HomeMy WebLinkAbout1322 W 10th St (2)N
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735 d
J
Applicafion Number
Applieation pin nunber
ProperEy Address
ASSESSOR PARCEI, NUMBER:
application type description
subdivision Nane
Property Use
Property Zoning
Applicati.on valuation
21- 00000174 Date 2/t6/2L
s32744
1322 W loTtr ST
06 - 30- 00 -0-3 - 152 0- 0000 -
EI,EC?R]CAI ON],Y
RS7 RESDNTL SINGLE FAMIIY
0
AppficaEion desc
DHP
M]CTIAEL / KRISTA FI,ETCHER
13 22 W 1OTH STREE?
PORT ANGEI,ES WA 98353
1425) 879-6972
SYNERGY EIECTRICA! CONTRNG LLC
s10 w 10TLt sT
PORT ANGELES WA 98353
(350) 451-39s4
Permi c
addi!ional desc
Permi"t Fee
Issue Date
Expi!a!ion Dale
EI,ECTRI CAl, AITER RESIDEI{IIAL
1-4 CTRCSTTS
75.00 Plan Check Fee
2/L6/2L valuation
a/ls/2L
BASE FEE
.00
0
Exten6ion
75 .00
Qty Unit charge Per
charged Credited Due
Permit Fee ToLal
PIan Check Totsal
75. 00
.00
75.00
?5.00
.00
75_00
00
00
00
00
00
00
REPORT SALES TD(
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
C:\EXCHANCEIBUtLDINC
Date:
COMMENTS:
ELECTRICAL PERM IT APPLICATION
1322 W 10th St
-o
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3
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Project Address:
Project Descripti on. Add Mini split for Ductless heating
E Single-Family Residential ! Duplex / ARU Building Square footage
Name: Michael Fletcher Email
Mailing 466ygss 1322 W 1Oth St p6ens. 360-775-0404
Name SynerqV Electrical Contractin q, LLC License: SYNERECS29QM
Exp ilslisn 921s. 11122
Phone: 36046'1-3954
Mailing Address PO Box 1544 Port Angeles 98362
Ema il synergyelectricalcontracti mail.com
Item
Service/Feeder 200Amp, .
Servic€/Feeder 201-400 Amp
Service/Feeder 401600 Amp
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 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.
Portal to Portal Hourly .i:.al .....
Signal Circuit/Lrmited Energy - 1&2 DU.
Manufactureo Home Connection
Renewable Elec Energy: 5KVA System o
.$
q
,.$
Unit Charge
$120.00
$146.00
$205.00
$262.00
it Charge)
$
$
$
$
$
$
$
$
$
$
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
4 75.00
Thermostat (Note: $5 for each additio
TOTAL
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. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter '19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applications.
1-12-zo2i Tracy Critchfield
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 lo 360.417.47111
1 - 2 SINGLE-FAIUILY
Pr"rblic S/orks and Utilities Depaftmeilt
321 I. 5th Street, Port Angeles, WA 98362
360.4 I 7.473-5 | wrvwcitvofoa.us I electricalpennits@cityofpa.us
.lNFOBMSTIO*I
$40.00
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