HomeMy WebLinkAbout1042 Olympus AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -473s
RS9 RESDNTL SINGLE FAMTI.Y
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REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
ApplicaEion pin number
ProperEy Address
ASSESSOR PARCEL NIIIIBER:
Application type descriptsion
Subdivision Name
Property Use
Property zoning
Applicatlon valuation
19- 0OOOO78O DaEe 5 /29 /t9
621440
1042 OI,YI4PUS A\E
05-30-14-5-4-0212-0000-
ELECTRICA], ONI,Y
Application desc
MEKOSKY, CTIAD J
126 HANCOCK AVE
PORT ANGELES
NORTI{ PENINSUI,A EIECTRIC
761 ERESHWATER PARK RD
PORT ANGELES WA 9A3 63
(360) 417 -a764
wA 983 52
Permit
Additional
Permit Fee
Issue Date
Expiration Date
150 .00
s/29 /19
11/ 2s /L9
EI,ECTRICAIJ NEW RESIDENAIAI
o0
0
Otsy Unit charge Per
1.00 120 .0000 EcH
1. 00 40 .0000 ECH
EL R SQFT FTRST 13OO
EL R SQFT ADDITIONA! 5OO
Extension
120.00
40-00
charged Paid Credited Due
Permi! Fee Tot.al
PIan Check ToLal
Grand ToEal
150
150
00
00
00
160.00
.00
160 _ 00
00
00
00
00
00
00
PERMM WILLEXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE
DITCH dn)fi R \(ffi
SERVICE 4l,tJe hY-w
ROUGH.IN cfnVq P *
FINAL olx)n w "#
COMMENTS:
Signature of owne! or Electrical Contractor X Date:
Plan check Fee
Valuation
DATE:RESULTS:INSPECTOR:
ELECTRICAL PERMIT APPLICATION
Pubiic Works and I jiiiities ilcpartmcnt
-i2 I 1., 5& Strcct. Pon.,1rtgei,"'s. ii..r 93-liil
i6C.41 7.473-r ] rr r.r,vr.ciryol'pa.us- | cdectricalpcrnrits;rircity,:ipa.us
frECE/VED
tlAY 2j ws
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Project Address 1042 Olympus
Prolect Description 1 500 sq foot single family home
X Single-Family Residential U Duplex /ARU Building Square footage:
Ernail
License
Expiralion Date
Phone 360 477-1764
*"r.," North Peninsula Electric
Mailing Address 760 Freshwater Park
Email northDeninsulaelectricOva oo com
,ir
Item
SErvic€/F€eder 200Amp.
Service/Feeder 201-400 Amp.
Servlca/F€€der 401 600 Arnp
Service/Feeder 601 -'1000 Amp.
Service/Feeder o!e. 1000 Amp,
Eranch Circlit W/ SeMce Feeder
Braoch Circljit WO Service Feeder
Each Additional Branch Circ0ft
B.ancfi CiruJits 14
lemp. Service/Feeder 200 Arnp.
Temp. Service/Feede, 201 400 Amp.
Temp, SeNic€/Feeder 401€00 Arnp.
Temp. Service/Feeder 60'1-1000 Amp
Portal to Portal Houdy
SignalCireit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermqstat (Note: $5 ior each additional)
Fi6t 1300 Square Fd
Eaoh edd,tionsl 500 square ,eef-
Each Outbuilding I Detached Gerege
Each Si\riimminE Pool / Hot lub
Unit Charqe
$120.00
$146.00
$20s.00
$262.00
s373.00
$5.00
$53.00
$5.00
$75.00
993 00
$110.00
s149_00
$168.00
$96.00
$64.00
$120.00
$102.00
s56.00
5120.00
s40.00
$74.00
9110.00
Quartlt!Iols! (Ouanllty x Unit Charge)
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9_s 160,00-
Owner as defined by RCW 1 9.28.261: ( 1) Owner wrll occupy the sl.ucture for two years after this eleckical permit is fi.alized- (2) Owner is
reqoired to hire an electical contractor il above said property is forsale, .enl or lease. Permit expi.es aftersir months of last in+ection.
Afrer reading lhe above siatenEnt, I hereby ceniry thal I am lhe owaer ofthe above named property or a licensed eleclrical contractor I
am making the eleclrical installation or alteration ill compliance with the electrical laws. N- E C-. RCW Chapter 19.28, WAC. Chapter 296-
4eB, The City of Port Anqeles Municipal Code, and Utility Speciflcations and PAMC 14.05 050 regarding Electrical Permit Applications.
May 23, 2019 Kimberly Rae Walker Kiwberlll Kae Walker
Oate Print Name Signature (X Owner E Eleohical Contractor / Adminishator)
lElectrical Permit Applications may be aubmiEed !o Gity Hall or electricalpermits@cityofpa.us or faxed lo 3€,0-417.47111
TOTAL
&ruery-
1 - 2 SINGLE-FAMILY
ii
Name:
Mailino Address: Phone:
northpe930mz
$_s 120.00