HomeMy WebLinkAbout - Building (20) ELECTRICAL PERMIT •"",
CITY OF PORT ANGELES `~+
360417-4735
. GL
Application Number . . . . . 21-00001238 Date 9/28/21
Application pin number . . . 552598'
ProPerty Address . . 3609-GALAXY PL
ASSESSOR PARCEL NUMBER: 06-30-1:5-7-5-0110-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
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Application desc
DHP
Owner Contractor
BROOKS F BRAMAN EXTRA MILE TECH & ELECT., LLC
3609 GALAXY PL 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 670-9626 (360) 457-5222
-Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . 68.00 Plan Check Fee .00
Issue'Date . . . 9/28/21 Valuation 0
Expiration Date 3/27/22
Qty Unit Charge Per Extension
1.00 5.0000 ECH E4-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary -Charged Paid Credited Due
-- - -Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Locadon Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN Z
FINAL ;
CANTS
PERMF WILL wIRE SIX(6)MON'I`I-s FROM LAST 1WEGnON
Signature of owner or,Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION
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ProjectAddress: 3(, 0`f M
Project DesCripoon. Q.a C, roc t a S -e6 purl ► S - k- /d'_c,, p
e] Single-F y Residenftal 0 DWlex 1 ARU Building Square footage:
Name: � <)o k-t i> 12 a_.Lo ri Emak MA
laiNngAdcts 3 Gu�a ,t u-« Pike►: '��-/, r� - 2�2�
Name: Extra line+ Tech&Electrical U e:EXTRAMT973116
Mailing Add►es:P.O.Box 3128 Pout Angeles,We 98362 Explra<tion Date:12126/21
Ematt: net Phone:360-457 5222
ARM unit charM 9111111111ft IQW(Quantity x tit cue)
Service/Feeder 200 Amp. $120 00 $
ServicertFeeder 201-400 Amp. $146.00 $
Servic effieadenr401-W0Amp. $205.00 $
-1M Arrcp. SM.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Cir A WI Service Feeder $5.00 $
B,arud Circuit VWO Ser AM Feeder $63 ao _ $ ,
EachAddmonal Branch c $5 W $
Branch Circuits 1-4 $75.00 $
Ternp.Serviceffieeder 200`Arnp. $93.00 $
Temp.Servic affeeder 201-400Amp. $110.00 $
Temp.'Seiviceffeeder 401-tom}Amp. $149.00 $
Temp.SaMcwFeeder 6Dt-10W Amp. $168.00 $
Porter to Pal Hourly $96.00 $
Signal CiraNUmited Energy-1&2 Dil. $64.00 $
Manufactured Horne'Connechon $120.00 $
Ren waabte Elec.Energy:5KVA SysWn or less $102.00 $
Thermostat(Note:$5 for each axonal) $56.00 $
First 1300 Square Peet $12W00- $
EachAdffjonai SW squars $40.00 $
Each Outbuilding I Owned Garage $74.00 $
Each Swkw dng Pool I Hat Tub $110.00 $
TOTAL u
Owner as defined by RCW_19282SI:(1)Owner wit occupy the strut Curs for two years arm#tds electrical penmR is feted.(2)Owner Is
required to hire an electrical contractor ff above said arty is for sale rent or leem Permit Wq*ft after six montm of last man.
After reading the above staitement l hereby c aft the t am the owner of the above manned properly or awed ell car:i
am making the electrical ant"on or er9eration In once with the electrical taws,N.E.C.,RCW.amplar 1925 WAG.ChapW 296-
46t3, of Part Angeles Mt tCode,and Specificadons and PAMC 14.05 060 reg�ng metrical Permit/pplica6ons.
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Scott M. Smasal
Print Name Signa k"(0 Owner I' E1qctrjcai Cor*actor I Admires)
(Electrical Permit Appikedtons may be subs lO City Hal or or faxed to 360.417.47111