HomeMy WebLinkAbout612 S Pine St\s)
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Application Number
Application pin number
Propercy Address
ASSESSOR PARCEL NII{BER r
AppllcaEion t),,pe descripEion
Subdivision Name
Property Use
Propertsy zoning
ApplicalioI1 vafuation
19- 00001s74 Dare 10/08/19
832200
612 S PINE ST
05 -3 0- 00- 0- 1- 6100- 0000-
EI,ECTRICAI, ONLY
UNKNOWN
0
Application desc
crage service
PEGGY BEA KUCH
610 S PINE ST
PORT ANGELES
(350) 450 5s03
SHAMP ELECTRICAL CONTRACTING
PO BOX 3 83
PORT ANGELES WA 98362
136O) 452-t6A9
!{A 983 52
Permit
Additsional desc
Permits Eee
Issue Datse
Expiratsion Date
120. O0
ro / oB / )-9
4/05/2a
ELECTRICA], ALTER RESTDENTIAI
00
0
Qty Unit Charge Per
1.00 120.0000 ECH EL-O-2OO SRV FEEDER
Extension
120. 00
Charged Credited Due
Permit Fee Tot.al
Plan Check ToEal
Grand T'olal
120 .00
.00
120 .00
120
t2a
00
00
00
00
00
00
.00
.00
.00
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE to/24-ln .rF w
,it*^?,AP @
FINAI
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PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signa ture of owner or Electrical Conkactor X Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'735
Plan Check Fee
Valuation
ROUGH-IN
COMMENTS:
ELECTRICAL PERM IT APPLICATION
Prrblic llorhs and Lltililies DeFlarl rrnt
ll I il. ,5th Slrr.let" Pol't Arr.les. \\r,{ 9ll.162
l{rt}..11 7.4715 u,ivr-,:irycli-'i:.Lrr ; cicerricaipcr"tnit:rrji'rcitlcfp:"us
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-+.Proje ct Address: @! Pine Port Angeles
Project Description 1 00 Amp service for small garage
E Single-Family Residential D Duplex i ARU Building Square footage
Name Peggy Kuch Email
[/ailing Address. 610 S Pine Phone
Name Shamp Electrical ligs6ss SHAMPEC023B3
Mailing Address PO Box 383 Port Angeles Exp iration Date 02/03/20
Ph6ns 360-452-'1689Email sham elec@olypen.com
Item
Service/Feeder 200Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over,1 000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp Service/Feeder 20'1-400 Amp.
Temp Service/Feeder 401-600 Amp.
Temp Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal Circurulimited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe
$120.00
$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
$56.00
1
uantity x Unit Charge)
120.00
$
$
$
$
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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electricat Permit Applications.
10/03/19 Renee Adams
Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 960.417.47 1|1|1
1 - 2 SINGLE-FAMILY
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