HomeMy WebLinkAbout1206 1/2 E 6TH ST• - Building sr .
M act M, ClLi�#L t
arry Vi'. - ANGELES
304-17-4735
Application Number . . 19-00000623 Date 4/30/19
Application pin number 348961 REPORT STATE SALES TAX
Property Address 1206 1/2 E 6TH ST mim
fax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-1130-0000- u l""' Ef,..a
Application,type description ELECTRICAL ONLY to M6 'Qf Pew`Angebs
Subdivision Name . . . . (LoaMmCodo 0502)
Property Use
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desk
1-4 circuits
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OwnerContractor
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GIFFORD FRANE W & HELEN.L SEQUIN VALLEY.ELECTRIC
1206 B'6TH ST. 11 LONE EAGLE LANE
PORT-ANGELES WA 983626623 SEQUIN WA 98382
(360) 681-3330 .
Permit . . . ELECTRICAL ALTER RESIDENTIAL - - --
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date . . . . 4/30/19 Valuation 0
Expiration Date 10/27/19
Qty Unit Charge Per . Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total -` 75:00 75.00 00 00-
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
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ELECTRICAL PERMIT APPLICATION
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Project Address- 1206-1/2 E 6th St. .
Project :
Single-Family Residential [] Duplex/ARU Building Square footage:
Name: Jim Petrie Email:OftinoMmalLoom
Mailing Address: 1206-1/2 E 6th St. Phone: 360477-8514
Name: Sequim Valley Electric,Inc. License: SEQUIVE9011_3
Mailing Address: 11 Lone Eagle Lane,Sequim,WA 98382 Expiration Date: 06/21/2020
Email: Phone: 360-681-3330
PROJ
ECT DEW
Him Unit Charne Quantity TgW(Quantity x Unit Charge)
GmpvioefFmedar2UOAmp. *120�00� $_________
8erviuelFuadnr3O1-4C0Amp. $148.00 $._________
8wnicelFeeder4U1-6DOAmp. $205.00 $________
Service/Feeder 601-1000 Amp. $282.00 $__________
Service/Feeder over 103DAmp. $373-00 $________
Branch Circuit W1Service Feeder $5.00 $_____
Branch Circuit W/O Service Feeder *8300 $____________
Each Additional Branch Circuit *5.00 $
Branch Circuits 14 $75.00 .i_-_- *l5.00�___
Temp. Service/Feeder 2OQAmp. *9800 $________
Temp. Service/Feeder 2O1-400Amp. $110.00 *_________
Temp. Service/Feeder 4O1-600Amp. $149.00 $_________ �
Temp.Service/Feeder 8O1-1O0OAmp. $180.00 *
Portal mPortal Hourly $8600 _ $________.
Signal Circuit/Limited Energy' 182DU. *54.00 $
Manufactured Home Connection $120.00
Renewable Elec. Energy:5KJm.System n,less $102.00 N-_______
Thermostat(Note: $Gfor each additional) $S8�qU $
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��1 $12���
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Each Additional $40.00 _____-
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Each Ou#�Ud�W/Dm�x�ed Garage $74.00
Each Swimming Pool/Hot Tub $110,00 � +� � �
TOTAL %-� .00�___'
Owner as defined by RCW 19-28.261:(1)Owner vAll occupy the structure for two years afterthis electrical permit is finalized.(3)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.Chapter296-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC
96-46B.TheChyuf9urtAoQolem|NunicipalCm1e. andUdiby8pecificmbunmandPAMC 14.D5.V50regarding Electrical Permit Applications.
04-29-2019 ANDREA HANA —Dmha Print Name Signature(E] Owner V1 ElectricalCo�na�or/Adminio� �ebo
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[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111