HomeMy WebLinkAbout825 E 5th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS7 RESDMIL SINGLE FA.IV]II,Y
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REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CFI
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Application Number
ApplicaEion pin nurd)er
ProperEy Address
ASSESSOR PARCEL NUMBER:
ApplicaEion t!?e description
Subdivision Name
Propertsy Use
Property zoning
Appficatsion valuatsion
18 - 00001906 Date r/o3/19
972100
a25 E 5Tt{ S'r
06 - 30 -00 -0 - 1- ?590 - 0000 -
ELECTRICAL ON],Y
Appfication desc
Drshwasher
Contraclor
CRALT PROPERTIES LLC
17009 N HIGEIAND LN
SPOKANE WA 99005
ELECTRIC AMERICA
PO BOX 3523
SEOUfM
i350) 912-s5s0
wA 98382
Permit
Additional desc
Permit Fee
Issue Date
Expiraiion Dat.e
ELECTRICAI, ALTER RES]DENTIAI
1-4 CIRCUITS
75.00 Pfan Check Fee
L/a1/ t9 ValuaEron
'7 /02/19
BASE FEE
.00
0
Ex!ension
75.00
QEy uniE Charge Per
Fee summary Charged Paid CrediEed Due
PermaE !'ee tota l
PIan Check Total
Grand ToEal
75 .00
.00
75. 00
75 .00
.00
75 .00
.00
.oo
. o0
.00
. oo
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:t1-r
PERMTT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
Signahrre of owner or Electrical Conhactor X Date
1 - 2 SINGLE-FAMILY MECEIUED
ELECTRICAL PERIVI IT APPLICATION
Public Works and Utilities l)epartment ttt[IRl0At
321 E. 5th Street, Port Angeles, WA 98362 INSPECTI0NS
360.417.47 35 | www.cityolpa.us ] electricalpcrmits@cityofpa.us
N
-P
s..Project Address Soecialitv Services ll
Project Oescription:Wire dishwa sher
E Single-Family Residential E Duplex/ARU Buitding Square footage
Name Email:
Name: Electric America
lvlailing Address P.O. Box 3 523 Seouim. WA. 98362
Email info@electricamerlca. us
License
Expiration Date
Phone:
Item
Servic€/Feeder 200Amp.
Service/Feeder 201-400 Amp.
Servicei Feeder 401600 Arnp.
Servicei Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuil W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. ServicelFeeder 200 Amp.
Temp. SeNice/Feeder 201400 Amp.
Temp. SeNjce/Feeder 40'1600 Amp.
Temp. Service/Feeder 501-1 000 Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Ouanlltv trOlal(Quantity x Unit Charga)
$120.00
$146.00
$20s.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$1'10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
After reading the above statement, I hereby certify that I am the owner of the above named prope
am making the electrical instellation or alteration in compliancewith the electrical laws, N.E.C. RC
?5 001
$
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$
$
$
$
$
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$
$
$
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$
$
$
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TOTAL
Owner as defined by RCW.'19 28.261r (1) Owner will occupy the structure for two years after this electricat permit is finalized. (2) Owner is
.equired lo hire an electrical contractor if above said property is for sale. rent or lease. Permit expires after six months of last inspection.
rty or a licensed electrical contracto. I
Cha '19.28, WAC. Chapter 296-
468, The City of Port Angeles Mun cipat Code, and Utility Specifications and pAMC 14.0S rega o ctrical Permit Applicatlons
12t1
Date Print Name sig atu re (E Owner E E tractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricaipermrts@cityofpa.us or faxed lo 360.417.47111
1'o
3
Nlailing Address: 825 E sth St Port Angeles Wa pr,one: 36O-477-47g0
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