HomeMy WebLinkAbout222 W 3rd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RESIDENT]AIT HIGH DENSITY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
00
.--J_
ti-
Application Number
Appllcatlon pin number
ProperEy Address
ASSESSOR PARCEL NIJMBER:
Application type description
subdivision Name
Property Use
Property Zoning
Application vafuation
18 0 0 O 01415 Daie 9/a1/18
348758
222 W 3RD ST
06 30 00 0 0 7120 0000
ELECTRICAL ON],Y
ERIC P SCH],AFFMAN
222 W 3RD ST
PORT ANGELES
BI,ACK DIAIIIOND ELEC?RICAL CONTR
502 BLACK DIA}1OND RD
PORT ANGEI,ES WA 98353
(350) 56s - 103 5
wA 943622421
Permit
Additional dese
Permit Fee
Issue Date
Expiration Date
135.00
e/!3/rB
3/t2/19
ELECTRICAl, ALTER RES]DENTIAL
Plan Check Fee
Valuation
00
0
otsy Unit Charge Per
3.00 s.0000 ECH
1.00 120.0000 EcH
EI, BRANCH CIRCUIT W/FEEDER
EL-O 2OO SRV EEADER
Extension
15.00
120.00
Charged Paid Credited Due
Permit Fee Tota]
Plan Check Totaf
Grand Total
135
135
00
00
00
135
135
00
00
00
.00
.00
.00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM II.ST INSPECTION
of owner or Electrical Contractor X
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE qlrt lm ts?z\c .
ROUGH-IN qtlr)'ltn ffi 'th>'
FINAL
COMMENTS:FJs\
Signature Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417 -4735 I www.cityofpa.us I electricalpermits@cityofpa.us
2?-2- (, 3P!
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Project Address
Project Description Nee A'L
U Single-Family Residential n Duplex i ARU Building Square footage
Mailing Address
L1 L<
Email
Phone
tLS
OWNER !NFORMNTION
ELECTRICAL CONTRACTOR INFORMATION
l\ilailing Address
Email:
License
Expiration Date
Phone: 76o''{Cr - 31 t 7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO SeNice Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 60'1- 1000 Amp.
Portalto Portal Houdy
Signal Circuivlimited 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
lJnit Charoe
$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
$56.00
$120.00
$40.00
$74.00
$110.00
Y IqlAl (Quantity x Unit Charge)
lzo
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$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL /g?--
Owner as defined by RCW 19.28.261: (1) Owner will occupy 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 for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above
am making the electrical
468 The City of Port An
statement,certity that I am the owner of the above named property or a licensed electrical contractor i
nsta ato o ration in compliance with the electrical laws, N.E.C., RCW Chapter 19 28, WAC. Chapter 296-
Code, and Uti ns and PAMC 14.05.050 regarding Electrical Permit Applicationsli
ame Signature Owner ! Electrical Contractor / Administrator)P
[Electrical Permit lications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.4'17.47111
E
Name:
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ELECTRICAL INSPECTION
WIRING REPOBT
417-4735
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NOTIFY ]IISPECTOR WHEN CORFECTIOI.IS
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ELECTRICAL INSPECTION
YI'IRING REPORT
417-4735
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APPROVED
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