HomeMy WebLinkAbout919 S Lincoln StApplicat.ion Number . .
ApplicaEiol pin oumber
Property Address
ASSESSOR PARCEL NUMBER:
AppLicat'lon - type descriptsion
subdivision Name . .
Property Use
Property zoning
Application valuatsion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE EA}'IIY
o
19- 00000454 Dare 3/27/\9
3497 55
919 S LINCOLN ST
05 -3 0 - 00 - 0 -2 - 905 0 - 0000-
ELECTRICAL ONLY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application desc
Kitchen remodel
Owner
JASON M AND HE]Df L ROMERO
919 S LINCOLN ST
PORT ANGEIIES WA 98362?8q8(350) 457-0887
OYINER
Permi- l
Additional desc
Permil F'ee
Issue Date
Expiratj.on Date
83.00
3/2'7/79
9/23/t9
ELEC"RTCAL ALTER RESfDENTIA!
Pfan Check Fee
Valuation
00
0
Qty Uait Charge Pe!4.00 s.0000 ECH1.00 63 .0000 ECH
EL-ECE ADDI.TI BRANCS CTRCUIT
EL-R- BRANCI{ CIR WO/ SER FEED
Extension
20 .00
63 .00
Fee summary Charged Paid Crediled Due
o0
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUCH.IN tlzoltz ffi -f,T)
FINAL
COMMENTS:€v, t/ru/zo
PERMIT WILL EXPIRE SIx (6) MONTHS FROM t A.ST TNSPECTION
Permi! Eee Tota]
Pl.an Check Total
Grand Total
83.00
.00
83 .00
83.00
_ 00
83 .00
.00
.00
. o0
Signa ture ofowner or Electdcal Contractor X Date:
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ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us electricalpermits@cityofpa.us
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Project Address q{q 3. Lr^.,[,". (+
Project Description \/l +-u-",^ (c,-.od c.l.
Single-Family Residential E Duplex / ARU Building Square footage
Name
Mailing Address ?,?
Email:
Llnc^(^ a.+Phone: ZL- '!5f :918:l
O\ANER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name
Email
[/ailing Address
License
Phone
Expiration Date
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401€00 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Servic€/Feeder 200 Amp.
Temp Service/Feeder 201400 AmP.
Temp Service/Feeder 401$00 Amp
Temp Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy sKVA System or less
Thermostat (Note: $5 for each
unit Charoe
$120.00
$146.00
$205 00
$262 00
$373.00
$5.00
$63 00
$5.00
$75.00
$93.00
s110 00
$149.00
$168.00
s96.00
$64.00
$120.00
$102.00
$56.00
Quantitv
TOTAL
x it Charge)
it
$
$
$
$
!
$
$
$
$
$
$
$
$
$
$
$
\,
Z.
Owner as defined by RCW 19.28.261 (1) Ownerwilloccupy the structure fortwo years afterthis electrical permit is finalized (2) Owneris
required to hire an electrical contractor if above saad property is for sale, rent or lease. Permit expires after six months ol last inspection.
After reading the above statement, I hereby certiiy that I am the owner of the above named property or a iicensed electrical crntractor I
am makang the electrical installation or alteralion in comp liance with the electrical laws, N. E C.. RCW Chapter 19 28. WAC. Chapter 296-
468, The City of Port Angeles Municip al Code, and Utility Specifications a 1 4.05.050 regarding Electrical Permit Applications.
Date (B Owner E Electrical Contractor / Administrator)
permits@cityofpa.us or faxed to 360.41 7.471 1 l[Electrical Permit Applications may be submitted to City ore
1 - 2 SINGLE-FAMILY
Each Outbuilding / Delached Garage
Each Swimming Pool / Hot Tub
q
First 1300 Square Feet
Print Name