HomeMy WebLinkAbout1008 E Park Ave - ElectricalELECTRICAL PERMIT
CIry OF PORTANGELES
3604174735
s
I
1.,\
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Applicatioa Number
Applicatsion pin nunber
Ploperty Aaldxess
ASSESSOR PARCEI, NT'MBER
2!-ooooo21,2 DaEe 2/22/21
524360
1OO8 E PARK A!'E
06 -3 0-14 -s-5 - 0110 -0000 -
ELECTRICAIT ONLYapplication tsype descrip!i.on
subdivision Name .
Propertsy Use
Propertsy zoning
Application valuation
RS9 RESDNIL SINGIE FAMILY
0
ApplicaEiofl desc
service
Kf}BERIJY AND RICIIARD MEIIVIN
1597 E WABASI{ ST
PORT ANGEIJES WA 98362
ANGELES EIJECTRIC
s24 E. 1Sr ST.
PORT ANGELES
1360\ 452-9264
wA 98352
additional
Issue Date
120.00
2/22 / 2r
I /2\/ 2\
ELECTRICAL ALTER RESIDEI{TIAI
.00
0
Expiration Dale
Qty Unit charge Per
1.00 120.0000 Ectt EL-0-200 sRV FEEDER
ExEension
120.00
Charged c!ediled Due
PermiL Fee Total
Plan check ToEal
Grand Total
120
720
00
00
oo
120.00
.00
120.00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRT Srx (6) MONTHS FROM LAST
REPORT SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:6x-
Signature ofowner or Electrical
G:\EXCHANGRBUILDING
Con6actor X
N
Date:
Plan Check Fee .
ValuaEion
DATE:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLI CATION
g
ily Residential D,'6uplex / ARU Buitd tn Square footage
Email
Project Address:
Ptoiy'Desc(ip
D/Single-Fam
tion
Name
Mailing Address:enone:3L0-1bl-3bg3
OWNER INFORMATION
Name. Angeles Electric, lnc License:ANGELEI46ORS
N4ailing Address: 524 E. First Street Expi 721iqn p,21s. 3131122
Phone: 360-452-9264Email. ksimpson@ol ympus.net
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
ServiceiFeeder 201-400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1,400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1OOO Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 OU.
Nlanufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note; $5 for each additional)
Ouantitu,ntity x Unit Charqe)
/ z-Da
Unlt Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
s5.00
$63.00
$5.00
s75.00
$93.00
$110.00
$149,00
$ 168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$120.00
$40.00
$74.00
$110.00
Total (Qua
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
U
$
$
$
$
Owner as defined by RCW.19.28.261: (1 ) Owner will occupy the structur€ for two years after this etectrical 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 monlhs ol last inspection.
After reading the above statement, I hereby certiry that I am the owner of tho above named property or a licensed electrical contractor. I
am making the electrical installation or alleration in compliance with the electrical laws, N.E.C., RCw. Chapter '19.28, WAC. Chapter 296-
468, The Cily oi PortAngeles Municlpal Code, and Utility Specifi lions and 14 50 regarding Electrical Permit Applications
Ken Simpson
at ignature (r p Electrical Contractor / Administrator)S
Prrblic Wolks and Utilities f)cpartntcnt
-12 | I.t. 5th Strcet. Ptut Angcles. WA 98362
360.4 17.41 35 | www.cityolpa.us I c[.ctr-ica\rerrnitstliciryolpa.us
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TOTAL
Print Name
IEloctrical Permit Applicalions may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.412.4711]