HomeMy WebLinkAbout1115 S Vine StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'.7 -4735
RS7 RESDNTL SINGLE FA fI,Y
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REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nunrber
Applicatsion pin number
Property Address
ASSESSOR PARCEI, NUMRER :
Applicatsion t!'pe descripEion
Subdivision Name
ProperEy Use
Propertsy zoning
Application valuation
19 - 00001794 DaEe 1"1/t4/t9
767195
1115 S VINE Sg
o6- 3 0 - 00- 0 -3 -3 950- 0000 -
ELECTRICAI, ON].Y
Application desc
service change
ABRAMS, CARLA P
1115 S VINE ST
PORT ANGELES
ANGELES ELECTRIC
524 E. 1ST S?.
PORT ANGEI,ES
l36O) 452-9264
\:lA 943527973 wA 98362
Pernit
AddiEional desc
Permit Fee
Issue Datse
Expiration Datse
120.00
tt/t4 / L9
s/t2/2a
ELECTRICAL AITER RESIDENTfAL
Plan Check Fee
valuation
,00
0
Qty Uni! Charge Per
1.OO 12O.OOOO ECH EL-O-2OO SRV FEEDER
Extension
120.00
Charged Paid CrediEed Due
Permit Eee Total
PIan Check Total
Grand Totaf
120.00
.00
120 .00
1-20
120
o0
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE ttlazlfr d,/b/
ROUGH.IN
FINAL tt lzz-)y p--sf
COMMENTS:
Signahrre of o\r]ler or Electrical Contractor X Date
ll/12/2019 21:53 FAI 360 452 9265 Anaeles Electric
1 . 2 SINGLE.FAMITY
ELECTRI C A P ERMIT APPLI CATION
Public Works and Utilities Deparffient
321 E. 5rtr Street, PortAngeles, WA 98362
360.4 I 7.473 5 j rvww.cityo tpa.us I electricalpemits@tcityofpa.us
G 0 0 01/00 01
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*S.Project Address:
Proje scription:
Single-Family Residential E Duplex / ARU Buildicg S quare footage:
Name:
Mailing Address:
Name:Anqeles Electric, lnc
Mailing Addrcss:524 E. First Street, Port Ang eles, WA 98362
Email:
Phon6:
Lic6nse:ANGELEI46ORS
Expiration Date:2t1120
Email : ksimpson@olympus.net Phon6:360452-9264
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -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 SerYice Feeder
Each Additional Branch Circult
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. ServiceiFeeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Po(al to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU-
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or Iess
Thermostat (Note: $5 for each additional)
qu3r$il &r.r$("i%,8r,Charge)
$
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owner as defined by RCW-19.28.261: (1) OwnBr wilt occupy the structurg for twD years after thia el€61ri'al permit is {inallzed' (2) O noris
required to hire an electricat contractoi i/abovE said p.operty is for sats, rant or laasa, Permit expires ater six mor{hs of last lnspsction'
TOTAL
After reading the aboYs statement, I heleby certify that I am lh6 ownff of the above named propsrty or a liconsod alodllc€l contraclor. I
am making the electrical installalion or alteration in complianc€ with tha elestrical laws, N.E.C., RCW.Chapter 1 9.28, WAC. Chspter 296-
Th City of PortAngeles Municipal Csde, and Utility PAMC Eleclrical Psrmlt Application8.
Ken Sim son
Dat Print Name ig tr Owner cal Contractor / Administrator)
lElectricat permit Apptications may be submitted to City Hali or Blectricalpermits@cityofpa.us or faxed to 360'417'4711]
IF
N
lrltlhrlce
s120.00
s146.00
$205.00
s262.00
$373.00
9s.00
s63.00
s5.00
675.00
$93.00
$110.00
$149.90
$168;00
$95.00
$64.00
$:r20.00
$ 102.00
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