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1 ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. Sth Street, Port Angeles, WA 98362
360,417.4735 1 www.cityofpa.us I electricalpermits!�lcityofpa.us
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Project Address: 1206 West 10th Street, Port Angeles, WA 98363
Project Description:low voltage thermostat wire for controller as part of ducted heat pump system installation
10 Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFbR%�TION
Name: Amy Greenlief Email.
Mailing Address: 1206 West 10th Street, Port Angeles,WA 98363 phone: '4(09—QQ 1
EL�pTf�19ALCONTRAC,TOR,INFORMATION
Name: Dave's Heating&Cooling Service,Inc. License:DAVESHC9912C
Mailing Address: PO Box 413,Port Angeles,WA 98362 Expiration Date: 5/2021
Email: davesheating@wavecable.com Phone: 360-452-0939
PROJECT DETAILS
I M unit charge Qga[Mtyt JQW(Quantity x Unit Charge)
Service/Feeder 200 Amp, $120.00 $
Service/Feeder 201400 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 14 $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 CircuittLimited 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 $ 56.00
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 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.
`i 1;50(N Heather Navarre N/.,
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]