HomeMy WebLinkAbout434 W 11th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-4174735
RS? RESDNTL SINGLE FAMILY
o
5
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ApplicaEion Nunrbe! . . .
AppLicalion pin nuniber
Property Address
ASSESSOR PARCEIJ NUUBER:
Appli.caEion type description
subdivision Name . ...
ProperLy Use
ProperEy zoning
AppLicaEion valuaEion
21-00000638 DaLe
545208
434 W 11TIi ST
06 -30- 00 -o -t -4 74 0- 0000-
EIECTRICAI ONLY
s/27 /2L
Appl.icacion deac
BaEhroom
Colr! r:act or
IAURA AND DAVID MI??IVIANN
434 W rlTH S?
PORT ANGELES WA 9836f
1360) 417 -2943
OWNER
Permil
Addilional deac
Permil Fee
Issue Datse .
ExpiraEion Dale
58. 00
s/27/2L
tL /23 / 2t
ELECTRICAL AITER RESIDENTIAL
PlaD Check Fee
valuaEion
00
0
Qry unit Charge Per
1.00 5.0000 Ecrl
1.00 63 .0000 EcH
EI,.ECli ADDNT BRANCH CIRCUIT
EI,-R. BRANCH CIR TO/ SER FEED
ExtenEion
5.00
63.00
Charged Credited Due
Permic Fee Tolaf
Grand Total
58.00
.00
68.00
68,00
.00
58.00
00
00
00
.00
.00
.00
REPORT SALES TD(
on your excise tax form
tothe City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN e [s lzt .V s|/
FINAL
COMMENTS:q*-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature of owner or Electrical Contractor X- Date
G:\EXCHANCRBUILDNG
ELE TRI A PERTUIT APPLICATION
Public lYorks and Lltilities tlepallmetlt
i2l Il. 5th Street. Po{ Angeles, \14 98362
160.4 I 7.,173-s I u,u,u,.citvofp*.Lrs I elecrricalpennits@cityofpa-us
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CP
Project Address 434 W. 11th Street
Project Description Bathroom addition
tr Single-Family Residential E Duplex / ARU Building Square footage
Name. homeowner will do the work License
Mailing Address
Email:
Expiration Date
P hone:
Item
Service/Feeder 2OO Amp.
Service/Feeder 20 l-4OO Amp.
Servicei Feeder 401-600 Amp.
ServiceiFeeder 601-1000 Amp.
Service/Feeder ove|l 000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal CrrcuiULimited Energy - '1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy sKVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe Ouantity
$120.00
$146.00
$205.00
$262.00
$373.00
$63 oo 1
$5.00 1
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
ntity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
0063
5.00
TOTAL
Owner as defined by RCW 19.28.26'1 : ('l) Owner will occupy the structure for two years after this electrical permit is f inalized. (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, WAC. Chapter 296-
46B, The City of Port Angeles l\ilunicipal Code, and Utility Specifications and PAN.4C '14.05.050 regarding Electrical Permit Applications.
5t26t2021 Laura [Vittmann
1 - 2 SINGLE-FANTILY -o
o
3
lt
Name David and Laura Mittmann Email. torrie.minmann@gmait.com
Mailing Address: 434 W. 1 1th Street, Port Angeles WA 98362 p66ng. (360)775-4620
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'. ' ' PROJECTDETAILS
$_
Date Print Name Signature (E Owner E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]