HomeMy WebLinkAbout602 E Lauridsen BlvdELECTRICAL PERMII
CITY OF PORT ANGELES
360-417-4735
18-00001393 Date 9/07/La
65L116
602 E I.AURIDSEN BI,!D
06 30 10 - 4 -3 - 0570 - 0 000
EI,ECTRICA]T ONLY
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
9!
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Application Number
ApplicaEio!1 pin nuflicer
ProperEy Address
ASSESSOR PARCEI NU]VIBER :
Applj.catsion tl?e description
Subdivision Name
Propert.y Use
Propert.y Zoning
Applicatsion valuation
Application desc
Kitchen update
TROY AND KELLY I\{\NN I,INENKUGEI,
23 O IgEST 11TI1 ST
PORA ANGELES WA 983 62
BLAC( DIAMOND EI,ECTRICAL CONTR
502 BI]ACK DIA}IOND RD
PORT ANGEIES WA 98353
(350) s55 103s
Permit
additional desc
PermiE Fee
Issue DaEe
ELECTRICAI, ALTER RESIDENTIAIT
1-4 CIRCUITS
75 - 00 Plan Check
9 / a7 /tB valuation
3/a6/a9
Fee 00
0
Erpiration Date
Qty Unit charge
BASE EEE
Extension
75_00
Charged Paid Credited Due
Permit Eee Totsal
Plan Check Total
Grand Total
75. 00
.00
?5.00
75. 00
.00
75. 00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:u>--
PERMM WILL EXPIRE SIx(6) MONTHS FROM I-AST INSPECTION
Signature of owner or Electrical Contlactor X Date:
ELl-2 sF
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angetes. WA98362
360.4 17.47 35 www.cityofpa.us I electricalpermits@cityofta.us
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Project Address boz d.L,nt A4 o,fc ,. )
Pro ect Description l,-f u e 0/d7l
ngle-Family Residential E Ouplex / ARU Building Square footage
lvlailing Address
Name Email
Phone (co -/oc 7
O\^lNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name
[/ailing Address
Email:
License
Expiration Date
Phone: )6o'Vbt-J7f7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 -600 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 201-400 Amp.
Temp. Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiuLrm ed Energy - 1&2 DU
Manufu ctured Home Conneciion
Renewable Elec. Energy: sl(VA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 squaE feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
468. The City of PortA cipalCode, and Util
-1- ((
Quantitv Total (Ouantitv r unit CharoelUnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$'149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$120.00
$40.00
$74.00
$110.00
:
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$
$
$
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Owner as defined by RCW 19.28.261 : (1) Owner will occupy the structure for two yeaG afler 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 statement, I hereby certify that I am the owner of the above named property or a licensed electrical contraclor l
am making the electrical installation or alteration in compl lectrical laws. N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
and PAMC 14.05.050 regarding Electrical Permit Applications.
e
Print Name Signature Owner ! Electrical Contractor i Administrator)
[Electrical Permit Applications may be subm to City Hall or epermits@cityofpa. us or faxed to 360.417.471 i l
1 - 2 SINGLE-FAMILY
Date
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
APPROVED
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HOUGH IN/COVER
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FINAL
CORRECTIONS NEEDED:Alz.t-{n<a;f k
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NOTIFY INSPECTOR W}IEN COREECNONS
ARE COMPLETED wlTHIN 15 DAYS
- DO NOT REMOVE-
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ADDFESS
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