HomeMy WebLinkAbout128 Hancock AveELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-473s
RS? RESDMII, S]NGTE FAMII.Y
0
3/09/22
I.s
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SApplication Number
ApplicaEj.on pin number
Property Address
ASSESSOR PARCEL NUMBER;
ApplicaEion Eype descripEion
Subdivision Name
Properly use
Proper!y zoning
ApplicaEio!1 walua!ion
22-a000026? Dale
03 9 770
128 HANCOCK AVE
06-3 0- 09 -5-2 - 2540 -0000 -
ELECTRICAI. ONLY
Applicalion desc
FinaL / homeowner rewj.re
Dean & Jerri Lee Lawson
128 ga.cock Ave
PORT ANGELES WA 98362
(2s3) 4ss-014s
.,O}INSON EIJECTRIC COMPANY
3129 S REGENT
POR? ANGE],ES WA 98362
1360) 729-4127
Perm.it
Additional desc
Permit Fee
Issue DaEe
ELECTRICAL AITER RES]DENIIAI,
1-4 CTRCUTTS
155. o0 Plan Check Eee
3/ 09./22 Valualion
9 / 05/22Expiratsion Dale
otsy UniE
r.6.00
Charge Per
5.0000 ECH
.00
0
EI.BRANCH CIRCI'IT W/AEEDER
Extension
75.00
80.00
charged Pa id credi!ed Due
PermlE Eee ToEal
PIan check Toral
Grand Tolai
155.00
.00
155.00
155.00
.00
1"55.00
.00
.00
.00
.00
.00
.00
REPORTSALES IAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL elto lz-'z-dP
COMMENTS:
PERMIT WILL EXPIRE SIX (6) N4ONTHS FROM LAST INSPECTION
Signature of owrter or Electrical Contractor X
I
Date:--
1 - 2 SINGLE-FAMIIJ
ELECTRIC AL PERTMITAPPLICATION
Public Works and Utilities Department
321 E. -sth Street, Fo{ Angeles, WA 98362
360.4 I 7.17-15 | wwu,.cityolpa.us I electricalpermits@cityofpa.us
Proje ct Address: 1 28 Hancock Avenue, Port Angeles, WA
Project Descrip lion Final - homeowner rewire
tr Single-Family Residential E Duplex / ARU Building Square footage
Name Dean Lawson
N4ailing 466rsss 128 Hancock Ave, Port Angeles, WA 98362
Email; lawsonde2008@hotmai.com
Phone 253-455-0145
116ms. Johnson Electric Company License JOHNSECSl TK4
Item
Service/Feeder 2OO Amp.
Service/Feeder 201-400 Amp.
Servicei Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over lOOO 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 201-4OO Amp.
Temp. Service/Feeder 40'1 -600 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portar to Portal Hourly
Signal CircuivLimited Energy - 'l&2 DU.
l\,4anufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Unit Charoe
9120.00
$146.00
$205 00
$262.00
$373.00
$5.00
$63 00
$s.00
$75.00
$93.00
$110 00
$149.00
$168.00
$96.00
Ouantitv Charge)
16
1
o
$
b
$
$
80.00
75.00
$64.00
$120.00
$102.00
Therm ostat (Note: $5 for each additional)
TOTAL
Owner as defined by RCW 19.28.26'1: (1) Owner will occupy the structure for two years after 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
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications.
11l29t2o21WayneJohnson WayneJohnson 3:g,::,',:fll3:,','#ilii,'-'ffi;l
Date Print Name Signature (! Owner F Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.471'l]
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OWNERINIFORMATION
Mailing Address: 3129 S Regent Port Angeles, WA 98362 Expiration 9212 0513112023
Email wayne@johnsonelectric3oo.com phone 360.477.4594
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