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11 •ELEC'"M— CAL PERMIT
'CITY- 30 ANGELES
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31 17473 5 w
Application Number . . . . . 19-00001884 Date 11/26/19
Application pin number' . . 188472 REPORT STATE SALES TAX
Property Address . . . . . . 1207 W 6TH ST Ol1 OUl 6XClS@ tax formASSESSOR,PARCEli NUMBER: 06-30-00-0-1-1490-0000 y
Application type description ELECTRICAL ONLY to the City-Of Port Angeles
Property
Use
Name . . . . . Location Code 0502
Property flee
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . 0
Application desc
DHP
Owner Contractor
Ritchie D Vogel BLACK DIAMOND ELECTRICAL CONTR
- 4414 Happy Valley Road 502 BLACK DIAMOND RD
SEQUIM WA 98382 PORT ANGELES WA 98363
(360) 775-0509 (360) 565-1035
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00 Plan Check Fee .00
Issue Date . . . . 11/26/19 Valuation . . . . 0
Expiration'Date 5/24/20
I
Qty Unit'Charge Per Extension
1.00 63.0000 ECH BL-R- BRANCH CIR WO/ SBR FEED 63.00
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Fee summary------ Charged ---Paid--- Credited Due
----- ----- ---------- ---- ----
---
Permit Fee Total 63.'00 63.00 .00 .00
Plan Check Total 1 .00 00 .00 .00
Grand Total 63.00 63.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
j
DITCH
SERVICE
ROUGH-IN t14)
FINALZa
COh![IvIENT�:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and []t }���g Department
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321 E. 5dzStnect, Port Angeles, WA4Q362
360.41747351vvww.cityoGna.uuIc(ecoiom}pumnibg6t«ofpu.us
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Project Address: --'
;Pro.ect Description: clw
?"Single-Family Residential F-1 Duplex/ARU Building Square footage:
0V, —VNF-R INFORMATION
Name: Email:
Mailing Address: Phone: '360
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
��,,PROJECT DETAILS
II&M Unit Charag Quanfity 1gJ&I(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $______
Service/Feeder 201-400 Amp. $146.00 $______
Service/Feeder*V1'600Amp. $205.00 --___-- $_________
Service/Feeder OO1'1000Amp. $262.00 $__________
Service/Feeder over 1V0OAmp. $373.00 $-________
Branch Circuit NV Service Feeder u5.00 *
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit *5�00 $___�__'^�_
Branch Circuits 14 $75.00 $______
Temp.Service/Feeder 2VVAmp. $93.00 $_________
Temp. Service/Feeder 2014qOAmp. $110.00 $__________
Temp. Service/Feeder 4U1'OOOAmp. $149.00 $__________
Temp. Service/Feeder GU1400]Amp. $168.00 $_________
Portal ho Portal Hourly $96.00 *_________
Signal Circuit/Limited Energy'1&2DU. *64D0 $_________
Manufactured Home Connection $120.00 $__________
Renewable Elec. Energy:5KVA System orless *102.00 $__________
Thermostat(Note:$5 for each additional) $58.00 $_________
First 13OV Square Feet $120.00 $_________
Each Additional 5O0 square feet" $40.00 *_________
Each Outbuilding/Detached Garage $74.00 $________
Each Swimming Pool/Hot Tub $110D0
TOTAL $_����__
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two year's after this electrical permit is finalized.(2)Owner ie
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, |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 AngelesM),inicippi Code, and Utility)SF Vcifiions nd PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name '11/'Sigbatur(f�( , Owner E] Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]