HomeMy WebLinkAbout221 W 15th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'.7 -4735
RS? RESDI\IIIJ SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatsion Numter
Applicatlon pin nurnbel
Property Address
ASSESSOR PARCEL N!}4BER:
Applicatsion ty?e descripEion
subdivislon Name
Property Use
ProperEy zoning
Application valuation
20-00000].17 Dare 2/04/2a
158298
221 W 15TH ST
0 6 - 3 0 - 0 0 - 0 - 4 - 2 18 0 0000 -
ELECTRICAL ONLY
Application desc
llot tui
Contraclor
NANCY L MCCA-RTY
221 W 15111 ST
PORT ANGELES
\3501 9t2-2440
JOHNSON ELECTRIC COMPANY
163 MCCARVER RD
PORT ANCEI,ES WA 98362
t36A) 124- 4327
!'lA 983 52
Permit
Additional desc
Permitr Fee
Igsue Date
Expiration DaEe
110.00
2/04/20
8/02/20
ETECTRICAI ALTER RESIDEMTIAL
PIan check Eee
ValuaLion
oty Unit Char:ge1.00 110.0000 ECH EL- SWIMMING POOL/HOT TUB
00
0
Extension
110 . O0
Charged Paid Credited Due
PermiL !'ee Total
PIan Check Total
Grand Total
110 .00
.00
110.00
110
110
00
00
00
00
00
00
.00
.00
.00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ilrl.o ?tY :FF
FINAI z)da #w
COMMENTS:
IIII
T
DateSignature ofowner or Electrical Contractor X
Er 1-2 SFLL 1 - 2 SINGLE-FAMILY
ELEC TRICAL PERMITAPP ICATION
Public Works and Utilities Department
321 E. sth Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
a
Email
Phone
License
no
=:lt
No
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Project Address LI f t't
Project Description
,z Single-Family Residential ! Duplex / ARU Building Square footage
Name
Mailing Address 2L\ '.1. 15ta <.I-2l
Name:
lvlailing
Emaill
Address
VlI".
Lt
Yr
Exoiration 0ate
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O\^NER INFORMATION
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ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
It6m
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 S00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuat
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'l€00 Amp.
Temp. Service/Feeder 601-'1 000 Amp.
Portal to Portal Hourly
Srgnal Circuivlimited Energy - 'l&2 DU.
Manufactured Home Conneciion
Renewable Elec. Energy: sKVA Syslem or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square 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
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$&.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv
I
TOTAL
Iqtal (Quantity x Unit Charge)
llo,oo
\ro.oL)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Owner as defined by RCW 19.28.261r (1) Owner will occupy the struclure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after slx months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named p or a licensed electrical contracto. I
am making the eleclrical installation or alteration in compliance wath the electrical laws, N , RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port cations and 050 regardang Electrical PermitApplications.
P Name Signature (el Electrical Contractor / Administrato0
[Electrical Permit Applications may be submitted to Clty Hall or electricalpermits@cityofpa.us or faxed lo 360.417 .4711)
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