HomeMy WebLinkAbout1206 1/2 E 6th StApplicalion Number .
Appl-ication pin number
Property Address
ASSESSOR PARCEL NUT.4BER ,
Application. E,?e descriptlon
Subdi.vision Name -
ProperEy Use
Property Zoning
Application valuation .
ELECTRICAL PERMIT
ETTY OF PORT ANGELES
360-417-4735
RS7 RESDNTIJ SINGLE FAMILY
0
19 - 00000523 DaEe 4/30/19
348951
1-206 1/2 B 6'rH S1
06- 3 0- oo - o- 2- 113 0- 0000 -
EI,ECTRICAI, ON],Y
REPORTSTATESAI.ES TAX
on Wur excise tax form
tothe City of Port Angeles
(Locatlon Code0502)
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ApplicaEion desc
1-4 circuits
Contractor
GIFFORD FRANK W 5. IIEIEN I]
12 06 E 6TH ST
PORT ANGE],ES WA 983626623
SEOUII.I VATJIJEY ELECTRIC.
11 IJONE EAGIIE LANE
SEQUIM WA 98382
(360 ) 681-3330
Perftit .
AddiEional desc
Perhit Fee
Issue Dale
Expiration DaEe
EI,ECTRICAL ALTER RESIDENIIAL
1.4 CIRCUITS
75.00 P1a! Check Fee
4 / 3a/19 valuaEion
ro/2'1/re
00
0
Qty lrnit Charge Per
BASE FEE
Extension
75.00
charged Paid Credit.ed Due
Permit Fee Total
Plan Check Total
Grand Total
7s.00
.00
75.00
75.00
.00
75 .00
00
00
00
00
00
00
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1 - 2 SINGLE-FAMILY
ELEC TRlCAL PER MIT APPLIC ATION
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Proj ect Address: 1206-112 E 6th St.
Projecl Description: _
fl Single-Family Residential E Duplex / ARU Euilding Square footage:
Name. Jim Petri€Email jptileinc@gmail com
Mailing Address. '1206-'l/2 E 6th St.Phone:
Name Sequim Va lley Elestric, lnc.License:SEOUIVEgOlL3
Expiration Dale. OA/21|2O?O
phone. 36G68'1-3330
Mailing Address: 11 Lon€ Eagl€ Lans, S6quim, WA 98382
Email. ahanova33@msn.com
hem
Servic€y'Feeder 200 Amp.
Servic€r'Feeder 20'l-400 Amp.
Servic€/Feeder 401600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1 000 Amp.
Branch Circuit W Servics Feeder
Branch Cirarit WO SeMce Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. ServicdFeeder 200 Amp.
Temp. Servic€/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Servic€/Feeder 601-1000 A.np.
Porlal to Portal Hourly
Signd CircuiuLimited Ener0 - 1&2 DU.
Manutaclured Home Conneciion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note; $5 for each additional)
First 1300 Square Feet
Ea€fi Addltional 5O0 squarB feet '
Each Outbuilding / Dstadled G8rage
Eacfi Swimming Pool / Hot Tub
Ouandtv lellal (Quan ty x Unlt Charge)
TOTAL
ljnlt Charoe
$120.00
$146.00
$205.@
$262.00
$373.00
s5.00
$63.00
s5.00
s75.@
$93.00
s110.00
$149.00
$168.m
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
t/4.00
s 110.00
$
$
$
s
$
6
$
$
$
$
$
s
$
$
D
$
$
75.1
$ 21.00
Owneras defined by RCW 19.28.261; (1) Owner will occupy the struclure for two years afrer this electic€lpBrmit istinatized. (2) O rerisrequired to hire an electrical contraclor if above said property is for sale, rent or l;ase. Permit expires aftei six months of last inspection.
After reading tha above slatement, I he.eby certity that I am the owner ot the above named property or a licensed eleclric€l contractor Iam making the elec'trical installation or alteration in compliance with the electical laws, N.E.C., RCVIi ChapEr i9.2g, wAC. Chapter 296.
468. The city of PortAngeles Municjpal code, and Utility specifhations and PAMC '14.05-050 regarding Eledric€l permit Applications.
04-29-2019 ANDREA HANA
Date Print Name Signature ([Owner p Elechical Contraclor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 3 60.417.4711]
ITls.
ld
OlAfi.lER INFORMATION
360-477-8514
ELECTRiCAL'CO NTRACTOR INFORMATION
PROJECT