HomeMy WebLinkAbout1738 E 3rd St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL STNGIIE FAMTLY
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REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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NApplicatsion Number
Application pin aufiber
Property Address
ASSESSOR PARCEL NUMBER:
Appficatsion ty?e description
Su.bdivislon Name
Property Use
Property Zoning
Appfication valuatsion
19- 00001232 Date a/ts/1-9
439304
1738 E 3R ST
05- 30- 00- s- 5- 0100 - 1000-
ETECTRICAI ON],Y
ApplicaEion desc
Repface Lnob and tsube
Contractor
CLAPSHAW MICI{AEL C
C/o MAR.]oRIE CI.APS}IAW
PORT ANGELES WA 983 62
ELECTRIC SERVICE
503 RHODES RD
PORT ANGEIES
\36Al, 4s2-5424
wA 94362
Permit
Additional desc
Permlt !ee
Issue Date
Expiratsion Dale
ELECTRICAI, AITER RESIDENTIAL
1-4 CIRCUTTS
75.00 Plan Check Fee
8/t5/L9 va.Luati on
2/ta/2a
BASE FEE
.00
0
Extension
75_00
Qty Uni! Charge Per
charged
Permit Fee Total
Plan Check Total
Grand Total
75. 00
.00
75 .00
75. O0
.00
75.00
00
00
00
00
00
00
PERMTT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN E/sl9 N @
FINAI t)Jzlfi N rcP
Signature of owner or Electrical Contractor X
Paid CrediEed Due
COMMENTS:
Date:_
ELl-2 sF
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. sth Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
1738 E 3,,1
RECE/VED
AU6 t3 1/0ts
no
l
Project Address
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Project Description
E. Single-Family Residential ! Duplex / ARU Building Square footage.
5r Lr 'L,')(-I
Email
Mailing Address BE ol.
V <t
Phone: 3 \: ,:'
License
Expiration Date:
Phone- 1t- '
Name:
Mailing
Email:
Date
Address Je. s
s
).a
2-S
Ccillitr
\
.OTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the struclure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said prope.ty is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby cedfy 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 PortAngeles l\runicipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applications.
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r z-r ')
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40'1600 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 '14
Temp. Service/Feeder 200 Amp.
Temp. SeNice/Feeder 201400 Amp.
Temp. Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 601- 1000 Amp.
Portal to Portal Hourly
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 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
lJnit Charoe
$120.00
$146.00
$205.00
$262.00
s373 00
$5.00
$63.00
$5.00
$7s.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
Iqla! (Ouantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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TSao
1< ox
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Print Name Sionature (T-l Owner lir Electrical Contractor i Admrnistrator)
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711)
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