HomeMy WebLinkAbout1516 S Pine StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
RS7 RESDNTL SINGLE FA}4TLY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
-oI
J
$
Application Number
Application pin nulnber
Property Address
ASSESSOR PARCEL M'MBER:
Application tsype description
Subdivision Name
Property Use
Property zoning
Application valuation
19 - O0O 0173 9 DaLe ll/O7 /\9
964912
1515 S PINE ST
06 -3 0 -00 - 0 -4 - 2595- 0 000-
ELECIRICAL ONLY
applj.cation desc
washer / Dryer
BRIAN KELLY
512 E 11TH ST
PORT ANGELES wA 983 62793 5
ANGELES ELECTRIC
PORT ANGELES
\350) 452-9264
wa 98352
PermiE
Additional desc
Permlts Fee
Tssue Date
Expiration Dat.e
ELBCTRICAL ALTER RES IDENTIA],
1-4 CIRCUITS
?5.00 Pfan Check Fee
tt / o7 / L9 va] uar. ion
s/05/20
0
Qty Unit charge Per
BASE FEE
Charged Paid Credited Due
Permit Fee Totaf
PIan Check Totaf
Grand Totsal
75 .00
.00
75 .00
00
00
00
00
00
00
qvl pl,t ln
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS
DITCH
SERYICE
ROUGH.IN els )fi r(^-2 ffi
FINAL ,z).Jfi +D \P
COMMENIS:
Signature ofowner or Electrical Contractor X Date:
.00
Extension
75.00
75 .00
.00
75 .00
INSPECTOR:
lt/05/2o19 12:32 FAI 360 452 9265 Angeles Electric
1 . 2 SINGLE.FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Deparlment
321 E. 5th Street, PonAngeles, WA 98362
360.4 I 7 -47 15 | www.oityofpa.us I electricalpennits(i..:cityofpa.us
B oool/ooo1
FECEIVED
4l0f =.,,-?0l!
Project Address:
Name:
Mailing Address:
Projy Descriptio
dsingle-Family Residential E Duplex /ARU Building Square footage:
Email:
Phone ?D47{-&z<
Anoeles Electric, lnc.
Mailing Address:524 E. First Street, Port Angeles, WA 98362
License:ANGELE1460RS
Expiration Date;211120
Item
Service/Feeder 200 Amp.
Service/Feeder 201-40O Amp.
Service/Feede. 40 1 €00 Amp.
Servic€/FgodEr 601{000 Amp.
Service/Feeder over 1000 Arnp-
Branch Circult W Service Feeder
Branch Circuit WO Service Feeder
Each Additional granch Circuit
Branch CirqJils l-4
Temp. SeMc€,/Feader 200 Amp.
Temp. Servic€y'Feeder 201-400 tunp.
Temp. Servic€y'Feeder 401{00 Amp.
Temp. S€rvic€y'FBed6r601 -'1000 Arp,
Portal to Portal Houdy
Signal CircuiuLr-mited EnErgy - 1&2 DU.
Manufaclured Home Conneclion
Renewable Elec. Energy: sKVA Syslem or less
Unft Chenge
$120.00
$1.t6.00
$2Os.0o
s262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.o0
$110.00
$1€,00,
,$15{i00..
.$oeoE
'$BF;oG ":
. .$12Q.OO ,
ouansty IChl (Ouantlty x Unlt Chirge)
"T-
I
$
$
$
$
$
s
$
$
s
s
0
$
----:---r-
Thermostat (Note: $5lor each add
TOTAL
Owner as defined by RCW.19.2S261 ; (1) Owner will ocorpy the struclurB for two yeaB afier this elsctrical pemlt is linalizsd. (2) Owner ls
required to hlre an electical contractor if above said propBrty is for sale, rBnt or lease. P€rmit expires afier sk months of last inspsdion.
After readlng ths above siatement, I hereby cartiry that I am the owner of tha above named property or a licans€d eloctical contractor. I
am making the elecfical installation or attaration in complianc6 with the slectical lawB, N.E.C., RO/V. Chaptar 19.28, WAC. Chapter 296'
46 The City of Po.tAnggles Municipal Code, and Utility Specilioaio and 4 Elaatrical Permlt Appllcatlons.
Ken Sim on
Print Name Signature (E g cal Contractor I Adminbtrator)
[Electrical PermitApptications may be submitted to City Hall or electricalp€rmits@cityofpa.us or faxed to 360,417.47111
F
3
=ti
Ft--
l-J
l\n{-s
Name:
gmsl; ksimpson@olympus,net phone:9@__
PROJECT DETAILS