HomeMy WebLinkAbout511 E 1st St Hse (2)I
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
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Application Number
Application pill number
Property Address
ASSESSOR PARCEL NSUBER:
ApplicaEion !)pe descripEion
sDbdiwision Nane . -...
Propertsy Uae
Propertsy zoning
AppLicaiion vafuation
21-0000004 ? Daie
3 93109
511 E 1ST ST llSE
o6 -30- o0 - 5- l, -2035- 0000_
EI,ECTRICAI, ONI,Y
t/79 /2t
UNKNOWN
ApplicaEior! desc
2OOA 6vc +9CIR.s258 .00
ContracLor
Permil
additsional desc
PermiE Fee
Issue DaEe .
Expiration DaLe
SLECTRIC}I AI,TER RESIDENTIAL
190.00
t/L9/21
1/LS/2L
Plan check Fee
valuaEion
00
0
Qly u.it charge Per
14. OO 5.0000 EcH
1.00 120.0000 EcE
EIJ - BRJANCI{ CIRCUIT W/FEEDER
ET,- O.2OO SRV PEEDER
ExEension
70.00
120. 00
Peimi! Fee Totsal
Plan Check Tocal
Grand Total
r90. 00
.00
190.00
190
190
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRI Slx (6) MONTHS FROM I-AST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN 4)zg/zt Y+-
FINAL rc)n)zz-P +
COMMENTS:
Sigaanre of owner or Electrical Contractor X
G:\EXCHANGRBUILDING
Date:
0
DON NIVENS ']PE CORP
PO BOX 212 T56 TIAXMONY I'ANE
SEQUIM WA 99382 PORT ANGEI'ES }IA 98362
(360) 460-2526 (360 ) 731-8994
charged Paid clediEed Due
2S N GLE.FAMILY
ELECTR ICAL PERMIT APP ICATION
Public Works and Utilities Department
321 E 5th Street. Port Angeles- WA 98362
360 417 4735 | r,"wu,.cityofpa.us I electricalpermits@cit1ofpa. us
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-t,f E*,uDI-t te-rE,fiA.r IProject Address ao
Project Description AJar,l &€
( Single-Famity Residential E Duplex / ARU Building Square footage:IL<D
Name Email:
Mailing Address ?- 12(
Name
Mailing Address
Email
ItEm
Service/Feeder 2@ Amp.
Seruice/Feeder 201 400 Amp.
Servic€/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1 000 Amp.
Branch Circuit W SeMce Feeder
Branch Circuit WO Service Feeder
Each Addilional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201{00 Amp.
Temp. ServicdFeeder 401€00 Amp.
Temp. S€rvicey'Feeder 601-1000 Amp.
Porlal to Portal Hourly
Sagnal CiroriuLimited Energy - l&2 DU.
Manufactured Home Conneciion
Renewable Elec. Energy: sl(VA Syslem or less
Thermoslat (Note: $5 for each additional)
Phone:
License:
Expiration Date t o
Phone:
Ouantity fqhl (Quanttty x Unlt Charyo)lLt €o
C,e
Untt Cham€
$120.@
$146.00
$205.00
$262.00
$373.00
$5.00
s63.00
$5.00
$75.00
$93.@
$110.00
$149.00
9r08.00
s96.00
$&r.00
$120-@
s102.00
$56.00
Tq-
TOTAL
Owner as defined by RCW.19.28.261: (1) Ow)er willoccupy the structure for two years afrer this eleclrical permit is ized. (2) Owner is
required to hire an electrical contractor if above said prop€rty is for sale. renl or lease. Permit expires after six months of last inspeclion.
Afrer reading the above statement, I hereby certity that I am the owner of the above named property or a licensed eleclrical 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 Municipal Code, and Utility Specificati and 14.05.050 regarding Electrical PermitApptications.
fr
Date Print ame ature (! Owner Electrical Contractor / Administrator)
OWNER INFORMATION
PROJECT DEIAILS
ELECTRICAL CONTRACTOR INFORMAT]ON
[Eleclrical Permit Applications may be submitled to city Hall or or faxed to 360.417 .47111
)oiJ
First '13@ SquaG Feet
Each Additional 500 square ,eet''
$120.00 I
$40.00
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Each Outbuilding / Detached Garage $74.00 $_