HomeMy WebLinkAbout1619 E 5th St (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
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Application Number
Application pin nuiber
Propertsy Address
ASSESSOR PARCEI, NUMBER :
Application E!?e descriptsion
Subdivisioa Name
Propertsy use
Property Zoning
Application valualrion
19 - 0000182? Datse
o30529
1619 E 5TH ST
05-3 0- 00 - 0 - 1- 8370 - 0000 -
EIECTRICAI ONIY
RS? RESDNTL SINGI.E FAMTIY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
u/19 /19
Applica!'ion desc
Outfet for fire place
Contsractor
VALLI QUAINTANCE AND DEAN FATZ
136 E 8TH ST #11
PORT ANGELES WA 983 52
SIIAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES WA 98352
(350 ) 4s2 - 158 9
AddiEional
PermiE Fee
Issue Date
ELECTRICA', AITER RXSIDENTIA],
1-4 CTRCUITS
75.00 Plan Check Fee
t!/t9/I9 valuaEi on
s/a7/20ExpiraEion DaEe
gty UniL Charge Extension
75. 00
des c
- 00
0
BASE FEE
charged Paid Credited
PermrE !'ee 10ca1
Plan Check ToEal
Grand Total
75.00
.00
75 .00
75 .00
.00
75.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECT1ON
DATE:RESULTS:INSPECTOR:
DITCH
ROUGH-IN rr lzof fi F =P
FiNAL n ltnlg #-ThP
COMMENTS:
Signature of owner or Electrical Contractor X Date
Due
INSPECTION TYPE
SERVICE
ELECTRICAL PER[/ IT APPLICATION
PLiblic \l rirks and tlti I irics lJcpartrnri'it
l: I [].. 1ih Strest. Port ,4arjeles, U,'.,\ 98-1{t2
160. "1 1 7".tr7.i,c i r,,rvrv.cirr.ofpi;.i:s l *L:er: icrlpeur:its,.iicitl,clpa^us
llo
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Proje ctAddress: 1619 E sth Port Angeles
N-J
Project Descripti on. Added on receptacle off existin crrcuit
tr Single-Family Residential E Duplex / ARU Building Square footage
Name ValliQuantances Email
[/a iling Address 1619 E 5th p6sng. 1-858-752-0337
Name Shamp Electrical License:SHAIV]PECO23B3
Mailing Address PO Box 383 Expiration Date 21312020
Phone 360-452-1689Email sham e n.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 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 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal Circuivlimited Energy - 1&2 dU.
UnitCharoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
Ouantity Total (x Unit Charge)
$149 00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
75.00
lvlanufactured Home Connection
Renewable Elec. E^ergy. sKVA System or less
Thermostat (Note: $5 for each additional)
TOTAL
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 statement, I hereby certify that I am the owner of the above named property or a licensed 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 oi PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
11118119 Renee Adams
Date Print Name Signature 1! Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
$96.00
$64 00
$120.00
$102.00
$56.00
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