HomeMy WebLinkAbout917 MADELINE ET - Building x
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Application Number . . 19-00000521 Date 4/12/19 --
Application pin number 848997 REPmra TATE sAin T"
Property Address . . . 917 MADELINE ST on yw @XC/S@ tax km
PARCRi NUMBER: 06-30-01-7-6-0220-0000-
Application"type description ELECTRICAL ONLY to 00 City'of fti AJ19818S .
Subdivision Name . . . . (Locaftn Pods 002)
Propcxty Usa
Property Zoning . RS9 RESDNTL SINGLS'FAMILY
Applidation'valuation . 0
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Applcation-deet
Temp Service
Owner Contractor
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JOEL
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JOEL C AND TAMARA L ELL107T UPPER L$FT ELECTRIC LI,O
P 0 BOX 2951 1306 ROOK DR
SEQUIM WA 98382 PORT ANGELES WA:98362.
(360)'461-2X45 (360) 461-7720
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Permit . . . ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee . . . . 93.00 Plan Check Fee .. .00
Issue Date . . . 4/12/ 9 Valuation . . . . 0
Expiration'Date 10/09/19
~ Qty Unit Charge Per• Extension
1.00 93.0000 BCH EL-TEMP SRV 0-200 SkV FDR 93.00
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Fee summaryCharged Paid Credited Due - -
Permit Fee Total 93.00 93.00 .00 .00' rt
Plan:Check Total ` .00 _ .00 -.00 .00
Grand Total 93.00 .. 93.00 .00 .00
H+SPEONTYPE DATE: tJtR"['S: HSPEtI'(3►R
DITCH
SERVICE
Rf 01 T•
FTNAL
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PEDUT WUL MWERE SIX(6)MOW=MM LAST MPWTION
Signature of OV96=or Electrical.Contractor X Date:
1 - 2 SINGLE-FAMILY
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ELECTRICAL PERMIT APPLICATION RECEIVED
Public Works and Utilities Department APR 2Q�9
321 E. 5th Street, Port Angeles, WA 98362
360.417.47351 www.cityofpa.us I electricalpermits@cityofpa.usN QWMOV
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Project Address: P � nAL
Project Description: ic)r,l 6.4_I-A, 2 o
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: M T Email:
Mailing Address: Phone:
LEC
1 CONTRACTOR
1 # # S
Name: Q r 1-c— License:
Mailing Address: >1 Expiration Date:
Email: -e(t rte` Phone:
PROJECT
R&M 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 !!It' $
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 $
Each Additional 500 square feet' $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $
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 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-
6B,
he City of Port Angeles Municipal Code, and Utility Specifica' PAM 5.050 regarding Electrical Permit Applications.
Y
Dae Print Name ignature( er ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]