HomeMy WebLinkAbout810 E 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4r7 -4735
RS7 RESDNT! SINGLE EA]VIILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatsion Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
ApplicaEion type description
Subdivlsion Name
ProperEy Use
Property Zoning
Applicatsion waluation
19 - 00001059 Date 7 /a1/79
58 5504
810 E 4TH ST
06 - 30 - 00 - 0 - 1- 7545- 0000 -
EIJCTRICA], ONLY
Application desc
Detached garage rewire
C}IRIST]NA }IYT{US AND BRAT.TDO BIO
PO BOX 3029
PORT ANGEIES WA 98362
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
136O) 452-9264
Permit
Additional desc
Permit Fee
Issue Date
ELECTRICAL AITER RESIDENTIAI,
Plan Check Fee
Valuation
00
0
Expiration Date
Qty Unit Charge
1.00 63 .0000
Per
ECH EL R BRANCH CIR
'JO/
SER PEED
Extension
53 .00
Fee summary Charged Paid Creditsed Due
PIan Check ?ot.al
Grand Total
53 .00
. o0
53 .00
53.00
.00
63.00
00
00
00
00
00
00
Jr.r lZ.
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
COMMENTS:6-Y-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
Contractso!
wA 98362
63 .00
'7 /L7 /te
r/t3 /20
FINAL
07/75/2019 12:00 FAX 360 452 9265 Anaeles E lect ri c
1 .2 SINGLE.FAMILY
@ooo1/ooo1
ELECTRICAL PER MIT APPLICATION
Public \Vorks and Utilities Department
321 E. 5th Street, PortAngeles, WA 98362
360.4 l7 .47 35 | wwr,.cityotjra.us I electricalpermits@oityr.rfpa.us
/
ProjectAddress:
Project Description:
fl Slngl6-Family Residentjal E Duplex /ARU Building Square footago:
Name:Email:
Mailing Address:Phone:3LO **ok- og n
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11s66; Angeles Electric, lnc.License:ANGELEI46ORS
Mailing Address:524 E. First Street, Port Angeles, WA 98362 Expiration Date:2t1t20
Email . ksimpson@olympus.net Phone:360452-9264
Item
ServicdFeeder 200 Amp.
Ssrvic€/Feeder 201400 Amp.
Servicey'Feeder 401 -600 Amp.
Ssrvlc€/Feeder 601 -1000 funp.
Servica/Feeder over 1000 Amp.
B6nch Circuit w/ Service Feeder
Branch Circuit w/O Service Feeder
Each Additional Brandr Circuit
Branch Circuits 1-4
Temp. S€rvicsy'Feeder 200 Amp.
Temp. ServicelFeeder 201-400 Amp.
T€mp- Sorvice/Feedef 401600 Amp.
Temp. Service/Feedgr€o1-1000 Amp.
Portal to Portal Hourly
Signal ClrcuitAimited Ensrgy - 1&2 DU.
Manufaclured Home Connection
Renswable Elec. Energy: sKVA Systsm or l6s
Thermostat (Note: $5 for each
rt Angeles Munici
Ken Sim
pal Code, and Utility Spacificstions PAMC 1
qrl@fiS lghl (Qu.ntlty x Unlt Charg.)
Electical Permlt Apdicatons-
lJnlt Charc.
$ 120.00
E146.00
s205.00
8262.00
s373.00
$5.00
s63.00
35.00
s75.00
$93.00
s110.00
$149.00
s16800
S96;00
sol.oo
.$120.00
s102,Q0
s5&00
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$
s
$
$
$
$
$
$
$
$
$
s
$
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t
$
$
TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the siructure for ttvo yeaB after lhis olsctdcal pcrmh is finalizsd. (2) O,vnar is
required to hire an electic€l contractorif above said property is for sals, rent or l6ase. Psmit 6xpir6s afler six months of last inspection-
After reading lhe above statement, I hareby certify that I am the oflner of the abov6 named propsty or a lic6nsed Blactrlcal contractor. I
am makjng the elecfical installation or elteration in compliance with the etBctical hrvs, N.E.c', RCW. chapter 1928, WAC. Chspter 296-
468, The of Po
on
Date Print Name Signature (E Owner p cal Cont actor / Administsator)
[Elsctrical Permit Applications may be submitted to City Hall o. ol€c'tdcalpermits@cityoha.us or faxod to 360.417.47111