HomeMy WebLinkAbout1429 E 3rd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESD}ITL STNGLE FAMII,Y
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nunber
Application pin nuniber
Property Address
ASSESSOR PARCEL NUI4BER :
Application tl1)e descripEion
Subdivision Name
Property Use
ProperEy Zoning
Appllcatlon valuation
19- 00 001119 Date 7 /26/19
84205()
1429 E 3RD ST
05- 3 0- 0 0 - 5 - 6- 0070 - 0000 -
ELECTRICAI ONLY
Application desc
Ductsless heat pump
Owner
ANGEI.A N SPRINGOB
1429 E 3RD ST
PORT ANGELES
(350) 460 974 5
BI.ACK D]AMOND E],ECTRfCAI, CONTR
502 BI,ACK DIAMOND RD
PORT ANGEIES WA 98363
(360) s65-Lo3s
wA 983524703
Permit
Additional desc
Permit Fee
Issue Datse .
Expiration Date
63 .00
'7 /26/L9
1-/22/20
ELECTRIC]\I AI,TER FESIDENTIAI
Plan Check Fee
Valualion
00
0
Qty UniE Charge Per
1.OO 53,OOOO ECH EL-R- BRANCH CIR WO/ SER FEED
Extension
63 .00
Fee summary Charged Paid Credited Due
Perm.lE Iee l'oEaI
P.Lan cnecK 10rar
GraEd Total
63 .00
.00
63 .00
.00
.00
.00
.00
.00
.00
PERMM WILL EXPIRE SIx (6) MONTHS FROM I.{ST INSPECTION
INSPECTION TYPE DATE:RESLTLTS:INSPECTOR:
SERVICE
ROUGH.IN slsolt9 dP €
FINAL e,lq) ts dF s
COMMENTS:
,- - u' L
Signa ture of owner or Electrical Conkactor X Date
63.00
.00
63.00
DITCH
ELr-2 sF
1 - 2 SINGLE.FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4 17.47 35 i www.cityofpa-us j electricalpermits@cityoflpa.us
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3.
RECEIVED
JUL 2 5 :1ns
Project Address:
Pro Description D u cn-c(.f
Single-Family Residential ! Duplex / ARU Building Square footage
Name
Mailing Address.lLt zl a_A-o 46o=77lrEmail
Phone:
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name
lvlailing Address
License
Expirati
Phone:Email
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder ove|l 000 tunp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuats 1-4
Temp. Servace/Feeder 200 Amp.
Temp. Seruice/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp
Temp. Service/Feeder 60'1 -1 000 Amp.
Portalto Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Notei $5 for each additional)
Fict 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
am making the electrical installation or alteration in comp liance
468 , The City ol Port Ang un lCode, and Utility
-(1
Ouantitv fgle! (Quantity x Unit Charge)lJnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL sLJ -
Owner as defined by RCW.19.28.261 r (1) Owner will occupy the structure for two years afrer this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor ifabove said property is for sale, rentorlease Permit expires after six months of last inspection.
After reading the above statement, I hereby cerlify that I am the owner named property or a licensed electrical contractor Ie
laws, N.E.C., RCW Chapter 19.28, WAC Chapter296-
C 14.05.050 regardrng Electrical Permit Applications
(E Owner I Electrical Contractor / Administrator)Date Print Name n
IElectrical Permit Applications may be sub ity Hall or epermits@cityofpa.us or faxed to 360.417.471'll
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