HomeMy WebLinkAbout620 Vashon AveELECTRICAI, PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FAMILY
o
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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ApplicaEion Nurber
Application pin nl.Ilflber
Property Address
ASSESSOR PARCEL NUI'BER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application waluatsion
20- 00000051 Date 1/2t/2o
932074
620 VAS!{ON AtE
06- 3 0 - 10 -4- 3 - 0550- 0000 -
EI,ECTRICAI ONLY
Applicatioo desc
2 gas inserts
DAI{REN W AND MESHEA R CRYSUP
3 MCALLISTER CIRCLE
BTLOXf MS 3 9532
ANGEI,ES ELECTR]C
PORT ANGELES
l36O) 452-9264
wA 98362
Permi t
Additional desc
Permit l'ee
Issue Date
EIIECTRICAL ALTER RESIDENIIAL
1-4 CIRCUITS
75.00 Plan Check Fee
L/21/2o vatuaLior
1 /L9 /20Expiratsion Date
oty Unit
00
0
Charge Per
BASE FEE
ExEension
75 .00
Fee summary Charged Pa id Credited Due
PermiE Fee Tocal
Plan Check Total
Graod Total
75 .00
.00
75. 00
75.00
. o0
75. O0
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-tN t lrt )ro {D w
FINAL ;);)^&
COMMENTS:t"t
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
EL
\
01/77/2020 11:51 FAI 360 452 9265 Anaeles Electrlc
2 S NG E.FAMILY
ELECTRI
Fublic Works and Utilities Department
321 E. 5th Street, PorrAngeles, WA 98362
360.4 l'l .47 3 5 | www.cityofpa.us I electricalpermits@cityofo a.us
ingla-Family Residential E Duplex /Building Square footage:
Email:
Mailing Address:Phone
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CAL PERMITAPP ICATION ?ot)
ProjectAddress:
Name:
Name:Anoeles Elect ic, lnc.Licanse:AN GELE1460RS
Mailing Address:524 E. First Stre€t,Port Anqel6s , wA 98362 Expiration Dato:a1n0
Email:ksimpson@olympus.net Phone:360452-9264
Item
S eMce/Feeder 200 Amp.
SeMca/Feedet 201 40o Amp,
Servlce/Feeder 401-600 Amp.
Sewlcs,/Feedot 601-1 000 funp.
Serviccy'Feeder oYer 1000 Amp.
Branch Circuit w/ SeMce Fesder
Brancfi Clrarit w/O Service Feeder
Each Additional Brandr Circuit
Branch Circui6 l-4
Temp. Service/Foeder 200 Amp.
Temp. Service/Foeder 20'l-400 Amp.
Temp. S€wics/Feeder 401{00 Amp.
Temp. Service/Feed6r'601-1000 Amp,
Portal to Portal Houdy
Signal CirEuitAlmited Ensrgy - +E2 OU.
Manufactur€d Home connec,tion
RBnawable Elec. Ener!,4 sKVA Systarn orless
Unlt Chtror
$120.00
$148.00
$205.00
$262.00
1373.00
t5.00
s63.00
s5.00
$75.00
$93.00
$r10.00
. 81{9{0
+r, ..oc
$s;0e
.'s6+,00
${39,s.
$rs4qo
Ouantlt!,i!lt[ (Qurntlty r Unlt Charg3)
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$-
$-
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Owner as defined by RCVV. I 9.28.261 : (1 ) O\ ngr will occrpy lh3 sgucture br trc yo8rs dlff lhlr al€ctlcal p€.rnlt b f ndbd. (2) Ohf, L
raquircd to hire an etEctrlcal contrado; Itabova caiA properly ls fu. !elc, trr ot L.!o. Polmlt c)g|r.. aft.r sh mdrl'l3 dl.at lntP€C on,
Thermostat 95 for sach add
TOTAL
Aft6r reading the above statement, I h€reby cardty &at I am thr orvnot of thr abwc namsd Pmpst,or a fcan8€d rlacblc.l oonfaclor. I
am making the electrical insteltalion or attsration in @mpfiancc wllh thc el8cilcrl htvs, N.E.C.. RC\ry.Ch.ptar 102E, WAC. Ch.Pbr 200'
468,ThB o, PortAngeloc Municipel Code, and Udllty and t4.O5.O5O rig€rdlng El,ectrlcal Psmlt App[c.f oll3.
Ken Sim on
Print Name Signature ([ Orner Electrical / Admlnlstrator)
[Etectricat ParmitApplications may be submited to City Hall or elEctrlcalpermits@dtyo$a.us of faxed to 360.41?.47111
INFORMATION
,..: ,PROJECT DEralLS