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CITY( f ANC�ELES
1 -4735
Application number �cr-4fafl00$fl2 i y )W LES`I X
Application pin number 47 058
Property Address 11Ifi'HERITAGB Cs
on your excise tax form
'A5S55SQR PARCEL NUMBER: 04,-30-01-8-1-0.040-0000- to the Qity of Port Angeles
Application type description ELECTRICAL ONLY (Location Code 0503)
Subdivision Name
Property.Uae . . .
Property Zoning . .. . . . . R99 RESDNTL SINGLE FAMILY
Application valuation 0
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on - - - - -Application desc
Temp pole
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Oaner Contractgx
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LRA COIISTMUCTION/STEVARD LAIM MUM ELECTRIC-
618 5 PEABODY ST STE H 42 GEOLAINE WAY
PORT AWELES WA 983626244 SEQUIM NA 98382
(360) 477-2202
---------Permit ELECTRICAL TEMPORARY SERVICE - -- ---
'Additional desc .
Permit,Fee . . . 93.00 Plan Check Fee .00
Issue Bate 7/22/90 Valuation . 0
Expiration Date 1J18/21
Qty Unit Charge Per Extension
1.fl0 93.0000 EM ML-TEMP •SRV 0-200 SRV FDR 93.00
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Fee summary Charged Paid : Credited Due
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`Permit-Pee Total 93,'00 93.00 .00 00
'Plan Check Total 00 .00 .00 .00
Grand Total 93.00 93.00 .00' 00
i
INSPECTION TYPE DATE:' .RESULTS: INSPECTOR:
MICH
SERVICE
ROUGH-IN
FINAL
PERM WKL six w" s xRR t t ox
Signature of Owaer or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY
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(icitvofpa.us
Project Address:
Project Description: m ID b\f- L Ynoc C
Single-Family Residential 0 Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: D2_r,n.t 70.\.1 t�-....�` Email:
Mailing Address: Phi: •146 O6y O 1 ji'S-S-
ELECTRICAL
CONTRACTOR • ' •
Name: eue-(- le c-A-v-ic. L-I,-C. License: q.U txr 6 7-
Mailing Address: JHZ GQ-0\—1 - W01.1 Expiration Date: O a '2_eZ O
Email: \c Phone: 3 till`41'7PROJECT DETAILS "LZ
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tts<m Unit Charge Quapupt Iota)(Quantity x Unit Charge)
Service/Feeder 200 Amp_ ' f $120.00 $
Service/Feeder 201-400 Amp. �' x $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 ,., s t y. $
Temp. Service/Feeder 201-400 Amp. n $110 00 ' '. $
Temp. Service/Feeder 401-600 Amp,*-*,"�,�,�--,rig it-, $149.00.v, uE ~�- $ r
Temp. Servioe/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 DU. $64 00 i $
Manufactured Home Connection $120.00 ~<< S
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 .. $1%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 Cf RCW Chapter 19 28,WAC Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifications 77,
*MC 14.05 regarding Electrical Permit Applications
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d� ' '41J"1 1
Date Print Name Signature(t3fo"wrierin Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or eiecfiwlpe-mdsGc ityofpa us or faxed to 360.417.47111