HomeMy WebLinkAbout133 W 7th - Building 1 - 2 SINGLE-FAMILY -
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities department �v
3'1 E. nth Street, Port Angeles. NVA 98362 W
360.417.4735 1 www.cityofpa.us electrical pertnits 4)cit}-ofpa.us
Project Address: 133 W 7th ST.
Project Description: new feed to outbuilding
�] Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: David Hendrickson Email: retrovilleslade@gmail.com
Mailing Address: 133 W 7th ST POer Angeles Wa.98362 Phone: 3607751046
�:�ELECTRICAL CONTRACTOR INFORMATION
Name: Johnson Electric Co. License: ,IOHNSEC8171<4
Mailing Address: 3129 S Regent Expiration Date: 05/31/2021
Email: wayne@johnsonelectric360.com Phone: 360.728.4327
. . • DETAILS
II&M Unit Chaise Quantity Total(Quantity x'Unit Charge)
Service/Feeder200 Amp. $120.00 $ 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 $
x
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TOTAL $ 120.00
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-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
hnson
3/12/2021 Wayne Johnson wa ne ohnson Date: l021.0 signed 07'00
Y Y � 'Date:2021.03.14 18:17:11 -0T00'
Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]