HomeMy WebLinkAbout2139 W 7th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-4t7 -4735
RS7 RESDNTL STNGLE EA]VI]LY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appficatsion Nunber
Appf ication pin numirer
Propertsy Address
ASSESSOR PARCEL NUMBER:
Application Lt'pe descripEion
subdivision Name
Property Use
Property zoning
ApplicaEion valuation
19 - 00001567 Date 10/08/19
784868
213 9 W 7TH ST
05-30- 00 - 9 - 8 - 004 0 - 0000 -
EI,ECTRICAL ONI]Y
AppficaEion desc
Hots lUb
MARK D AND NANCY A BOIIMAN
213 9 W 7TH ST
PORT ANGELES WA 983631619
ANGELES ELECTRIC
PORT ANGELES
(36O) 452-9264
wA 98352
Permit
Additional desc
Permlt lee
Issue Date
Expir:ation Dat.e
ETECTRICAL ALTER RESIDEMTIAL
1-4 CIRCUITS
75-00 Plan Check Fee
Ia/aA / 19 Va I uaLion
4/os/20
00
0
Qtsy Unil Charge Per
BASE FEE
Extension
75_00
Charged Paid CrediEed Due
Permlc !ee'Iota1
PIan Check Tot.al
Gr:and Total
75 .00
.00
75 .00
75. O0
.00
75. 00
.00
.00
. oo
00
00
00
PERMIT WILL EXPTRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION T}?E DATE:RESULTS:INSPECTOR:
DITCH
SER\1CE
ROUGH-IN zl^)no R w
FINAI s)-')zo &s
COMMENTS:
DateSignature of owner or Electdcal Contractor X
lO/04/20I9 17:01 FA.f, 360 452 9265 AnSeles E lectrlc
1 - 2 SINGLE.FAMILY
ELECTRICAL PERM IT APPLI CATION
Public Works and Utilities Departmeilt
321 E. 5th Sfeet, PoftAngeles, WA 98362
360.411 .4735 | www.ciryofpa.us I electrical penairs@cityofpa.us
ingle-Family Residential E Duplex /ARU Buildlng Square footage:
Email:
Mailing Address:Phone:
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Project Address:
Proj
Name:
Name:Angeles Electric, lnc License:ANGELEI46ORS
PROJECT DETAILS
Item
Ssrvics/Foeder 200 Amp.
Service/Feeder 201-400 Amp.
Selice/Feader 401€00 Amp.
SsMco/FBeder 601-1 000 Amp.
Service/FeBdar over 1000 funp.
Branch Cirolit w/ S€rvice Feeder
Branch Cirorit w/O Service Feeder
Each Addruonal Branch Circuit
Branch Ckcuits 1-4
Temp. Servic€/Feeder 200 Amp.
Temp. Ssrvice/F€edsr 201-400 Amp.
Temp. ServicelFeeder 401{00 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portal to Portal Houdy
Signal CircuiUlimited Energy - t&2 DU.
Manufu s{ured Home Connedion
Renewable Elec. Energy: sKVA SyStem or less
Thermostat (Note: $5 for each
Unlt Charoa
$120.00
$146.00
$20s.00
$262.00
s373.00
s5.00
$63.00
$5.00
$75.00
s93.00
$1r0.00
$149.00
sr08.0o
090.00
$6,rO0
$120-00
$1q200
$56,@
Ouantlty ittd (Quantlty x Unlt Chatg.l
t_
$-3_$-s-g--s-
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Owner as defined by RCW.19.2E.261: (1) Owner willocsrpy the structuro for two years afrer thls €lectical permit is finalizcd (2) Ownor i3
required to hire an ilecfical contraaoiil'above said propeity is for sale, rent or leese. Permh expiras after six months of last insp€clion'
TOTAL
After reading the above statement, I hereby cenify that I am the owner of the above named prop€rty or a licansed slscuical contsaclor. I
am making the electical installation or atteration in compliance with the slecEicat laws' N.E.C.' RCW.Chapt8r 1 9.28, wAc. chspttr 296-
46 City of PortAngeles Municipal Cod6, and t tility Spocifrcations PAMC 4.05.O50 ng El€€lrleal Psrmlt Appllcatidls.
ID Ken Sim son
Date Print Name (tr g I Contractor / Administrator)
[Elec,tricat Permit Applicatlons may be submited to City Hall or olectricalpermits@cityoDa.us or fax€d to 360.417.47111
Mailing Address: 524 E. First Street, Port Angeles. WA 98362 Expiration Oate: ZB-
s-.ir. ksimoson@olvmous-net px^^^. 360-452-9264