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Application Numtter 20-d0ed075I Da1R' � `.. r
Application pin number 369891
Propar�y Address 764 SONOUNT DP on yow$XCISe
ASSESSOR PARCEL NM4M: 06'-30=t10=9^8-0090-0000- to the City of P(Yt Apples
Application type description ELECTRICAL ONLY
Subdivision Name (Location Code 0562)
irrppe�ty Use; _ .
Property Zoning
Application .valuation . . 0
Application desc
Heat V system
K)wner Contractor
JORN A ANDERSON PAMILY'TRDST AIR FLO'.y i HEATING CO
704.S$ WT DR 221 W CEDAR 3T
PORT ANGELIM *A SiM1634 Stamm 08302
{160), $81-3901;
F"ezmit EL$CTRZCAL ALTER RESIDENTIAL
Additional desc _
permit Pee `Flan Check.Fee .00
issue DaKte R109 2,a Valuation 0•
Sxpiiation Date 1i051
QtY -'Unit Charge' Peer Extesision i
56.0000 " bl;-LUP-'3' RMOSTAT 56.00
- - }^ -- --^ - - -- -- -
----^Pee- -- ----^ � '- CreditedAue!
#;-- ---- ----- - --- -- ----- - -- -
Pert !l �R'ctal 56.04,' .00
Plan CI1 k `Total 40_ .00 .00':. 00
Grand Total56,Olt SG.00 06, 00
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INSPECTIC?N T'YPIr DAFT Es RESGII.Ts: IlISPECTOR:
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SERVICE i
ROUGH-IN
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PBitM[F WILL EXPIRE SIX(6)MM fROM LAST in1!u� N
Of owner or Electrical Contractor Date: "
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. '~ELECTRICAL PERMIT APPLICATION
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Puhlic lXnrksund (|tiliiiey [lcpar0ncni
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321 L jih �urut, PonAnou|u= W\ 98]6l
�h0,4| 7.47�� | vxx.ci:oh,u.us | dec|ricu|I)rrmit^//ci/!o|
Project
Address- 7O4S Searriount Drive Port Angeles, WA 98363
project Description: Install Trane Series XR15 R41OA Heat Pump System 2.5TON
Single-Family Residential [] Duplex/ARU Building Square footage: 1200
OWNER INFORMATION
Name: Betty Anderson Email: No Email
Mailing Address: 704S0am Drive Port Angeles, Phone: 38O-457-700G
ELECTRICAL CONTRACTOR INFORMATION
Name: Air Flo Heating License: AiRFL|°206DG
Mailing Address: 221 VV Cedar E»Sequim,WA 98382 Expiration Date: 04/25Q022
Email: ellie@airfloheating.com Phone: 360-683-3901
PROJECT DETAILS
but Unit Charat Ouantity TaW(Quantity x Unit Charge)
Service/Feeder 200Amp. $120.00 $______--_
Service/Feeder 201-400Amp. $140.00 *
8ewime/Femdex4V1-60OAmp. u205.00 $________'
Service/Feed 601-1000Amp. $262.00 $_____
Service/Feeder over 1O0UAmp. *373.00 $_____-_-_
Branch Circub0W Service Feeder $5.00 *
Branch Circuit WIO Service Feeder s83.00 $_________'
Each Additional Branch Circuit $5.00 $_--____--'
Branch Circuits 1'4 $75.00 $________
Temp.Service/Feeder 2OUAmp. $93.00 $_____--__
Temp.Service/Feeder 2O14OOAmp. $110.00 $_________
Temp. Service/Feeder 401-6O0Amp. $149.00 $
Temp. Service/Feeder HO1-1V80Amp. *188.00 $_____---_
Portal to Portal Hourly $88.00 $
Signal Circuit/Limited Energy-1&2DU. $84.00 *
Manufactured Home Connection $120.00 $
Renewable Elec.Energy:5KVA System orless $102.00 $
Thermostat(Note:$5 for each additional) $56'00 ]L_- $ 56.00 __
First 1300 Square Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding/Detached Garage $74.00 $_____-_-_
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $��.00____
Owner madmfinod by RCW 19.28.261:(1)Owner will occupy the structure for two years after this electricalpermit|u finalized.(2)Owner is
required to hire an electrical contractor if above said property is for sale,rentor 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.
07/08/2020 Ellie Hubbard (�V& � 1
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]