desc
PermlE !ee
Issue Date
Expiralj.on Date
93 .00
to / o4 /784/02/t9
Ptan Lnecx t'ee
Valuat ion
EIECTRICAT AI,TER RESIDENTIAL
00
0
oEy UBit Charge Per1,OO 93,OOOO ECH EL-TEMP SRV O-2OO SRV FDR
ExLension
93.00
Fee summary charged Credited Due
Per:mit Fee ToEal
Plan Check TotsaI
Grand Total
93.00
.00
93.00
93.00
.00
93.00
00
00
00
00
00
00
PERMIT WILL EXPTRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE tDl0lm tr C$F
ROUGH.IN
FINAL o)n lm #
COMMENTS:
Sigaanrre of owner or Elcctrical Contractor X
-#
Date:
ELl-2 sF
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATI
Public Works and Utilities Department
th Street, Port Angeles. WA 98362
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Project Address
32t E
:)-7 Z L (. lee.ei ?x
360.417.4735 r www.cityofpa.us electricalpermits@cityofpa
I 2ufi.e.F$PE4L
'.'-t,:',rI0!S
Project Description
Mailing Address
Email
-c-2
Phone
LicenseName:
Mailing
Email:
Addre
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Servace/Feeder 200 Amp.
Temp. Servace/Feeder 201400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 6011000 Amp.
Portal to Portal Houdy
Signal CircuiVLimiled Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Oetached Garage
Each Swimming Pool / Hot Tub
ration Date
Phone
Ouantitv IEEI (Quantity x Unit Cha.ge)
Expi
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
w.00
$120 00
$102.00
$56.00
s120.00
$40.00
$74.00
$110.00
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Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contraclor 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 p or a licensed electrical contractor I
am making the electrical installation or alteration in compliance with NE RCW Chapter 19.28, WAC Chapter296-
468. The City of Port Angeles Municipal Code, and Utility tons 14.05 rmit Applications.
Date Print Name er E Electrical Contractor / Administrator)
OWNER INFORMATION
reD
4
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
[Electrical Permit Applications may be submitted to C or epermits@cityofpa.us or faxed to 360.417.47111
rv.'r-) /\ '. ^t\ /, .-.,,J )or , - =LLI
Single-Family Residential I Duplex / ARU Building Square footage: _
Name: