HomeMy WebLinkAbout1112 W 8th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTI] STNGI,E FAMTLY
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REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatsion Nulnber:
Appl.ication pin number
Property Address
ASSESSOR PARCET NUMBER:
Applicatsion type description
Subdivisio Name
Property Use
Property zoning
Application vafuation
a9-o0o0t242 Date I /t4 /t9
596444
1112 W 8TIt ST
06- 3 0 - 00 - 0 -2 - 5710 - 0000 -
ELECTRICAL ONLY
Application desc
Service change
Con!ractor
J GITATTAN/M+D SOFIE/J HYATT
2 213 W 1411i ST
PORT ANGELES WA 983 62
588 OAK WOOD DR
SEQUIM WA 98382
l42s) 293-23s7
PermiE
Additional desc
PermiE Fee
fssue Date
Expiration Date
140 .00
8/14/t9
2/ra/20
P.Lan unecJ( !'ee
Valuation
00
0
0ry
4.00
1. 00
Unit Charge Per
5 .0000 ECH
120 .0000 ECH
EL-BRANCH CIRCUIT W/FEEDER
EL-O-2OO SRV FEEDER
Extension
20. o0
120.00
Charged Paid Credited Due
140
140
140
140
00
o0
00
o0
o0
00
00
00
00
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
INSPECNONTYPE DATE:RESULTS:INSPECTOR:
DITCH
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SER\'ICE *)F)/t9 P \r&=
ROUGH.IN
FINAL s/zu ln FI affi
COMMENTS:v
Signaturo of owrcr or Electrical Coutractor X Date:
ELECTRTCA], ALTER RESIDENTIAI
Pefinit Fee Total
Plan Check Total
Grand Total
.00
.00
.00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATI ON
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ; www.cityotpa.us i electricalpermits@cityofpa.us
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Project Address
Project Description
ts Single-Family Residential E Duplex / ARU Building Square footage
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lvlailing Address
Email:
Name:
Mailing
Email:
Address
Ot-
Phon e:
Si6gnse. lZtr h<qt !1t ,tD
Expiralion.Date.4 / ?c / ) r
Phone: 42 \. 293 -23{-
ELECTRICAL CONTRACTOR INFORMATION
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -'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 20'1400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. 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
Unit Charoe
$120.00
$146.00
$20s.00
$262.00
$373.00
$5.00
$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
Quantitv Iqhl (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
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$
$
$
$
$
$
$
$
$
$
$
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Owner as defined by RCW.1 9.28.261 : (1 ) Owner will occupy the structure for two years afier this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor ifabove said property isforsale, rentorlease Permit expires after six months of last inspection.
After reading the above statement, I hereby certiry that I am the owner of the named property or a licensed electrical contractor I
am making the electrical installation o. alteration in compliance with t , N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468 The of PortAngeles Municipal Code, and Utility Specifi 14.05.050 regarding Electrical Permit Applications.
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Print Name Sig n Owner E Electrical Contractor / Administrator)D
[Electrical Permit Applications may be submitted to City Hall epermits@cityofpa. us or faxed to 360.417 .4711)
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OWNER INFORMATION
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PROJECT DETAILS
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