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CITY C3F;XWT ANGEL,ES w
36 17-4735 Cm
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Application Number . . . 21-00000282 Date 3/10/21
Application pin number 262546
Property Address 1115 0 ST
ASSESSOR PARCEL NUMBER: 06-30-01-8-4-0010-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . . . . .
Property Zoning . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . 0
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Application desc
Temp service
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Owner Contractor
ACE 141CHAELS INC BOB'S ELECTRIC INC
54 WOODCOCK RD 2293 DEER PARK RD.
SEQUIM WA 98382 PORT ANGELES WA 98362
(360) 457-6887
Permit . . . . . . ELECTRICAL, TEMPORARY SERVICE
Additional desc . .
Permit Fee . . . . 93.00 Plan Check Fee .00
Issue Date . . . . 3/10/21 Valuation . . . . 0
Expiration Date 9/06/21
Qty Unit ,Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FUR 93.00
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Fee summaryCharged - Paid Credited Due
-Permit Fee Total 93.00 93.00 .00 -.00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 - .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Pont Angeles
(Location Code 0502)
INSPECTION TYPE DATE. RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
2
COMMENTS:
PE1tMI7 yYII.I Eft IRE SUC(Sj t il`Tt`tTS pROiwt LAST INSPEMON
Signature of owner or Electrical Contractor X Date:
GAEXCHANGESUILDING
A
1
1 2 SINGLE-FAMILY
ELECTRICAL PERMIT APP I� CAT10
x Public Work-,and Utilities mpartnient
1 321 E. Sth Street. Port Angeles. WA 98362 �
1
360.417.4735 www.citi-ol"sa.us electricalpe mit5'a;CPNof'pa.iis �
Protect A f
Project Description: d '� v
�T.Single-Family Residential ❑ Duplex/ARU Building Square footage:
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Name: G ur ' Email,(,t f rs*►t !
Mailing Address:T' Phone: '&Q- '` f�.7
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Name: C License.
Meiling ddress: s L� Expiration Date
Email: �' Phone:
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Ham Unit Chame = Ouanthy �JQW(Cwntity x Unit Charge)
Service/Feeder 2DO 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 $7500 $
Temp.Service/Feeder 200 Amp. $93 00 $ --
P P �..
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-M Amp. $149.00 $
Temp.Service/Feeder601-1000Amp. $168.00 $
Portal to Portal Hourly $96.00 . _ $_
Signal Circuit/Limited Energy-1&2 OU. $64.00 $
Manufactured Home Connection $120.00 $_
Renewable Elm Energy:5KVA System or leas $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 Waste,rent or tease_Permit expires after sire months of last inspection.
After reading the above statement,I hereby certify that I am this owner of the above named property or a licensed electrical contractor.I
am matting the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46S,The fly of Port Angeles
Municipal Code,a d Utility Specifications and PAMC 14 05.050 regarding Electrixal Permit Applications,
Date Print N me Signature(❑ Owner I ctdcal Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa us or faxed to 360.417.4711]
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