HomeMy WebLinkAbout1905 W 7th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FA}1]LY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Fort Angeles
(Location Code 0502)
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{Applj-caEion Number
Applicatsion pin number
Property Address
ASSESSOR PARCEL NUIV]BER:
Application ts)?e descriplion
Subdivision Nane
Properly Use
Property zoning
Applicatsion valuation
18-0000161? Da..e \O/22/aA
546100
1905 W 7TH ST
06 30 00 8 5 0143 0000
E],ECTRICAL ONLY
Applicatlon desc
Ci rcuits
KENNETH A / MOI,LY I, PARTON
1905 W ?TH ST
PORT ANGEI]ES WA 98353
(360) 808-7932
ROCI{E EI,ECTRIC & CNSI,TNG INC
588 OAK WOOD DR
SEQUTM WA 983 82
1425) 293-2357
Permit
Additional desc
Pernit Fee
Is sue Date
Expir:ation Date
EI,ECTRICAL AIITER RESIDENTIAI]
14 CIRCUITS
?5.00 Plan Check Fee
I a /22/ -8 valuation
4/20/79
00
0
QLy Unit Charge Per
BASE EEE
Extensi.on
75.00
Fee summary Charged Pa 1Cl crediEed Due
Permit Fee Total
Plan Check Total
Grand Total
75. 00
.00
75.00
75. 00
.00
75.00
- 00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN p lzo /rB P B
FINAL
COMMENTS:{"X
Signature ofowner or Electrical Contractor X Date
DATE:
ELI-2 sF
1 .2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
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Project Address
321
360.417.4735
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E. 5th Street, Port Angeles, WA 98362
www.cityofpa.us electricalpermits@cityofpa.us
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Project Description
E Single-Family Residential E Duplex / ARU Building Square footage
OWNER INFORMATION
Name
Mailing Address
a Email 1
Phone
License
Expiration Date 4 2a
ocN a ?
4 t20r
Phone:,'1,,<r 6 hoohc z clL 1,1
ELECTRICAL CONTRACTOR INFORfuIATION
Name
lvlailin
Email:
g Address:
PROJECT DETAILS
Item
Service/Feeder 200Amp.
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 W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 60'1 I 000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufaclured Home Connection
Renewable Elec. Energy: sKVA System or less
Thennostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feel"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Quantitv IqEl(Quantity x Unit charge)
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit res r six months of last inspection
After reading the above statement, I hereby certify that I am the owner of the above named perty a licensed electrical contrac{or I
am making the electr cal nstallation or alteration rn compiancewilh the electrical iaws,N.E hapter 19.28, WAC. Chapter 296-
468, The City of Po.t Angeles Municipal Code and Utility Specifications and PAMC 1 ing Electrical Permit Applications.
LJnit Charoe
$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
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Date Print Name Signature (E Own a ectrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits ityofpa.us or faxed to 360.417 .47111
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ELECTRICAL INSPECTION
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