HomeMy WebLinkAbout1927 S Pine StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
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Application Number
Application pin ,umber
Proper!Y Address
ASSESSOR PARCEL }iUMBER :
Application Eype description
subdivision Name .
ProperEy Use
Property zoning
ApplicaEion valuation
21- 000004 3 9 Dale
'7 !8'7 75
192? S PINE ST
06 -30- 09-5 - 2 - 0415 - 0000-
EIECTRICAL ONLY
4 /A2 /21
RS7 RESDNTT SINGIE FAMII,Y
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Application desc
Meter socket
MATTI.'EId AND DAA !IAHOI/iA',D
1927 S Pine Sts
PORT ANGELES WA 98362?530
l56t) 20a 5175
ANGEI,ES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
135O) 452-9264
wA 98362
Permits
AddiEional desc
Permil Fee
Issue Date
ExpiraEion DaEe
120. 00
4/12 /2t
LA/09/2L
EIJECI'RICA! ALTER RESIDENTIAL
Plan Check Fee
valuatsion
00
0
QEy uniE Charge Per
L.00 120.0000 EcH EL-o 200 sRV FEEDER
ExEension
120.00
Charged Paid Credited
PermiE Fee ToEal
PIan Check ToEal
crand Tolal
t2a
\24
120
120
00
00
00
.00
.00
.00
-00
. o0
- 00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signanrre of omer or Electrical Contractor X
REPORTSAI-ES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE ,ililu *'rats
ROUGH-IN
FINAL ry/ts)*@
COMMENTS:'.///\
GIEXCHANCE\BUILDING
Date:
INSPECTOR:
-ffi7
ELECTRICAL PER IVIIT APPLICATION
-)J.
ly Residential E Duplex / ARU Building Square footage:
Email:
Phone:
Prolect Address
Proiec_t Descript
{sin4e-rami
Name:
MJitins
ton
Address:- ?tr- 4zz{
Ssmg; Angeles Eleclric, lnc.License. ANGELE1460RS
Mailing Address 524 E. First Street Exp nT sn ns6-. 3131122
Quantitu Total Charge)
Service/Feeder 20OAmp,. .
Service/Feeder 201-400 Amp.
Se.vice/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Addilional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601: l 000 Amp.
Portal to Portal Hourly . :
Signal CircuiVLimited Energy - 1&2 DU
$120.00
$146.00
$205.00
$262,00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$14s:99
$168.00
s96.00
$64.00
$-
$_
$
$--
$
$
$_
$
$_
$
$
$_
TOTAL
468, Th oI PortAngeles Municipal Code, and Utilily Spec an 14.0 050 regarding Electrical Permil Applications.
Ken Sim son
Print Name Signature er ! Eleckical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 360.417.47111
1 - 2 SINGLE-FAMILY
Public Works alld Utilities Departmcnt
321 E. 5lh Strect" l'olt Attgelcs, WA 91J362
36(l.411.4l35 lu,rvrv.cityo[ira.us lclectricalpcrrnits(ir]rcityolpa.Lrs
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OWNER ,INFORMATION
Email ksimpson@olympus.net phone. 360-452-9264
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Owner as dofined 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. Permil expires after six monlhs of lasl inspection.
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 compliance with the electrical laws, N.E.C., RCW. Chapter '19.28, WAC. Chapter 296-
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