HomeMy WebLinkAbout1409 E 4th StAppfication Nunber .
Applicatlon pin number
Property Addr:ess
ASSESSOR PARCET, NUMBER :
Application type description
Subdivlsion Name . .
ProperEy Use
ProperEy Zoning
Application valuation
1.9-00000983 Date 6/26/1-9
7 0 9105
1409 E 4TI{ ST
06 30- 00- 8 - 0- 048 0 0000-
EI,ECTRICA'J ON'Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'735
RS7 RESDNTL SINGLE FA}4f],Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
Application desc
Service mast extension
Contractor
SKATES RICHAFD/NELI
1409 E 4T1{ ST
PORT AIJGELES
NORTIi PENINSUI,A EI,ECTRIC
761 FREST]WATER PAR( RD
PORT ANGELES WA 983 53
\360) 477 a'7 64
wA 98352
Permi E
Additional desc
Permlt !'ee
Issue Date
Expiration Datse
120.00
5/26/L9
t2/23/a9
ELECTRICAI- AI,TER RESIDENTfAL
o0
0
oty units charge Per1.00 120.0000 EcH EL O 2OO SRV FEEDER
Exlension
120.00
Fee summary Charged Paid Credited Due
Permits Fee Totaf
PIan Check Total
crand Total
120
120
00
00
00
00
00
o0
00
00
00
120
420
00
00
00
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE t /zo/tz #@
ROUGII.IN
FINAL t /zu lt1 #,
COMMENTS
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST INSPECTTON
Signature of owner or Electrical Contactor X Date:
Pfan Check Fee
valuation
INSPECTOR:
+tr--------..--\
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofua.us I electricalpermits@cityofpa.us
BECEIVFD
tuY t6 un
Address 1qo1 r- qProject
Project zGron
ngle-Family Residential I Duplex / ARU Building Square footage
lvlailing Address
Name
lvlailin
Email:
Email
Phone
ne
ICense
iration Date
\-C\t-
1." L1C
gAd
Item
Service/Feeder 200 Amp.
Servic€i Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Servicei Feeder 601-1000 Amp.
Service/Feeder over,I 000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 'l-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Houdy
Signal Circululimited Energy - 1&2 DU.
l\,il an ufactu red Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First '1 300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swjmming Pool / Hot Tub
Ouantitv Total(Ouantitv Char-gctrx Unit
5o.-
Unit Charoe
$'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
$ r 02.00
$56.00
$120.00
$40.00
$74.00
$1'10.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.251 : (1) Owner will occupy the structure for h/'vo 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 propedy or a licensed electrical contractor. I
am making the electrical installation or alteration in comp liance with the electrical laws , N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and 14.05.050 regardrng Ele Permit Applications.
.Ov^
Date sig nature rfl E c r / Administrator)
\?
-- 1-1. -\t7
-I 1-2 SF
1 - 2 SINGLE-FAMILY
\^:--
1lo
==st-
I--D
l,IDta
f'')l
OWNER INFORMATION
Name:
PROJECT DETAILS
Print Name
[Electrical Permit Applications may be submitted to C jty Hall or epermits@cityofpa.us or faxed to 360.417 .47111