HomeMy WebLinkAbout1006 Glenwood StELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
RS7 RESDNTL SINGTE PAMILY
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Applicalion Nurnber
Applicalion pin number
Prope!ty Address
ASSESSOR PARCEI NU}IBER:
Appl j.cacion t),pe description
subdivision Name
Property uae
ProperEy Zoning
Applicalion valuaEion
21- OOO001?3 DaEe 2/22/2a
437164
1006 GLENWOOD ST
06 -30 - 08 -5 - I - 18 0s - 0000 -
EI,ECTRICAI ONI,Y
ApplicaEion desc
DHP
WTTI,IAM S KIR(II,IAN
1006 GLT NWOOD ST
PORT ANGEI,ES
1360) 45L-2240
BI.ACK DIA]V]OND EI,ECTRICAL CONTR
502 BI,ACK DIAMOND RD
PORT ANGELES WA 98363
(350) 555-1035
wA 983532323
Permit
Additional
PermiE Fee
Issue Date
ExpiraEion Dat;
53.00
2/22/2L
e /2L/2t
ELECTRICAL A!TE& RESIDENTIAL
Ple Check Fee
valuati.on
.00
0
Qly units Char.ge Per
1.OO 53.OOOO ECIi E!-R- BRANCH CrR !lO/ sER FEED 63-00
PermlE l'ee 't'oEa.L
Plan Check Total
63 .00
.00
63 .00
.00
.00
.00
.00
.00
.00
63.00
.00
63 .00
REPORT SALES TD(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN rrklzt v -aP
FINAL
COMMENTS:
Charged Paid Credited Due
PERMTT wlLL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
O1EXCHANGE\BI]ILDINC
E LECTRICAL PERM ITAPPLICATION
Public Works and Utilities Department
321 E. 5th Streetr. Port Angeles. 1\i4. 98362
360.4 I 7.471-E I xrvw.cityofpa.us I electricalpennitsi@cityofl.ra.us
llo
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-J$Project Address '1006 W Glenwood
Project Description Ductless
E Single-Family Residential E Duplex / ARU Building Square footage
frlsrns Kirkman Email
Mailing Address p6sns. 360-461-2240
Name: BDE License
Mailing Address
Email:
Expiration Date
phone.360-461-3957
Item
Service/Feeder 2OO Amp. :
Servicei Feeder 201-400 Amp.
Service/Feeder 40'1600 Amp.
Service/Feedet 601 -1 OO0 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder,4o1-600 Amp. ..
Temp. Service/Feedeiqgl-i 000 Amp.
Portalto Portal Hourly tr. -
Signal Circuiylimited Energy - 1&2 0U.
Renewable Elec. Energy
Thermostat (Note: $5 for
$146.00
Ouantity
1
TOTAL
ntity x Unit Charge)
$373.00
$_
$_
$
$
$
$
$_
$5.00
$63.00
$5.00
$7s.00
$93.00
$110.00 $
20.00
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 js
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 na med property or a licensed electrical contractor. Iam making the electrical installation or alteration in compliance wlth the electrical laws , N.E.C., RCW Chapter 19.28, WAC. Chapter 296-468, The City of PortAngeles Municipal Code, and Utility Specifications and pAMC 1 4.05.050 regarding Electrical permit Applications2-12-202i BenJamrn Shamp
Date Print Name Signature (g Owner ! Electrical Contractor / Administrator)
1 - 2 SINGLE-FAIMILY
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IElectrical Permit Applications may be submitted to city Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]