HomeMy WebLinkAbout605 I St (2)ELECTRICAI PERMIT
CITY OF PORT ANGELES
3604174735
RS? RESDNTI, SINGLE FAMILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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NApplica!ion Nufilcer
ApplicaEion pin number
Property AddresB
ASSESSOR PARCEI] NUMBER:
ApplicacioD lype description
subdivisioD Name .
Property Use
Property Zoning
AppI j"cation valua!ion
18-00001492 Dare 10/0sl18
819536
605 r sT
06 3 0 - 0 0 - 0 - 1 - 5 1 5 0 - 0 0 0 0
ELECTRlCAL ONLY
Owner Contractor
JAIIIE L BI,AYIIOCK
PO BOX 1703
POR? ANGELES
OWNER
wA 983 62
PermiE
Additional desc
PermiE Fee
lssue Date
ExpiraEion DaLe
EI,EC?RICAL ALTER RESIDENTIAL
1-4 CrR75.00 Plan Check Feeto/05/rB valuarion
4/03/t9
00
0
Qry Uni! Charge Pe!
BASE FEE
Extension
75. 00
Fee sunmary Charged Pa id Credited Due
Pernri! Fee Totsa1
Pla[ Check Total
GraEd Total
75. 00
.00
75. 00
75. 00
.00
75. 00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN rclt1 lm dtr
FINAL d ta[A tr
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON
Signature ofowner or Electrical Contractor X Date:
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ELECTBICAL INSPECTION
WIRING REPORT
417-4735
'7h,l,t PERI',11T *
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CONTBACTOF
AODRESSLo6 7 ",\---
APPROVED NOT APPROVED
n DTTCH....
>a-Tnre*r,aq--.. BOUGH |N/CoVER .... .
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NOTIFY INSPECTOR WI{ET{ CORRECTTONS
ARE COMPLETED WITHII.I 15 DAYS
-DO NOT REMOVE-
connEcroNs NEED Eo. CK -{17 C--ov €lz- Oi ALI->
ELECTRI CAL PERMIT A PPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
3 60.4 17 .47 3 5 www.cityofpa. us I electricalperm its@cityofpa.us
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EIFXIRICAI
ES 4Project Address
Project Description:
I Single-Family R
L (Pq
P'q
ukr,-
rtlesidential ! Duplex / ARU Building Square footage
lvlailing Address o
Email J\I,q1(rL@- m1n. fffn
(S q Phone (nr,'411-1 9\q
ELECTRICAL CONTRACTOR I NFORMATION
al +in€,/-License
l\ilailing Address
Email:
Expiration Date
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1 600 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
f Branch Circuits'l-4- Temp. Service/Feeder 2OO Amp.
Temp. Sewice/Feeder 20'l-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Houdy
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
LJnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s.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
$1'10.00
Quantitv Iq!a! (Quantity x Unit Charge)
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Owner as defined by RCW19.28.261: (1) Owne. will occupy the structure for two years after this electrical permit is finalized. (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 reading the above statement, I hereby certify that I am the owner of the 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 296-
46B, The City of Port Angeles l\,Iunicipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applications.
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Date Print Name ionature lT?r E Electrical Contractor / Administrator)
1 - 2 SINGLE-FAMILY
Name:
1a\
OWNER INFORMATION
Name:
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417 .4711]