HomeMy WebLinkAbout1233 W 10th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4135
RS7 RESDNTL SINGLE FAIVIILY
o
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
E
1c
i^,*Applicatsion Nudcer
Application pin number
Property Address
ASSESSOR PARCEL NUI4BER:
Application tl,'pe descr:iption
Subdivision Name
ProperLy Use
Property zoning
Application valuat.ion
21- 0000 0034 Dare 1-/ J-4/2a
4745'74
1233 W 101'll ST
0 5- 3 0- 00- 0 -3 - 03 55 - 0000 -
ELECTRICAL ONLY
Application desc
crow house repairs
Owner
DONG IIAO MAI & ZHI
134 WEST FRONT ST
PORT ANGELES
I{UI KOU
wA 98352
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
\3 6O) 452 9264
wA 983 62
Permit
Additional desc
Per.mit. Fee
Issue DaLe
Expiratsion Date
ELECTRICAL AI,TER RESIDE}UTAL
1-4 CIRCUITS
75.00 Plan Check Fee
t/!4/2t valLraLion
't /t3 / 2L
BASE FEE
.00
0
Extension
75.00
Qtsy Unit Charge Per
Charged Paid Credited Due
Permit Eee ToLal
Plan Check Tot.al
Grand Total
75.00
.00
75 .00
75 .00
.00
75 .00
00
00
00
00
00
00
INSPECTION T\?E DATE RESULTS:NSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:AT
PERMIT WILL EXPIRE SIX (6) MONTHS FROM [-AST INSPECTION
DateSignature of omer or Electdcal Contractor X
1 - 2 SINGLE-FAN/I LY
ELECTRICAL PERMITA PPLICATION
/L3 I 4
Proiert Descriotion:
y'singte-ramrty n
lei
Project Address
Name
esidential E Duplex /ARU Building Square footage:
Eniail:{
Slsrns Anqeles Electric. lnc License. ANGELE1460RS
Mailing Address; 524 E First Streot Exp iation Oale:21312022
Phone: 360-452-9264Email. angelelec@otympus.net
Ser,/rcclf eeder 200Amp,
S6rvrre/Feeder 201-4OO Amp.
Scrvrce/Feeder 401 -60O Amp.
Service/Feed6i601:i 000 Amp.
Service/Feeder 6ver .1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WlO Service Feeder
Eacn Addilional Branch Circuit
Branch Circujts 1-4
Temp. ServicelFeeder 200 Amp.
Iemp. ServicelFeeder 201.400 Amp.
Temo. SeMce/Feede'40. -600 Amp.
Temp. Serv:ce/FeeoBr 60.l -.1 000 Amp.
Portat lo PortalHdiidy..
Signal Circuiulidited Ene.gy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: 5KVA System or less
Thermostal (Notet $5 for each additional)
Filst 1300 Squars Feet
unlt Charoe
$r20.00
$ 146.00
$205.00
$262.00
$373.00
55.00
s63.00
$s.00
$75.00
$93.00
s110.00
$149.00
$ 168.00
$96.00
$64.00
$120.00
$102.00
ss6.00
s120.00
$40.00
$74.00
$110.00
Ouantitv Total (Quantily x Unit Ciarge)
$
$
$
$
$
$_s----r $
s
$
$
$
$
$
$
$.=--
$-. -'--$.=--
$_
$Each Addltional 500 square feel'
E-a!h Outbuilding / Detached Garage_.
Each Svrjmming Pool / Hot Tub :.-- .
TOTAL,.
$
$
$
lfiiCdu (2) Owneris
d
Afler reading $e above slatement. I hereby cenjy (hat Iam rhe owner of the aam making the electrical installation or alteration in compliance wilh the electri
468 ity oi PortAngeles Municipal Code, and Ulility Specifications and
bove oamed property or a licensed electrical contractor. I
050 regardhg
cal lews, N.E.C., RCW. Chapter .j 9.29, WAC. Chapter 296_
MC 14.0
roquired lo hire'an electriciil contractor if above sa
I Ken Si mpson
property is for sale, ,ent or lease. Permlt expjres a{ter six rnonlhs ol l ast inspection
leclrical Permit Applicstions
ata
The
Print Name Signature ([ Owner Eleclri Contractor / Administrator)
1-2 To
3
*
l'!IPIt
i\xlfr-
i60.4 r7
Item