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Home My WebLink About1304 S Oak StELECTRICAL PERMIT CITY OF PORT ANGELES 360-417 -4735 RS7 RESDNTL SINGI.E FAMILY 0 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) -oj t. .f,.(r- Applicatsion Nurnber Applicatsion pin number Proper:ty Address ASSESSOR PARCEL NI]MBER : Application trce descriptsion Sribdivision Name Property Use Property zoning Applicatsion valuation 19- 00001456 Date 9/20/19 616444 13 04 S OAK ST 06-3 0 - 00- 0 -3 - 8800- 0000 - ELECTRTCAL ONLY Owner Contractor GEORGE TRWIN IIT 13 04 S OAK ST PORT ANGELES BLACK DIAMOND ELECTRICAI CONTR 502 BIACK DIA.!4OND RD PORT ANGEIES WA 98363 (360) 555-1035 wA 953621',749 Permit Additional desc Permit Fee Issue Date Expiration Date 68 .00 9/2a/t9 3/18/2O ELECTRICAI AITER RESIDENTIAL 00 0 Qty Unit Charge Per 1. 00 5 . 0000 ECn1.00 63.0000 EcH E],-ECH ADDNT BBANCH CIRCUIT EL-R- BRANCH CIR Wo/ SER EEED Fee summary Charged Paid credited Due Perllrit Fee ToEal PIan Check ToEal Grand Total 68. 00 .00 68.00 58 .00 .00 58.00 00 00 00 00 00 00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION INSPECTION TYPE DATE:RESULTS:INSPECTOR DITCH SERVICE ROUGH.IN rt/c)zs p *, FINAL tlulo-p w @ COMMENTS Siglature of ownff or Electrical Contractor X Date Application desc DIIP Plan check Eee Valuation Extension 5. 00 53.00 eoal APPROVED ELECTRICAL INSPECTION WIRING REPORT 417-4735 DITCH o ... ROUGH IN/COVER ..... .......SERVICE . . FINAL D tr tr D tr )#-- tr tr "''i rr-r,,t1-t4rlPEBMIT}INSPECTOF -DrD OWN CONTBACTOR AODBESS OT APPR NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED wlTI{IN 15 DAYS - OO NOT REMOVE_ /4 Lunt* qr u\a- \/o{ r*rt6V %v 1 - 2 SINGLE-FAMILY ELECTRICAL PERM IT APPLICATION Public Works and Utilities Department 32i E. 5th Street, Port Angeles, WA 98362 360.417.4735 www.cityofpa.us electricalpermits@cityofta.us l3o ( .f. o*K 1'o = REcitr,.. stP 1 s;;i + N ProJect Address ct Description o.u,c-nist YL Single-Family Residential ! Duplex / ARU Building Square footage Email Mailing Address Phone /u o OWNER INFORMATION ELECTRICAL CONTRACTOR INFORMATION [/ailing Address Email: License Expiration ate Phone 0 PROJECT DETAILS Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401600 Amp. Service/Feeder 60'l -1 000 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 201-400 Amp. Temp. Service/Feeder 401€00 Amp. Temp. Service/Feeder 60 1-'1 000 Amp. Portal to Portal Hourly Signal Circuivlimited Energy - 1&2 DU. l\ranufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) First 1300 Square Feet Each Additional 500 square feet" Each Outbuilding / Detached Garage Each Swimming Pool / Hot Tub am making the electrical 468, The City of PortAn 1-( Date Print Name [Electrical Permit Applications may Unit Charoe $120.00 $146.00 $205.00 $262.00 $373.00 $5.00 $63.00 $5.00 $75.00 $93.00 $110.00 $149.00 $168.00 $96.00 $64.00 $120.00 $102.00 $56.00 $'120.00 $40.00 $74.00 $110.00 Cluantitv lglla! (Quantity x Unit Charge) r $ $ $ $ $ $ s $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $TOTAL Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afier 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 installation or alteration in complia with e lectrical laws, N.E.C., RCW. Chapter '19.28, WAC. Chapter 296- and PAMC '14.05.050 regarding Electrical Permit Applications.Mun i lCode, and Utility ature (Owner ! Electrical Contractor i Administrator) be submitted to City Hall or e its@cityofpa.us or faxed to 360.417.4711) Name: Name: