HomeMy WebLinkAbout1634 W 11th Street - Building ELF 4-
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Application Number -ooitoo os `*ME "STATE SALES TAX
Application pin number ItLe
Property+ Address 16)4 16 1119 ST On your excise tax form
ASSESSOR PAR= MMM '. 06,-30-00-0-3-5920-0000- to the City of Port,Angeles
Application type description S'IM&MICAL CNLY
subdivision Name . . . . {Location Code 0601 4'
property use .- S8 7000
Property Zoning . . . . ." RS7 USMM SMGL2 FADULEV
Application valuation o
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Application dese
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Owner' Contractor
Jaime-Peters= --- - --- SawrK VALLEY MamIc
1020 R:: h Street 11 LME'RA A LBDDS
PORr ANGELES NA 90162 SMQUIM. NA 98382
(360)'129-1220 (360):'681-3330"
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;Permit EL$C'1`RT(21t. R$SIISEbi'lIAL - T
Additional desc
'Permit Pee 160.08 Plan Cbeck Fte . .00
Issue:Date 'S/]:3/20 valuation . .
Expiration Date 11/09/20
Qty Unit Charge Per Extension
L 00 120.0000 VC2t'; EL-R.-sQPr FIRST 1300 120.00
1.00 40.0000 RM VL-R-SQFT Ai3DITi01NAL 500 40.00
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y Paid Credited- _
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00 i60:40 .00 .00
Perddt fte'Total 164,
Plan Chock,Total .Ott .00 .00'' AM
Grand Total 164.00. 140.00 .00 .OS
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INSPECI'ION'TVPE DATE; CULTS: INSPECTOR
DITCH
SERVICE
ROUGH:IN
FtAL
COMMENTS:
PERMrr WILL EXPIRE SIX(6)1461 THS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ro
ELECTRICAL PERMIT APPLICATION
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Project Address: 1638 W 11 th St.
Project Description: NHC - 1172 SF
El Single-Family Residential 0 Duplex/ARU Building Square footage: 1172
Name: Haley M Powless Email:
Mailing Address: 110 Breezy Ln., Port Angeles, WA 98362 Phone:360-461-8376
Name: Sequim Valley Electric,Inc. License: SEQUIVE9011.3
Mailing Address: 11 Lone Eagle Lane,Sequim,WA 98382 Expiration Date: 06/2112020
Email: ahanova33@msn.com Phone: 360-681-3330
IIIIIIIIIIIIIIIIIN
ab 1:
IWM Unit Charge QuaQfy JeW(Quantity x 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 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 $
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 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec.Energy: 5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00 $
First 1300 Square Feet $120.00 1 $ 120.00
Each Additional 500 square feet" $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $ 120.00
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. t
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.
05-12-2020 ANDREA HANA
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Date Print Name Signature(❑ Owner&? Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or el(:ctricalpermits(a)cityofpa.us or faxed to 360.417.4711]