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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 W
Application Number 15-00000753 Date 6/30/15
Application pin number . . 603571
Property Address 1804 E 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-36-11-5-3-0120-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Owner - 'Contractor -
DIANE MARKLEY ANGELES ELECTRIC
1804 E 4TH ST 524 E. 1ST ST.
PORT ANGELES WA 983624916 PORT ANGELES WA 98362
(360) 452-9264
• Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . NEW SERVICE AND 16 CIRCUITS .
Permit Fee . . . 255.00 Plan Check Fee . . .00
Issue Date . . . 6/30/15 Valuation . . . . 0
Expiration Date . 12/27/15
Qty Unit Charge Per Extension
BASE FEE 255.00
Fee summary Charged Paid Credited Due
Permit Fee Total 255.00 255.00 .00 - .00
Plan Check Total .00 .00 .00 .00 -
Grand Total 255.00 255.00 . - .00 - .00
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE2/M ft
b '`40 !�
ROUGH-IN 1 17)110' , 4 )-1 PS; 74.:.
FINAL -
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING -
gyp°"'" ELECTRICAL INSPECTION
WIRING REPORT
`� 417-4735
DATE: I PERMIT# INSPECTOR
)`7 l`? itr -753
OWNS
CONTRACTOR ff�
ADDRESS
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APPROVED NOT APPROVED
❑ DITCH 0
❑ ROUGH IN/COVER 0
❑ SERVICE ' 0
❑ FINAL 0
'‘)CORRECTIONS NEEDED: "r' 1, ' r �-1.
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE--
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMITDATE INSPECTO
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OVVNII
CONTRACTOR
A g
ADDRESS
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APPROVED NOT APPROVED
O DITCH 0
ViCh-:5i24)41=171/4L:_ROUGH IN/COVER 0
O SERVICE 0
O FINAL 0
CORRECTIONS NEEDED: SVP- 7 Iss)4t) x1k4
L-rx./4,,1111rgrAmp
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
06/26/2015 11:38 FAX 360 452 9265 Angeles Electric /40001/0001
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RECVED
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CITY OF PORT ANGELES PERMIT APPL4CATION r r,;i i't k,M. (�
Building Division/Electrical Inspections :N� P CT?Oiv', . A
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 = "
Ph:(360)417-4735 Fax:(360)417-4711
Date: i 7//.' _✓1 2 Single Family Dwelling
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'Plan Review May Be Required,Please Complete EIecftical Plan Review Information Sheet /g q f.
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Job Address ! `
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Building Square vetage:. Oda
Description o1 above - !� -- ---
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Owner In • Contractor Information
Name: 4/ .t K�.
Name: �• •
Wing Ad.;,,--s: Meiling Address: .4 ,� Ji Fa-sr S
City #. tote:JAZp: City: T.r .., , •1•.,- _.i Zip: .
Phone: 1' , - �. " Fax: Phone. :r . - 22 ax: _
License#1 Exp. License#1 Exp. .fstrbldlr;r Y.0
i Unit Charge gy Total(Otvfdulpoli,d by Unit Charnel
Service/Feeder 200 Amp. $120.0 S �d�"
Service/Feeder 201400 Amp. $146.0(1 $
Service/Feeder 401-600 Amp $205.00 $ •
Service/Feeder 601-1000 Amp. $262.0 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit WI Service Feeder $ 5.08 $
Branch Circuit W/0 Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00EEE $
1-N°
Branch Circuits 1-4 $ 75.00: $ 7
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.ServioeiFeeder 401400 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00; $
Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.0 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.0S
Thermostat $ 56.0 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLYz
First 1300 Square FL $120.00 $
Each Additional 500 Square FL or Portion of S 40.00: $
Each Outbuilding or Detached Garage $ 74.0 $
Each Swimming Pool or Hot Tub $110.0. $
$Total Z�
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 salt rent or lease.Permit expires after six months of last inspection.
After reading the above statement,I hereby certify that I amowner of the above named property or a licensed electrical contractor.I am making
the electrical installation or alteration in compliance with the etrlicaI laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 298.468,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC� 4.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical admihistrator: 0 cash 0 Chet .
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