HomeMy WebLinkAbout1414 Butler StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-4t7-4735
18 000 01154 Dale 9/04/rB
30"7 254
1414 BUTLER ST
05-30-00 1 0 8205 - 0000 -
ELECTRICAL ONI,Y
RESIDENTIAIT }.lEDIUI'! DENSTY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
tt
-!
\u,
Application Number .
Application pin number
Property Address
ASSESSOR PARCEL NT'MBER:
ApplicaEion tytr e de€cripEion
subdivisior Name
Property Use
Property zoning
Application valuation,
Application desc
Service and circui.ts
Owner Contsractor
DANIEL HALL A.iID NICOI,E BRAUN
141.4 8utler Stree!
PORT ANGELES WA 983 62
O]4NER
PermiE
AddiEiooal desc
PermiE Fee ,
fssue Date
Expiration Date
170.00
9/04/\8
3/03/79
Plan Check Fee
Valua t i on
EI,ECTRICAL ALTER RESIDENTIA],
00
0
oty Unit Charge Per
10.0 0 5.0000 EcH1.00 120.0000 EcE
EL- BRANCH CIRCUIT I{/FEEDER
EL.O 2OO SRV FEEDER
Extens ion
50. 00
120.00
Charged Credited Due
Permit Fee Total
Plan Check Total
Grand Total
1r0
170
00
o0
00
110
l?0
00
00
00
.00
.00
- 00
00
00
00
INSPECTION Tl?E DATE RESULTS:INSPECTOR:
DITCH
SERVICE $ld l0 &=f?k
ROUGH.IN
FINAL
COMMENTS:'6*-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERTU IT APPLICATI O
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 j www.cityofpa.us i electricalpermits@cityofpa.us
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ELECIRICAI.
TNSPECIIOi]S
Project Address:i"llq S ts^lLr >l..
Project Description ^L +l-{C,
E Single-Family Residential n Duplex / ARU Building Square footage
Name: f)an,.TE L- A-AL(-tmarl: J'
Mailing Address 6$ a 3*+ur +Phone: ec'3 1l? 5 c','1
ELECTRICAL CONTRACTOR INFORMATION
Name License
Nilailing Address
Email:
Expiration Date
Phone:
PROJECT DETAILS
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 1-4
Temp. Service/Fe€der 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp. Servic€/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Srgnal Circuiulimited Energy - 1&2 DL.
Manufactured Home Connec{ion
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feel"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
9146.00
$20s.00
$262.00
$s73.00
$s.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$'120.00
$40.00
$74.00
$110.00
I
n
Ouantitv Total (Qu antity x Ulit Charge)
l2-C)"'-
50=
-tz,e-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
!TOTAL
Owner as defined by RCW 19.28.261: (1 ) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owher is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after s,x 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'19.28, WAC Chapter296-
468 , The ity of Port Angeles Municipal Code, and Utility Specifications and 1 4.05.050 regarding Electrical Permit Applications.
4 i(
Date Print Name Signature (Owner ! Electrical Contractor i Administrato0
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47'l'l]
OWNER INFORMATION )l ALt-r