HomeMy WebLinkAbout1009 W 6th ST - Building I .�
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1 - 2 SINGLE-FAMILY '
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ELECTRICAL PERMIT APPLICATION
Public; Works and Utilities :I)epartt lent
321 E. 5th Street, Part Angeles, VvA 98162. �
360,417.4735 1 wwwvw.cityofpams ! electricalperinits( icityofpa.tzs
Project Address: 1009 W. 6th St. Port Angeles, Wa 98362
Project Description: New Electrical Service
�] Single-Family Residential O Duplex/ARU Building Square footage:
,,OWNER INFORMATION
Name: Valerie Cantley Email:vcantley@comcast.net
Mailing Address: 1009 W. 6th St. Port Angeles,Wa 98362 Phone:831.236.0494
ELECTRICAL CONTRACTOR INFORMATION
Name: Johnson Electric Company License:JOHNSEC817K4
Mailing Address: 3129 S Regent Port Angeles, WA 98362 Expiration Date:05/31/2021
Email:wayne@johnsonetectric360.com Phone: 360.728.4327
PROJECT
1tam Unit Charge Ouant@ly Tota1(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 1 $ 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 $500 $
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 $9600 " $
Signal Circuit/Limited Energy-1&2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System of less $102.00 $
Thermostat(Note: $5 for each additional) $56.00 $
71
P �
TOTAL E 20.00
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.
hnson
4/6/2021 Wayne Johnson wayne johnson Digitally signed 07'00
Date:2021.04.15 14:29:31 -07'00'
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]