HomeMy WebLinkAbout382 Lower Elwha RdELECTRICAL PERMIT
CITY OF PORT ANGELES
360417473s
Application Nunber
Applicat.ion pin nunrber
Property Address
ASSESSOR PARCET NI]MBER:
Application t),?e descliption
Subdivision Name
Property Use
ProperEy zoning
Application valuation
19-00000596 Date 4/24/L9
776044
382 LOWER ELM{A RD
07- 3 0 - 01- 3 - 3 - 0600- 0000-
ELECTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax fqm
to the City of Potl Angeles
(Location Code 0502)
0
Application desc
Temp service
Owner ContracEor
HAMM, SABRINA
382 LOWER EIJWHA RD
PORT ANGEIJES
OIINER
wA 98363
Permit . .
Additional desc
Permit Fee
lssue Date
Expiration Date
93.00
4/24/19
t0 /27/ le
EI,ECTRICA], TEMPORARY SERVICE
Plan Check Fee
Valuation
00
0
Qtsy Uni-t Charge Per1.OO 93.OOOO ECH EL-TEMP SRV O.2OO SRV FDR
Extension
93 .00
Fee gummary Charged Paid Credited Due
Permit Fee Total
Plan Check ]'ota i
Grand Totsa1
93.00
,00
93.00
93 .00
.00
93.00
00
00
00
.00
.00
.00
PGltflT WIrr- EXPIRE SrX (O r O,tItS FR(X{ I ST INSPECTION
INSPECIION TYPE DATE:RESI'LTS:INSPECTOK
DMCH
SERVICE q.l,<u )n tr "0F
ROUGH.IN
FINAL 4la-/,e M d
@{IdMENTS:
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Signtlc of oYE tr El€ctrical Cmnactor X Dae:
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1-2Sr NGLE-FAMILY
EL ECTRICAL PERMI T APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA98362
360.417.4735 i www.cityofpa.us I electricalpermits@cityofta.us
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Project Description (,/
F Single-Family Residential E Duplex / ARU Building Square footage
Name:Email
lvlailing Address Phone
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name
Mailing Address
Email:
License
Expiration Date
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 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 6011000 Amp.
Portal to Portal Hourly
Signal Circuiulamited Energy - l&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached carage
Each Swimming Pool / Hot Tub
Ouantitv l_Otrl (Ouantity x Unit Charge)
94 cu
Unit Charoe
$120.00
$146,00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$'r10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
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owner as defined by RCW 19.28.261: (1) Owner wll occupy the struciure for two years after this electrical permit is finalized. (2) owner is
required to hire an eleclrical 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 contraclor. I
am making the electrical installation or alteration in
46B, The City of PortAngeles Municipal Code, and
ectrical laws, N.E.C., RCW Chapter 19 28, WAC. Chapter296-
Ll-a141 <o*,^)hm /\
14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (E-Owner n Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47 1|1|
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