HomeMy WebLinkAbout1227 E 5th StRS? RASDNT'] SINGTE FAMIIJY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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B,
Applica!ion Nulllber
Application pin number
Property Address
ASSESSOR PARCEI, NUMBER:
Application L]?e descr:iptsion
Subdivision Name
Property Use
Property zoning
AppllcaEion valuation
19- 00ooo 920 Date 6/t3/a9
98 a 500
L227 E 5TH ST
06- 30- 00- 0- 1- 7965 - 0000 -
ETECIRIC}I ONIY
Applicatsion desc
Microwave, porch 1j"ghE, heaEers and repairs
Owner
wyats! and Celestinna Davidson
819 W 8Eh ST
PORT ANGELES WA 98363
(350) 4 51- 528 9
O!iNER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Datse
78-00
6/a3/19
1-2/1-0/a9
ELECTRICAL ALTER R-ESIDEI,ITIAi,
Plan Check Fee
Vafuatsion
.00
0
Qtsy UniE Charge Per
3 00 5 0000 EcH
.00 120. 00 00 EcH
1 .00 53 . 0000 ECH
E],.ECH ADDNT BRANCH CIRCUfT
81,.0 - 20 O SRV EEEDER
EL R BRANCH CIR Wo/ sER FEED
Extension
15. O0
.00
63 .00
Charged Paid Cr.edited
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
Due
PIan Check ToEal
G(and f.otsa1
78_00
.00
78.00
78 .00
.00
78 .00
00
00
o0
00
00
o0
RESULTS:INSPECTION TYPE DATE:
DITCH
SERVICE wulzzltTsROUGH-IN I "d1FINAIilza'lnI
COMMENTS:
II
TII
Signature ofowner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
INSPECTOR:
ELl-2 sF
ELEC TRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles. WA 98362
360.417.4735 | www.cityofpa.us electricalpermits@cityofpa.us
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Project Address 't2.22 .t4- '*--
! Single-Family Residential I Duplex / ARU Building Square footage
O!\NER INFORMATION
Name Email:
Mailing Address 9xv,*-pnone: ZA) 4Ll €ffi
ELECTRICAL CONTRACTOR INFORMATION
Name:License
Expiration Oate:
Phone:
Mailing Address
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 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 'l-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 6011000 Amp.
Portal to Portal Hourly
Signal CircuiULimiled Energy - '1&2 DU.
Manuiactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Firsl 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charqe
$120.00
$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
$120.00
$40.00
$74.00
$110.00
Ouantitv fghl (Quantity x Unit Charge)
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$
$
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$
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$
$
$
$
$
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$
$
$
$
$
$
$
$TOTAL =+reryOwner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afier this electncal permit is finalized. (2) Owner is
required to hire an electrical contractor if above said properly is for sale, rent or lease. Permit expires after six months of last inspection
After reading the above stalement, I hereby certify that I am the owner of the above named properly or a licensed eleclrical contraclor I
am making the electrical installation or alte.ation in compliance wath the electrical laws, N.E.C., RCW Chaptell9.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Spec lcalrons and PAMC 14.05.050 regarding Electrical Permit Applications.
tunhulk wvn{2- AM<-
oat6 -
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' / Print Name /signature (E owrftp-Electrical contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
1 - 2 SINGLE-FAMILY 1'o
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Project Description: t^\(.eo Lpxv E-- ^1ou-.-A t)L pf{ ^ tE-Ef 6E-, t\ A> fl1rR*)F-1
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