HomeMy WebLinkAbout1607 Lower Elwha RdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
INDUSTRIATI LIGHT
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 nunber
P!operty Address
ASSESSOR PARCEL NUMBER:
Application type descripcion
subdivision Name .
Propert.y Use
Propert.y Zoning
Appl-icatsio. vafuation .
18 - oo 0014 51 Dare 9/!1/1.a
137447
160 7 I,OWER E',WTA RD
07-30-01-3-3-0460 0000
EI,ECTRICAL ONLY
Applicacion desc
Manu. home connectioll
0wner Con!ractor
IvllCIIAEL GILLESPIE
15 07 LOWER ELWHA RD
PORT AIiIGELES
(35A) 452 2501
OWNER
wA 98353
Permit
Additional desc
Permit Fee
l9sue DaEe
Expiration Date
120.00
e/a7/18
3 /16/79
ELECTRICAI AITER RESIDEIffIAL
Plan check Fee
va ltraL i on
00
0
QLy Uni! Charge Per
1.OO 12O.OOOO ECH EL-MANF HOME SERVICE & FEEDER
Extension
120.00
Charged Paid Credited
Permits Fee Total
Plan check Total
Grand Total
120
120
00
00
00
120
120
00
00
00
00
00
00
00
00
00
PERMIT WILL E)(PIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE EleltB *\PR
ROUGH.TN qhulrt .M :gD
FINAL i'1,i in dP =er
COMMENTS:
,l I
Signature ofowner or Electrical Contractor X Date:
_)
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department S'r.y
321 E.5th Slreet, Port Angeles, WA98362 EI
360.417.4735 www.cityofpa.us I electricalpermits@cityofta.us 11.1
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Prolect Address L
Pro.iect Description
Single-Family Residential I Duplex / ARU Building Square footage
OWNER INFORMATION
Name Email
Mailing Address lbo?Lnrtter Dl-,s 1",^'F-J Phone . Z=U
ELECTRICAL CONTRACTOR INFORMATION
Name License
lvlailing Address
Email:
Expiration Oate
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 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 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 6011000 Amp.
Portalto Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
lvlanufactured Home Con nection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Oubuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charqe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv Iq!a! (Quantity x Unit Charge)
$
I
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL iJrt. oo
Owner as defined by RCW 19.28.251: (1) Owner will occupy the structure 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 inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical mntractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N. E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of PortAngeles [runicipal Code, and Utility Specifi cations and PAMC 14.05.050 re garding Electrical Permit Applications
Date
+
Print Name
les,t€
S nature (! Owner I lectrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
1 - 2 SINGLE-FAMILY no
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ELECTRICAL INSPECTION
WIRING REPORT
4174736
NOT APPROVED
DITCH . .0
BOUGH IN/COVER
PROVED
P COFIRECTIONS NEEDED:
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
- OO NOT REMOVE -
DATE:
I 7 INSPECTOF
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ADDEESS