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3604174.735 ;
Application Number 2 0-0000 063 2 I)aREPM12STATE SALES
Application gin number SaS07.2
Property Address . . . . . i624 NALOM CT onyour exorse tax ftN'lYI
ASSESSOR PARCXL NUMBER: 06-30-01-8-5-0070-0000- to,the City of Port Angeles
Application type description ELECTRICAL ONLY
Subdivision Name . (Lc�c�tftor�°Code 0502)
Property Udw
Property Zoning . . . . . RESIDENTIAL MEDIUM DENSTY
Application valuation 0
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Application deac
Temp service
Owner Contractor
AABITAT FOR HUMANITY CL COUNTY SORTS PENINSUXA ELECTRIC
-3430"INT, 101 8 STE #32 761 FR�BHNATOR PARK R[a
POST,
A NLES, SPA. PORT ANGELES WA 99363
PORT ANGS$LES WA 98362 (360) 477-1764
- - ; - -----.- - -- -- - - ----Permit ELECTRICAL ARY SERVICE
Additional desc
Permit"Fee 93.00 Plan Check Fee .00.
Zasne. Data 6/11126 valuation,. o
btpirstion Date 12/09/20
Qty Unit Charge Per Extension
1.00 93.0000 BCH XL-TRMP SRV 0-200 SRV PDR 93.00
-- - -summary- - - --Charged --- -Paid w Credited----------------------
Pet D
--- --- - -- ---- - ------- --- --- --
Permit Fee Total 9340 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Orand Total 93.00 . 93.00 .-00 .00
INSPECTION rM DATE:' RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
tAlvtAi1EN'TS:
PERMtr WILL MOME SIX(6)MONTHS FROM LAST tNSPE TMN
Date:
Signature of owner or etrical Contractor X
z
- 2 SINGLE-FAMILY
ELECTRICAL{, PERMIT APPLICATION
Pubti'.�: :'�i -,s ar?d. l;i
7
. Mtn Street. 11 rt Angeles.Wi'k 9
360.417.= f i w',,,%v.eityof 3.us I s:feczr it:c'�1p n itStCr Litt t.�'e1.ttS
Project Address: 1624 Maloney Court
Project Description: *Wgle� e&60amp temp power pole
Single-Family Residential 0 Duplex l ARt3 Building Square footage. 1,000
Name: Habitat for Humanity Email_
Mailing Address: Phone.
Name: North Peninsula Electric License: northpe930mz
Mailing Address: 760 Freshwater Park Expiration Date:
Email: northpeninsulaelectric@yahoo.com Phone: 360477-1764
71
Item} unit Charge Quantity I21d,(Quantity 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 Wi Service Feeder $5.00 $
Branch Circuit W10 Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp.Service/Feeder 200 Amp. $93.00 1 $ 93.00
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder601-1000Amp $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 OU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec.Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00 $
First 1300 Square Feet $120-00
Each Additional 500 square feet' $40.00 $
Each Outbuilding I Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $ QC2
TOTAL S"' �
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.
June 09,2020 Kimberly Rae Walker /Crnrb¢ Ra¢WaGlrer
Date Print Name Signature X Owner❑ Electrical Contractor/Administrator)
{Electrical Permit Applications may be submitted to City Hall or eiectricalpermitsQ611yofpa_us or taxed to 360.417.4711)