HomeMy WebLinkAbout1019 W 15th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4'735
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Apptication Nunber
Applicatlon pin number
Prope.ly Address
ASSESSOR PARCEI, NUMBER:
Application Eype description
subdivision Name
Property Use
Property zoning
Applicalion valua!1on
22 - 00000158 DaEe
634664
1019 W 15Ts ST
05 -30 - 00 - 0-4 - 13 75 - 0000-
ELECTRICA]. ONI,Y
2/L4/22
RS7 RESDIiNL SINGLE FAMILY
0
Applicatioll desc
DHP
Co!!t!actor
NANCY HEI'IPERTJY
1019 W 15TH ST
PORT ANGELES
APS EI,ECTRIC
545 BENSON RD.
POR? ANGEI,ES
(350) 4s2-6753
wA 98363?231 wA 98353
Permi t
Additional desc
issue Date
Expiration DaEe
73.00
2 /L4/228/B/22
Plan check Fee
valuation
EIECTRICAl, ALTER RESIDENTIAI
00
0
Qry
2 .00
1.00
unit Charge Per
5.0000 EcH EL
63 - OOOO ECll EL
ECH ADDNT BRANCII CIRCU]T
R- BRANCH CIR WO/ SER AEED
Extension
r0. 00
63. 00
Charged
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of ownor or Electrical Contractor X
PermiE Fee Tolal
Plan cbeck ToEal
Grand TolaL
73 .00
.00
73 .00
73. O0
.00
?3 .00
.00
.00
.00
.00
.00
.00
Paid CrediEed Due
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESUI-TS INSPECTOR:
DITCH
SERVICE
ROUGH.IN alz)zz-.tNP *
FINAL zlz\zz-P
COMMENTS
GIEXCHANGRBUILDINC
Date:
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1 - 2 SINGLE-FAMILY
ELECIB|CAL PERM lT APPLICATION
Public Works and Utilities Depafiment
321 E.sth Street, PortAngeles, WA98362
fiA.4V.47 35 | www.cityofu a.us I elestricalpemits@cityofpa.us
to
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Project Address:
Projeci Oescripton:
tr s,ngle-Family Rs3idenfial E Duptex IARU Buildlng 3q uete footago:
Name:
rt ,J. {
lln.
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i( s tn 4C &1
Maillng Address:
Neme:
Melllng Addf!g3:
Email:
l5:-Phone:.1L3 Ll
Expiration
Phone:
lr ss L areai-
ltsE
SErvlc8/Fseder 200 Amp.
Sorvic8/Fssder 20t-400 Amp.
S6rvic€/Fa€&r 40t€00 Anp.
Ssrvics/F€sdBr 601-1 000 &np.
Sefvice/F6edor over 1000 Arnp.
Br€nch Cllcuit 1 l/ SsrvicB F68d€r
Branch Circuit WO S€rvice Feeder
Each Additional Brsnci Circuil
Branch Clrcultr 1{
T€mp. SeNic€iFeedsr e00 AmB,
Temp. SBMcs/Fssd6r 201400 Amp.
Temp. SeNico/F68d6r 401400 Amp.
Temp. S6rvica/Fs6d€r 501-1000Amp.
Porlsl tro Portsl Houriy
Signsl Circ lvLimilsd Enoqy - 1&2 DU.
Manufsctursd Home Connscllon
Rsnrwabl€ Elac. Ene,gy: sXVA Sysbm or leEg
Th€rmooLt (Not€: 05 br eEoh additional)
Fkrt 1300 squ8re Fa€l
Er& Addfionrl 500 Bqurra h6t"
Ed! oidbu$dlng / m€hld Grre!ts
E $ Sw{mmhg Pool / Hot Tub
gg$m( Ebl (Ourotit! x Un[ cnlrgc)
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Olvn€r as dofingd by RCW.1S.28.261: (1) Ownorwilloccupy lhe suudura tortwo ysrr8 afEr thl8 ahdrical p3rlnl l0 fnalized. (2) Ownsr ie
lequl€d !o hlrc an sEc{dcal co ractor if abovs srld prcF€rty iE br sais, l8nt or ba!a. Parmlt cxplrog ats. Bk fiontts ot last in8p3cdon.
Altor Gading th! above stalcmanl, I herEby aertlty that I 6m the own€r ofthe sbove namrd propsrty or a llaanird abafflo€l conaedor. I
8m maklng tho sleolricsl imtrllation or aiteration in compliancG wl& thE elsctrissl la' ,8, N.E.O,, RCW. Chsgter 19.2E, !tAC. Chspbr296-
488, Th6 City ot Angeles Mu l6l Spscific.tlo rd P6rmitApplicationr.
,3' l {'aa sl
Dats Signature (E E Bsctrlcsl Contrretor / Adminhtrator)
lEleclricel Pormlt Applicatiom may b6 submitted to City Hsll or slectricalpermiF@cltyofpa.us or faxed to 360.4'17.4711]
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$1m.00
$146.00
s205.00
$282.00
8373.00
s6.00
$63.00
$5.00
s75.00
$*t.00
s1r0,00
$140.00
s148.00
8S8.00
$04.00
$120.00
$102,00
s56.00
$130,00
so.00
574.00
0110,00