HomeMy WebLinkAbout428 E 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
160-4t7-4735
18-00000481 Date 4/A2/18
745001
428 E 6TH ST
06 30 00 0 2 0310 0000
EI,ECTRICAIJ ONLY
RESIDENTIAI, HIGH DENS]TY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
c0
.t.rs
Applicalion Nu.nber
Application pin num-lrer
Proper!y Addres s
ASSESSOR PARCEL NUMBER:
Application tlpe description
subdivision Name
Pnoperty Use
Properiy zoning
Applicat.ion valuation
Applicat.ion desc
Repair wiring in kiEchen
Contractor
GI,ADYS F WALIIACE
428 E 5TH ST
PORT ANGELES
OWNER
wA 983 625205
PermiL
Additional desc
PermlE !'ee
Is sue Date
Explra!ion Date
63 .00
4/02/L8
9/29/1A
ELECTRlCAI] AI]TER RES]DENTIAI]
Plan Check Fee
valuat 10n
00
0
Qty UDit Charge Per
1.OO 63.0000 ECI{ E],-R- BRANCTT CIR Wo/ SER FEED
Extension
53.00
Fee summary Charged Pa id Credited Due
Perml t f'ee lotal
Plan Check Total
Grand Total
63.00
.00
63.00
63.00
.00
53.00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:INSPECTOR:
DITCH
SERVICE
ROUCH-IN
FINAL
COMMENTS La
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I-A,ST INSPECTION
Signahre of owner or Electical Contractor X
RESULTS:
Date:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
3 60.4 1 7 .47 3 5 www.cityofpa.us i e lectricalpermits@cityofpa.us
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t- (i)L7E3Project Address
Project Description
Mailing Address
L:'
-4L- -4/r1)L24 .Le
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p'6ingte-famity Residential fl Duplex / ARU Building Square footage oo
Email (-
pnone. 5/,c 7 ? 7' /496
Name License
Mailing Address
Email:
Expiration Date
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401600 Amp.
Servic€/Feeder 601 -1 000 Amp.
Servlce/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 201-400 Amp.
Temp. Service/Feeder 401-600 Amp
Temp. Service/Feeder 601-1000 Amp.
Portai to Portal Hourly
Signal CircuiVLimlted Energy -'1&2 DU.
Man!factured Home Conneclion
Renewable Elec. Energy sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square tuet"
Each Outbuilding I Deiached Garage
Each Swimming Pool / Hol Tub
Quantitv Total aQuantitv x lJnit Charoel
t.,zttd
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$'102.00
$56.00
s120.00
$40.00
$74.00
$110.00
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afrer 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 exprres 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 the electrical laws, N. E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050-4- t Al^l,r.)ellac€
regalding,Electrical Permit Applications
.( torl/ &/-9-1 (
Date Print Name Signature (Ef0wn E Electrical Contractor/Administrator)
[Electrical Permit Applications may be submifted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 .47111
1 - 2 SINGLE-FAMILY
Name:
ELECTRICAL CONIRACTOR I NFORMATTON
PROJECT DETAILS
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