HomeMy WebLinkAbout2706 S Laurel StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL S]NGLE FAMI],Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\-\o
{
N
Application Number
Applicaiion p:ill nunrlcer
Property Address
ASSESSOR PARCEI NUMBER:
Application Lrce description
Subdivislon Name
Property Use
Property zoning
Application valuatioo
20 00000121 Date t/27 /2o
895073
2705 S I.AUREI ST
06 - 3 0 - 15- 5 - 0 - 0200 - 0000-
ELECTRICAI ONLY
Applicallon desc
Stairlift circuit.
OSCAR O, DEBRA A GUTTORMSEN
2706 S LAI'REL ST
PORT ANGELES WA 983626907
(350) I o8 - 7880
ANGELES ELECfR]C
52,1 E. 1ST ST-
PORT ANGELES
136A) 452 9261
wA 98352
Permit
Additional desc
Permit Fee
Issue DaEe
Expiration Date
63.00
t/27 /2a
1/2s/2a
ELECTRICAI AITER RESIDENTIA!
Plan Check Fee
Valuation
.00
0
Qty UniE Charge Per
1,00 63.0000 ECH EL-R- BRANCH crR wo/ sER FEED
Extension
63.00
Charged Due
Permit Fee ToCal
Plan Check Total
Grand Total
53.00
.00
53_00
63 .00
.00
63 .00
00
00
00
00
00
oo
INSPECTION T\?E DATE:RESULTS:NSPECTOR:
DITCH
SERVICE
ROUGH.IN tJzt lzo +&
FINAL ilbl,o #*
COMMENTS:
a t
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Elecaical Contractor X Date
Paid credited
BSI
0l/24/2020 15:01 FAX 360 452 9265 Anceles Electric @ 0001/0001
EL 1 .2 SINGLE.FAMILY
ELECTRICAL PER MIT APPLICATION
Public Works and Utilitiei Department
321 E. 5th Street, PotrAngeles, WA 98362
360.41 7.47 35 | www.cityofpa.us I electricalpermits@.ciryofpa.us
ingle-Family Residential E Duplex /ARU Building Square footagc:
Email:
Mailing Address:Phona:
if??;;f
to
3
s
s
t\
Project Address:
Proje ption:
Name:
Name:Anoeles Electric, lnc.Licanse:AN GELEI46ORS
Mailing Address:524 E. First Street, Port Anoeles, WA 98352 Exgiration Dato:il1n0
Email:ksimpson@olympus.net Phone:
lle!!
Seryics/Feedsr 200 Amp.
SeMdFeeder 201.400 Amp.
SeMce/Feedar 401 {00 Amp.
Serylc€/Fegde, 001-1000 Arnp.
Sewice/Fe6d6r over 1 000 Amp.
Branch c rcuit W, seMce Feeder
Branch Ciftuit WO SaMca Feeder
Each Addilional Branch Ck@it
Branch Circrits 'l-i
Temp. SsMce/Feeder 200 Amp.
Tsmp. SeMcs/Feeder 201400 Amp.
Tamp, Service/Feed-eE 401{00 Amp.
Temp. SeMcs/Faed.ir'601 -i 000 ArnP.
Portal to Po]tal Hourly
Signal Circuit/Llmited Energy - flI2 DU.
M anufac{gred Home Conneclion
Renewable Elec. Energy: SKVAsystemor'[ess
lol.clilcr
i120.00
s148.00
$4r5.00
$262.00
s373.00
$5.00
s63.00
t5.00
075,00
s93.00
3110.00
.$.{9i!0.
i$Hr,gg'
Alrl!$u Iglal (Qu.ntlty x Unlt Ch.rgc
-T
owner as defined by RCW19.2EZ61: (1) Owner will occupy the srructura fiv tryo yeer! aftor lhls dectlcal p€rmfi b nndEod. (2) OYYnor l!
rcquired to hirc an erearicat aonuaaoi #.u"* "in prJp.rtr is br sab, ;t orl;ase. Permlt expirec aftei lix mootB of last ktspootion'
Thermostat (Note: S5 for eacit additiqE
TOTAL
Aner reading ths above statementr I breby cettry lhat I am tha orvner of ths above namad P(opqty or a llcenr€d alsct lcel oontractor. I
am making thB electical installation or alteration in complianco wlth tha elsdrlcal laws, N.E.C.' RClIr.Chspror 1 9.28, WAC. chapter 296-
468, The of PoIt Angeles MunioiPal Code, and Utlllty S and PAMC 14 Eloc.trical Permlt APPIGa{on8.
Ken Sim on
Print Name Signature 1[ Owner p Contraclor / Administrator)
lEtectricat permit Apptications may be submittad to City Hall or elec'ticalpermils@dttro&a'ue or faxed to 380'417'47111
s-0-
at-s-s-i bqaa'
(
G
$-
$-
:$
$
'$--,l--;t:-:-