HomeMy WebLinkAbout820 1/2 E 1st StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin numltrer
Property Address
ASSESSOR PARCET NUMBER:
Application, ty?e description
Subdivision Name
Property Use
ProperEy Zoning
Application valuation
19 - 00000597 Date 4/2s/19
857883
820 1/2 E 1ST ST
06 - 3 0 - 00 - 5 - 1- 241s- 0000 -
ELECTRICAL ONLY
REPORI STATESALES TP(
on your exclse tax form
to the City of Fort Angeles
(Locatlon Code 0il2)
t NiolorrN
Application desc
Meler repair
Contsractor
HOLM MARK TODD
1203 criArc sr
PORT ANGEIES wA 943622722
SIMPSON ELECTRTC
243 03 6 W HWY 101
PORT ANGELI]S
(350) 457 -92'1O
WA 98353
Permits
Additional desc
vermlE lee
Issue Datse
Expiratsion Date
120. O0
4/2E/L9
L0 /22 / 1-9
o0
0
;";;.; ;";; ;;.;;;.; ;;
Qty UnlE Charge Per .
1.00 120.0000 EcH EL-0-200 sRv EEEDER
Extension
120.00
Fee summary
Permit Eee Total
Plan Check ToLal
Grand Total
120
120
00
00
00
L20
124
00
00
o0
00
00
00
00
00
00
PERMm WILL HprRE SD( (5) MONT|$ FnOM IAST TNSPECTTON
INSPECTIONTYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE qlzc ltq 4?w. ROUGH.IN
FINAL q lzqls N BT
COMMENTST
tIIIII
ELEC?RICAL AITER RESIDEI{TIAL
0
g.Lan cnecl< t'ee
Valuation
Sigmture ofow!€r or Elcgkical Contractor X_ Dete:
ELECTRI CA L PERIUITAPPLICATION
Public Wurks and Lltilit jes l)epalhtli
llll [. 5tlr StleeL, Port Anqc]es- \\iA 98-1(,7
l()0.417.47.]-s u rvu,.c itvofpn.lis e lect;'ic a lpcrrnitstil,'cit1.'o fira. u s
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Project 4661ss5 820 1/2 E First St Port Angeles, WA 98362
Pro.ject Descripti on. Repair lt4eter
E Single-Family Residential D Duptex / ARU Building Square footage
Name THE ANSWER FOR YOUTH Email
Mailing Address: P.O. Box 633 Port Angeles, WA 98362 Phone 360-670-4363
Simpson Electric LLC License. srMPSELgT3RQ
Exp iration Date: 1211112019
Phens 360-457-9270
Quantity Charge)
s 120.00
Mailing Address P.O.Box 1086
Email dlsimpson5l@gmail.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 - 1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 60 1 -1 000 Amp.
Ponal ro Portal Hourly
Srgnal Circurvlimited Energy - 1&2 DU.
l\/lanufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each add
Ouantitv
$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
Owner as defined by RCW 19.28.261: ('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 contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter i 9.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectricat permit Apptications.
412412019 Andrew P Simpson
TOTAL
Date Print Name Signature (E Owner p Electrical Con ctor /Administrator)
[Eleckical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or fa xed to 360.417.471j]
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