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ELE TIUGAL PERMIT 1
CITY OF PORT ANGELES
360-417-4735
Application Number 18-00000211 Date 2/20/18 —�
Application pin number . . . 707473
Property Address . . . . . 218 W 9TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9320-0000
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . to the City of Port Angeles
Property Zon g . . . . . (Location Code 4502)
Property zanin RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
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Application'desc ---
Smoke detectors and circuits
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Owner Contractor
PAULINE C SCHULTZ AND DIANE M ELECTRIC SERVICE i
14523 Greystone Dr 503 RHODES RD
SUN CITY WEST AZ 85375 PORT ANGELES WA 98362
(360) 452-6424----------------------------------------------------------------------------
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . : 75.00 Plan Check Fee .00 I Issue Date . . . . 2/20/18 Valuation . . 0
Expiration Date 8/19/18
Qty Unit Charge Per Extension
BASE FEE 75.00 1
--- ----7----------------------------------------------------------
-Fee summary Charged Paid Credited Due
-------<------- ---------- ---------- ---------- ----------
Permit Feet Total - 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL ,.
COMMEN' 'S:
PERMIT WILL ExPiRE SIX'(6)MONTHS FROM LAST-INSPEC N
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION 00
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711 �����►
Date: ) L 1 _1 &2 Single Family Dwelling
*Plan Review May Be Required, Please Co lete Electrical Plan Review Information Sheet
Job Address: -)—1
Building Square Footage:
Description of above
Owner Inform on ``, ( / Contractor Information
Name: PC.,,v I,(z e_ 7 C ► ) z 3 2 Name: � 1 `r r
Mailing Address: Mailing Address:
City: State: Zap: City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License#/Exp. )ZE i-1.C..17 7: r J'3 2.4 T?
Item Unit Charge ON Total(Ginty Multiplied by Unit Charge)
Service/Feeder 200 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 WIO Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 _..�...� $ S.C>6
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 $ 96.00 $
Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
5.c 4 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.C.,RCW. Chapter 19.28,WAG,Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications.
Signature of owner,electrical)contractor or electrical administrator:
x �� " ` �� '" Dated: -