HomeMy WebLinkAbout619 W 13th StN
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VApplicalion Number
ApplicaEion pin nunlrer
ProperEy Address
ASSESSOR PARCEI] NUMBER J
2L- ooo012r3 DaEe 9 /29 /2t
5425t2
619 W 13TH ST
05 -30- 00-0-3 -7475 - 0000 -
EIJECTRICAL ONIJYappl icaEion type descripLi.on
subdivision Name - .
ProperEy Use
ProperEy Zoning
Application valuaEion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTL SINGIE FAMILY
0
Application desc
Alarm sysEem
STANLEY W AND SIIEI,IY V REED
619 W 13TH ST
PORT ANGEITES WA 983527507
ADT ]JIJC
11824 N CREEK PARKWAY, N
sTE 105
BOTI{Ett WA 98011
1206) 7t9-0347
Permi E
AddiEional desc
Permit. Fee
Is6ue Dafe
Expiratsion Dale
64.00
9/29/21"
3 /28 /22
ELECTRICAI AITER RESIDENTIAIJ
Plan Check Fee
Valuatsion
00
0
OEy Ut]il Charge Per
1.OO 64.0000 ECl{ EIJ-SINGIE CIR t]MITED RES
Charged Credi!ed Due
PermiE Fee ToEal
Plan Check Totsa1
Grand Totaf
64 .00
.00
54.00
- 00
.00
.00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION T\?E INSPECTOR:
DITCH
SERVICE
FINAI
COMMENTS:
PERMIT WILL EXPTRE SIX (6) MONTHS FROM IAST INSPECTION
Signature of owner or Electrical Contraclor X
G:'EXCHANGE\BUILDING
Extension
64.00
54.00
.00
64 .00
DATE;
I
RESULTS:
I
ROUGH-IN
I
Date:
1 - 2 SINGLE-FAIVIILY
ELECTRICAL PERM IT APPLICATION
Fublic \\'orks and Utilities Departrnett
321 E. 5th Street, Po( Angeies. \\A 98362
360.417.4735 | wrvw'.cityolpa.us I elec*icalpermits@cityofpa.us
1'o
I
$
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Project Address 619 W Thirteenth St
Prolect Description Telecommunications work/wireless alarm installation
n Single-Family Residential ! Duplex/ARU Building Square footage
Name. Reed, Stan Email
Mailing Address 6l9 W Thirteenth St p6qns. 253-720-6020
[r]sms ADT LLC License
Expiratio
ADTLLL-881DO
n Date. 3/2019
Pllsngl 206-371-2237
Address. 11824,N.CREEK PKWY N, SUTTE #105
JENNIFE RMIT.COM
Item Ouantitv fgE! (Quantity x Unit Charge)
Service/Feeder 200Amp..
Service/Feeder 201-400 Amp.
Service/Feeder 401-600Amp.
Service/Feeder 601-1000 Ainp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-4OO Amp.
Temp. Servicei Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Signal Circuiulimrted Energy - 1&2 DU.
l\4anufactured Home Connection
Renewable Elec Energy. sKVA System or less
Thermostat (Note: $5 for each additi
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner \ryill 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 complianc€ with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
46B, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
0912212021 JENNIFER COVELLO ,/) ,,
L^ou-e.^%c
Date Print Name Signature Ow F Electrical Contractor / Administrator)
$120.00
$146.00
$205.00
$
$
$
$
$
$
$
$
$
$
$
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 .47111
mINEElffEf.Tffi'SX&X
ELEETRICAL CONTRACTOR:IhlFORMATION
$40.00
$.:,.,--,-
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,'$ 64