HomeMy WebLinkAbout1625 W 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
RS7 RESDNTL SINGLE FAMILY
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Applicalion Number
ApplicaEion pin number
Property Address
ASSESSOR PARCEI, NUMBER:
ApplicaEion t),tr)e descripEion
Subdivisi.on Name
Property Use
Property zoning
Applicatiorl valuation
21. -00000733 Date 6/29 /21
't7 834?
1625 W 12Tlr ST
06-3 0-00-0- 3 - 5942 - 0000-
EIJECTRICAI ONI'Y
Applicaiion desc
Heat Pump
GARY W AND JANET O BE:ALSpo Box 579
PORT ANGELES WA 98352
(360) 477 -0926
BI.ACK DTA.},1O}fD ELECTRICAL CONTR
502 BLAC( DIA.I,IOND RD
PORT ANGELES WA 98353
(350) 555-1035
PermiL
Additional
I ssue Date
Expira.ion
u:":
53.00
6 /29 /2r
12 /26 /2L
PIan Check Fee
valua!ion
Plan check Total
Grand Tolal
63 .00
.00
63.00
53.00
,00
53.00
00
00
00
ET,ECTRlCAL ALTER RESIDENTIAL
00
a
Qty Unit Charge Per
1.00 63. 0000 EclI EI]-R- BTiANCH CIR WO/ SER FEED 53.00
charged Credited Due
PERMIT WILL EXPIRE SIX (6) MONTHS FROM TAST
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE RESULTS TNSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:B-
Signature of owner or Electrical Contractor X
C:\EXCHANGE\BUILDINC
Date:
.00
.00
.00
I
I
ELECTRICAL PERM IT APPLICATION
Public \\rorks and Lftilities Department
3lI I1. 5th Stleet. Port.Angeles. \[A 98362
360.4 I 7.473-s I r'rv*,.citvofpa.Lrs I electricralpermits@cityofpa.us
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Project Address
Project Description HP
Name: Beals Email
Mailing Address p6sns. 360477-0926
\6rns BDE 116snss; blackec894d2
Expiration Date
Pi1eng 360-461-3957
Mailing Address
Email:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Am p.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch C rcuits '1-4
Temp Service/Feeder 200 Amp.
Temp Service/Feeder 201-400 Amp
Temp. Servrce/Feeder 401-600 Amp.
Temp Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Signai CircuiuLimited Energy - 1&2 DU.
l\,4anufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
lJnit Charoe
9120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
9110 00
$149.00
$168.00
$96.00
$64 00
$120.00
$102.00
$56.00
Ouantitv IOlal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
s
$
$
$
$
$
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 saad 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 Speciflcations and PAMC 14.05.050 regarding Electrical Permit Applications.
6-10-2021 Benjamin Shamp
Date Print Name Signature (E Owner fl Electrical Contractor / Administrator)
IElectricaf Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711)
1 - 2 SINGLE-FAMILY
1625W 12th
trSingle-FamilyResidentialEDuplex/ARUBuildingSquarefootage:-
OWNERTNFORMATION
ELECTRICAL CONIRACIOR INFORMATION
PROJECT DETAILS
1
Eacn Addrtronal 5OO square feet '
$--
Each Outbuilding / Detached carage
$-.-
$63TOTAL