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1041
Cif T ANGELES
360417-4735
Application Number . . . . . 20-00000949 Date 8 RF ES=(A
Application pin number 122733
Property.Address . . . . 1120 E 8TH ST on your excise tax fom
ASSESSOR PARCEL NUMSER 06-30-00-0-2-7820-0000- to the City of Part Angeles
Application type description ELECTRICAL ONLY (LOCat10/t Code Q�Z,
Subdivision Name . . . .
Property Use .
Property Zoning . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desc
Service change
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Owner Contractor
GARY A MEIER SYNERGY ELECTRICAL CONTRNG LLC
1120 E> 8TH-ST 910 N 10TH:ST
PORT ANGELES NA 983626629 PORT ANGELES WA 98363
(360) 452-4879 (360) 461-3954
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Permit . . . . ELECTRICAL ALTER. RESIDENTIAL
Additional`desc .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date< . . . . 8/20/20 valuation 0
Expiration Date 2/16/21
Oty Unit Charge Per Extension
1.00 120.0000 ECH 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
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE i '
ROUGH-IN
FINAL
COMMENTS: J
PERMIT wm L mentE SIX(6)MONTHS FROM LAST wspBmm
Signature of owner or metrical Contractor X Date:
GAEXCHANGE MDING
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
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Project Address: 1120 E 8th St Port Angeles
Pn�o�DescrpUon: r*e
t Single-Family Residential O Ouplex/ARO Building Square footage:
L OWNER INFORMATION
Name: Gary and Maureen Meier Enod|:
Mailing Address: phpne:3GO-477-01O5
ELECTRICAL CONTRACTOR INFORMATION
Nome: Synergy Electrical Contracting, LLC License:
Mailing Address: PO Box 1544 Port Angeles,WA 98362 Expiration Date:8-5-2021
Email: 360-461-3954
PROJECT DETAILS
1WM Unit Charae Quantity JQW(Quantity x Unit Charge)
Service/Feeder 2UO Amp. *120.00 -L $ L00___
Service/Feeder 201-4U0Amp. $14I00 $__________
Service/Feeder 4U1-60D Amp. $20508 $___—_____
Service/Feeder OV7-10OOAmp. $282.00 $__________
Service/Feeder over 1OOOAmp. $373.08 $__________
Branch Circuit m0 Service Feeder $5.00 $__________
Branch Circuit W/O Service Feeder $63.00 *_---_____
Each Additional Branch Circuit $5.00 *--________
Branch Circuits 14 $75.00 ---___ $---____---
Temp. Service/Feeder 2OOAmp. $93.00 $__________
Temp,Service/Feeder 2V14OOAmp. $110�00 $
Temp. Service/Feeder 4U1'8OOAmp. $149.00 *_________
Temp. Service/Feeder O01'10OOAmp. n168.00 $_________
Portal 0o Portal Hourly $96.00 *__—____—_
Signal CimuiVLimhed Energy'1&2 DU. *84.00 $--_—_____
Manufactured Home Connection $120.00 o___—_____
RenowmbleBec. Energy:5KVA System n,less *102.00 s—__—___-_'
Thermostat(Note:$5 for each additional) $50.00 $
First 13OO Square Feet $120.00 $________—_
Each Additional 50O square feet" *40.00 $
Eoch Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110Z8 $
TOTAL $-��.0&
Owner as defined byRCW19.28.281:(1)Owner will occupy the structure for two years after this electrical permit im finalized.(2)Owner im
required b/hire an electrical contractor if above said property ie for sale, rent o,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 oralteration 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.
8 19 2M Tracy Cr^tchfield
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]