HomeMy WebLinkAbout829 E 8th St (5)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
3
l..U(-
e)
Application Nulnber
Application pin number
Property Address
ASSESSOR PARCEL NI]MBER :
Applicatsion tsype description
Subdivision Name .
Property Use
Propertsy zoni g
Applicatsion valuatsion
19 - o ooooT5o Dare 5/23/19
267960
829 E 8TH ST
06- 3 0 - 00- 0-2 -24 95- 0000-
ELE TRICAL ONIY
ApplicaEion desc
Temp service
HOSP]CE OF CI.ALLAM COUN'TY
540 E 81It ST
PORT ANGEIES WA 98362
KIRSCH ELECTRIC INC
P. O. BOX 3396
SEOUIM
(360) 583 - 5819
wa 98382
Permit
Additional desc
Permit Fee
Issue Date
Expiratsion Dale
93 .00
5/23/1-9
aa/L9/a9
ELECTR]CAL TEMPOEERY SERVICE
Plan Check Fee
valuation
00
0
Qty UniE Charge Per
1.00 93 - 0000 EcH E],.TEMP SRV O.2OO SRV FDR
ExEension
93.00
Charged Paid CrediEed
Plan Check Total
Grand Total
93 .00
.00
93.00
93 .00
.00
93 .00
00
00
00
00
00
00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE s)xln &{+F
ROUGH.IN
FINAL >ln)n /"7 so
COMMENTS:
Signature of owner or Electrical Conkactor X Date:
COMMERCIAL NEIGIIBORHOOD
0
Due
'l -2srN GLE-FAMILY _o
o
3ELECTRICAL P ERM TAPP CATION fra
Pubiic \\brl<s arrd Utilitles Deparrment tlAy
3l i E. 5rh Srreer. porr Anlelcs. \\..A 9Si62
360.+ I 7..t735 | rtrvrr.gilvsl-p21.6s j electricaloerrnirs?cit1,ofpa.us
CE/YFD
Itw
ProjectAddress:qF B+ i,. {_r
f
t*tl
$-
Proiecl Description
Singb-Famjly Residential Duplex /ARU Building Square footage
Name:
Mailing Address
Name:
[railin
Email:
Item
Service/Feeder 2OO Amo
Service/Feeder 20j.4Oo Aft p.
ServicerFee.ier 401-6OO AmF
Ser"v ice/Feeder @1-1OOO.q,rlp.
Servicer'Feeder over 1 OOOemp
Branch Circuit w/ Service Feeder
Branch CircuitWoservlce Feeder
Each Additionai Sranctr Circuit
Branch CirqJrts i1 -4
Temp. Service,trbeder 2OO Amp..
Temo. S€rvicdFdeder 201-4OO Amp=
Temp
Email:
Pho
License:
Date:
Phone
Ouantltv Ieta! (Quanriry x Unit Charge)
$
$
$
56330__--
- -
-..-Unit Charoe
.. $120.00
'r$J 46.00
$205 0D
$252_O0
$373.00
s5.m
$-rs,00.
$110.00
,$ \.
$__T*
q-1w
$93.00 ,
1$00 Amp.$149.00
Temp.11000 Amo.$168.O0
Portal to Portai Hourly",$96.00
Signal CircutuLimited Enigy - 1&2 DU so4.@
Manufactu red Home Connection $120.0C
Rene\,lable Elec. Energy:sKVA €ystem or tess $r02.00Thermostat (NoE: g5 for each adilitional)$56.O0
FiISl 1300 Square Feet $120.00
Eaeh Additional 5m souare ,eet s40.00
Each Outbuilding / Detached Garage s74.0c
E€ch Swimming Pool / l-lot Tub $110.00
Service/Feeder 4O
SeMcei Feedbr dO
$
$
$,'
$--
S
$,'
.$_
$-..-
!
$
s
TO?AL $
Owner as delined by RCW.19.28.261: (
required to hire an el€ctrical conba(tor
1 ) OwrEr will occupy the structure for two
if€bove said property is icr sale, rent or lease. Permit exptres affer six months of
)r'ears atter tilis elecbical permit is fnalized-
last inspBction
(2) olri/ner is
After reading the above sialement, I hereby certjry that I am the o\irner of ttre above named propefty or a licensed electrical cont?ctor. Iam making the elecEical installation or a lteration an compliance with the electrical lawq N.E.C-, RCW Chapter 19.28, WAC_Chapter2gGThe City of Pon An Munidpal Code, and Utiiity Specifi cations and 14.05.050 rega Permit Applicatiofls.
Date Print Name Signature (n Owner I 1 ontractor / Adm inistrator)
lElectrical Pennit Applications may be submitted to Cig Ha[ or etectricalpermits@citycfpa. us or faxed to 360.411.4i1j?
td 698Ge8909e cul3ef= qcsr) etz: L0 6L lZ AeV\l
$--
$--
.$--
6--,
s.'