HomeMy WebLinkAbout1151 Grant AveApplicatioo Number
Application pin nunber
Propertsy Address
ASSESSOR PARCEL NUUBER:
Appl icat ion. type description
Su]cdiviEion Name
Propertsy UEe
Property Zoning
Application valuaEion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDNTL SINGLE FAMILY
0
18 - 00001?83 Date r2/L3/lg
8114 5 4
],].51 GRANT AVE
o5-30-14-5-5-0175-OOOO-
EI,ECTRICAL ONI,Y
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatlon deac
Owoer CoaEractor
.,OSI{UA B SEELYE/LORENE E MCGEE
1151 GRANT ST
PORT ANGELES WA 983522'128
BI,ACK DIAI4OND ELECTRTCAI CON'TR
502 BIACK DIAT'IOI\D RD
PORT ANGELES WA 98363
(360) 565 - 103 5
Permi t
Additional
Issue Dat.e
Expirat ion
desc
DaEe
I20. 00
12/r3/rB
6 /tt / )-9
ELECTRICAL ALTER RESTDENTIAL
Plan Check Fee
va luat ion
.00
0
Extsension
120.00
Fee summary Charged Pa id CrediEed Due
PermiE Fee Total
Plan Check ToCaI
crand Tolal
120.00
.00
120 .00
120.00
.00
120. 00
.00
.00
.00
.00
.00
.00
PERMII WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN tln ln #w
FINAL rtn ln ,AY e8
COMMENTS:
Signature ofowner or Electrical Contractor X Date
OEy Unit Charge Per
1.00 120.0000 ECH EL-O-200 SRV I'EEDER
ELECTRIC AL PERMITAPPLICATIO
Public Works and Utilities Department
321 E.5th Street, Port Angeles, rIA 98362
N0y
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360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
It fl U.+-r x-ne_
*tmit
Project Address
Project Description Nt^/ Se.tc-t
! Single-Family Residential E Duplex / ARU Building Square footage
OWNER INFORMATION
oL-F-1 Email
Phone g06 -291d-Mailing Address
ELECTRICAL CONTRACTOR I NFORMATION
Name License
Exoiration Date:
cnon", -\Go--fA4 ft'?Mailing Address
Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuil 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 401600 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 less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square ieet"
Each Outbuilding / Oetached Garage
Eaclr Swimming Pool / Hot Tub
Quantitv x Unit Charge)
TOTAL lz-.9
-Owne. as defined by RCW.'19.28.261: (1) Owner will occupy the structure for two years after lhis electrical permit is fihalized. (2) Owner is
requircd 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 owne of e above named prope y or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with laws, N.E.C , RCW Chapter 19.28, WAC. Chapter 296-
lljleIeIse
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$7s.00
$93.00
$110.00
$'149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
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$
$
$
$
$
$
$
$
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e
468, The City of Port An nicipal code, and Utility
q,r/'
nd PAl\ C '14.05.050 regarding Electrical Permit Applicataons
I
nt Name Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us orfaxed to 360.417.47111
1 - 2 SINGLE-FAMILY !
(D
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It
I
Name: