HomeMy WebLinkAbout526 E 11th St\\\()s
AppLicaEion Nuniber .
Applicatsion pin nufl rer
ProperEy Address
ASSESSOR PARCEI, NUMBER:
Application lype deacripEion
subdivision Name . .
Properly Use
Properly zonirlg
Applicatsj-on valuaEion
21- OOOOO9OS DaLe 1/2"1/21-
91L344
525 E l1TH ST
05 -30- 00-0-3 -3910-0000 -
EI,ECTRICAI, ONI,Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTT SINGIE FAJ\4ILY
0
Applicati.on deac
securitsy system
contractor
ROYALTEY II I,
525 E 11TH ST
PORT ANGELES
HAROLD II
wA 98352?935
ADT I,LC
11824 N CREEK PARI(WAY, N
sTE 105
BOTI{E!,IJ WA 98011
(206') 7L9-A341
Additional
Issue Date
Expirat ion
desc
,"t.
54 .00
7 /27 /2\
t/23/22
EI,ECTRICAI, AI,TER RESIDENTIA],
PLan Check Fee
ValuaEion
00
0
QEy Unit Chalge Per
1.OO 54,OOOO ECH EL-SINGIJE CI& I'IMITED RES
Extension
54.00
charged Paid creditsed Due
Pelmits Eee Tolal
Plan check ToLaL
Gland fotal
54 .00
.00
54 .00
54.00
.00
64.00
.00
.00
.00
.00
,00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION ryPE DATE:RESULTS:INSPECTOR:
DITCH
SER\1CE
ROUGH-IN
FINAL
*n
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G:,EXCHANGE'\BUILDING
Date
COMNIENTS:I
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Departmerlt
321 E. 5th Street, Port Angeles, SA 98352
360.41 7.4735 | u,ww.cityolpa.us I electricalpelnits@cityofpa.us
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526 E 1'lth StProject Address:
Project Descripti on. Telecommunicalions worldwireless alarm installation of all in one system
E Single-Family Residential E Duplex / ARU Building Square footage
Name Royalley, Sandy Email
Mailing Address 526 E llth St phone. 360-452-516
fghl{Qua ntity x Unit Charge)
... ,$ ,.,,
$ r.
$_
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Item
Service/Feeder 200 Amp.
Service/Feeder 201-4OO Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'1 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Addilional 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
Srgnal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Noter $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. Permjt 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 Apptications.
07 12612021 JENN I FER COVELLO
"4,u2DatePrint Name Signature Ow r F Electrical Contractor / Administrator)
$
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47 jj]
1 - 2 SINGLE-FAIMILY
Name ADT LLC License. ADTLLL.881DO
Mailing Address: 11824 N.CREEK PKWY N, SUITE #105 Expiration Date: 3/2022
Email JENNIFER@NWPEBMIT.COM pl16ns. 206-371-2237
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63 00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
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$64
$120.00
$40.00
$74.00
$'110.00