HomeMy WebLinkAbout812 Joshua StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RSg RXSDI.ITL SINGLE EAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicat.ion Number
AppficaEion pin number
ProperEy Address
ASSESSOR PARCEL NUMBER:
Application tsype description
subdivision Name
Property use
ProperEy Zo iDg
ApplicaEion valuation
19 - 00001913 DaLe 12/O4/t9
121511
812 iTOSHUA ST
05 - 3 0 - 01- 7 - 6 - 0010- 0000 -
ELECTRICA], ONLY
Application desc
Temp power
JOEL & TAMARA EILIOTT
PO BOX 2 951
PORT ANGELES WA 98352
(36A) 46a-2A4s
UPPER IEFT EIECIRIC LLC
13 05 ROOK DR
POR"' ANGELES I.^]A 983 62
1360') 46a 7720
Additional
Issue Date
Expiratsion
desc
DaEe
93 .00
t2/04/t9
6 / oa/20
ELECTRICAI TEMPORARY SERVICE
Plan Check Fee
valuation
00
0
Oty Unit Charge Per
1 . 00 93 .0000 ECH EL-TEMP SRV O-2OO SRV FDR
Extension
93 .00
Fee summary Charged Paid Creditsed Due
Permits Fee Totsa1
Grand Total
93 .00
.00
93 .00
93 .00
.00
93.00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE n-lq)t=+v -sP
ROUGH.IN
FINAI 0-)z)l n N d w
COMMENTS:I
Signa ture of owner or Electrical Contractor X Date :
ELECTRICAL PERMITAPP LICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.47 35 I www.cityofpa.us i electricalpermits@cityofpa.us
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Project Address:
Project Description
n Single-Family Residential n Duplex / ARU Building Square footage
{
O!\NER INFORMATION
lvlailing Address
Name
Mailing Address
Email:
c License
Phone
Expiration Date
Email
Phone
ELECTRICAL CONTRACTOR I NFORMATION
Item
Service/Feeder 200 Amp
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 60'1 -'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 -1 000 Amp.
Portalto Portal Hourly
S'gnal CircudLimited Energy - '1&2 DU.
lvlanufactured Home Connection
Renewable Elec. Energy: 5KVA 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 n3 c'c>
Owner as defined by RCW 19.28.261 : (1) Owner will occupy the structure for two years afier this electrical permit is finalized. (2) Owner is
requared to hire an eleclrical contraclor if above said property is for sale, rent or Iease. 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 prope(y or a licensed electrical contractor I
am makang the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The Clty of Port Angeles Municipal Code, and Util ity Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Unit Charqe
$'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
$120.00
M0.00
$74.00
$110.00
Quantitv fgE! (Quantity x Unit Charge)
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$
$
$
$
$
$
$
5
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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6ate Print Nime Signature 1--Gner E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submifted to City Hall or electricalpermits@cityofpa. us or faxed to 360.4'17.47'11]
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1 - 2 SINGLE-FAMILY
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Name:
PROJECT DEIAILS
TOTAL