HomeMy WebLinkAbout2501 W 10th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS9 RESDNII, SINGLE FAMII,Y
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{Application Number
ApplicaLion pin number
Property Address
ASSESSOR PARCEL \ruIV1BER:
Application type descriplion
Subdivision Name
Piope!Ey Use
Pxoperty zoning
Appl.icalion valuation
21- OOOO148? Dal"e ll/16 /2L
337593
2501 W 10rH ST
05 - 30 - 00 - 9-7-0040-0000 -
ETECTRICAI, ONI,Y
Applicatsion desc
HeaE pump system
G SCOTT YOUNKIN/CAIL t IIEBTIANI(
2 501 ri 10TH ST
PORT ANGEI,ES WA 9835]1201
(350 ) 440-8734
AIR FLO HEATING ClC INC
221 Ii CEDAR STsEourM wA 98382
(360) 681-3901
Permil
Addi!io.al desc
Issue DaEe
Expirat.ion Dale
EI,ECTRICAI ALTER RESIDENTIAIJ
Qty Units Charge Per
1. 00 56 . 0000 Ecrr EL-LVr-THER}|oSTAT
Plan Check Fee
valuaEion
.00
0
Exteltsion
s6 .00
56.00
LL / L6 /2).
s/L3/22
charged Paid Credi!ed Due
Permit Fee ToEal
Plan check Total
Grand Total
55.00
.00
56.00
55.00
.00
56.00
.00
.00
.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T1?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS sjv-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature of owner or Electrical Contractor X
C:\EXCHANGE\BUILDINC
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I
Date:
ELECTRICAL PERM IT APPLICATION
Putrlic &brks and Utilities Departmer"lt
321 E. 51h Stleet. Port Angeles, WA 98352
364.417.4735 | wwwcityotpa.us j electricalpeni:its@cityofpa"us
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CDJ
Proj ect Address: 2501 W 1Oth St Port Angeles, WA 98363
Project Descripti on. lnstall Trane Series XR1 5 R410A Heat Pump System 2.5TON
tr Single-Family Residential E Duplex /ARU Building Square footag e. 2305
Name Gail Hebrank
Mailing Address 2501 W '1oth St Port Angeles, WA 98363
Emai l None
sn6 360-440-8734Air f
Name. Air Flo Heating License AtRFLI.206DG
Exp iration Date: 0412512022
phone 360-683-3901
(Quantity x Unit Charge)
Mailing Address. 221 W Cedar St Sequim, WA 98382
Email ellie@airflohea
Item
Service/Feeder 2OO Amp.
Service/Feeder 201-400 Amp.
Servic€/Feeder 40'1600 Amp.
Service/Feeder 60'l-1000 Amp.
Service/Feeder over 1OOO Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servicei Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy 5KVA System or
Thermostat (Note $5 for each additionat)
$
$
$
$
$
$
$
$
$
$
$
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$_
56.00
Owner as defined by RCW 19.28.26'1: (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, WAC. Chapter 296-
46B, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
11t1212021 Ellie Hubbard CU, rr',lSrZ
Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
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