HomeMy WebLinkAbout1206 W 10th StELECTRICAL PERMIT
CMY OF PORT ANGELES
360-417-473s
5
IC.-r-q
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Application Number
Application pin numloer
Propertsy Address
ASSESSOR PARCEIJ NUUBER:
Application tl?e descriptsion
subdivision Name
Property use
Property zo[ing
Application valuation
19- 00001659 DaXe !0/2A/19
375378
1206 W 10TH S"
06-30-00-0-3-1 600-0000-
ETECTRICAIJ ON1Y
ELECTRICAT ALTER RESIDENTIAIJ
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Application desc
320 amp serwice alrd furnace
Owner Con!ractor
AMY J GREENLIEF
7].0 GEHRKE RD
PORT ANGEIJES
BOTERO & SON ELECTRICAL PLLC
PO BOX 702
CARLSBORG WA 98324(350) 46',J--9L32
wa 98362
PermiE
Additional desc
Permit Fee
Issue Date
ExpiraEion Date
185.00
Lo /2a / t9
4/2s/20
Plan Check Fee
Valuation
00
0
Oly Unit Charge Per
8.OO 5.OOOO ECI{ EIJ-BRANCI{ CIRCUIT W/FEEDER
Extension
40.00
145.00t . 00 145 .0000 EcH EL-201-400 sRv FEEDER
Fee summary Charged Paid CrediEed Due
Permit Fee ToEal
Plan Check ToEal
Grand Totaf
185
186
00
00
00
186
185
00
o0
00
00
o0
o0
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR
DITCH
SERVICE ty '7 LY BS
ROUGH.IN alrulzo tr &
FINAL
COMMENTS:nx. il)€)
Signature ofowner or Electrical Contractor X Date
2/
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-41$
NOT APPROVED
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tr
tr
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. ROUGH IN/COVER . .
.....SERV|CE......
FINAL
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) "o"*r"ro*. *..o.o e4-Y>E c-'F- Dlk*-ra r.
)t lT lPt i2-)Ui1 INSPECIOB-{4F
%fr-&$+ +-i:A E:,ua-<-
CONTAACTON
) Zol- h)/DADDBESS
^.14)t^.l ts )<.>*{z-
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NOTIFY INSPECTOR WHEN COBRECTIONS
ARE COMPLETED WITHIN 15 DAYS
_ DO NOT REMOVE-
ELl-2 sF
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
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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
Email
Phone
License
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3
5Ir
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Project Address F
Pro.iect Description;
,q Single-Family Residential ! Duplex / ARU Building Square foota
Name
Mailing Address
,
Name:
Mailing
Email:
Address
Item
ServicdFeeder 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 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 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal CircuivLimited Energy - l&2 DU.
Manufactured Home Conneciion
Renewable Elec. Energy: SKVA System or less
Thermostat (Notei $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Exoiration Date:
enrn., ?4C. 116) -4,1-r')
Unit Charoe
$!20.00
$146.00
s205.00
$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
$110.00
qse[]liSr lgts! (Quantity x Unit Charge)
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$#TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afler this electrical permit is finalized. (2) OMner is
required lo 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 certity that I am the owner of the above named property or a licensed elecidcal contractor. I
am making the electrical installation or alteration in compliance with laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
46B, The City of PortAngeles Municipal Code, and Utilily Specifi 050 rding Electrical Permit Applications.
€
Print Name erE Electrica / Administrator)
[Electrical Permit Applications may be submitted to City Hall epermits@cityofpa.us or faxed to 360.4 17 .47 1 1l
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