HomeMy WebLinkAbout1417 A StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-473s
RS? RESDNTL SINGLE EAMII,Y
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Application Nunlcer
Application pin number
Property Address
ASSESSOR PARCEL NI'MEER:
Applicatsion tsype description
subdivisio. Name .
Properly Use
Property zoning
Applicatsion valuaEion
22 -00000084 Dare t/28/22
318 0 75
1417 A ST
05- 30-00 -0 -4 -1555 -0000 -
ELECTRICAL ONLY
Applicatsion desc
reat pump
ConLractor
PARTRIDGE AI.AN/LlSA
141? S A ST
PORT ANGELES
OWNER
wA 983637241
Permit
Additsional desc
Permit Fee .
Issue Date .
Expiraaion Date
53.00
7/28/22
7 /27 /22
ELECTRICAI AITER RESIDE]\TIIAL
PLan Check Fee
valuation
00
0
QEY
1.00
unit charge Per
63.0000 ECH EI,-R- BRANCE CIR }IOl SER FEED
Extsension
53-00
Charged Paid crediEed Due
Plan Check Totsa1
Grand Totsal
53 .00
.00
53 .00
53 .00
.00
63 .00
.00
.00
.00
.00
.00
.00
REPORTSALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN I
FINAI-Stzq lzz-+
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electical Contractor X
ClEXCHANCRBUILDING
Date
I
&2 dr)
Iw
1-2 SINGLE-FAMILY
LE PE LI ATI
Public \\,;rk:' and l.ltrljties Dcpartnrent
i2l L.5th SLlccL. Polr ,\ngelcs. i,,'.98_1(r2
a60.117.4735 i rvu.rv.citvofDa us j clectrrcall:crrrilsrirciryolpa.us
3
Project Address:ilr7 5or,rT HA ?C (r- A.rverl p5 t,vA 96)bv
Project Oescriplion iN TRLL trE6,ER. AND PAI..EI-Fad llrAr PUNf
EJ Single-Family Residenrial E Duptex /ARU Building Square footage i,M
Name Email:
Mailing Address r+17 Phone
Name:
---
License:
Mailing Address
Email:
Expiration Date:
Phone;
[cE
Service/Feeder 200 Amp.
SeNice/Feeder 201-400 Ahp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feede. over lOOO Amp.
Branch Circujt W Service Feeder
Brandr Circuit WO Setuice Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feedsr 201-4OO Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -'t OO0 Amp.
Portal to Portal Hourly
Signal Crrcuiulrmited Energy - 1&2 Du.
Manufactured Home Connection
Reflet{able Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additionat)
Firsr lflx) SquaE Feot
Eacfi Addttiqtal gb squsre t€ct..
Each Outbuilding / Detatu Gerag€
Eadt Swim.r*rg pool / Hot fi.6
Ulrh chr.ge
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63,00
$5.00
$75.00
$93.00
$1io.oo
$149.00
$168.00
s96.00
$64,00
$12o.oo
$102.00
$56.00
s120.00
5.r0.@
r74.OO
3110.0o
Ouatrlill Iolal (Auantity x Unit Charge)
$
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$
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$
$
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5
5
t
$
$
$
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$
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Affer reading the above statement, I hereby ce.tify
am making the electric€l installation or a teration in
468, The City oI Port Angetes Municipat Code. and
TOTAL
that I am the owner of the above named property or a licensed elec,trical contractor. I
compliance with the electdcat laws, N_E.C.. RCW Chapter 19.28, WAC. Chapte.296-
Utjlity Specifications and PAMC 14 05.O5O regarding Electricat permit Apptications.
. c(:t^'A
owner as defined by RCw-19.28.261: (1) owner will occupy the structure for two years after this electrical permit is finalized. (z) owner isrequared to hire an electric€l contractor if above said properly is for sale, rcnt or lease. permit expires afler six montis o ast inspectjon.
Print Name Signature (El Owner Electrical Contractor / Administrator)
fElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
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