HomeMy WebLinkAbout914 ST - Building ELE �C :PERtMIT
CITY 4 . 'AN6ELES
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Application Number . . . 21-00000588 Date 5/18/21
Application pin number 470652
Property Address . 914 MADELINE ST
ASSESSOR PARCEL NUMBER: 06-30-01-7-6-0200-0000
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . . . . .
Property Zoning. . . . . . . RS9 RESDNTL SINGLE FMILY
Application valuation . 4
' - --------- -----' ----------
Application desc
Service Repair
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Owner Contractor
RO3ER G AND CONNIE G WEST UPPER IiBFT' ELSCIRIC LLC
914 MADELINE ST 1306 ROOK DR
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 477-4854 (360) 461-7120
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc•
Permit Fee . 130.00 Plan Check Fee 00
Issue Date . 5/18/21 valuation . . . 0
Expiration Date 11/149/21
Oty Unit Charge Per Extension
1.00 120.0000 ECN EL-0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due
- -------Permit Fee Total 120.00 120 00 .00
00 .00
Plan Check Total .00 00 .00 ._00
Grand Total 120.00 120.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Coate 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICEa,12
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Sig o,=of outer or Electrical-Contractor X Date:
GIEXC`I�AN�1B(3ILDING
ELECTRICAL PERMIT APPLICATION
Public NN,"orks and Utilities Department
ProjectAddress: 91V Madeline st
Project Description: repairSGPviC8
O Residential [] Duplem/ARU Building Square
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: upper left electric License: �
Mailing Address: Expiration Date:
Email:upperleftelectnc@gmial.com Phone:
PROJECT DETAILS
I= Unit Chacge Quantity 19W(Quantity x Unit Charge)
Branch Circuit W1 Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $iDD _ $____--___'
�
Branch Circuits 1-4 'u7500 - $__________
Temp. Service/Feeder 2O0Amp. $93.00 *
Temp. Service/Feeder 2O1-4O0Amp. $1%00 $---_-____-
Temp, Servim/Foeder4U1'OOO Amp. $
Tbmp. Service/Feeder 601-1000 Amp.
Portal*z Portal Hourly $
Signal Circuit/Limited Energy-1&2 DU. $64`00 m
,r
Manufactured Ho O 20.0 $
Renewable Elec. Energy:5KVA System or less: $102.00 $
Thermostat(Note: $5 for each additional) $56.90
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-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
5/16/21 chace bofero
Date Print Nome Gignotune([] Owner Fl Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]