HomeMy WebLinkAbout2123 W 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-413s
RS7 RESDNTL SINGLE FAMII,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Potl Angeles
(Location Code 0502)
-N'o
t,-l
B
Application Number
Applicatio'I pin number
Property Address
ASSESSOR PARCEJ, NUMBER:
ApplicaEion ts,'pe descriptioo
Subdivision Name
ProperEy use
Propertsy zoninq
Application valua!.ion
20 - 00000250 Datse 2/20/20
681000
2123 W 5TH ST
06 -3 0 - 00- 9-4 -0090 - 0000-
EIJECTRICAI ONLY
Application desc
l ire place
Contrac!or
M-I\RC A SORENSEN
853 6 4TH AVE NE
SEATILE
(2A6J 199-7A't8
ANGELES EIJECTRIC
524 E. 1ST ST.
PORT ANGELES
/1360) 452-9264
wA 98115 wA 98352
Permit.
Additional
Permit Fee
Issue Date
Expirat ion
desc
DaEe
53 .00
2/2a/20
8/18/20
ELECTRICAL ALTER RESIDENTIAI
Plan Check Eee
Vafuatsion
00
0
oty Unit Charge Per1.00 63.0000 EcH E!-R- BFANCII CfR WO/ SER EEED
Extension
63.00
Fee summary Charged Paid Credited Due
vermlE !'ee t'ota1
Plan Check Total
63 .00
.00
63 .00
63.00
.00
53.00
.00
.00
.00
.00
.00
.00
PERMM WILL EXPIRE SIX (6) MONTHS FROM I-AST INSPECIION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN tlze lzo q TaP
FINAL ilzrlro p qd
Signa ture of owner or Electdcal Contractor X Date
COMMENTS:
02/79/2020 09:19 FAX 360 452 9265
Proiect Address:
1 - 2 STNGLE?FAM|LY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Departrnent
321 E. 5th Street, PortAngeles, WA 98362
360.4 I 7 .47 3 5 i www.cityofpa.us I electriculpermiu@cityofoa.us
'L3 d
Residential E Duplex /ARU Building Squaro footege:
Email
Anaeles Elect r1c a 00o1/oool
xf'r;;f
t
3nf
lui
Mo
ProiplDescriptio
[U'Single-Family
*fn:
Name:
Mailing Address:&t to.Phono
Namo:Anoeles Eleclric, lnc.Licsnse;ANGELEI46ORS
Item
Servica/Feeder 200 Amp.
ServicdFeeder 201 -400 Amp.
Service/Feeder 40 t 600 Amp.
SeMcey'Feeder 601-1000 Amp.
Se Mc€/Feeder over 1000 Amp.
Branch Circuit \ivl Servlce Feeder
Eranch Circuit WO SerYice Fasdsr
Each Additional Branch Circuit
Branch Circuits 1-4
Tsmp. Service/Feedsr 200 Amp.
Temp. Service/Feeder 201400 Arnp.
Temp, ServicetFeeder 401600 &np,
T€mp. Service/Feeder:601-1 000 Amp.
Portal to Portal Hourly
Signal CirclJiulimited Energy - 1{I2OU,
Manufact!rad Home Connedion
Renewable Elec. Energy: 5Klr'A€y9tEm'or fasr
ThermGtat (NotE: t5 for 6ach
lrnh Chrro.
3120.00
$r46.00
3205.00
1262.00
s373.00
$5.00
063.00
E5.00
375.00
393.00
31r0.00
.11d8,00
. t'rctoo
OurntltY (Ournuty r Unlt Ch.rg.l
laiod
t
3I
3
3
I
$
$II
3
,t
I
_i_
$
$,*.124,0e :-
',$oapor .
IOTAL
Owner a8 deftned by RCW.19.28.26t: (1) Owns, wlll occupy th. ttucur. for trw y.eE .lLr thb ahcfbd p.rIilt L linalts d. (2) ovvnaria
required to hhe an ilecticat contractor'dabove cai<t propeity lr br lllo, rent or lir. P.mlt arpha .lt r !h ,no.tlht of Ltt hlp.cdon'
Afier roading the above statsma! , I hercby cortfy lhat I cm tha ownar of th. Bbova nrmsd Propany
am making the eleclrical installalon or alteralion In comPllanca with tia al.cfioal hlvl, N.E.C.. RCW.
oa I [ccnsld aLctrlcal confroror. I
Chapt$ 1928, WAc. ChlPt 12S6'
lne Ebctilc.l P.tthltAPpllc.tlont.468, Tho of Port Angele3 Municipal Codo, and Utility 9P.cl{laadon3 PAMC 1
Ken Sim son
Date Print Name gignaturc(E Ovrnerp Contractor / Adminlstrator)
lEtec,tricat permit Apptication6 may be submitted to City Hall or elecUicalPemlts@clqpfpa.u8 or faxod to 360 ,417,47111
CONIRACTOR INFORMATION
tvtaiting eOdress: 524 E' Fint Strcet, Port Anqelas, WA 98t162 Expiration Ot6;AL-
g6a;1' ksimpson@olympus.net phone:9%
PROJECT DETAILS
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