HomeMy WebLinkAbout3619 Page St (2)t)
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Application Number
ApplicaLion pin nunJoer
Propertsy address
ASSESSOR PARCEL NT]}IBER:
22 - 00000290 Dalre 3/tt/22
154920
3519 PAGE ST
05 -30- 16-5- 5 - 0040- 0000 -
ETECTRICAI] ONIYApplicaEion type description
Subdivision Name
Property use
Proper!y Zoning
Applicatsion valuaEion
PLANNED RESDNTL DE!'I,PMENT
0
Ports angeles P1a! LLC
12301 NE rolh SE P] *303
BELLEVIEW
BEI,LE\A'E WA 98005
.]OI{NSON EIECTRIC COMPANY
3129 S REGENT
PORT ANGE]rES WA 98362
\36A) 128-4327
Per:ni t
Additsional desc
Permits Fee
Issue Datse
ExpiraEion Date
93 .00
3/Lt/22
9 / a1/22
PI,F]CTRICAL TEMPOFNRY SERVICE
Plan check Fee
valuation
.00
0
Qty unit Charge Per
1.OO 93.OOOO ECH EL'TEMP SRV O-2OO SRV EDR
Extension
93 .00
Charged Paid CrediEed Due
Permi! Fee Total
Plan check Total
Grand Total
93.00
.00
93 .00
.00
.00
.00
.00
.00
.00
93 .00
.00
93.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESIJLTS INSPECTOR:
DITCH
SERVICE d>t )z'z --F
ROUGH.IN
FINAL iln)zz W
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECIION
Signature ofowner or Electrical Contractor X
G:\EXCltANGE\BUILDtNG
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
ApplicaLion desc
Temp power:
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1 - 2 SINGLE-FAIVIILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4 I 7.4735 | www.cityotpa.us I electricalpermits@citycfpa.us
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Proj ectAddress: 3619 Page St., Port Angeles, WA 98362
Project Description Temp Power Panel
n Single-Family Residential E Duplex / ARU Building Square footage
Name Kayla Cutting / Sage Homes Northwest, LLC
Mailing Address 3601 Page Skeet, Port An geles, WA 98362
Email: kayla@sagehomesnw.com
P hone 425-622-6582
Name Johnson Electric Company License:JOHNSEC817K4
Mailing Address 3129 S.Regent Port Anqeles, WA 98362 Exp iration Date; 05131 12023
Email: wa hnsonelectric360.com Phone: 360.477.4594
fshl (Quantity x Charge)
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1-600 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 201-4OO Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1OOO Amp.
Ponal to Portal Hourly : '
Signal CircuiULimited Energy - 1&2 DU
Manufactured Home Connection .l $120.00
9102.00
UCO,UU
Renewable Elec. Energy; 5KVA System or less
Thermostat (Note: $5 for each additional
TOTAL
Owner as defined by RCW'19.28.261 : (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-
46B, The City of PortAngeles Municipal Code, and utility Specifications and PAMC 14.05.050 regarding Electricat Permit Applications.
1 1 12912021 Wayne Johnson
Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
IElectrical Permit Appljcations may be submitted to City Hall or electricalpermits@cityofpa. us or faxed lo 960.417.4711]
LJnit Charoe
$'120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63 00
$5.00
$75.00
$93.00
$110.00
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OWN E R1N F, O R MAT:IO N.i:
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Wayne Johnson' 3:ff!ry,;'eff*',[flT,'_'ffi31
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