HomeMy WebLinkAbout1431 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 FISDNTL SINGLE FAMILY
0
REPORT STATE SATES TAX
on your excise tax torm
to the City of Port Angeles
(Location Code 0502)
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type descripEion
Subdivision Name
Property use
Property zoning
ApplicaEion valuation
18 - 00001953 DaEe )-/O'l/19
3,42990
1431 W 11?H ST
05- 3 0 - 00 - 0 - 3 - 144s - 0000 -
ELECTRICAL ONLY
Contracior
DAVfDSON, BRYAN J
268 BI,AC( DIAMOND RD
POR:C ANGELES WA 98353
ELECTRIC SERVlCE
503 zutoDES Fn
PORT ANGELES
\36A) 4s2-6424
wA 98362
Permlt
Addilional desc
Permits Fee
Issue Datse
ExpiraEion Date
120.00
a/o'7 /tej /oG/te
ELEC?RICAI ALTER RES]DENTTAI
Plan Check Fee
Valuation
00
oty UniE Charge Per
1.00 120 . 0000 ECH EL-O-2OO SRV FEEDER
Extsension
120.00
Fee summary Charged Paid CrediLed Due
Permit Fee Tot.al
Plan Check Tolal
Grand Totaf
720
L2A
00
00
00
00
00
00
.00
.00
.00
120
120
00
00
00
PERMIT WILL EX?IRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE rlrch =F w
ROUGH.IN
FINAI,tlaln P :$D
Signature of owner or Electrical Contractor X Date
0
COMMENTS:
FROI,l FrlX NO
1 - 2 SINGLE-FAMILY
T P
Project Addr*s:tw.
Proiect Description.
Single.FamilyRegdential D Duplex /ARU tsuildlng Square toohge;
Name.Email
Mailing Address:
Dec. 2E 2AlA 2i 79Pn P!
I
T.6\
fiHlUEt) iwPublic Works and Utilities Department
321 E. sih Srreet, Port Angeles, WA 99362
360.4 17.47 35 | www.cityofpa.us I elecrricalpermirs@ciryofpa.us
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Name:
Mailing
Email:
Address:
PhMe:?-5:\'696.7 8?-9
License: ELFr f St ,3 20'r
Epiration Date o-
Phone:a i -./b a. a 99
r unlt
f?o.sl
Item
S€rvirFeeder 20O Amp.
Sewi€e/Feeder 20ll@ Anp-
SediceiFeedellol .600 Arnp-
Servic8/Feeder 601 - t 0O0 Anp.
SeMcey'Feeder overI 000 A,Tlp,
Brandr Ciurit W Sevice Feeder
Brancfi Circutt W/O Sreryica Frder
Eadl Additionsl Bl"ndr Cin h
Branch CircuiB 1{
Tamp, SeMcer'F€ed€r 20O Arnp.
Temp. SeMcdFe€der 20'l{00 AJnp.
Temp. Servbe/Feeder 4Ol 600 Amp.
Temp, Scwice/Fecder 601 I 60 Arnp.
PorAl to Ponal Hourly
Signal CirBit/tmit€d Eneqy - 1&2 DU.
ManufacfiJGd Home Connedidt
Renar*le Elec. Eneey: sKvAsyslem or l6s
Thermociat (NaE: $5 br each additonal)
Urh Ch.roa
$120.@
$146.00
$205.m
$262.00
s373.00
55.00
s€.00
$5.00
575.0O
3S3.00
Elro.00
81,+9-m
tl68.00
$96.00
5&r.00
$120.m
9102.00
s56.m
Ouaninv
$
$
s
$
$
$
I
$
s
$
$
I
s
I
s
$
Olrner aa detin€d by RCW.1928261 : (1) Omer will ooorpy tfle eaucture lbr tvro years after thb elcdricat permn b fnaEed. (2) Olvner b
lequired trc hire an electrical cont?dor if above said property is for sale, rBnt or lea€e. Permit expiros aftar six morltha of lastinsF|€ctioo.
A&r rasdiog the above stsbment, I herEby cadify lhat I am the o,rn6r of the Ebo\r€ narn€d prop€(y or a lic6ns€d etecfical contrador. I
am rrehng th6 dadriczl installaion oa alEratjgo in co[pliance with ths el€diral l8tr3, N.E.C, RCIW. ChrptEr 19.28, \^,AC. Chapter 296-
4{tB. The GV of PofrAnEeles Mun&ipal Code. andrilzdtc R^k,*
IOTAL I 2o.t D
PAMC 050 Elocti{ul Pelmn Applicrlions.
Date Prir Name Signaturc (E Owner [f El€clrical Cohtrector /Administrator)
lEle€fical Permit ApplicationB rnay b€ submitted to City Hall or epermits@cityofra.us or fured to 360.417.17'11]
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ELECTRICAL CONTRACTOR INFoRI\,{ATIoNE
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PROJECT DETAILS
OWNER INFORMATION