HomeMy WebLinkAbout1316 E 1st StApplicalj.on Nunber -
Application pin nuiber
Properiy Address
ASSESSOR PARCEI, NUMBER :
ApplicaEion. t)'pe description
strbdivision Name
Ploperty use
PropelEy zoning
Application valuaEion
ELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-417-473s
COMT,'ERCIAL ARTERIAI,
0
19 - 000003 90 Date 3/20/)-9
911360
1316 E t"ST ST
06- 30 - o0 - 1- 0 - 1015- 0000-
EI,ECTRICAL ONLY
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
.-\
\\,\t.--oc,
ApplicaEion desc(itchen , bath remodel and service
Owner ConEractor
FREEMAN JAN L
1325 PINE MEDOW DR
AIBANY
EI,ECTRIC SERVICE
503 RIIODES RD
PORT ANGEI,ES
1360l 452-6424
oR 9?32L wa 99362
Permi. t.
Addit.ional desc
PermiE Fee
Issue Datse .
ExpiraEion Dale
r.55.00
3 /20/t9
9 /76 /19
EI]ECTRICAII AI'TER RESIDENTIAL
00
0
Qty Unit. Charge Per
7.00 5.0000 ECH EL-BRANCS CIRCUrT W/FEEDER
1.00 120.0000 ECH Er.-0-200 sRV F'EEDER
ExEension
3s.00
120. O0
charged Paid Credited Due
Permit Fee Total
Plan check Total
Grand Totsal
155 - 0o
.00
1s5,00
155.00
.00
155.00
.00
.00
.00
.00
.00
.00
li
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVTCE q lzz I rf t lzo/n &V2
ROUGH.IN +)e['fi J?-.ffi
FINAL Z'/c'/, r flP *a
COMMENTS:
Signature of owrer or Electrical Contractor X Date:
vafuation
I
'&F,^-,
1-2SINGLE-FAMILY O,O;,,,i,,f,:. tu t!
ELECTRICAL PERM !T APPLICATION
-0I
( r.l
-!
C)
ProjectAddress:
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417 -4735 | www.cityofpa.us j electricalpermits@cityofpa.us
lal6 E f.'t
Single-Family Residential E Duplex IARU Building Square botage
Name
Mailing Address r3tG Y )st
Name:
Mailing
Email:
Address
License: E L EC f Sl )? 2Sr2
Expiration Date la-u -)9
Pnone: a/-u-'1b6. ->587
!lg3JE!a IqE! (qrantity x Unit Charge)
l2c,c1
3{C
Email:
Phone:
Y
Item
S€rvice/Feeder 200 Amp.
ServicE/Feeder 201 -400 Amp.
Service/Feeder 401 600 Amp.
ServicdFeeder 601 -1 @0 Amp.
Service/Feeder over 1 000 Amp.
Branch Circuit W Service Feeder
Bmndr Circuit WO Service Feeder
Each Additional Brancfi Circuit
Brandr Cirorits 'i-4
Temp. Service/Feeder 200 Amp.
Temp. Servic€/Feeder 201-400 Arnp-
Temp. Service/Feeder 401€00 Amp.
Temp- Service/Feeder 60'l J 000 Amp.
Portal to Portal Hourly
Signal Ciroriulimited Energy - 1&2 DU.
Manuhc{ured Home Connedion
Renewable Ebc- Energy: sK/A System or less
Thermostat (Note: $5 irr eadr additional)
Unit Charqe
$'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
s
$
$
!
o
U
$
$
$
$
b
$
l
$
$
!
t
7
TOTAL
Owner as defined by RCW.19-28.261: (1) Owner will ooanpy the strudure for two years after this eledrioal permit is finalized. (2) Owner is
required to hire an electuical conlrador if above said prcperty is for sale, rent or lease- Permit expires afrer six months of last inspeclion.
Afrer reading the above s nement I heeby certiry that I am the owner ofthe above named poperty or a licensed eledrical contraclor I
am making the elecficalinstallation or alteration in compliance with the elec-fical laws, N-E-C., RCW Chapter 19.26, WAC. Chapbr2gG
468, The City of Port Angeles Municipal Code, and Utility Specifcations nd PAMC 14.05.050 regarding Elecfical Permit ApplicaUons.
t6
Date Print Name lilg nature (E Owner fl Eleclrical Contractor / Administrator)
OWNER INFORMATION
E
PROJECT DETAILS
[Electrical PermitApplications may be submitted to City Hall or epermits@cityofra.us or faxed to tr61.117.47111
proiecroescriprion, kr)rch-fi-bqlh ftAndzl Pa"-zl r-hqng+
i
ELECTRICAL CONTRACTOR INFORMATION