HomeMy WebLinkAbout1728 E 2nd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Number
Applicatsion Pin number
ProperEy Address
ASSESSOR PARCEIJ I.IUMBER:
Application t!'pe descriPtsion
Subdivision Name
Property Use
PropertsY Zoning
ApplicaE j.on valuation
21-OOOO1107 Datse
518771
1?28 E 2ND ST
05 -30-oo -5- 5- 0200 _ 0000 _
EI,ECTRICAI ON],Y
e/08/2L
0
Applicatsion desc
Heat pump
Permi L
Additsional desc
Per.mit F'ee
lssue Date
ExpiraEion Date
63 .00
9 /a8/2t
3/07 /22
EIIECTRICAL AI'?ER RESIDENTIAI,
PIaI1 Check Fee
valuaEion
00
0
Qly UniL charge Per
1.00 53.0000 EcI{EIJ-R- BRANCE CIR WO/ SER FEED 61.00
Charged credited Due
PermiE Eee TotaI
Plan Check ToLal
Grand TotsaI
53 .00
.00
63.00
53 .00
.00
63.00
.00
.00
.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN iln l,,t rV .ED
FINAI atw lat 4P d,
COMMENTS
PERMII WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
G:\EXCHANGE\BUILDING
ROBSON MARY I{ BI.ACK DIAI\,IOND ELECTRICAI, CONTR
1728 E 2ND ST 502 BI,ACK DIA}{OND R.D
PORT ANGETES WA 983524908 PORT ANGELES WA 9Af63
(3 50) s5s-103s
ELECTRICAL PERMIT APPLICAT roN
Public \\rorks and Utilities Department
321 E. 5th Street, Port Angeles, WA 98352
36{}.417.41 35 I u,'ir.vv.cityolpa.us I elecrrica}penr:its@citycfpa.us
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Project Address
Project Description HP
tr Single-Family Residential E Duplex / ARU Building Square footage
Name: Robson Email
Phone:360-452-7959Mailing Address
t{srns BDE License blackec894d2
lvlailing Address
Email:
Expiration Date
Phone: 360461-3957
UdlsIalce
Service/Feeder 200 Amp.
Service/Feeder 2Ol -4OO Amp.
Service/Feeder 401 -600 AiTp.
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. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. ServiceiFeeder 401-600 Amp.
Temp. ServiceiFeeder 601 -:1 000 Amp.
Portalto Portal Hourly
Signal Circuivlimited Energry - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or
Thermostat (Note: $5 for each additional)
$120.OO
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$
$
$
$
$
$
$
$
$
$
$
1
TOTAL
Owner as deflned by RCW 19.28.26'1: ('l ) 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 Port Angeles Municipal Code, and Utility Speciflcations and PAMC 14.05.050 regarding Electrical Permit Applications.
e-1-2021 BenjaminShamp
Date Print Name Signature (E Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711)
1 - 2 SINGLE-FAIUILY
1728 E 2nd Pen Ht
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Ouantitv Ieltrl(Quantity x Uriit Charge)
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$74.00