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Applica'tion Number
ApplicaEion pin nur&er
Propertsy Address
ASSESSOR PARCEI] NUI.IBER:
Application E!?e descriptsion
Sr.rbdivision Name
Property Use
Property zoning
Application valuaEion
19-00000520
7q5640
917 MADELINX ST
Dare 4 /1-2 / 19
o6-a-yy'-7 -6-o220 - ooao -
ELECTRICAI ONIY
RS9 RESDNTL SINGLE EA]VIILY
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ApplicaEion desc
New home
ConEractor
JOEL C AND TAMARA L E],LIOT?
P O BOX 2 951
SEQUIM WA 983 82
136A) 461--2t4s
UPPER LEFT ELECTRIC LLC
13 05 ROOK DR
PORT ANGELES WA 983 62
1360) 461 '7'72A
Permit
Additional desc
PermiE Fee
fssue Date
Expiratsion Date
240.00
4/12/t9
LO / 09 /t9
ELECTRICAL NEW RESTDENTIAL
Plan Check Fee
Valuation
00
0
oty Unit Charge Per
1.00 120.0000 EcH
3 .00 40.0000 EcH
Et-R-SQFT EIRST 1300
EL-R-SOET ADDITIONAI, 5OO
Extension
120 .00
120 .00
Charged Paid Creditsed Due
Permft !'ee l'otal
PIan Check Total
Grand Total
244
244
00
00
00
00
00
o0
00
00
00
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SigneBrc of omer or El66Ei6Bl Contses6r X-- r--, --: Det€:
240.00
.00
240. 00
DATE;
Er l-2 sFLL.
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofoa.us I electricalpermits@cityofpa.us
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Project Description:
Ll urngle-Famrly R
t
dential E Duplex / ARU Building Square footage
O\i\NER INFORMATION
lvlailing Address
Name:
l\ila iling
Email:
Email
Phone
Address
Item
Service/Feeder 200 Amp.
SeNice/Feeder 201-400 Amp.
Servic€r'Feeder 40'l 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. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 40'l $00 Amp,
Temp. Service/Feeder 601-'l 000 Amp.
Portal lo Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufaclured Home Connec{ion
Renewable Elec. Energy: sl(VA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 5O0 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
License:
Expiration Date
Phone:
Quantitv Iqtr! (Quantity x Unit Charge)Unit Charoe
$120.00
$'146.00
$20s.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
s74.00
$110.00
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Owner as defined by RCW19.28.261r (1) Owner will occupy the struciure for two years after this I permit is finalized. (2) Owner is
required to hire an electncal contractor iI 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 an compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468 The City of PortAngeles l\4unicipal Code, and Util ily Specifications and PAMC 14.05.050 regardrng Electrical Permit Applications
U
Print Name re E Electrical Contractor / Administrator)
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ELECTRICAL CONTRACTOR INFORMATION
PitOJECT DEIAILS
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.4'17.4711]
1 - 2 SINGLE-FAMILY
Project Address:
Name:
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APPROVED
CORRECTIONS NEEDED:
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
_ DO NOT REMOVE _
!Ai:]NSPECIOF
CONTEACTOA
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qDDFESS
NOT APPHOVE
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