HomeMy WebLinkAbout1107 Highland AveApplj.ca!ion Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
ApplicaEion Eype deacription
Subdlvision Name
Property Use
Property Zoning
Application vafuation
ELECTRICALPERMIT
CITY OF PORT ANGELES
36G417-{735
RS7 RESDNTL SINGLE FAMILY
0
1.9 - 00000511 Date 4/29/L9
584386
1107 HIGHLAND AVE
06-30-14-5-9-0070-0000-
ELECTRICAL ONLY
REPORTSTATESALES TAX
on your excise tax torm
tothe City ot Pott Angeles
(Location CodeO$2)
--s\s,
AppLication desc
Generator install
Contractor
HENRY AND LINDA VAIL
1107 HIGHLAII-D A\/'E
POR? ANGELES WA 98352
GENTECH NORTHWEST LLC
27560 WOODSIDE lID NE
KINGS?ON WA 9834 6
(800 ) ss4-0778
Permits
Additsional desc
Permit Fee
Issue Date
Expiration Date
120.00
4/29/ J.e
70/26 /19
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
val-uation
00
0
qty Unit Charge Per
1.00 120. 0000 EcH EL-0-200 sRv FEEDER
Extension
120.00
Fee aummary cha!ged Paid cr:edited Due
Permit Fee Totsal
Ptan cneclc 10ta1
Grand Total
t2a
120
00
00
00
00
00
00
o0
00
00
?mM!f wtlt BIRE sD((6, Dm[qms [*md LAsr nGrmnm{
TI.{SFMTIOb{TYPE DATE R.ESI'LT$INSPECTOK
DITCII
SERVICE
ROUMI{F{aoril I t1 €'gF
ENAL q')m:l)q SF :6/
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OQ{MENTS:
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TIII
SligrlFrffe qfoworEhc{rianl OotrffiX Datu
120.00
.00
120 .00
ELr-2 sF
-l ELECTRICAL PERTU IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4 17.4735 I www.cityofpa.us I electricalpermits@cityofpa.us
RECE/YED
APR 16 AN
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Project Address:
Project Descripti
lO2
on
E Single-Family Residential n Duplex / ARU Building Square footage
Name
Mailing Address
Name:
lvlailing
Email:
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Email Uc.
Phone
License 6pr EpL
Expiration Date
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O\ANER INFORMATION
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ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200Amp.
Service/Feeder 201{00 Amp.
Service/Feeder 40'1600 Amp.
Service/Feeder 601-1000 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'l -'l 000 Amp
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Connedion
Renewable Elec Energy. sKVA System or less
Thermostat (Note: $5 for each add
lJnit 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
$54.00
$120.00
$102.00
$s6.00
Quantitv IObl (Quantity x Unit Charge)/)o."'$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
Owner as defined by RCW 19.28.261 (1)Ownerwilloccupythe structure for two years afterthis electflcalpermit 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 eleclrical 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 Ci-Taa-n ty of PortAngeles Municipal Code, and Utility Specifications and PAI\,C 14.05.050 regarding Electrical Permit Apptications
&L+'.-
Date Print Name Signature (E Owne lectrical Contractor / Administrato0
IElectrical Permit Applications may be SU mitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
(!
First 1300 Square Feet
(-
,{- t.
i&Hr
rstu
Only
I
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
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