HomeMy WebLinkAbout1704 W 13th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RXSDNTL SINGLE FAIIILY
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REPORT STATE SAI.ES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Applicatio.l pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appf icaEion type descrapt.ion
Su.bdivision Name
Property Use
Property zoning
ApplicaEi.on vafuation
19- 00000318 Dare 3/06/L9
252172
1?04 W 13T',Ir ST
05 - 3 0 -00- 0 -4 - 0300 - 0000-
ETECTRICAII ONLY
Applicatsion desc
DHP
Owner Contsractor
HOPKINS PAUL J
1415 W 11TH ST
PORT ANGELES
EXTRA MIIJE TECH & ELECT-, ILC
418 N. RACE ST.
PORT ANGELES WA 983 62(360) 457 -5222
wA 983535510
Permit
Additional desc
Permit Fee
lssue Date
Expiration DaEe
63 .00
3/06/te
9/02/t9
00
0
oty Unit Chalge
1.00 63.0000 ECH EL-R- BRANCH CIR wo/ sER FEED
Extension
63.00
Fee summary charged Paid CrediEed Due
Permit Eee Total
Plan Check Total
Grand Total
53.00
.00
63.00
53 .00
.00
63 .00
o0
o0
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL z/#/is ,4P
COMMENTS:
PERMTI WILL EXPTRE SIX (6) MONTHS FROM LAST INSPES|ION
Signature ofowner or Eleclrical Contractor X Date:
ELECTRICAL AITER RESIDENTIAI
Plan Check Fee
Valuation
,%)
1 - 2 SINGLE-FAMILY
PERMITAPP
Public Works and Utilities Departrnent
321 E. 5th Street, Port Angeles, WA 98362
360.417.473 5 | www.cityofpa.us I electricalpermits@cityofpa-us
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Poject Address:
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Email:Name:
Mailing Address
Name:EX
Email:
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Phone:<Go -q6l-r3Ea
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Mailing Address..O. Bort 3rr8 PA q93bL
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SeMc€'/Feeder 200 Amp-
Service/Fe€&r 201-400 Amp.
ServbeJFoeder 4Ol 600 Amp
SeMc€r'Feeder a)1-t 000 Arnp.
Service/Feeder ovell0OO Afi p.
&anch ci.cuit W/ Serviat Feeder
Branch Circuit W/O Service Feeder
Esch Additional Branch CiBJit
Branc$ Clr. its 1-4
Temp. S€{vicdFee{er 200 Anp.
Temp S€{vicdFeeder 201400 Arnp-
Temp. Sen ice/FeedeFlol $00 Arnp.
Temp. Sewice/Feeder 60l -'1000 tunp
Porlal to Porlal Hourly
Signal circ,uiuLimited Energy - l&2 OU.
ManufEcluEd Home Cooneslio'l
Renewable Ebc. Enetgy: S|(\/A SysEm or le-ss
Thermostat (Note: $5 fo. eadr additional)
Fr* lAr0 Sqrarc F€ct
Eadr A{Hlioflel 5{lo sqr.lire ftef'
Eadr oldbq*f,Eg / MEd Gsr€e
Eacn Siriill{tring Pool / Hot Tub
Uoit Cha.oe
$120.00
s146.00
805.00
$282.00
$373.00
$5-00
s63.00
$s.@
s'/5.00
$33 00
si10.00
$149.00
9168.00
$96.00
$54_00
$'120.00
$102.00
956.00
$120.00
s40.00
gr4.m
3110.00
(luanlttu !qE[(Qus ity x Unit Charge)
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TOTAL i > le
Owner as defined by RCW.19-28-261: (1) Ownerwill ocqtpy the stucture for two yeats afrer this electrical permit [s findized (2) Owner is
requiGd to hile an electrical contractor it above seid property is for sale, rent or lease- Permit epir€s afler six months of lEst insaclion.
After raading the above statcrnent, I hereby cerUfy that I am the owner oftJ|e above named poPerty or a licensed electical conrador. I
am makirE the eledricalin8trllalion or alteration in compliance with the elocllical laws, N.E.C., RC1,V. Chapter 19.2E, ytlAc. Chapter 296
468, The City of PortA8gelas Municipal Code, and Utility Specifications and 14.05.050 regarding Eledrical Pemit Applicationi
S
Date Signature (E owner Contractor / Administrator)
/7
[Electrical Permit Applications may be submitied to City Hall or electricalpermits@cityoipa us or faxed to 360.417.4711]
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Single-Famity Re$dential E Duplex /ARU Building Square footage:
-
ELECTRTCAL
201 1
Print Name