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AL PERMIT
C rL T'ANGELESXM
17-4735
Application Number 21-00000388 Date 3/30/21
Application pin number 910268
Property Address . :, 7ZO E 4"1i ST
ASSESSOR PARCEL OUpl ER: 06�30-00-0-1-7420=0000-
Application type description ELECTRICAL, ONLY
Subdivision Name
Property Use .
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation: . 0:
---Application desc
Service
----------------------------------------------------------------------------
Owner Contractor
----------------- ---
KARI DRYKE -- BOB'S ELECTRIC INC
720 E QTR ST 2293 DEER PARK'RD.
PORT ANGELES WA 98362 PORT ANGELES, WA 98362
(360) 457-6887
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue'Date . . . . 3/30/21 Valuation . . . . 0
Expiration Date 9/26/21
Qty Unit Charge Per Extension
1.00 120.0000 ECH SL-0-200 SRV FEEDER 120.00
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Fee sutnma-- Charged paid Credited Due
---- ------ ---------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total _00 .00 .00 .00
Grand Total 120.00 320:00 •00 .QO
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 1
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LASTINSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEBUILDING
y? Y.
= 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department �
321 E. 5th Street. Port Angeles,IVA 98362 �
360.417.4735 www.citvofpa.us clectricalpermit,,;'dcitvofpa-us Qw0
Project Address: C 5. . t1_"a'
Project Description:Pa i-' - lhp-Lel'Nrx nv t tot'+k PT eo&-e
Single-Family Residential ❑ Dupiex/ARU Building Square footage:
ks
- W. d L'
Name:
Mailing Address: Phone:
P- 0_ 5
t &ti
1"
Name. ' Licenser 7
ExpirationPate: y _�
, Phone:• "' 6��"'" �a
JJAM Unit Charge Quantity
f (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 _t- $ i
Service/Feeder 2DI-400 Amp. $146.00 $
Service/Feeder 401.600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $282.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W15ervice Feeder $5.00 $_
Branch Ckcult W/O Service Feeder $63-00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp.Service/Feeder 200 Amp. $93 00 $
Temp.Servioe/Feeder 201-400 Amp. $110.00 $
Temp.Servioe/Feeder 4014M Amp. $149.00 $
Temp.Servk*/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuN/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 $_.
First 1300 Square Feet $120.00 $_
Each Additional 500 square fleet" $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool 1 Not Tub $110.00 $ -
TOTAL s133,72)
Owner as defined by RCW.19.28.26 1:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is
required to hire an elecrical 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 matting the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,11te City f Pod Angeles Municipal Code,and Utility Specifications and PAMC 1 .05.050 re ardi Is 'cal Permit Applications.
C
Date Print Nam6 Signature([] Owner)ff EfectricifContractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or eiectricalpermits@cityofpa us or faxed to 360.417.4711]