HomeMy WebLinkAbout1934 W 8th StApplicaEion Nudber ,
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application t!'pe description
Subdivision Name
Property use
Propertsy zoning
Applicatsion vafuation
19 - 000014 58 Dare 9/1-9/1-9
941514
1934 W 8TH ST
05 - 3 0 - 00 - 9-3 - 1050 - 0000 -
EI,ECTRICAT, ON',Y
ELECTRICAL PERMIT
CITY OF PORT ANGEI-ES
360-417-4735
RS7 RESDNTI SINGLE FAMILY
0
REPORT STATE SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatsion desc
Temp
PARKTERO LLC
21 XRUSE RD
PORT ANGELES
l36a) 46t-',7120
I]PPER LEFT ELECTRIC LLC
13 06 ROOK DR
PORT ANGELES WA 98362
136A) 461-712A
wA 983 62
Permit
Additional desc
Pernit Fee
fssue Date
Expiration Date
93 .00
9/1-9/t9
3 /t7 /20
EIECTRICAI, TEMPORARY SERVICE
PIan Check Eee
Valuation
00
0
Qty Unit Charge Per
1.OO 93.OOOO ECH EI-TEMP SRV O 2OO SRV FDR
Exlension
93.00
Charged Paid Credited Due
93 .00
. o0
93-00
93_00
.00
93.00
.00
.00
.00
00
00
00
PERMM W]LL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE INSPECTOR:
DITCH
SERVICE 1)2n1fi,JP -t)P
ROUGH.IN
FINAL 7/ro h0 N r*
COMMENTS:
Signature of owner or Electrical Contractor X Date
Permit Fee :loEa1
PIan Check ToCal
Grand Total
DATE:RESULTS:
1 - 2 SINGLE-FAMILY
ELECTRIC AL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 i www.cityofua.us I electricalpermits@cityofua.us
RECEIVED
sEP t g l/lts
!o
3
"_$
,\-+-
\r1
CDProject Address 1v\
Project Description
E Single-FamilyResidential n Duplex /ARU Building Square footage
Email
ef t Lr--c[- f'r License
e.( lat t o-ue--k "C <=or-'L'\
Expiration Date
Phone:Email
Item
Service/Feeder 200 Amp.
Servicei Feeder 201-400 Arnp.
Servicei Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Servic€ 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 CircuiUlimited Energy - 1&2 DU
Manufactured Home Connection
Renewable EIec. Energy: sKVA 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
LJnit Charqe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.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
Quantitv fglel (Quantity x Unit Charge)
lcto
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
o
$
$TOTAL ASc,Q,
Owner as defined by RCW'19.28.261: ('l ) Owner will occupy the structurc for two years after this electrical 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 certify that I am the owner of the above named property or a licensed electrical mntIactor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E C., RCW Chapter 19.28, WAC. Chapter 296-
, The City of PortAngeles Municipal Code and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name tgn Owner ! Electrical Contractor / Administrator)
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 3 60.417 .47'l1l
Lr-2 s
Name:
N/lailing Address Phone: _
Name:
Mailing Address:
OWNER INFORMATION
\
t