HomeMy WebLinkAbout1722 W 11th ST - Building v
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ELECTMCAL;VERMIT Q
CITY 4F i ISLES r'
Application Number 20-00000196 Date 2/12/20
Application pin number 784192 REPORT STATE SALES TAX
Froperty Addte:es 1722 W 11TH ST on our excise tax form
ASSESSOR PARCEL NUMBER: 06�-30-00-0-3-6030-0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name {Location Code 05ti2)
'Property Use RESIDENTAL SF 7000
Property Zoning . '. RS7 RESbN'TL Sty FAMILY
Application valuation 0
Application desc
Temp service
Owner Contractor
----------------
Monica Parris SEQUIN VALLEY ELECTRIC
1921 W Otival PI 11 LONE ALE.LAm
PORT ANGELS$ WA 98363 SEQUIN WA 98382
(360) 460-OS02 (360) 681r3330
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc
Permit Fee 93.00 Plan Check Fee OQ
Issue Date 2/12/20 Valuation Q
Expiration Date 8/10/20
Qty Unit Charge Per Extension
1.00 93.0000 ECH SL-TEMP SAV 0-200 SRV FDR 93.00
Fee summary Charged Paid. Credited Due
-;------------- - --- ------ - ---- -- -
Permit Fee Total 93 00 93.0-0 .00 00
Plan Check Total. 00 .00 .00 .00
Grand Total 93.06 93.00 00 00
!NSP'EC ON TYPE DATE: RESMTS: INSPECTOR:
DUCH
;.
FINAL
COMMEN"CS
PERMTT WILL EXP[RE SIC(gWNT TROM LAST.INSPECTION
Dom:
Signature of flvv ec r
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities
321 E5Uz Street, Port Angeles, WA403h2
36041747351wpo«c us | ehectr om
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Pr�ectAddress:
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[] Singk*FomilyRoaidenUa| [] Ouplen/ARU Building Square footage:
Name: /10 Email:
Mailing Address: Phone:
Email: 14�4/1 CW-7 Phone:
PROJECT DE
Item Unit Charne Quantity IqtLl(Quantity x Unit Charge)
Service/Feeder 2O0Amp. $120.00 $___________
Service/Feeder 2014OOAmp. *1*6.00 $________
Service/Feeder 4O1'GUUAmp. $205.00 $_________'
Service/Feeder 8O1'1OOOAmp. $262.00 $________
Service/Feeder over 1O0UAmp. *373.00 $
Branch Circuit wW Service Feeder $5.00 $_________
Branch Circuit W/O Service Feeder $83.00 *
Each Additional Branch Circuit $5.00 *__________
Branch Circuits 1-4 *75.00 $
Temp.Semic�Faoger2OOAmp. $93,00 � $_�=�_���-
Temp.Service/Feeder 2O1-4OOAmp. $110.00 s__________
Temp.Service/Feeder 4U1'GDOAmp. $148.00 $_________
Temp. Service/Feeder 8O1-1OOOAmp. *168.00 $_________
Portal ho Portal Hourly $96.00 $____------
Signal Circuit/Limited Energy'1&2 DU. $84.00 $_______--_
Manufactured Home Connection *120.00 o___-___-_
Renewable Elec.Energy:5KVA System orless $102.00 $______--_
Thermostat(Note:s5 for each additional) *56.00 $___-_---_-
First 13V0 Square Feet $120.00 $________
Each Additional 5OO square feet" $40.00 $______--_
Each Outbuilding/Detached Garage $74.00 $_____---_
Each Swimming Pool/Hot Tub s110D0 $
TOTAL $
Owner eodennedby RCW1 9�28.261:(1)Owner v011 occupy the structure fortwo,years afterthis electrical permit is finalized.(2)Ownerie
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 Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Date Print Name Signature(Fj Ownero Electrical Contractor/Administrator)
iBecthna| Pennit/\pp|icatonomuybmoubmittedtoCihyHmUmrepenniia@cdyofpo.umorfmxedto380.417.4711]