HomeMy WebLinkAbout1423 Rook DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
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Application Nuniber
Application pin number
Property Address
ASSESSOR PARCEI, NUMBER:
Applicatsion t).pe description
Subdivision Name
Property Use
Property Zoning
Application valuation
19 - 00001044 Date a/o2/1"9
t74140
1423 ROOK DR
06 - 30 - 14 -7- 2 - 0300 -0000 -
EIJECTRICAI ONIY
Qty Unit Charge per
1. 00 120 .0000 ECH
2.00 40.0000 xcH
Extension
120.00
80.00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
tl-)t1'l
RESIDEI{TAL SF 9OOO
RS9 RXSDNTL SINGLE FA'{II]Y
0
Appllcation desc
New home
GI{EEN CROW I}WESI}{ENTS CO. L]]C
P. O. BOX 243 9
PORT ANGELES WA 983 62
UPPER LEFT ELECTRIC l,LC
1305 ROOK DR
PORT ANGEIJES WA 98352
1350) 461--'t'/20
Permit
Additional desc
Permit Fee
Issue Datse
Expiratsion Date
200. o0
B/02 /19t/ 29 /20
ELECTR]CAL NEW RESIDENTIAL
P.Lan Lnect< r'ee
Valuation
00
0
Charged Paid Credited Due
Permit Fee ToEal
Plan Check Total
Grand Total
2AO
200
00
00
00
00
00
00
00
00
00
PERMIT WILL D{PIRE SD( (6) MONTHS FROM LAST INSPE TION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH elz)n *F .rt L Or.> r.f
SER\'ICE /a-3-/?,4P *D
ROUGH.IN 1- lL- t1 ,F
FINAL nlzo)D 4 'ffiF
COMMENTS
Signature ofowner or Elect cal Contractor X Date
EI,.R SQFT EIRST 13OO
EL-R SQFT ADDITIONAL 5OO
200.00
.00
200.00
@
E
ELECTRICAL PERM IT APPLICATI ON
Public trlbrks anC Ulif ities Deoanmenr
321 3. 5th S.:eet, Pcd Angeies. WA 98362
3 54.+ i7 .17 3. w'',v.*.cl:.votpa.us e lectricalpein: iis@cilv oipa.us
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LJlol-st.EProject Address lqL 3."1, f),a
Project Description
n Single-Family Residential E Duplex / ARU Building Square footage
a
Name
[/ailing Address
Name:
Nilailing
Email:
Address
Email
P hone
License
Expiration Date
Phone:
Ouantitv IEtr! (Quantity x Unit Charge)Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits '1-4
Temp. Service/Feeder 200 Amp.
Temp Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited 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 squa.e feet'
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.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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Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for h,!r'o years after this electrical permit is finalized. (2) Owner is
required to hire an electricai contractor if above said property isforsale, rentorlease permit expl.es after six months of last inspection.
After reading the above statement, I hereby certiry that I am the owner of the above named property or a licensed electical contractor I
am making the electrical installation or alteration !n compliance with the electdcal iaws, N. E C., RCW Chapter 19 28, WAC Chapter 296-
458.The Cjty ol PortAngeles lvlunicipal Code, and Util ity Speciflcatiq 1 4.05.050 regarding Electrical Permit Applications.
nt Name natu Owner I Electrical Contractor / Administrator)D
en
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4211]
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