HomeMy WebLinkAbout1520 W 5th StELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-4t'.7-4735
RS7 RESDNTL SINGIE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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5\It$\
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NIIIIBER :
ApplicaEion type descriptsion
subdivision Name
Property Use
ProperEy zoning
Application valuatsion
18 - 00001955 Date 2/O6/t9
292650
1520 W 51'H ST
05-30- 00- 0- 1-2720 - 0000 -
ELECTRICA], ONI,Y
Ovrner Contractor
DAVID S AND A.}IGEI.A D JAMES
7604 SANDY POINT RI] NI
OLYIVIPIA WA 98515
Oh,NER
Permi !
Additional desc
Permit Fee
Issue Date
Expiratsion Date
EI,ECTRICAI ALTER RBSIDENTTAI.
1-4 CIR +5
100.00 Ptan Check Eee
2/05/19 valuation
8/0s/t9
00
0
Qty Unit Charge Per
5.00 5 .0000 ECH
BASE FEE
EL-ECH T1DDNT BRANCH CIRCUIT
Extension
75.00
25.00
Charged Paid Cr:edited Due
Permit Fee Tot.al
PIan Check ToEal
Grand Total
100
100
100
100
00
00
00
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESUI-TS INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:A-E
TIII
TI
Signature of owner or Electrical Contractor X Date
ELECTRICAL PERM IT APPLICATIO
Public Works and Utilities Department E
321 E.5th Street, Port Angeles, WA98362
3 60.41 7 .47 3 5 i wvrw.c ityofpa.us I electricalpermits@cityofpa.us
tltCv
Email'ut A)L Phone
License
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Project Address t52o N 5!h t
Project Description e-rS
Single-Family Residential E Duplex /ARU Building Square footage
Name:
Mailing
q
rESS 1
Name
Mailing Address
Email:
Expiration Date
Phone:
! (-a-
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40 1600 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 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201{00 Amp.
Temp Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Houdy
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 'l3OO Square Feet
Each Additioasl 500 square feet '
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
Ouantitv
w,
IqEl (Quantity x Unit Charge)
aE 93
1r';
o
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
c
$
$
$63 00
$5.00
$75.00 I
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$120,00
$40.00
$74.00
s110.00
TOTAL
/Z 8 -zc
Owner as defined by RCW19.28.261: (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 six months of last inspectjon.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed elec{rical contractor. I
am making the electrical installation or alteration in compliancewith the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of PortAngeles Municipal Code, and tions and PAMC 14.05.050 regarding Electrical Permit Applications
L
ate Print Name sig Owner I Electrical Contractor / Adminiskator)
alpermits@cityofpa. us or faxed to 360.417.47111
Z ,IX
IElectrica I Permit Applications may be submitted to City Hall or electric
1 - 2 SINGLE-FAMILY
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OWNER]NFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
I
ELECTRICAL INSPECTION
WIRING REPORT
417473,5
DITCH
ROUGH IN/COVEH
APPROVED
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- DO NOT REMOVE-
DATE:INSPECTOB
ADDBESS
NOT APPR
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