HomeMy WebLinkAbout516 E 2nd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESD}.rIL SINGLE EAI{ILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
5
(
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Application Nudber
Application pin number
Property Address
ASSESSOR PARCEL NUI4BER :
Application tl'pe descripEion
Sultrdivision Name
Property Use
ProperEy zoning
Application valuation
19 - o0oo1?91 Date tt/1-4/t9
55 0194
516 E 2ND ST
o6-30 - 00 5-2 - 5e12- 0000-
ELECTRICA], ONLY
DREI^/ .J MEI'RICK
515 E SECON]]J ST
SEQUIM
BI,ACK DIA.I,]O\-D ELEC]EICAI CONTR
502 BI,ACK DIA]VIOND R"D
PORT ANGELES WA 98353
(360) 555 103s
wA 983 82
Permits
Additional
Permit Fee
Issue Date
Expirat ion Da!e
53.00
L!/14 / a9
5/a2/2A
ELECTRICAL AITER RES IDENTIAI,
val-uation
00
0
Qty Unit Charge Per
t.oo G3.ooo0 EcH EL-R- BRANCH crR wo/ sER FEED
Extension
63 .00
Charged Creditsed Due
63 .00
.00
53.00
63 .00
.00
53 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN tt /zt ln tr =FP
FINAL t;/2; )h €
COMMENTS
Signature ofowner or Electrical Contractor X Date:
Applicatsion desc
Hood fan
Permit Fee Totaf
Plan Check Total-
Grand Total
*
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA98362
3 60.4 1 7 .47 3 5 www.cityofpa.us electricalpermits@cityofpa.us
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[9Project Address
ect Description A-ob otnc ?oa- Dx*t+.t 7 * uces
Single-Family Residential E Duplex / ARU Building Square footage
Name Email
Mailing Address Phone
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
Email:
License
Expiration Date
Phone 760-7&/-3?dZ
LJnit Charoe
$'r20.00
$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
Ouantitv Total (Ouantitv x Ljnit Charoel
--63
=
-K
4
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261. (1) Owner will occupy the structure for two years 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 contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Ch apte|l9.28, WAC. Chapter 296-
468, The City of Port Muni al Code, and util and PAMC 14.05.050 regarding Elec.trical Permit Applications.
Date Print ame Owner ! Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted City Hall or epermits@cityofpa.us or faxed to 360.4'17.47111
EL{-2 sF
1 - 2 SINGLE-FAMILY
OWNER INFORMAT}ON
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp.
Servic€/Feeder 401 €00 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 l-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 6011000 Amp.
Portalto Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA 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
PROJECT DETAILS