HomeMy WebLinkAbout408 E 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'7-4735
COMMERCIAL OEFICE
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Application pin number
Property Address
ASSESSOR PARCEI, NUMBER:
Appfication tlt)e description
Subdivision Name
Property Use
Property Zoning
ApplicaEion vafuation
19-00001610 DaEe 1-o /1-6/1-9
523880
408 E 5TH S?
05 - 30 -00 - 0 - 1- 9835 - 0000 -
ETECTRICAI ONIJY
AppficaLion desc
Remodel
Owner Contsractor
MEGAN C MERRIWETI]ER
5810 FLEMING ST #70
EITRETT
ALASKAN ELECTRIC
237 ROBERSON RD
PORT ANGELES
(360) s82-3874
wA 98203 wA 983 52
Permit
Additional
Issue Date
Expiratioo
ELECTRICAL AITER RESIDENTIAI
1 4 CTRCUITS
140.00 Plan Check Fee
10/16/19 valuaLion
4/\3/20
Oty Unit Charge Per
13.00 5.0000 ECH
.00
0
BASE EEE
EI,-ECH A.DDNT BRANCH CIRCUIT
Extension
75_00
55.00
desc
Datse
Eee summary Charged Paid CrediEed Due
Penmlt Fee Total
Plan Check Total
Grand Tolal
140. O0
.00
140.00
00
o0
o0
00
00
00
PERMIT WILL E)(PIRE SD( (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESUI,TS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN olzilfi ffi wf
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COMMENTS:
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Signature of owner or Electrical Contractor X Date:
140.00
.00
140.00
FINAL
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ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | wrNw.cityofpa.us I electricalpermits@cityofua.us
Project Address 6 7a
Project Description /AC,6C7/A cA1 R3.v7aD6L' jf EcJt- / z.4JrpDEY .Rk7r/R@r4 . ,l/a7 H2O
Single-Family Residential n Duplex / ARU Building Square footage ?a
Name R_
Mailing Address;Phone
Name License:
Mailing Address
Email:
Expiration Date o
Phone
FFc^, -0rr,i'iii
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OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -'l 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 60'1 -1 000 Arnp.
Portalto Portal Houriy
Signal CircuULrmited Energy -'1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System o. 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
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$'120.00
$102 00
$s6.00
$120.00
$40.00
$74.00
$110.00
Ouantitv fglEl (Quantity x Unit Charge)
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ITOTAL
Owner as defined by RCW 19.28.261: ('1) Owner will occupy the struclure for two years after this eleclrical permit is finalized. (2) Owner is
required to hire an eleclrical contractor if above said property is for sale, rent or lease. Permit expares afrer six months oi last inspection.
After reading the above statement, I hereby ceftry that I am the owner of the above named property or a licensgd electric€l contracior I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specjfications and PAMC 14.05.050 ng Electrical Permit Applications.
Date Print Name Sig ature (E Owner Electrical Contractor /Administrato0n
[Electrical Permit Applicataons may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.4'17.47'l 1]
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