HomeMy WebLinkAbout1331 E Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
RS7 RESDNTL SINGLE FAMIIY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nunber
Application pin number
Property Address
ASSESSOR PARCEL NIJ'I'IBER:
Appf ication t)pe description
Subdivision Name
Property zoning
Application valuat.ion
20-00000156 Date t/3t/2a
2 64444
1]]1 E LAURIDSEN BLVD
06 l0 11 5 5 0230 0000-
ELECTRICAL ONLY
Application desc
Furnace and heat pump
r.ARL H SCHROETER TTE
1331 E I,AT]RIDSEN BLIID
PORT ANGELES WA 9A362661?
BI,ACK DIAMOND ELECTRfCAL CONIR
502 BI.ACK DIA]VIOND RD
PORT ANCE],ES WA 98] 63
(360) 555 - 103 5
Permit
AddiEionai desc
Permi! Fee
fssue Date
Expiration DaLe
53 .00
L/3r/2a
1 /2e /20
ELECTRICAL ALTER RESIDENTIAL
PLan Check Fee
valuation
00
0
Qry
1.00
Units Charge Per
63.OOOO ECII EL.R. BRANCH ClR WO/ SER FEED 63.00
Charged Paid Credited Due
Permit Fee Total
Plan Check ToLal
Grand Total
6l :00
.00
63.00
63 .00
.00
53 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE SD( (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:NSPECTOR:
DITCH
SERVICE
ROUGH-IN cln/n .M \dP
FINAI l)./n dP w
COMMENTS:
Signa ture of o\.raer or Electrical Contractor X Date:
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angetes, WA 98362
3 60.4 | 7 .47 3 5 | vr"wrv.cityofpa.us electricalpermits@cityofpa.us
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Project Address l3)l L L*ua-(oJtLr
ject Description:F,trz ?+r, lLa-a>,--.-
Single-Family Residential E Duplex / ARU Building Square footage
Name Email
l\ilailing Address Phone: {t2 -I
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address
Email:
License
DateExpira
Phone Lo-Lt-5
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
$e.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv fgllal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
I
$
$
$
$
$
$
$
$
$
$
$-frTOTAL
Owner as defined by RCW 19.28.26'1 : (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is fo. sale, rent or lease. Permit expires after 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 electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
46B, The City of Port An Munl al Code, and Util and PAMC 14.05.050 regarding Electrical Permit Applications
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Date rint Name ature Owner ! Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted ty Hall or elecvicalpermits@cityofpa. us or faxed to 360.417 .4711)
,L1-2 1 - 2 SINGLE-FAMILY
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Name:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 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 Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'l-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiUlimited Energy -'l&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 feet"
Each Outbuilding / Detached carage
Each Swimming Pool/ Hot Tub