HomeMy WebLinkAbout1427 Rook DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PI,ANNED RESDMTI- DEVLPMENT
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REPORT STATE SAES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaEion Nunber
Application pin number
Ploperty Address
ASSESSOR PARCEL NT]MBER:
Applicalion E!?e description
su.bdivision Name
Property Use
Property Zoning
Application valuation
19- 000013 94 Date 9/19/L9
295492
1427 ROOK DR
05- 30- 14 - ? -2- 0310 - 0000 -
EIJECT'RICAI ONIY
Orne r Contrac!or
GREEN CROW IN!'ESTUE}ITS CO. LLC
P, O. BOX 243 9
PORT ANGELSS I.TA 983 52
t,PPER LEFT ELECTRIC I,LC
1305 ROOK DR
PORT ANGELES WA 983 52
136O) 46a-',l720
PermiE
AddiEional desc
Issue Date
Expiration Date
ETECTRICAL A1TBR RES IDENTIAIJ
NEW SFR ELECTRIC
150.00 Plan Check Eee
9/19/79 Valuation
3 / 1-7 /20
OEy Unit Charqe Per
1.00 120 .0000 Eclr
1.00 40 .0000 Ecl{
EL.R-SOET FIRST 13OO
EL-R-SQFT ADDITTONAIJ 5OO
Extension
120. 00
40. 00
00
0
Charged Paid Credited Due
Permit Fee Total
PIau Check Totsaf
Grand Tocal
150 . O0
.00
150 .00
150.00
.00
160.00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE rch:)fi *&
ROUGH-IN to'/vl / t?w-ld
FINAL t ldbo W A)
COMMENTS:
Signature ofowner or Electrical Contractor X Date
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us electricalpermits@cityofpa.us
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Project Address ILlZ-I
Project Description iBOo X [ (J-a.->e-.
! Single-Family Residential D Duplex / ARU Building Square footage
OWNER INFORMATION
Name
l\ilailing Address
IZ
Unit Charqe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$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
v-oq)Email
Phone
License
lvlailing Address
Email
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 60 1 -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 201400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portai to Portal Hourly
Signal CarcuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Quantitv Total (Ouantitv x unit Charoe)
rZ-Orro
ns and PAMC 14.05.050 regarding Electrical Permit Applications.
" ccvu Expiration Date
Phone:
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Owner as defined by RCW 19.28.261: (1) Owner will oc€upy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is fgr sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a lic€nsed 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 Port Angeles Municipal oCode, and Utility
Fe/e
Print Name Signature (E Owner I Electrical Contractor / Administrator)
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
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lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417 .4711]
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