HomeMy WebLinkAbout1429 Rook DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4r7-473s
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Applicatioa Number . .
Application pin nlmber
Property Address
ASSESSOR PARCEL NU}IBER:
Application tl,'pe descriptio
subdivislon Name .. .
ProperLy UBe
ProperEy Zoning
ApplicaEi,onvaluatsiolr .
19- 00001700 DaEe LL/ 04 /19
97150 0
1429 ROOK DR
05- 30 - 1{ - 7 - 2 - 0320- 0000 -
ELECTRICAL ONIY
ELECTRICA! TEMPOR.ARY SERVICE
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)RESIDENTAL SF 9OOO
RS9 RESDNTL SINCLE FA}'IILY
0
Applj.cation desc
Temp power
Owner:
GREEN CROW INVESTMENTS CO. LLC
P. O. BOX 2439
PORT ANGELES WA 98362
UPPER IEFT ELECTRIC LLC
13 06 ROOK DR
PORT ANGELBS WA 98352
(360 ) 46r-7720
Pefinit
Additional desc
Permits Fee
fssue Dat.e
Expj.ration Datse
93 .00
rt/04/a9
s/02/20
.00
0
Qty Unir Charqe Per
T.OO 93,OOOO ECH EL.TEMP SRV O.2OO SRV TDR
Exterfsion
93 .00
fee sumnaly Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
93 .00
. o0
93 .00
91.00
.00
93.00
00
00
00
.00
.00
.00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:NSPECTOR:
DITCH
SERVICE il )vd ln N ffi
ROUGH.IN
FINAL ttlzr lfi d g
COMMENTS
Signature of o*Iler or Electrical Conhactor X Date:
Plan Check fee
Valuatsion
ELf -2 sF
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofta.us I electricalpermits@cityofpa.us
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Project Address:(q 1 i 8-..h- f,\.., 4
Poect Description i ewO\! Single-Family Residential E Duplex / ARU Building Square footage:
O\^/NER INFORMATION
Mailing Address:
Name
l\ilailing Address
Email:
Email
Phone
License
ELECTRICAL CONTRACTOR I NFORMATION
Expiration Date:
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 S00 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O 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€00 Amp.
Temp. Service/Feeder 6011000 Amp.
Portalto Portal Houdy
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 squarc feet"
Each Oulbuilding / Detached Garage
Each Swimming Pool / Hot Tub
LJnit 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
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv IqE! (Quantity x Unit Charge)
19 c'^a
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Owner as defined by RCW 19.28.261: ('1) Owner will occupy the structure for two years after this eleclrical 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 of Port Municipal Code, and Utility and PAMC 14.05.050 regarding Electrical Permit Applications.
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Print Name Si gnature (I Owner E Electrical Contractor / Administrator)
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[Electrical Permit Applications may be submitted to City Hail or epermits@cityoha.us or faxed to 360.417.471'll
1 - 2 SINGLE-FAMILY
Name: