HomeMy WebLinkAbout210 W 13th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
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Application Nuriber
Appl.ication pin number
Propert.y Address
ASSESSOR PARCEL NUMBER:
Application t)'pe description
subdivision Name . .
ProperEy Use
Property Zoning
Application val.uat'i.oo
L9- 000013 99 Date
103 5 82
2IO W 13TH ST
06 - 3 0 - 00 -0 - 3 - 8818- 0000-
EI,ECTRICAI, ONI,Y
RS? R.ESDNT," SINGLE EAXILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
L2/os/t9
ApplicaEion desc
DHPX2
Contractor
BGEDWARDS&LAEDWARDS
210 W 13TH ST
PORT ANGELES WA 9A362"1120
oh'ltER
Permi.t
Additi.ooal desc
Permit Fee
Tssue Date
Expiration Date
ELECTRICTL AI,TER RESIDENTfAI,
1-4 CrR
75.00 Plan Check Fee
12/05/19 Valuation
6/02/20
00
0
Qly UniE Charge Per
BASE FEE
Extensioo
75. 00
Charged Paid credited Ilue
Permi! Fee Totsal
PIan Check Total
Grand Total
75. 00
.00
75. 00
75 .00
.00
75 .00
o0
o0
00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM L\ST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN r )dfl "lP -r*N
FINAL i)iln ff -Bt
COMMENTS
Signature of owner or Electrical Contractor X Date
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@cityofpa.us
RECEIVED
stP r2 201!
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$
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YProject Address Zte rr) rlf\t I
Project Description 'T Nszc< Lt-z I) c<z-rc 5 rre+t Ptt,-l 9
Asingle-Family Residential E Duplex / ARU Building Square footage tSLq
Name ^,'c-e:Email l-,,.- qe>.-^A.a atz.t I
ELECTRICAL CONTRACTOR I NFORMATION
Name License:
lvlailing Address
Email:
Expiration Date
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -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. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 6011000 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
Ouantitv Iglal (Quantity x Unit Charge)
-@
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
$120.00
$40.00
$74.00
$110.00
+G
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
/ uarPe- Ld--9-
TOTAL
Owner as defined by RCW19.28.261 : (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 prope(y is for sale, rent or lease. Pe.mit 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-
468, The City of PortAngeles MunicipalCode and Utility Specifications a c'14.05.050 ng Applications
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Date Print Name S ignature (& Owner E Electrical C / Administrator)
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
l\ilailing Address: [7o r\a* Ef ZO Pea< A,pAe=el phone' ldze-1G8-A?e3
OWNER INFORMATION
PROJECT DETAILS