HomeMy WebLinkAbout425 Whidby AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'735
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Application Number
Application pin number
Property Address
ASSESSOR PARCEI NU}IBER :
Applicalion t,),?e description
Subdiwision Name
Property Use
Property Zoning
ApplicaEion valuation
19 - 0000102 7 Date 7 /09/19
294505
425 WHIDBY Al'E
06- 30 - 10 - 5 - O- 127s - 0000 -
ELECTRICAI ONIY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
II'IXNOI,{N
0
ApplicaEion desc
Propane water heaEer
BEN AND ERIN BRAUDRICK
425 E h'IIIDBY AVE
PORT ANGELES I,iA 983 52
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
1360) 452-9264
wA 98362
Permit
Additional desc
Permil Fee
Issue Date
E>!.piraEion Date
63.00
'7 /a9/19
L/ os /2a
Plan Check Fee
valuation .
00
0
Extension
53 ,00
Fee summaly Charged Paid CrediEed Due
Permits Fee Totaf
Plan Check Total
Grand Total
53 .00
. o0
53 .00
63 .00
.00
63 .00
o0
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I^A.ST TNSPECTION
INSPECTION TYPE INSPECTOR:
DITCH
SERVICE
ROUGH.IN zlz-r-/n .AY w
FINAL =liln 4B Btr
COMMENTS:
Sig[ature of omer or Electrical Contractor X Date:
ELECTRIC4I ALTER RESIDENTIAL
Qty Unit Charge Per
1.OO 53.OOOO ECH EL-R- BRANCH CIR WO/ SER FEED
DATE:RESULTS:
Ot-/08/2019 08:02 FAX 360 452 9265 Anaeles Electric
2 SING -FAMILY
ELECTRI CAL PERM IT APPLICATION
Public Works and Utiliries Depar*Eent
32I E. 5th Sreet, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us I electrioalpermitsl@cityofua.us
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*Project Address:
Name:
Mailing Address;
Name:
Mailing Address:
Email:
S-
ential E Duplex /ARU Building Square footage:
Email:
Phone:
Lictinse: 4N{4!E Z4LaDLS
Expiration D ale: --&:QJ:-U-LQphone:sbo' +bMzJe +
lEn
Service/Feeder 200 Amp.
SerYic€/Feeder 201-400 Amp.
Service/Feedsr 401600 Amp.
Service/Feeder 601-1 000 &rp.
service/Feeder over 1 00O Amp.
Branch Circuit w/ Servica Feeder
Braflch Circuit WO Sgwice Feeder
Each Addilional Branch Cirdrit
Brancfi Cirq/its 1-4
Temp. SerYice/F&der:200.Amp.
femp. Service/Feeder 201-{OO Amp.
qrtolh.(qusntltY x U it Cha.gc)
$
$,'
$.
$
$_s /a3@s .: ,.,s.
$ --.=--.--:
$
t120.00
0146.00
$305.00
s262Jo
$373;00
ts.oo .
s63.00
$5.00
$_7."5:90
$!+00
gl'10:00'
I
Temp. Se.vice/Fee
T6mp. ServicdF Amp.
Portal to Portal Hourly
Signal CircuiuLimited En
Manufactur€d Home Con
Renewablg Elec, Energla
TOTAL
Olvner as definsd by RCW'19,28.261: (1) Ownor wi[ occlpy th. Elruciul€ ror tvvo years aft€r thi3 elietlcalpemlt l. fn lEEd. (2) Oynori.
required !o hir€ an elecfical conf"agtor if abovg said p,eperty is for sale, rsnt of basc. Peamit o(plt€s afirr slx ,rrqnths of lelt inEPectloo.
After reading lhe abova statemant, I heroby csniry that I am lh€ owner of the abova ngmed prpprrty ol a licsng€d sl€ctrlcal oonfactor. I
am making Ge etectricsl inst llation or alteration in comdianca wi8r the olec{rlcal laws, N,E.C. , RCW. Chaptsr t 9.28, WAC. ChapLr 29&
468, The City of PortAngeleE Munlcipal Code, 8nd Utility and r4.05.050 rogarding El66lrloal Psrmft Appficatiofl8.
,/<k3t
Date Print Name Signsture (E Owner / Adminielrator)
lElectdcat Permit Applications may be submitted to City Hall or el€cticalp€rmits@cltyoFa.us or faxed to 360.417,47111
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ELECTRICAL CONTRACTOR INFORI'ATION
. .-- PROJECT DETAILS