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HomeMy WebLinkAbout829 E STE' ST - Building ITT < lt�AwA 0- T ANGELES V Application Number 19-00000760 Date 5/23/19' Application Pin number 267960 REPORT STATE SALES TAX Property Address , . . . . 829 E STH ST on your GXC%S8 tax form PARCEL-NUMBER: 06-30-00-0-2:-2495-000{1- Application type description ELECTRICAL ONLYSubdto ffTB' fty Of Port ArTge/6S Property use dame (Location Code 0542) Property Uae: Propertybzoning COMMERCIAL NEIGHBORHOOD Application valuation D --- ----- ----- ---- - ---- ------- --------- --' -- - - --------- Application --- -Application desc Temp service ----------------------------------------------------------------------------- Owner Contractor ------------------------ _ _-----_ HOSPICE OF C LLAM COUNTY KIRSCH E7=W1C,INC.. 540 E STH ST P. 6. so3396' PORT ANGELES:. WA 98362 SEQt3IM' WA 98382 (360) ':683-6#19 . ----------------------------------------- --------------------- Permit -- ----------_- Permit . . ELECTRICAL TEMPORARY SERVICE Additional desc Permit Fee 93.00 Plan Check Fee .00 Issue Date 5/23/19 Valuation- 0 Expiration Date • 11/19/19' Qty unit"Charge Per Extension 1.00 93.0000 BCH EL-TEMP SRV 0-200 SRV FDR 93.00 Fee summary Charged Paid Credited Due _ _ _ - _ -------- ---------- Permit -_---_Permit Fee Total' 53.00 93.00 00 .00 Plan Check Total s OD 00 00 00 Grand Total 93:00 93.00 .00 .,00 INSPECTION TYPE DATE.: „SULTS: INSPECTOR: U1TCIi IN #UGIT PERM, W RL EXPIRE SIX(6)1ti�M LAST INSPECTION Signature©f dtv, 4�Cot aOt©r , Date: I - 2 SINGLE-FAMILY CD B > , � ELECTRICAL PERMIT APPLICATION R a Public �� orks alid Ut lties De artrnetit �� -- E: MAY �J 3*7I C. 5th Stree t, fort �n��elcs, V}' 9S',62 1 ,t " �GU.417.47 5 ! r1pa.Lis ; electricalpertnits`,cJtyofpa.us -AJ Project Address: Project Description<2L, �' 1 \ C; C1 r—r-1 Single-Family Residential © Duplex/ARU Building Square footage: s+' k ::.« Name: Email: Mailing Address: Name: License: t t� Mailing Address: u Expiratioki Date: Email: 1 CPhone;, KOM _ Unit Charge nti Total(Quantity x Unit Charge) Service/Feeder 200 Ama. '$120.00 $ ServicelFeeder 201-400 Arnpi. 1146.00 $ ServicelFeeder 401-600 Aml . $205.00, $ Service/Feeder 601-1000 Amp. $262-0D - $ ServicefFeede'r over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $5.00 $. Branch Circuit W10-Service Feeder '----•-$6 . $ Each Additional Branch Circuit Branch Circuits`;1-4 ; $75.00;: $ Temp.Service/Feeder 200 Amp. $910CD $ Temp. Service/Feeder 20+-400 Amp. $110.00 $ Temp.ServicelFeeder X01-680 Amp. $149.00 $ Temp.ServicelFeeder 801-10011Amp. $168.00 $ Portal to Portal Hourly'':. $96.00 $ Signal Circultll.imited Energy-1&2 DU. $64.00 S 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 Swfmiring Pool/'Hot Tub $110.90 $— TOTAL $ Owner as defined by RCW.1928.261:(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 malting the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296- Ile,The City of Port Angeles Municipal Code,and Utility Specifications and P 14.05.050 rega g E ctrical Permit Applications. bill Date Print Name Signature(❑ Owner ❑ Electrics ontractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electrical permits@citycfpa.us or faxes!to 360.417.47111 L•d 6990-£99-09£ 01aI0913Li0sal>l BVZ10'61, tZAan