HomeMy WebLinkAbout2419 W 10th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS9 RESDNTI SINGIJE FAMIIIY
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,
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Application Number
AppLicalion pin numlcer
Properly Address
ASSESSOR PARCEL NUMBER:
ApplicaLion EI'pe description
subdivision Name
Property Use
Property Zooi g
Applicatsion valuation
22 -00000406 DaEe 4/1-3/22
113 8 54
2419 lJ 10TH ST
05-3 0-01-7- I -0050 - 0000-
EIJECTRICAI, ONIJY
Applicatsj.on desc
Temp power
.,EFFERY G AND APRIi, ORDONA
827 RENEE IJN
PORT ANGELES ]'A 98353
(35A) 46a-2466
UPPER TEET EI,ECTRIC I,]JC
1305 ROOK DR
PORT ANGE],ES liA 98362
l36O) 46t-',|'r20
Permit
Additional desc
PermlE !ee
Issue Date
ExpiraEion DaEe
93 .00
4/a3/22
ta /10 /22
EIECTRICAl, TEMPORARY SERVICE
00
0
Qly Uni! Charge Per
1.OO 93.OOOO ECH EI]-TEMP SRV O-2OO SRV FDR
Extsension
93_00
charged Paid Credited Due
Pemi! Fee Total
Plan Check ToLat
Grand ToEal
93 .00
.00
93 .00
93.00
.00
93 .00
.00
.00
.00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESUI-TS:INSPECTOR:
DITCH
SERVICE q ln lrz tr 'w2
ROUGH.IN
FINAL qleJa M _;rr'
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Elecrical Contractor X
G:\EXCHANGE\BUILDING
Plan check Eee
valuation
COMMENTS:
Date:_
ELECTRI CAL PE RIVI IT AP PLI CATION
Public Works and Utilities Department
321 E. -sth Sheet, Port Angeles, WA 98352
360.417.4735 | wrvw.cityofpa.us I electricalpermits@cityofpa.us
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Prolect Address 2419 w 1Oth
Prolect Descrip 1;on. temp power
Name Email
Mailing Address Phone
Name upper left electric License
Mailing Address
Email:
Expiration Date
Phone:
it Charge)
ce/Feeder 200
ce/Feeder 201
ce/Feeder 401-600A
Service/Feeder 601.100! Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feedei qO.1-1 OOO Amp.
Portal to Portal Hourly .
Signal CircuiULimited Energy : 192 9g
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
J IU,UU
$149 00
$168.00
$96.00
$64.00
20.00
$146.00
$205.00
$262.00
1
lvlanufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each a
TOTAL
Owner as defined by RCW.19.28.261: (1) Ownerwill 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.
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 electrical installation or alteration in compliance with the electrical laws, N. E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Munlcipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
4t11t22 chace botero
Date Print Name Signature (E Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47'11]
1 - 2 SINGLE-FAIMILY
ESingle-FamilyResidentialEDuplex/ARUBuildingSquarefootage:-
. RO'JECT DETAIBSI
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