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1? GELES r
735
Application Number . . 20-00000893 Date 8/06/20
Application pin number . . . 754537 REPORT STATE SALES TAX
Property Addrees . . . 1028 S 3RD ST O/1 j/Otlt eXpS@ tax forrn
a -`ASSESSOR PARCEL NUMBER: 06 30=t�0 ��-0215-QQ00-
' Application type description, ELECTRI AL c .Y "to the City of Putt Angeles.
Subdivision Name (Ltcion Code 0502)
Property Use
Property Zoning . . RS7 RESDNTL SINf3LE FAMILY
„Appaication valuation 0
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App�.ieatioa desc -
6aragb feeder and circuti
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Owtxer Contractor
Gary 4 April^Heilman - Own
--1028 2 3rd Street
. ' PORT ANGELES 'RA 58362
(360) -417-1Z90
Permit E FCTRICAL`ALTER USliMMIAL
Additional desa
Plats:C stick Pee
,. .00
Permit Fee 145.00 .
Issue Date 8/06/20 Valuation 0
.. Expiration Date 2/02/21
try Unit Ch rge `per - Extension
5.00 5.0000 AtH EL-BRANCH. A_CIRC 'V(A?J*D _ 25.00
1.00 120.0000 ECEI EL-0-200 SRV 120.00
f --- --Fee-summnary - - Chargpfl� -- ---------
Paid -- -fxeosted� Due
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Permit Fee To t81 '143:fl0 145;Y00 ;00
Plan Check:Total > .00 .00, <n0 06
- .... Grai#d 9'Cta] 3;45.00 145.00 40 .,.00
S1PiWC I't)I± TYPE RESULTS: INSPECTOR:
DITCH
:' �iERRVLCE
20
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rr WILL '(�M4N�HS FREJrM � C toy
Sipatum of owner Oetlectricol Contractor X Date:
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1 - 2 SINGLE-FAMILY CD
3
ELECTRICAL PERMIT APPLICATION
Project Address: 1028 East 3rd St Port Angeles, Wa 98362
Project Description; 50 amp service for detached garage
El Single-Family Residential 0 Duplex/ARU Building Square footage, 560
OWNER INFORMATION
Name April Heilman Email:thimbledfingertips@gmaii.coni
Mailing Address 1028 east 3rd st port angeles 98362 Phone:3604774145
ELECTRICAL CONTRACTOR INFORMATION
Name. License,
Mailing Address Expiration Date
Email: Phone:
PROJECT DETAILS
item Unit Chn= Quantity 192d(Quantity x Unit Charge)
Service:Feeder 200 Amp, $120.00 1 s120.00
ServiceiFeeder 201-400 Amp. $146.00 $
Service1 Feeder 401-6W Amp $205.00 $
ServiceiFeeder 601-1000 Amp. $262.00 $
Service;Feeder over 1000 Amp, $373.00 S
Branch Circuit W1 Service Feeder $5.00 S
Branch Circuit W10 Service Feeder $63.00 S
Each Additional Branch Circuit $5.00 5 s25.00
Branch Circuits 1-4 $75.00 S
Temp Service:Feeder 200 Amp $93.00 S
Temp. ServicetFeeder 201-400 Amp. $110.00 S
Temp Servicei Feeder 401-600 Amp. $149-00 $
Temp Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiLit-imited Energy-1&2 DU $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy 5KVA System or less $102.00
nermostat(Note $5 for each additional) W-00 S
151iiiiIih'Ailissio aw* uemswr
90*11 0ift4ft if Pq%dvd Garage $74"
tach&vkmrft Pad I Hot Tub S4110.0D
TOTAL $ 145.00
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 properly 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.0 RCW Chapter 19.28,VJAC Chapter 296-
468,The City of Pori Angeles Municipal Code and Utility P C and PAMC 14 05.050 regarding Electrical Permit Applications
8/5/2020 April Heilman 11 ---
Date Print Name \\,� Signature(VJ Owner Electrical Contractor Administrator)
Electrical Permit Applications may be submitted to City Hall or elect ricalpermilts,!gcityofpa us or taxed to 360 417 4711]