HomeMy WebLinkAbout314 W 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RESIDENTIAL HIGT' DENSITY
o
REPORT STATE SATES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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Appli.catioo Number . .
Applicatj.on pin nunber
Property Address
ASSESSOR PARCEI NUUBER:
Application trce description
Subdivision Nalne - -
Property Use
Property zoning
Application valuation
19-000013?1 Datse 9 /r0 /!9
t73597
314 W 5Tt{ ST
05-30- 00- 0- 1-6325- 0000-
EI.ECTRICAI, ONI,Y
Contractor
ADOLPHSEN GLENN
318 W 6TH ST
PORT ANGELES
BI,ACK DIAMOND EI,ECTRICAL CONTR
502 BI,ACK DIAMOND PD
PORT ANCELES WA 983 53
(350) 565-1035
ltA 983625902
.00
0
Qty Unit Charqe Per
1.00 120-0000 EcH EL 0,200 sRV FEEDER
Extension
120. 00
Fee summary Charged Paid credited Due
PermiL . ,
AddiEiolla1 desc
Permit Fee
Issue Date .
Expiration DaEe
ELECTRICAI AITER RESIDENTIAL
REPATR Sl/C MAST
120.00 Plan Check Fee
9/L0/t9 valuation
3/08/2a
Permit Pee Total
Plan Check Total
Grand ?ota1
120 .00
.00
120 - 00
120 .00
.00
120 .00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE 1- ,r' i7 /-P ,42@
ROUGH.IN
FINAL 7- ro - 17 P A<A
COMMENTS:
Signature of owner or Electrical Contractor X Date:
Er 1-2 SFLL
TRICAL P PLICATI
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
3 60.4 I 7 .47 3 5 | www.cityofpa. us I electricalpermits@cityofpa.us
t4 uJ 6r^
RECEIVED
$EP lo zop \
N.;
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no
3
Project Address
Project Description Fiv tA ur+
Name
Email
Email:
Mailing Address:
Name h-tll ^4 A
Phone
License, 6L Aa k EL9a'4,: Z
Expiration Date
Phone:360- a6t-7{7Mailing Address:tr^I
l.riLtn
"L Qn.
O!\NER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401500 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 Gircuits 1-4
Temp. Service/Feeder 200 Arnp.
Temp. Service/Feeder 201-400 tunp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601-'1 000 Amp.
Portal to Portal Hourly
Signal CirqriuLrm[ed Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: sKVA Syslem or less
Thermostat (Note: $5 for each additional)
FiIst '1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
4l1t rq hc qr
Ljnit 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
Ouantitv Iqlal(Quantity x Unit Charge)
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Owner as defined by RCW.19.28.251. ('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 expi.es after six months of last inspection
After reading the above statement, I hereby certify that I am the owner of the above named properly or a licensed eleclrical contraclor. I
am making the electrical installation or alteration in complianc€ with the electrical laws, N.E.C , RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility d 1 4.05.050 regarding Electrical Permit Applications
ature (! Owner E Electrical Contractor /Administrator)Date Print Name
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
1 - 2 SINGLE-FAMILY
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Single-Family Residential E Duplex / ARU Building Square footage: _