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Application Number 18-00000737 Date 5/15/18
Application pin number . . . 428187
Property Address 1313 MORNING CT REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-6-7-0330-0000-
Application type description ELECTRICAL ONLY on your excise tax fort]')
Subdivision Name . . . . . to the City of Port Angeles
- Property Use . . . . . .
., Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . 0
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Application desc
New home
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Owner Contractor
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F Robert Chase Botero UPPER LEFT ELECTRIC LLC
1306 Rook Drive 1306 ROOK DR
PORT ANGELES WA 983620312 PORT ANGELES WA 98362
E (360) 461-7720
Permit . . . . ELECTRICAL NEW RESIDENTIAL
Additional desc .
Permit Fee . . . . 160.00 Plan Check Fee .00
Issue Date . . . 5/15/18 valuation . . . 0
Expiration bate 1/11/18 +�
Qty Unit Charge Per Extension
1100 120.0000 ECH EL-R-SQFT FIRST 1300 120.00 1
1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 40.00
Fee summary Charged Paid Credited Due
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fP Permit Fee Total 160.00 160.00 .00 .00
F <t Plan Check Total .00 .00 .00 .00
Grand Total 160.00 160.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH 22
SERVICE
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COMII�NTS:
PERMIT WILL EXPIRE SIX'(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical'Contractor X Date:
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ELECTRICAL PERMIT APPLICATION ,
�- PaK-_ Works and Department (56
321 I. 5+ Street, Port Angeles, VvA 98352
350.417,4735 www,cityofpa.us elec+ricalperrni+s(g.cityofpa.us
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Project Address: C, C, ► 'rM` Of h i C-0y�
Project Description: CG ( AUC- �l
6�fsingle-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: OCA (2000 Qi-a-e Phone: _'3CQ_G ^7 z- G
ELECTRICAL CONTRACTOR INFORMATION
Name: J n P e T CC_� ` e-C 1 /i, C License:
Mailing Address: i '-,0 G foo C-k C>C-4,c Expiration Date:
Email: Phone:
PROJECT
Item Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy:5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $56.00 $
First 1300 Square Feet $120.00 _� $ l Z l
Each Additional 500 square feet" $40.00 1 $ Y CJ
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $ C C�
Owner as defined by RCW.19.28261:(1)Ownerwill occupy the structure fortwo years afterthis 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-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
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D to Print Name Signature Owner ❑ Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]