HomeMy WebLinkAbout434 E Ahlvers RdELECTRICAL PERMIT
CITY OF PORT ANGELES
364-417-4'/35
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application Nuftber
ApplicaLion pin nurber
Proper:ty Address
ASSESSOR PARCEL NUMBER r
Applicatsion t],?e descriptsior
sulrdivision Name
Propertsy Use
Prope]:tsy zoninq
Application valuation
19-00001619 DaLe 10/15/19
542935
434 E A]ILVERS F]D
0 6 - I0 - 15 - 3 - 1- 90 00 - 0 0 0 0 -
ELECTRICAL ONLY
RSS RESDNTI, STNGT,F] FAMTTJ
0
REPORISALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0S0Z)
ApplicaLion desc
DHP
.]EFERY & TERESA OWEN
434 E AII!\'ERS RD
PORT ANGELES WA 98362
(350) 670 141s
OIINER
Permits
Additional desc
Permit Fee
Issue Dale
Expirat.ion Date
63 .00
La /\5 /19
4 /t2 /20
Plan Check Fee
Valuation
ELECTRICAI ALTER RESf DENIIIA]-
Qty Unit Charge Per
1-00 63.0000 EcI] Er R BRANCI] cfR wo/ sER EEED
0
6r .00
Paid CfediLed Due
Per.mits Fee Total
Plan Check Total
Grand Tolal
53 .00
.00
63 .00
63_00
.00
63 .00
00
00
00
00
00
00
PERMIT WILL E)GIRE SIX (6) MONTHS FROM L"A,ST INSPESTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS
Signature of owDer or Electrical Contractor X
G:\EXCHANGE\BUILDING Date:/blT_/g
.00
Charged
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@cityofpa.us
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Project Address L+3q L A[r\r;rr.ti Pzl
Dudlet= l\prr* O,;,mct
( Singte-Famity Residential D Duplex / ARU
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Building Square footage
Name
Mailing Address qlq € ALr\vpy:
Email
Phone 4d-q,)
LicenseName
lvlailing Address
Email;
Expiration Date
Phone:
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 Servrce Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp
Temp. Service/Feeder 401-600 Amp
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
lvlanufactured Home Connection
Renewable Elec. Energyr 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
Unit Charoe
$120.00
$146.00
$205.00
$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 lqlel(Quantity x Unit Charge)
&44)
$
$
$
$
$
$
$
I
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL - e'4@-
468, Ihe City of PortAngeles Municipal Code, and Utility S s and PAMC 14.05.050 regarding ElectFcal Perm( Applcahons.
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Print ame a ture (Owner ! Electrical Contractor / Administrator)
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IElectrical Permit Applications may be submi to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
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Project Description:
O!^NER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
Owner as defined by RCW'19.28.261r (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contraclor 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 ce(ify that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in complianc€ with the electrical laws, N E.C , RCW Chapter 19.28 WAC. Chapter 296-