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.PERMIT "
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1 4735
Application Number ab OtkOflt�833r
Application pin number 36
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Property Address 2520" C OLUMBUS AVE on y4wr ep( 4
4sissOR PARCEL N66m E36-10-09-5-8-0032-0o00- t0 the Clt of Port At? @lG'S
Application type.descriptipn 0iMM-ICAL ONLY y
Subdivision Name (Location Code 0502)
Property Use . . . . .
Property Zoning RS7 RESDXTL SINGLE FAMILY
Application valuation _ 0
-------- ---- ---- - -- -- - --------- -------------- ----
desc
Application
panel replacement
Owner Contractor
TRAVIS SHOWERS BLACK-
4DIAMOND-ELECTRICAL CONTR
2526 COLUMBUS AVE 502 BLACK DIAMOND RD.
PORT ANGELES WA 9$36ZZ5b6' PORT ANGD+LES +&A 9$363
(3'66) 565-1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
- Pe 'fee 125�00 Plan Check Fee .00
Isaue Bate 7/26/�0 Valuation 0,
Expiration Date 1/Z4/23
Qty' .. unit Charge Per : Extension
1.00" 5.0000 EC K Eli+-MaCk CIRCVIT W/FBSDER 5.00
1.'Q0 120.6000 ECH " *. 70%-200"SRV FLEDSR 1ao.00"
__
Fee summary: Charged Paid -Credited Due _ --
permit Fee Total 125.00 .' -125.0:0 .00 .00
Plan Check Total flc .b0 .00 .00
Cry Tc5ta1 125:.Et 1'5.00 QrO .00
INSPEC'n( N TY BATE: '' , RESULTS: INSPEC rOR:
WCH
SERVICE71
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ROUGH-IN
FINAL
CaiIENTS:
ERmrr wiLL wmE six(6)momsRG?MYLA 3 N
Signature of owner Or EIectrical Coj1tractor X Bate;
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION 3
Public 1Vorks and I J'011tics Department
Li% ,-1 - 5th Street. Pert Anoelc,. i\A 98,62 t
;60.417.473-� tvN�_citvof'pa,us eleciricallicrmits(icitvofEPa,us
Project Address:2520 Columbus
Project Description: Panel change
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Waters Email:
Mailing Address:2520 Columbus Phone:360-477-8240
ELECTRICAL CONTRACTOR • ' •
Name: BDE License: BLACKEC894D2
Mailing Address:502 Black Diamond rd Expiration Date:
Email: Phone:360-461-3957
PROJECT DETAILS
1WM Unit Charge Quantity JQW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $ 120
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 W/Service Feeder $5.00 $
Branch Circuit 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. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/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 feet" $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $ 120
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.
7-27-2020 Benjamin Shamp
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]