HomeMy WebLinkAbout217 1/2 W 3rd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RESIDEI,ITIAL H16Lt DENSITY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\\
Appficatsj.on Number
Application pin number
Property Address
ASSESSOR PARCEIJ NU}4BER:
Application t),.pe description
Subdivision Name
ProperEy Use
ProperEy Zonlng
Application valuation
19- 00001540 Date 10/03/19
684340
2t'7 1/2 W 3RD S't
06- 3 0 - 00 -0- 0 - s26s - 0000 -
EIECTRICAL ONIY
\
\o
Applicatsion desc
Detsached building circuiEs
Contractsor
SAWYER, ALLEN D
1850 HARBORCREST PL
PORT ANGELES
ANGEIES ELECTRIC
524 E, lST ST,
PORT ANGEI]ES
\360) 4s2-9264
wA 98352 wA 983 52
PermiL
Additional desc
Perrnit Fee
Issue Date
Expiration Datse
ELECTRICAL AITER RESIDENIIAL
1-4 CIRCUITS
75. O0 91an Check Fee
to / 03 / L9 valuat ion
3 /3a/20
00
C
Qty Unit Charge Per
BASE EEE
Extension
75.00
Fee sunma.y Charged Paid Credited Due
Per.mit Fee Toeal
Plan Check Totsal
Grand TotaL
75. 00
.00
75. 00
75 .00
.00
75 .00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM L.A.ST INSPECTION
INSPECTION TYPE RESUI.TS INSPECTOR:
DITCH to)ra /n-._R 'ffi
SERVICE
ROUGH-IN ro/tr. )e dD *
FINAI,b"llb //9 P &
COMMENTS:
Signature of orvner or Electrical Contractor X Date:
- 00
.00
.00
DATE:
EL1-2 sF
10/02/2019 07:51 FAI 360 452 9265 Angeles El ectric
ELECTRICAL PERTUIT APPLICATION
Public \&brks and Utilities Department
321 E. 5th Street. PortAngeles, WA 98362
360.417.4735 | www.citvofpa.us I electricalperrnits@cityofpa.ns
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Proiect Address:
Mailing Address:
Project Description:
E Single-Family Residential E Duplex / ARU Building Square footage:
Name Email
Phone
Name:Anqeles Electric. lnc License:ANGELEI46ORS
Item
SeNicdFeed€r 200 Amp.
Service/Feeder 2O1 400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Arnp.
Service/Feeder over 1000 Amp.
Branch Circuit W Soruice Feeder
Branct Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch CirqJits 1{
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 501-1 000 Amp.
Porlal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufu c{ured Home Conneclion
Renevyable Elec. Energy: sl(\/A System or less
Thermostat $5 for each
unit ChrrlE
s120.00
$146.00
$205.00
$262.00
$373.00
s5.00
$63.00
$5.00
$7s.00
$93.00
$110.00
$149.OO
$168.00
$96.00
sel.oo
$120.00.
$102.00
$56.00
Ouantity Total (Quantity x Unit Charge)
__@
TOTAL
Owner as defined by RCW.1S.28.261 : (1 ) Omer will occupy the structure for two years afrer this elecfical pemit is finalized. (2) Ovner is
required to hire an eledtical contraclor if above said properly is for sale, rent or lease. Pemit expires after six monlhs of last inspBdion.
After reading the above statement, I hereby certiv that I am the o^rner of the above named propedy or a licsnsed elecdlical contsaclor. I
am making th€ elactical installatim or alteration in complianco wilh the eleclricallaws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29&
468,of Port Angeles Municipal Code, and Utlity 14 050 g Electrical Permit Applications.
Ken Sim son
Print Name Signature (E Owner p Contractor I Administrator)
lElectrical Permit Applications may be submttted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417,47111
1 - 2 SINGLE-FAMILY
Mailing Address: 524 E. First Street, Port Angeles, WA 98362 Expiration g6lei2hnA
gmgil' ksimpson@olympus.net phone. 360-452-92
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