HomeMy WebLinkAbout1428 Rook DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Number
Application prn number
Propertsy Address
ASSESSOR PARCEL NI]MBER:
Application t}pe description
subdivision Name
Property Use
Property zoning
ApplicaEion valuation
20 00ooo1o9 Dare t/27/2O
'7 6910 4
1428 ROOK DR
a6 30 t4'l-2-023A-A0AA
EI,ECTRICAI ONLY
ELECTRICAL TEMPOBARY SERVICE
REPORT STATE SALES IAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)RESfDENTA]- SF 9OOO
RS9 RESDNT], SINGLE FAIyIILY
0
Application desc
Temp selvice
GREEN CROW INVESTI,IENTS CO. L],C
P.O. BOX 2439
PORT ANGELES WA 983 52
UPPER LEIT ELECTRIC LLC
13 05 ROOK DR
PORT ANGELES WA 98362
136A) 46a 7120
Permits
Addationaf desc
Permit Eee
Issue Datse
Expiration Date
93 .00
!/27 /2a'1/25/2a
P1ar1 Check Fee
valua!ion
00
0
QEy Units Charge Per
1.OO 93.OOOO ECH E!-TEMP SRV O-2OO SRV EDR
Extension
93.00
Charged Pald Credited Due
Permit Fee TotaL
Plan check Total
Grand Total
93.00
' 00
93.00
00
00
00
PERMM WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE z-ltl zn R -@x
ROUGH.IN
FINAL zJ^ lan 4R ad
COMMENTS:
Signature of owner or Electrical Contractor X Date
93 .00
.00
93.00
.00
.00
.00
RESULTS:
ELl-2 sF
E LECTRICAL PERMITAP PLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us electricalpermits@cityofpa.us
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Project Address
Project Description
O\ /tlER INFORMATION
Name
iilailing Address
Name
l\4ailing Address
Email:
Email
Phone
License
ELECTRICAL CONTRACTOR I NFORMATION
Expiration Date
Phone:
PROJECT DETAILS
LJnit 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
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv fOAl(Quantity x Unit Cha.ge)
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$
$
$
$
$
$
$
$
$
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$
$
$
$
$
$
$
$
$
$
$
$
ETOTAL zl <.a e
Owneras defined by RCW19.28.261 ('l ) Owner will occupy the structure for two yea.s afier 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 afrer six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter i9.28, WAC. Chapter296-
468, The of Port Angeles Municipal Code. and Utilrty ns and PAMC 14.05.050 regarding Electrical permit Applications
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Print Name Signature (E Owner E Electrical Contractor i Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
1 - 2 SINGLE-FAMILY
! Single-Family Residential n Duplex /ARU Building Square footage: _
Item
Servica/Feeder 200 tunp.
Service/Feeder 20'1 -400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 60'1 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Servic€ Feeder
Each Additional Branch Circuit
Branch Circuits '1 -4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp Service/Feeder 601- 1000 Amp
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feel"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
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