HomeMy WebLinkAbout1304 E 2nd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4135
RS7 RESD}IrI, SINGLE EA},!II,Y
0
O^F,ErcNFtsTATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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so
ApplicaLion Number
ApplicaLio4 pin numlcer
Property Addxess
ASSESSOR PARCSI, NT]MBER:
Application t)?e description
Subdivision Name . ,
PaoperEy Use
Property Zoning
ApplicaEionvafuation .
20-00000580
s60580
1304 E 2ND ST
05 3 0,00-8 -0 -0240 -0000 -
EI,ECTRICAI ONLY
Owner
PATR]CK A AND KATIIIESN R COOK
1304 E SECOND ST
PORT ANGELES WA 98352
Oh'NER
PermiE
AddiLional desc
Permits Fee
Issue DaEe
EIECTRICA! ALTER RESIDEI.]:T1AL
14 CIRCUfTS
155 - 00 Plan Check Fee
6/].9/2A ValuaL ion .
L2 /!6 / 2a
0Expiration Datse
Oty Unit Charge
15_00 5.0000 ECH
BASE FEE
EI-ECH ADDN? BRANCH CIRCUIT
75.00
80. 00
charged Paid Crediled Due
155.00
.00
155.00
00
00
00
.00
- 00
.00
155
155
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN g ln )zr>4X=3ffi
FINAL z'lts lzo &s/
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
S ignature of owner or Electdcal Contractor X
Application desc
Replace knob and Eube
.00
Permits Fee ToEal
Plan Check Totsaf
Crand Total
.00
.00
.00
Date:
?oF-l ELECTRICAL INSPECTION
WIRING REPORT
417-4735
a lro /zo e- 59>\*f
ADDFESS
/BoL, 11- Z- +-r
APPHOVED NOT APPROVED
COBRECTIONS NEEDE ELD <crAEl)Y-blL C
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 OAYS
_ DO NOT REMOVE-
;EL{-2 sF
1 - 2 SINGLE-FAMILY !o
=ELE CTRICAL PERMI TAPPLIC toN
l'utrlic \\orks and I tilities [)ep;111111!'
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UProiect Address:r)l .-t 3r,,,-Jt--f l-':l-r-l 'lY ) l-!
Pro,ect Oescription
Name
l\4ailing Address:n.(._i-l
r
Single-Family Residential E Duplex i ARU Building Square footage:i 900
Email
ea - L-l -!t;'ihone L,)4r.>.5'!,\ 1
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: _
Email:
Expiration Date:
Phone:
PROJECT DETAILS
Item
Service/Feeder 2OO Amp.
Service/Feeder 201 -400 Amp.
SeMce/Feeder 40'l 600 Amp.
SeMce/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Cirorit
Branch Circuits 1-4
Temp SeMce/Feeder 200 Amp.
Temp. Service/Feeder 20140O Amp.
Temp. SeMcdFeeder 401€OO Amp.
lemp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CrrcuiuLrmrted Energy - 1&2 DU
Manuf&tured Home Connection
Renewable Elec Energy: sKVA System or less
Thermostat (Note $5 for each additional)
First 1300 Square Feet
Eaci Additional 50O square feet''
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Quantitv Iqh! (Quantity x Unit Charge)
TOTAL
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63 00
$5.00
$75.00
$93.00
$110.00
$149.@
$168.00
$96.00
$64 00
$120.00
$102.@
$56.00
$120.00
$,lo.oo
$74.00
$110.00
$
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owner as defined by Rcw.19 28 261: (1) owner will occupy the structure for two years after this eleclncal permit is finatrzed. {2) owner isrequired to hire an eleclrical contractor iI above said property is tor sate, rent or tease. permit expirB afle; sx months of lasl inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor Iam making the electflcal installatjon or alteration in compliance with the electrical laws. N E.C , RCW Chapter '19 28, WAC. Chapter 296-468, The City of Port Angetes Municipat Code, and
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[Electrical Permit Applications may be submitted to City Hall or L.cctricalpermrts@crtyofpa us or faxed to 36 0_417 .47111
14.05.050 regarding Etectrical permitApptications
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Date Print Name Signature ([tI Owner p Electrical Contractor / Administrator)
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