HomeMy WebLinkAbout922 Benjamin AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41?473s
RS9 RESDN'TL SINGLE FA]UILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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Applicati.on Nurnber
AppLication pin number
Property Address
ASSESSOR PARCEL NUI'IBER :
Application type description
subdivision Name
Property Use
ProperEy zoning
Applicatsion valuatsion
19-00002006 DaI:e 12 /tg / 1-9
743906
922 BENJAMIN AlB
06 -3 0 - 15 - 5-4-0030- 0000-
ELECTRICAII OI{LY
Atrplication desc
Gas fireplace
Owner Contractor
STMESI'4AN PAUL G
922 BENJAIiIIN ST
PORT ANGELES
MEYER ELECTRIC
42 GEOI.AINE WAY
SEOUIM
\360) 4'77 2202
wA 9a3525720 r,la 983 82
Permil
Additional desc
Permrt l-ee
Issue DaEe
Expiralion Date
63 .00
t2/t8/19
6/ts/20
EI]ECTRICAL ALTER RESIDEMTIAL
PIan Check Fee
Valuation
00
0
QEy Unit Charge Per
1.OO 63.0000 ECTI EL-R. BRANCH cIR wo/ sER FEED
Ext'enaion
53 .00
Charged Credited Due
Permit Fee Total
Plan Check Total
Grand Total
63 .00
.00
53.00
53 .00
.00
63 .00
00
00
00
PERMIT WILL E)(PTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T1?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN rulzt lfi R TA
FINAI rL)Le ln 6F
COMMENTS:
Sigaature ofowner or Electrical Contractor X Date:
.00
.00
.00
EI 1.2 SFLL
ELECTRICAL PER MIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Pon Angeles, WA 98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
Project Address:I ?..?... tsour'ro\yw\\/\ 5l fl.,l A.n -c\r*1 i,-/ri X83 c,
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Project Description
Single-Family Residential n Duplex / ARU Building Square footage:
Name Email:
Phone:loc''
License:
Expiration
Phone b<t 7
Ouantitv Total (Ouantitv x unit Charoe)
I-5o
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(-'rre
Mailing Address
Name
lvlailing
Email:
eoi
i
Add !r\e
Item
Service/Feeder 200 Amp.
Service/Feeder 20 1 -400 Amp.
Service/Feeder 40 1 600 Amp.
SeNice/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 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Servace/Feeder 601-l000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Oetached Garage
Each Swjmming Pool / Hot Tub
o2-
Urit-Ctelle
$120.00
$146.00
$20s.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
$110.00
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CSuS-TOTAL
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 mntractor 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 eleclrical 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-
45B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
i *l(-- t1 (..\c Kavizrr"r.rr 7r'--h..-.--
Date Pri* Name SS*t*"@/Adminiskator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 .47111
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
1 - 2 SINGLE-FAMILY
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