HomeMy WebLinkAbout3810 Page StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PLANNED RESDNTL DE'VLPMENT
0
REPORT STATE SAI.ES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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G
NApplication Number .
Application pin nuniber
Property Address
ASSESSOR PARCEI- NL14BER:
Application type descriptsion
subdiwision Name
Property use
ProPerty Zoning
ApplicaEion valuation
19- 000013 L2 Dare 8/2'7 /L9
068540
3 810 PAGE ST
05-30- 15- 5- 5 - 024 0 - OO00-
EIECTRICAI ONIY
Application desc
Temp Service
S1IERRON AASOCIATES, L.t.C UPPER LEET EIECTRIC L},C
13 05 ROOK DR
PORT ANGELES WA 983 52
l35O) 46t-'7720
Contractor
BELLEVIE'I
BELLEVUE wA 9 800s
Permit
Additional desc
Peroits Eee
Issue Date
Expiration Date
93.00
I /2't / te
2/23/2a
EI,ECIRICAL TEMPORARY SERVICE
00
0
Oty UniL Charge
1.00 93 .0000 ECE EL-?EMP SRV O 2OO SRV FDR
Extension
93 .00
Charged Paid Credited Due
Permit Fee Totaf
Plao Check Total
Grand Total
93 .00
.00
93 .00
93 .00
.00
93 .00
00
00
00
00
00
o0
PERMTT WILL EXPIRT Stx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE e)*)n \F w
ROUGH.IN
FINAL alzsln {8 =d)
COMMENTS:
Signature of olaaer or Electrical Contractor X
Plan Check Fee
valuation
INSPECTOR:
Date:
1-2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E- 5th Street. Port Angeles, WA 98362
360.417.4735 w'ww.cityofpa.us electricalpermits@cityofpa.us
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NProject Address
Project Description
E Single-Family Residential n Duplex / ARU Building Square footage
Name Email
Mailing Address:Phone
ELECTRICAL CONTRACTOR I NFORMATION
Name: I )oo.-.r\A*l Q I Q-Crr t 6;,License
Mailing Address
Email
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Unit 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
Expiration Date
Phone:
Ouantitv IgE! (Quantity x Unit Charge)
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Owner as defined by RCW 19.28.261: (1) Owner will occupy the struclure for two years after this eleclflcal 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 contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14 regarding Electrical Permit Applications
Date rint Name Signature (E er E Electrical Contractor / Administrator)
PROJECT DETAILS
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
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OWNER INFORMATTON
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 60'1 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 tunp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 60'1 -1 000 Amp.
Portalto Portal Hourly
Signal CircuiULimitetEnergy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA 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
TOTAL