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MY. -ANGELES
35 . .
Application Number ,9ooan9og R (&TATE SAL S`
#dattion pin number
excise ftt forM
Property Address lt¢9 O $T _.on ybur
ASStSS0jt PARCEL NMMt: 06=30-61-9-4-0020-6000- #b Me Cit of PxrfAngeteS
` Application type description ELECTRICAL ONLY fj" b 1 bd 0 I)
Sam ,••Subdivision Sa
'Property t7se
Property Zoning . . Mg REESDNTL SINGLE SAMILY
Appli ----- valu- ation -- - -------- -- ----------- ----
Application deac a
New home
"
--- -------------------------------------------
owner Contractor
ACRTMI INC --- -- BOB'S ELECTRIC MC
1329"1IAOT4i 2293 DEER PARK RD. .
4 PORT OELES: WA 9S363 PORT ANGELES WA 98,362
f (360) 40-6172 (360) 457-6087
-Permit- ---.- ------ELBCTEtICAL.N�P R$.SIDSN'tIAL------ - ----- - ------
Additional desc .
i Pez7nit Pee 1,66.00 Plan Check Fee .00
Date a 11f02 Valuation _ _ . . 0-
issue
Syxpiration-Date 2�vtynr_.
Qty Unit Charge , E?4r, ` Extension
1.00 120.0040 SCE# E ,-R-SQPT FIRST 1300 120.00
1.00 40.0000 204 o EL.-R SOP!-AD tno"AL 506 40.00
-_
---_Fee rY �rged _.Paid -Credited- - - Due - -----
-- -- - -* -
Permit Pee Total 160.00 160.00 .00 .00
Plan Check 'total -.00 00 .00 .00
Grand Total- 160.00 160.00 :00 00
INSPECTION TYPE GATE RESULTS:.' PECTOR: I
DTTCH 2.1
SERVICE
ROUGH-IN
- 4 Jr. I
CON MENTS:
PE ff.1NILt.EXM SAX M NiOtit�S fROM LAST
Signature of ovwner or Electrical Contractor X Date:
..�
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I
_:� .�gym:.� ._ .,.....„�_a
I — 2 SINGLE—FAMILY M
ELECTRICAL PERMIT APPLICATION
t�Project Address: a v ' 41.p Q
Project Description
i� Single-Family Residential !] Duplex/ARU Building Square footage:
Name: e k4,* 'Xllelli Email-
Mailing Address Phone. . jl
Name: tense: ,lCIA
' cS .
Mailing Add
r s B Expiration C
Email: Phone:
A= unit Chards QgUft MW it x Unft Charge)
Service/Feeder 200 Arri. $120.00 $ .
Service/Feeder 201.4M Amp. $146.00 $
Service/Feeder 4014M 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 Adoit4onal Branch Circuit $5.00
Branch Circuits 1-4 57500 —
Temp.Servioe/Feeder 200 Amp. S93 00 $
Temp Service/Feeder201-400Amp. $110.00 S.
Temp.Servioe/Feeder 401-600 Amp $149.00 $.
Temp.Service/Feeder 601-1000 Amp $168.00 $.
Portal to Portal Hourly $96.00 $._
Signal C!rcuit/Limited Energy-1&2 OU. $84.00 $
Manufactured Home Connection $120,00 $-_
Renewable Elec,Energy:5KVA System or leas $102.00 $_ ..
Thermostat(Note:$5 for each additional) $56.00
Fins 1300 Square Feet $120.00 _
Each Additional 500 square OW' $40.00 _ $ to,�
Each Outbuilding/Detached 13o" $74.00 $..
Each Swimming Pool/Hot Tub $110.00 $_.
TOTAL $ r
Owner as defined by RCW 19.28,261 (1)Owner will occupy the structure for two years after this etectrc d permit is finalized.(2)Owner 4s
required to hire an electrical oontractor;f above said property is for sale,rent or lease.Permit exoinas a' ar six months of last inspection.
After reading the above statement,I hereby certify that I am the owner of the above named property o~ r licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws.N.E C..RCW.Ct:apter 1928 WAC.Chapter 296-
46B The City of Port Angeles Municipal Code,and Utility Specifications and P MC 14.05.050 regarding"'ectrical Permit Applications.
Cam �:�� / _
Date Print ame Signature(❑ p er Eie ca; :'ontractor/Administrator)
(Electrical Permit Applications maybe submitted to City Mall or electricalpermits@c;tyofpa a or faxed to 360 4i7.4711;