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77
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4I7-4735 �
r Application Number . . . . . 21-00000167 Date 2/12/21
Application pin number . . . 684314
Property Address . . . 304 VASHON AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-0324-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
--------------------------__---------------________-------------------------
Application desc
Replace heaters
Owner Contractor
JETEDIA DON KAETTERHENRY AND T MEYER ELECTRIC
304 E VASHON AVE 42 GEOLAINE WAY
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 477-2202
T Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date 2/12/21 Valuation . . . 0
Expiration Date 8/11/21
Qty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 0502)
INSPECTION TYPE DATE: RESULT'S: INSPECTOR:
DITCH
SERVICE
ROUGH-IN POW
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEtBiJILDING
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMITAPPLIC 9
Public Works and Utilities Department
I f_ . -5th Street, Pert \nueles. WA 98362 �
>60. t17. 7v75 j electric€rlpermits��city-()l'Pa.us )
ii // A/� ` I Project Address: 1�_ Uy t 1n CT-an iA
Pro' t Description.
Single-Family Residential ❑ Duplex/ARU Building Square footage:
� e,r 1v13 Email:
Mailing Address: S1�sa Phone: 3 6D�71 Zo 2
Name: � 6 s
e �t License: FckC i
Mailing Address: o..►�¢ Expiration Date: 10 Zof
Email; e Q p ` Phone: 3�SOy 77
Item
Unit Charae Quantity Total(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 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 $
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 fast 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 MC .05. regarding Electrical Permit Applications.
7. ( e. r-.e�-r\
Dat Print Name Signat e( Own r Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111