HomeMy WebLinkAbout2005 W 7th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-473s
RS? RESDNTL SINGI]E FAi4TLY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
o
\
-J.-\
ApplicaEion Nun cer
Appfication pin number
Propertsy Address
ASSESSOR PARCEL NUMBER:
Application ts).'tce description
subdivision Name
Propertsy use
Propertsy Zoning
Applicatsion valuation
20 - ooooooTT Datse 2/ J-2/2o
804255
2OO5 W 7TH ST
06 - 3 0 - 01- 6 - 8- 0 070 - 0000 -
EITECTRICAL ONIY
Application desc
Bathroom remodel
PAfRICK AND HOLLY IRWIN
2 005 w 7Tl{ sr
PORT ANGEIES WA 983531517
A1 ROCKHOLD ELECTRIC
123 WADSWORTH DR
SEQUIM
1360) 775-2L26
INC
wA 98382
Permit
Additional desc
Permits Eee
Issue Date
Expiratsion Date
53 .00
2/12/20
8/L0/20
ELECTR]CAL ALTER RESIDENTIAI
Pfan Check Fee
Valuation
00
0
oty Unit Charge Per1.00 63.0000 EcH EL-R- BRANCH crR wo/ sER FEED
ExEension
63 .00
Fee summary credited Due
Plan Check Total
53.00
.00
53 .00
53 .00
. o0
63 .00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST TNSPECTION
DATE:RESUI,TS:INSPECTOR:
DITCH
ROUGH.IN tla)q-p TDD
FINAL rlzs fz-o "Atr Gd
COMMENTS
Signature of ormer or Electrical Conkactor X Date:
charged
INSPECTION TYPE
SERVICE
ELl-2 sF
ELECTRICAL PER MIT APPLICATION .81
tat
Public Works and Utilities Department
32 I E. 5th Street, Port Angeles. WA 98362
360.417 .47 35 | wrvw.cityofpa.us I electricalpermits@cityofpa.us
Project Address:Joo' /<-/ Zn -sy'ru-t 2.4
/4
Ei-Single-Family Residential E Duplex /ARU Building Square footage
Name
Mailing Address
Name
Mailing Address Z)
Email I
- "/e^f
Email
Phone:3/a -ft-z- 629
License:
Expiration Date
Phone ?za -22e.)/)2.
Total (Quantity x Unit Charge)
63. ao
050 regarding
c
Applications.
$e!l
Service/Feeder 200 Amp.
Service/Feeder'2Ol -400 Amp.
Service/Feeder 4O1€00 Amp.
Service/Feeder 601 -'l 000 Atn p.
Service/Feeder over 1 000 Amp.
Branch Circuit W Service Feeder
Branch Circuit ttr#Office Feeder
Each Additional Branch Circuit
Branch Circuits :1-4
Temp. Service/Feeder 20O Amp.
Temp. Service/Feeder 201400 Amp.
TemD. Service/Feeder 401$0O Amo.
Temp. ServicdFeeder 601-1 000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1E2 DU
Manufactured Home Connection
Renewable Elec. Energy: SKVA System ot less
Thermostat (Note: $5 for each ad
1)
Date Print Name
lJnlt Charoe
$120.00
$146.00
$20s.00
$262.00
$373.00
$5.00
$63 00
$s.00
$7s.00
$93.00
$110.00
$149.00
$168.@
$96.00
$64.00
$120.00
$102.00
$56.00
eectfi@?uogafg
Omntltv
/
$
$
$
$
$
$
$
$
$
$
$
s
TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for lwo 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 expires after six months of last iospection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the eleclrical installation or alteration in mmpliancewith the electricallaws, N.E.C., RCW Cha t1 9.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility S E
. Signature (fl Owner lectrical Contractor / Administrator)
OWNER INFORMATION
PROJECT DETAILS
ELECTRICAL CONTRACTOR INFORMATION
IElectrical Permit Applications may be suOmitted to ffty Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
:.
1 - 2 SINGLE-FAMILY
Project Description:
1lo
=3
='$
lsrtolr
l"-ll*l
Neu
stru,
Onh
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
q
q
$_
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