HomeMy WebLinkAbout1036 W 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FA}IILY
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ApplicaEion Number
Application pin nurnber
Property Address
ASSESSOR PARCEL NUMBER :
Application type descriptsion
Subdivision Name
Property Use
Property Zoni$g
Application valuatsion
19-00001444 Date 9 /t9 /t9
443604
103 5 W 12:rH ST
06-3 0 - 00- 0 -3 -7045- 0000 -
EIJECTRICAL ONIJY
application desc
Ser.vice change
FUSON STE\'EN B
103 6 W 12TII ST
PORT ANGELES
NORTII PENINSUI,A E],ECTRTC
75T FRESHWATER PARK RD
PORT ANGEI,ES T.IA 983 53
(350) 4',71-a164
Per:mits
Additsional desc
Permits Fee
Issue Date
Expiration DaEe
120 .00
e/re/t9
3 /1-'t /20
ELECTRICAL ALTER RESIDE}.ITIA]-
Plan Check Fee
valuat ion
00
0
Oty Units Charge Per
1.00 120.0000 EcH EIr-0-200 sRV FEEDER
Ext.ension
120.00
charged Pa i.d Cr.edited Due
Permit Fee Total
Plan Check Total
Grand Total
120.00
.00
120 .00
a2a
!24
00
00
00
00
00
00
00
00
00
PERMTT WILL E)OIRE Stx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
SERVICE qlzule p 'E$>
FINAL rb)'v)lt1 +,Y s#
Signature of owner or Electrical Contractor X Date:
wa 983537214
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ROUGH-IN
COMMENTS:
1 - 2 SINGLE.FAh/ILY
ELECTRICAL PERM IT APPLICATION
Public $/crks ancl I;iiiities l)cpar{mcnf
.i2l L,5rh Strect. Poll Angelcs, \1,1 9B-162
i6C,4 I 7.473-{ i r,,r+rv.uii1'oipo.us I clecricalpcimits,@citl,oipa.us
1036 W 12th Street
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ProjectAddress:
ProJect Description 1 -200amp altered service
\E Single-Family Residential D Duplex /ARU Building Square footage:
. ., I t,.,.:.: 1:. . ... .,, ,.; ..
Name Debbv Fu SO n Ema i
Mailing Address 1 Oi6 \A/ 1 21h Straaf Phone:
Name: North Peninsula Electric License :northoe930mz
Mailing Address 760 Freshwater Park Expiration Date:
Email: norlhpen insr r laelpciri./alv.hoO Com Phone: 360 477-1764
-. , ' . , . ., . , ,: - , - - : . - ; : ':.'l'
ttem
Servica/Feeder 200 Amp.
SeMce/Feeder 201 -400 Amp.
Service/Feeder 40'1 €00 Amp.
Service/Feeder 601 -'1 000 Amp.
Service/Feeder oler 1000 Amp.
Branch Circuit w/SeMce Feeder
Braoch Circuit WO SeMce Feeder
Each Addibonal Brsnch Circuft
Branch Cirqrits 1-4
Temp. SeMcelFeeder 200 Amp.
Temp. S€rvioelFe€der 201 -400 Amp.
Temp. ServicdFeeder 401 €(E Amp.
Temp. SeNice/Feeder 601-1000 Amp
Portal to Portal Hourly
Signal Ciroriulimited Energy - 1&2 OU.
Man!fu dured Home Connection
Renewable El€c. Energy: st(/A System or less
Thermostat (Note: S5 icr each additional)
First i300 Square FBet
Escn Addilioral 500 square ieef'
. Each OutbuiHing / Oetach€d Gardge
Eadr Swimming Pool / Hol lub
TOTAL 120.00
uoii ctraro"
$120.00
st46.00
s205.00
$262.00
$373.00
$5.00
563.00
$5.00
s75 00
993 00
$110.00
s149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
t40_00
s74.00
$110.00
s
$
$
$
$
$
$
$
$
$
$
$
$
$
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$
$
Ownel as defined by RC\i/.1 9.28.251: (1) Owner tr,ll occupy lhe struclure for two years after this electrical permit is finalized. (2) Owner is
.equked to hire an eleclrical contractor if above said pmperty is lorsale, rent or lease. Permit expkes after slr monlhs of last inspectjon-
Afler .eading the above state.rEnt, I hereby certiry fial I am the owner ofthe above named property or a licensed e{eclrical contraclo. I
am making the electfical installation or alteration io compliance wilh th6 electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specitications and PAMC 14.05-050 rsgerding Electrkal Petmit Applications.
Se tember 18, 2019 Kimbe Rae Walker Kitttb ?aa Walkar
Date Pr;nt Name Sisnature (p Owner I Ele Conlractor I Adrniniskalor)
lElect.icat Permit Applicatlons may be submited tg City Ha,l or electricalpermits@crtyofpa.us or faxed to 360.417 .4711)
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Auenfitv
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IqlCl ioranilty', uriit giargei. 120.00