HomeMy WebLinkAbout1433 Rook Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RESIDENTIAL MEDIUM DENSTY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaEion Number
Application pin nuhber
Property Address
ASSESSOR PARCEI. NUMBER:
Applicatioa E!?e desc.iption
Subdivision Name
Paopertsy use
Property zoning
Application valuation .
19 - 00000137 DaEe a/23/t9
087821
1433 ROOK DR
06 - 3 0 - 14 - 5 - 3 - 0665 - 0000-
ELEC1RICAL ONLY
Appficatsion desc
GREEN CROW PROPERTIES INC
PO BOX 243 9
PORT ANGELES IiA 983620]12
UPPER LEFT ELEC?RIC
13 06 ROOK DR
PORT ANGEI,ES
l.360) 46t-7't20
LLC
wA 98362
Permit
Additiooal desc
Permit Fee
Issue Date
Expiralion Date
200.00
t/23/1-9
'1/22/t9
ELECTRICAL NEW RESIDENTIAL
00
0
QEy Unit Charqe Per1.00 120.0000 EcH2.AO 40 .0000 ECH
Extension
120 .00
80.00
EL-R-SQET FfRST 13OO
EL-R-SQET ADDITIONAL 5OO
Eee summary Charged Pa id Credited Due
Permit Fee Total
Plan Check Total
Grand Total
200
204
00
00
00
00
00
00
00
00
00
PERMII WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR
DITCH '+lelfi -tP
SERVICE ,riz^ ltl tr -Da
ROUGH-IN q'lu'1,.,I -9d_
FINAL tltc ,4A M)
COMMENTS:I
Signature of ownff or Electrical Contractor X Date
Plan Check Fee
Vafuation
200. 00
.00
200.00
s+
I
EL1-2 sF
ELECTRICAL PER TUITAPPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | w*vr.cityofpa.us I electricalpermits@cityofpa.us
\q33 Q "ov Dt *.-e-
RECEIVED
JAil 23 2019
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Project Address
Project Description:oo
OWNER INFORMATION
[/ailing Address Phone
ELECTRICAL CONTRACTOR INFORMATION
Name ( x:r-,z( \e{ t L' e c*,r c,
et\e]\ e(l:
C1, O{ I
OO
License
Phone:
tvlailing Addres!:
Email
Expiration Date
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 400 Amp.
Service/Feeder 401S00 Amp
Service/Feeder 601 -1 000 Amp.
Serv ce/Feeder over 1000 Amp.
Eranch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 'l-4
Temp. Service/Feeder 200 Amp.
Temp Service/Feeder 201400 Amp
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiylimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Therroslat (Note $5 for each addrlronal)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / HotTub
Ouantitv fgE! (Quantity x Unit Charge)
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this eleclrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection
After reading the above statement, I hereby certiry that I am the owner of the above named property or a lic€nsed elecirical contraclor I
am making the electrical inslallation or alteration in compliance with the electrical laws, N. E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility cations and PAMC '14.05.050 regarding Electrical Permit Applications.
Unit Charoe
$120.00
$146 00
$205.00
$262 00
$373.00
$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
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Print Name Signature (EI Owner ! Electrical Contractor / Administratoo
PROJECT DETAILS
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
1 - 2 SINGLE-FAMILY
E Singte-Family Residential n Duplex / ARU Building Square footage:
-
113ms; t..:.: (,,-.._ Email: _
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