HomeMy WebLinkAbout727 W 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
Application Number
Application pln number
Properly Address
ASSESSOR PARCEL NIMBER:
Application t),pe description
Subdivision Name .
Ploperty Use
ProperEy Zoning
Applicat j.oo valuation
19 - 000013 91" Date
810 63 8
?27 H 4TH ST
06 - 30- 00 - 0- 0- 9840- 0000-
EIJECTRICAI ONIJY
RS7 RESDNTIJ SINGIE FAMIIJY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
9/1-6/19
contrac!or
TIMOTHY AND VICKIE J I'ICFERRON
13403 53RD AVF] NW
cIG TiARBOR WA 98332
OWNER
Permit
Additsional desc
Permlt t'ee -
Issue DaEe
Expiration DaEe
EI,ECTRICAL AI,IER RESIDENTIAL
NEW PANEL
120.00 P1a!t Check Fee
9/L6/79 val\rat ion
3 /t4/20
00
0
Qty Uoit Chai:ge Per
1_00 120.0000 EcH EL-0-200 sRV FEEDER
ExEension
120 _ OO
Eee summary Charged Paid Credited Due
Pe.rmlE !'ee 10ta1
Plan Check Total
Grand TotaI
120
t"2 0
120
120
00
00
00
.00
.00
.00
00
00
00
00
00
o0
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE 4'r t' r?lp A
ROUGH.IN
FiNAL l- l?- lf .4€
COMMENTS:
Signature of ormer or Electrical Conkactor X Date
,14)
O\ANER INFORMATION
ELr-2 sF no
fELECTRICAL PERMITAPP ICATION
Public Works and Utilities Department
321 E. 5th Street. Porr Angeles, WA 98362
\\
\
h
f.0Project Address:
Prolect Descri ption:
ingle-Family Residential D Duplex / ARU Building Square footage
Name
Mailing Address
.crtyo e lectricalperm its@citvofpa. us
4/
Email
,<./z{243 L-z/t)Phone:
360.417.4
2')
735 I www
u)
ELECTRICAL CONTRACTOR INFORMATION
Name
l\ilailing Address:
Email:
License:
Expiration Date
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401€00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Servace Feeder
Each Additional Branch Circuit
Branch Circuits '1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201{00 Amp.
Temp. Service/Feeder 401.600 Amp.
Temp. Service/Feeder 601-'1 000 Amp.
Portalto Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufaclured Home Connectaon
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
$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
$1'10.00
A
Ouantitv Total(
TOTAL
Qgantity x Unit Charge)r 't,- w,:z-$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Owner as defined by RCW 19.28.261 . ( 1 ) Owner wall occupy the structure for two years after this electncal permit as finalized (2)O,vner is
required to hire an electncal 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 pro
RCW
perty or a licensed electrical contractor I
apter 19.28, WAC. Chapter 296-am making the electrical installation or alteration in compliance with the ele
468, The C ity of Port Angeles Muni I Code, and Utility Specifications an 05 a Electrical Permit Applications.
L 4/
Date Print N ame sig Ele cal Contractor / Administrator)
IElectrical Permit Applicatjons may be submitted to City Ha rmits@cityofpa.us or faxed to 360.417 .47111
-
1 - 2 SINGLE-FAMILY
)