HomeMy WebLinkAbout1107 W 6th StApplication Number
ApplicaEion pin number
Propertsy Address
ASSESSOR PARCEIJ NUMBER :
Application,tl'pe description
Su.bdivision Name .
Property Use
Property Zoning
Application valuaEion
ELEETRIEAT PERMIT
EMY OF PORT ANGELES
360-417-4735
RS? RESDN:T! SINGIE FA]VIILY
0
20 - 00000223 Date 2/14/20
60 012 0
1107 W 6Ttt ST
06 - 30 - 00 - 0 - 1- 1340- 0000 -
EI,ECTRICAL ONIY
REPORT STATE SATES TAX
on your excise tax form
tothe City ot Put Angeres
(Location Code0502)
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Application desc
Service change
Owner Contractor
FR}NKLIN, WILLIAM D
907 W 5TH ST
PORT ANGELES
BI,ACK DIA,I4OND ELECTRICAI CONTR
502 BLACK DIAMOND RD
POR? ANGELES WA 98363
(350) 555 - 103 s
wA 98353
Permit
Additsionat desc
Permits Fee
Issue Datse
Expiration Date
120. 00
2 / 1-4 /20
8/L2/20
ELECTRICA], AITER RES]DENTIAI,
Vafuation
00
0
Qty Unit Charge Pel
1.OO 12O.OOOO ECH EL-O-2OO SRV EEEDER
Exlension
120.00
!'ee summary Charged Paid CrediEed Due
Permit. Fee TotaL
Plan Check Totsal
Graod Total
120.O0
.00
120.00
120
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00
00
00
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.00
00
00
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ELECTRICAL PE MIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4 17.4735 I www.cityofpa.us electricalpermits@cityofla.us
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$Project Address
Description NL
Single-Family Residential D Duplex / ARU Building Square footage
Name
l\ilailing Address
LL Email
Phone
O\^/NER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name
Nlailing Address:
Email.
License
Expi Date:
Phone
PROJECT DETAILS
Itsm
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Servic€/Feeder 60'1-1 000 Amp.
Servic€/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Servace Feeder
Each Additional Branch Circuil
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Servic€/Feeder 20'1400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiyLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First '1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$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
Quantitv Total (x Unit Charge)
$
$
$
$
$
5
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$-rz-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 expires after six months of last inspection.
Afrer reading the above statement, I hereby certify that lam the owner above named property or a lic€nsed electrical contractor I
cal laws, N.E.C., RCW Chapter 19 28 WAC. Chapter296-am making the electrical installation or alteration in complian
468 The City of Port nt Code, and Utility and PAMC 14.05.050 regarding Electncal Permit Applications.
ZaLa
Date Print Name E Electrical Contractor /Administrator)n
[Electrical Permit Applications may be submitted to City Hall or electrica rmits@cityofpa. us or faxed to 360.417.47111
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