HomeMy WebLinkAbout1702 Lambert Ln (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Nuniber
Application plu nuniber
Property Address
ASSESSOR PARCSL NUN,{BER:
ApplicaEion E),pe descriptiorr
Sulrdivision Name ... .
Property Use
Property Zoning
Application valuaEion .
19 - 00000795 Datse 5/28/1-9
81023 5
1?02 I,AI'(BBRT I,},I
06 - 30- 14 - 6- 5 - 0150- 0000-
ELECIRICA.L ONLY
oty Unit Charge Per1.00 120.0000 ECH1,00 40 .0000 EcH
EI,-R.SQFT FIRST 13OO
EIJ'R' SOET ADDITIONAIJ 5OO
Extension
120.00
40.00
REPORT STATE SALES TAX
on your excise tax form
b the Crty of Port Angeles
(Location Code 0502)
0
Application desc
RUSTIC ELEMENTS LLC
P O BOX 2 051
PORT ANGELES
UPPER LEET ELECTRIC LLC
13 05 ROOK DR
PORT ANGEIJES WA 98362
(3601 461-7'72A
Permil
Additional desc
Permits Fee
fssue DaEe
Expiration Dale
160 - 00
s/28/t9
aa/24/19
ELECTRTCA! NEW RESIDENIIAL
Plan Check Fee
VaLuat ion
00
0
Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Graod Total
150. 00
.00
150. O0
160
150
00
00
00
.00
.00
.00
.00
.00
.00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH < l-/n =P *
SERVICE alsln *NDP
ROUGH.IN itilh #:86>
FINAI da'ln u&?6
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
r.rA 98352
ELE C T RICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E,.5th Street, Port Angeles, WA98362
360.417.4735 I www.cityofpa.us I electricalpermits@cityofpa.us
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Prolect Address
Project Description tL0o >q,+ L^e I^-ooJ(L
Name
Mailing Address
Name:
lvla iling
Email:
Email:
Phone
License
Address r'Y\Cfv.!{
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'1 -'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. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited 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
1..<-A4.r\
Expiration Date
Phone
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.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
$120.00
$40.00
$74.00
$110.00
Ouantity Igl4l(Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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TOTAL \QO
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 contractor if above said property is for sale. rent or lease. Permit expires after six months of last inspectjon.
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 Chapter19.28, WAC. Chapter296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAlvlC 14.05.050 regarding Electrical Permit Applications.
Print Name re (ffiOwner E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epemits@cityofpa.us or faxed to 360.417.47111
EL{-2 sF
1 - 2 SINGLE-FAMILY To
3
+7!
n Single-Family Residential E Duplex / ARU Building Square footage: _
I OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE-
OATE:B ]NSPECTOF
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CONTBACIOR
ADDBESS
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NOT AP
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....FINAL
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