HomeMy WebLinkAbout221 Fogarty AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Applj.catsion Number - - -.
ApplicaEion pin number
ProperEy Address
ASSESSOR PARCE! NUMBERi
Application tsype descriptsion
Subdivision Name
P.operly Use
Property zoning
Applicatsion vafuatsion
21- oo0oo374 Datse 3/25/2t
793360
221 T'OGARTY AVE
o6 -3 0- 09-5 -2 -2470 -0000 -
EI,ECTRICA], ONLY
RS7 RESDNTI, SINGtE FA.IqILY
0
.]AIVIES A AND MARIANNE ,J UDE TTE
221 EOGARI'Y AVE
PORT ANGEIJES WA 983522513
BI,ACK DIAMOND EI,ECTRICAL CONTR
502 BLACK D]AMOND RD
PORT ANGELES I,iA 98363
(360) 555-1035
Peimit
Additional desc
Permit Fee
lssue Datse
Expiration Date
63-00
3/25/2r
9 /2a/2t
ELECTR]CAL ALTER RESIDENT]AI,
Valuatsion
00
Qty Units Charge Per
1.00 53.0000 ECH EL-R- BRANCH C]R WO/ SER FEED
Extsension
63.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
PermiE !ee Tolal
Plan Check Totsal
crand ToEal
53 .00
.00
63 .00
53.00
.00
63 .00
o0
00
00
Signature ofowner or Electrical Contractor X
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR
DITCH
SERVICE
ROUGH.IN ulilzt .P c *
FINAL ti)rh)zr #*R
G]EXCHANCRBUILDIN6
Date
Applicatsion desc
DIIP
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.00
.00
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charged Paid Credited Due
COMMENTS:
ELECTRI CAL PERNNIT APPLICATION
Pr-rblic Works and Lltilities l)epartmett
321 [,. 5th Street, Port Angeles. W{ 98.1(i2
160.41 7.4735 | wrvw.cityolpa.us i electricalpemits@citrvofpa.us
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Project Addres ".221
Fogarly (All Weather)
Project Description Ductless
tr Single-Family Residential E Duplex / ARU Building Square footage
\sms; Ude Email:
Mailing Address p66ns 36Q-460-2222
trlgms BDE License:
Mailing Address
Email:
Expiration Date
phone. 360-461-3957
x Unit Charge)
Service/Feeder 200 Amp. .
Service/Feeder 201-400 Amp.
Service/Feeder 401€00 Amp.
Service/Feeder 601 -1000 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. Servicei Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1-600 Amp.
Temp. Service/Feed6i601- 1 000 Amp.
Portalto Portal Hourly
Signal CircuiVLimited Energy - '1&2 DU.
$120.00
$146.00
$205.00
$262.00
$373.00
$5-OO
$63.00
$5.00
$75.00
$93.00
$110.00
$_
$-
Thermostat (Note: $5 for each add
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. Chapler 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
3-24-2021 Benjamin Shamp
Date Print Name Signature (@ Owner E Electrical Contractor / Administrator)
$120.00
$102.00
$56.00
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47'11]
1 - 2 SINGLE-FAIUILY
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