HomeMy WebLinkAbout1530 E 3rd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
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NCApplication Nurober
Application pin nun&er
Property Address
ASSESSOR PATCEI, NUMBER:
ApplicaEion Eype descripLion
Subdivision Name
ProperEy Usep!operEy zoni4g
applicatlon vafuation
18-00001020 DaEe 1/LO/t8
566024
153 O E 3RD ST
06 30 00 5 9 0300 0000-
ELECTRICAL ONLY
0
Application desc
cas range circuit and ductless heat pump
NATE A AND SAiAH I, TEOMPSON
PO BOX 1245
PORT ANGEIJES WA 983 52
(350) 775 1555
OWNER
Permit
Additional desc
Permit. Fee
Issue Date
ExpiraEion Date
58. 00
7/10/1-8
t/a6/19
ELECTRICAL ALTER RESIDENTIAL
PIan Check Fee
Valuation
00
0
oEy Unit Charge Per1.00 5.0000 ECr{
1.00 53 .0000 EcE
EL'ECE ADDNT BRANCH CIRCU]T
EL.R. BB.ANCH CIR WO/ SER EEED
Extension
5.00
6l-00
Pee summary Charged Paid Credited Due
Plan Check ToLal
Grand ToLal
68.00
.00
68.00
68 .00
.00
68-00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN t ln ltt ry \*>
FINAL
COMMENTS:AK
PERMIT WILL E)(PIRE SIx (6) MONTHS FROM I.AST INSPECTTON
Signature of owner or Electrical Conhactor X Date:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ELl-2 sF
ELECTRICAL P ER MIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, \!A 98362
360.417.47 35 I www.cityofpa.us, electricalpermits@cityotpa.us
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Project Descriptio n: kDP lccnio.l
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S. Single-Family Residential E Duplex / ARU Building Square footage
O\NNER INFORMATION
Name I 5.^J
f 3ao en ef
Email.nft,THol4Ptut)Ltv€, ool
Nilailing 466ps55. lr 1-phone: 360 77s / 55E
Name rh,qc O vNeB License
lvlailing Address
Email:
Expiration Date
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'l 600 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 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuruLrmited Energy - 1&2 OlJ.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each addilional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached carage
Each Swimming Pool / Hot Tub
unlt Charoe
$120.00
s146.00
$205.00
$262.00
$373.00
$s.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 <rl(Quantity x Unit Cha.ge)
I
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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TOTAL
Owner as defined by RCW19.28.261: (1) Owner will occupy the structure fortwo years after this electrical permat 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 certiiy 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 19.28, WAC. Chapter 296-
468, The City of PortAngeles MunicipalCode, and Utility S and 14.05.050 regarding Electrical Permit Applications.
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Print Name Signatu Owner ! Electrical Contractor / Administrato0
IElectrical Permit Applications may be submitted to City Hall or electricalpermrts@cityofpa us or faxed to 360.417 .4711)
1 - 2 SINGLE-FAMILY
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ELECTRICAL CONTRACTOR I NFORMATION
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Date