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Application Number 2€1-00001001 Date 9/08/20
Application pin number . 830750
Property Address 4416 OLD MILL RD
ASSESSOR PARCEL NUMBER; 06-30-22-2-2-0050-2001-
Application type description ELECTRICAL ONLY
Subdivision Name . . .
Property Use . . . . . . .
Property Zoning . . UNKNOWN
Application valuation ., . 0
Application desc
T-stat
Owner:. Contractor
------------------------ ---- -
CONOR E M HAGGERTY DAVE'S HTG & COOLING`SRVC INC
4416 OLD MILL RD PO BOX 413 '
PORT ANGELES WA 9"8362 PORT ANGELES WA.98362
(360) 452-0939-
------------ .-------------------- --
Permit . . . ELECTRICAL ALTER RESIDENTIAI,
Additional desc
Permit Fee . . 56.00 Plan Check Fee .00 ;`
Issue Date 9/08/20 Valuation ', 0`
' Expiration Date 3/07/21
Oty Unit Charge per Extension
1.00 56.0000 ECH ' EL-LVT-T9ERMOSTAT 56.00
_'_^---------------------------- ----------
Fee summary Charged Paid Credited Due
------ ^- ----- ---------- --------
Permit Fee:Total 56.00 56.00' .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
i EPOITT SALES TAX
on your excise tax 1`orm
to the City of Port Angelus
(Location Code O502)
'INSPECTIONTYPE. DATE: RESULTS: INSPECTOR:
DITCH ;
SERVICE
ROUGH-IN
FINAL
COMMENTS;
ERM1T WILLEIfPUt SIX(6)MONTHS FROM LAST'INSPECMN
ignature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department N
321 F. 5th Street, Port Angeles, WA 98362 d
360.417.47351 wwvv.cityofpa.us I electricalpermits()cityofpa.us d
Project Address: 4416 Old Mill Road, Port Angeles, WA 98362 �-
Project Description: low voltage thermostat wire for controller as part of ducted heat pump system installation
L1 Single-Family Residential ❑ Duplex/ARU Building Square footage: 1,365
OWNER INFORMATION
Name: Conor Haggerty Email:
Mailing Address: 4416 Old Mill Road,Port Angeles,WA 98362 phone: 360-808-9688
I Jill
Name: Dave's Heating&Cooling Service,Inc. License: DAVESHC9912C
Mailing Address: PO Box 413,Port Angeles,WA 98362 Expiration Date: 512021
Email: davesheating@wavecable.com Phone: 360-452-0939
PROJECT DETAILS
Unit Chame Qgantity IQIaI(Quanttty x Unit Charge)
Service/Feeder 200 Amp. $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. ServicetFeeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp, $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder601-1000 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 1 $ 56.00
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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.
9/2/2020 Heather Navarre �,*(41,
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]