HomeMy WebLinkAbout525 W 10th St (2)Application Nuiber
Application pin number
Property Address
ASSESSOR PARCEL NI'MBER:
Application t,?e descripEion
subdivislon Name . .
Property Use
Property Zonilrg
Application valuat ion
18 - 00001800 Date 11"/29/1a
439800
525 w 10TH ST
05-3 0- 00 - 0-2 - 9570 - 0000-
ELECTRICAL ONIJY
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE I'A]4II,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatsion desc
Service change
Owner ContracLor
JEANNETTE F CARPENTER
5OO W OLYMPIC PL #809
SEAT?LE WA 98119
EXTRA MIIE TECH
418 N. RACE ST.
PORT ANGELES
\36O) 451-5222
& ELECT. , L},C
wA 98362
Permil
Addilional desc
Permi! Eee
lssr,re Date
Expiration DaEe
120 .00
tt/29 / ).8
s /28 /t9
ELECTRICAL ALTER RESIDENTIAL
PIan Check Fee
Valuat.ion
.00
0
qty uAiE Charge Per
1.00 120.0000 EcH EL-0-200 sRv FEEDER
Extettslon
120.00
Charged Paid Credited Due
Permtt I'ee'1'oEa1
Plan Check ToEal
.00
.00
.00
120 .00
. o0
120.00
00
00
00
o0
00
00
t20
t20
PERM M WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE tlzz ) rc R -s6r
ROUGH.IN
FINAL ttttu [16 p \uY
COMMENTS:
I
Signa ture ofowner or Electrical Conkactor X Date
1 - 2 SINGLE-FAMILY
ITAPP
Public Works and Utilities Dcpartrnent
ECEIUED
!i
i?0V 2? Zl"\B
Projeci Address:
321 E. Sdl Srreer, PortAngeleq WA98362 ETECIB$AI
350.417.4735 | wwwcityofpa-us I electricalpermits@cityofpa.us lNSPtCil0NS
Ot'\- 5 J-,*r+5){ t-'"-a*
ti-*+,,,. + .r..i+J.,-,.
Single.Family Residential E Duplex /ARU gutrding Square footage:
Name:,J<,\.,aa\ fr- r-Email:
[railing AddEss:
Mailing Address
Email
-T-B;- .?, *2--Phone: vLo - r;o 'l ' 7 tt c-t''
LE -i:sc el c Ucease-. EX tR*n f 173 R bo. ?f o.r< 3l!8 PA q93bL Expi ration oaief /2 -zb - Zol lol. tV€ f Phone:Z60_.1t 1-t ts3e
Narrte: Ex+a+
ItsE
Service/Feeder 200 Amp-
Service/Feeder 2Ol 400 Arp.
Servics/Feedsr 401600 AIm
Service,IFeeder 60 l-1 000 Amp-
Service/Feeder over 1000 Arnp-
Branch Cil.Guit l/l/ Se.vice Her
Branoh Cirgit WO Service Feeder
Eacfi Additional Branch Circuit
Branch CiroJib 1-4
Temp. Se.v-Er'Feeder 200 Anrp.
Ternp ServidFeeder 201400 Amp.
Temp. Servicey'Fe€der 401S00 Amp.
Temp. SeMce./Feeder 6011000 Amp
Portal to Portsl Flourly
Signal Circuiulimited Energy - 182 DU-
Manufacbred Hsrng Connection
Rener,eaue Etsc" Energy; sl(VA Sy$em or less
ThermosH (Nob: $5 for each additional)
Frd 1300 SquaB Fed
. Esch Addiliooal5oo squaE tul'
, €rch Oubu ding / Dets€tEd Gara96
E8$ Swirmirc Pool , Hot Tub
Unit Charoe
sl20-m
$14{i.00
$205.00
$262.00
s73.00
$5.00
$63.00
$5.00
$75.00
$33 00
$110.00
$149-00
$r68.00
$s6.00
$64.00
$120.00
$'102.00
s56.00
$120.00
$40.00
gr4-oo
9110.00
Ouantit!, Ighl (Quantity x Unit Chrrge)
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Owner as defined by RCW. 1 9.2E-261 : (1 ) Owner will occlpy the structrre for two years aier this elecfical pemit is fina,ized. (2) O^,ner is
requlred tO hire an elecfical codradgf if above said property b for ssle, rent or lease- Permit expires after six monlhs of last inspeclion.
Afte eading lhe above statement, I hereby cedrry that I am tie owner qfthe aboye named Froperty or a licensed eledric€l cont "ador. I
arn makjrE lhe elec{riral instatlation or alteration io compliance with the electical hws, N-E.C-, RCW. Chapler 19.28, WAC. ChEpEr 296.
468, The City of PortArgelEs Municipal Code. and Ulil-rty Specfications and PAMC .14.05-050 Electsical Permit Applications.
I --1? -
Date Print Name Signature (f] Owner Elecbical Contractor / Ad ministrator)
[Eleclrical PermitApplications may be submitted to City Ha[ or electricalpermits@cityofta us or laxed b 3A0.417.41111