HomeMy WebLinkAbout131 W 14th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
18 00001174 Date "1/21/t8
73 8890
111 W 14TH ST
06-30-00-0 3-8770 0000-
E],ECTRICAL ONIJY
RS? RESDNTIJ SINGI'E FAII]IJY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
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ApplicaLion Nuober
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoninq
Application valuation
Applica!ion desc
Heal pump
O\rner
GRETCI]EN A AND TODD M WEEKS
131 W 14TH ST
PORT ANGEI,ES WA 98352
OWNER
Permlts
Additsional desc
PermlE !ee
Issue DaEe -
Expiration Date
63.00
1/21/a8
t/23/19
ELECTRICAL ALTER RESfDENTTAL
Plan Check Fee
VafuaEion
00
0
oty ul1its charge Per
1.00 63.0000 ECH EL R BRANCIT crR wo/ sER EEED
Extension
63.00
Charged Credited Due
Permit Fee Total
Plan Check ToLal
Grand Totral
63 .00
.00
53.00
63.00
.00
63.00
00
00
00
.00
.00
.00
INSPECTION T\?E DATE:RESULTS INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN
FINAL
COMMENTS a-v
PERMIT WILL E)(PIRE Slx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, \lA 98362
360.4 17.4735 I www.cityofpa.us I electricalpermits@cityofpa.us
Email
Phone
License
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Project Address w Tll
Project Description U o ol
Single-Family Residential ! Duplex / ARU Building Square footage
Name
[/ailing Address
Name
Mailing Address
Email:
t z-z
Expiration Date
Phone:
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
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 WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201{00 Amp.
Temp Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601 -'1 000 Amp.
Portal to Portal Hourly
Sqnal Crrcuiulimited Energy - 1&2 DU
Manufactured Home Connectaon
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each addiional)
First 1300 Square Feet
Each Additional 500 square feet''
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
lllirctalle
$120.00
$146.00
s205.00
$262.00
s373.00
$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
Quantitv fEbl (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this eleclrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is ior sale, rent or lease. Permit expires after six months of last inspection
After reading the above statement, I hereby cefify that I am the owner of the above named property or a licensed electrical contraclor I
am making the electrical installataon or alteration in compliance with ]l E C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of Port Angeles Municapal Code, and Utility Specificatio 05.050 regarding Electrical Permit Applications.
!2 ol8 ToDbI L\
Date Print Name Owner D El ntractor / Administrator)
lElectrical Permit Applications may be submitted to Caty Hall or epermits@cityofpa.us or faxed to 360.417 .47111
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