HomeMy WebLinkAbout134 HANCOCK AVE - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number . . . . . 18-00000554 Date 4/17/18
Application pin number . . . 639222
Property Address . . . . . . 134 HANCOCK AVE
ASSESSOR PARCEL NUMBER: 06 -30 -09 -5 -2 -2548 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Panel replacement
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Owner Contractor
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QUIGLEY VERLE/JOAN ANGELES ELECTRIC
134 HANCOCK AVE # A2 524 E. IST ST.
PORT ANGELES WA 983622520 PORT ANGELES WA 98362
(360) 452-9264
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . . . 4/17/18 Valuation . . . . 0
Expiration Date . . 10/14/18
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL -0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE: RESULTS:
4h7JS
a1nli� �'
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
G
Date:
04/16/2018 10:14 FAX 360 452 9265 Angeles Electric
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I - 2 SINGLE-FAMILY Qr,
ELECTRICAL PERMIT APPLICATION. �
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 w[[w��w.cityofpa.us ( electricalpermits@cityofpa.us
Project Address: I r i 7
Project Description: .� `'W A&946AftS �4 f 14961W
Er Single -Family Residential 13 Duplex /ARU Building Square footage:
Name: IfTpA61—
Mailing Address: 11 t./
Name: __.,
Mailing Add
Email: _,
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Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feader 4014M Amp.
Service/Fesder 601-1000 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. Seivice/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder401-600AMP.
Temp. Servioe/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuital invited Energy -1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or Was
Thermostat (Note: $5 for each additional)
$120.00
$148.00
$205.00
$262.00
$373.00
$5.00
$83.00
$5.00
$75.00
$93.00
$110.00
$149.00
$188.00
$98.00
$64.00
$120.00
$102.00
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Email:
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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 sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that t am the owner of the above named property or a licensed electrical contractor. I
am mating the electrical installation or alteration in oompkance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 298-
46B, The ity of Port Angeles Mup'+cipal C�gp,and Utility Speafications a PAMC 14.05.0 re9ardirtg El dricsl Permit AppGcations.
/ riC�1 ilstit/ % /
Dae Print Name Signature (❑ Owner %triical ontractor / Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermit @cityofpa.us or faxed to 360.417.4711]
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