HomeMy WebLinkAbout1825 E 5th StELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGI,E FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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to
EDrD
Application Nuhber
Appfication pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application t!'pe descriptsion
Subdivision Name .
Property Use
Property zoning
Application valuation
19- 00001888 DaEe tr/21/19
243072
1825 E sTH ST
05-3 0- 11- 5- 3 - 0155 - 0000 -
EI,ECTRICAI, ONLY
Application desc
New hot cub
Contractor
SIEPIIEN L AND GETTA L WORKMAN
1825 E 5TH ST
PORT ANGELES WA 983624919(360) 461,7 566
ANGEIJES ELECTRIC
524 E. 1ST ST.
PORT ANCEIES
|.3601 452-9264
wA 98352
Permi t
Additionaf desc
Permits Eee
Issue Date .
Expiration Date
ETECTRICAL ALTER RESIDENIIAL
1-4 CIRCI]ITS
75.00 Plan Check Fee
'1L /27 /t9 valuat ion
5 /25 /20
BASE FEE
.00
0
Extens ion
75.00
Oty UniE Chalge Per
Charged Pa id credi.ted Due
Permit Fee Total
PIan Check Total
Grand T'otsat
75.00
.00
75.00
75.00
, o0
75 .00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN t)t lzo 4v
FINAL t h)zo w *
III
Signature of owrer or Electrical Contractor X Date
'rap
COMMENTS:
1l/26/2OLg 10:53 FAX 360 452 9265 Angeles Electric
1-2SING LE.FAMILY
ELECTRICAL PE MIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angelus, WA 98362
360-417 .4'735 | wwlv.cityofpa.us I el ectrrca lpermits@oityofoa.us
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Project Address:Stt"tf,
ProjeclDescr
6ingte-ra
iption:
mily Rasidential tr Duplex /ARU Building Squaro footage:
Name:
Mailing Address:
Name:Angeles Electric, lnc
Mailing Address:524 E. Filst Street, Port An wA 98362
Email:
License:ANGELE1460RS
Expiration Date:2J1120
Email:ksimpson@olympus.net Phone :360452'9264
Item
SeMce/Feeder 200 Amp.
ServicelFeEd er 201400 Amp.
SeNic€/Feed8r 401 S00 Amp.
Servic€/FeedEr 60'1 -1000 Amp.
Servic€lFeeder ov6r 1000 Amp.
Branch Circult w/ Service Feeder
Branch Circuit w/O Servl'ce Feeder
Each Additlonal Branch Circuit
Branch Circuits 1-4
Temp. ServicelFeeder 200 Amp-
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401S00 Amp.
Tsmp. SeMc€lFeeder6o'1-1000 Amp.
Portal to Portal Hourly
Signal CircuiuLimiled Energy - 1&2 DU.
Ma nufactursd Home Conneerion
Renewable Elec. Energy: sl(VA system.or less
Unit Chrro.
sr20.00
0r46.00
$205.00
$262.00
$373.00
95.00
$63.00
$5.00
$75.00
$93.00
$110.00
$.149.00,
$:158i@'' ,$eB.oo
'00+oe
Ouentltv trolal (Ouanrity x Unlt Charg.)
/
$
$
$
$
$
D
$
$
$
$
t
,$
$
-7
Thermostat 95 for eacfi
TOTAL
Olvnar as defned by RCW.I s28261: (1 ) Owner will ocdJpy the struciure for two yeaB afte. this docEical permit is finalized. (2) O neris
requircd tc hire an ele{irical conlrac.tor if above said property i8 fo. s€le, rent oI lease. Permit expirBs aftsr six month8 of lasl inspgciion.
Aftet reading the above stat€men! I hereby cenify lhat I am the o$rner of th6 abovB named prgp€rty or a licsns€d Eledrical contector. I
am making Ge ebclrical installation or alteration in compliance $rilh tha ele€tticallaws, N.E.C., RCW. Chapter r928, WAC. Chaptor 29&
468, The of PortAngeles Municipal Code, and Utility S and c 14.05 regarding Elsc,trical Psmit Appllca$ons
Ken Sim n
Print Name Signature (E Electrical Contractor / Adm inBtrator)
[Electical Permit Applications may be submitted to City Hatl or elactsicalp€mits@cityofpa.us or faxad to 360,417 .47111