HomeMy WebLinkAbout606 E Lauridsen BLVD - Building t .: t
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1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department N
321 E. 5th Street, Port Angeles, 'A'A 98362.
360.4I 7.4735 1 www.cityofpa.us j electricalpertnits(a cityofpa.us
Project Address:606 E Lauridson (�
Project Description: Ductless I
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Arterberry Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: BDE License:
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
PROJECT DETAILS
&M Unit Charge 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. $37300 $
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 $
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TOTAL $ 6
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.
2-4-2021 Benjamin Shamp
Date Print Name Signature(V Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]