HomeMy WebLinkAbout519 W 9th StELECTRICAT PERMIT
CITY OF PORT ANGELES
360-4t74735
RS7 RESDNTL SINCIJE FAMII,Y
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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NApplicat.ion Number
Applica!ion pin nuhber
Properly Addregs
ASSESSOR PARCEI] NUMBER:
Applica!ion t]?e description
Subdivision Name
Property use
Property Zoning
Applicaliol]vafuation .
L 8 -000 01622 Date 10/L8l18
9754.22
519 W 9TH ST
06 - 3 0 - 00 - 0 - 2 - 5362 - 0000 -
EI,ECTRICAI, ONLY
Applicatio. desc
Ductles6 heat pump
ConEractor
NASH, THOMAS
519 W 9TH ST
PORT ANGELES
(350) 452-2091
OWNER
wA 98352
Permit
Addit.ional desc
Per[dt Fee
Is sue Date
ExpiraEion Date
EI,ECTRlCAL ALTER RES]DENTlAL
53.00
t0/tB/tB
4/t6/).9
Plan Check Eee
valuation
OD
a
oty
1.00
unit charge Per
53.OOOO EcH EI,-R- BRANCH CIR TiO/ SER FEED
Exlension
63.00
charged Paid Credited Due
Perm1t !ee l'oEat
Plan Check Total
Crand ToLal
53.00
.00
53.00
63,00
.00
63 .00
00
00
00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
DATE:RESULTS:INSPECTOR:INSPECTION TYPE
DITCH
SERVICE
ROUGH.IN rtlu lra fl,k (FTNAL @
COMMENTS:t
itFiltit
Signature ofowner or Electrical Contractor X Date:
#
EL1-2 sF 1-2SINGLE-FAMILY frr-
ELECTRICAL PERMIT APPLICATION "^,CCFT,,
^Public Works and Utilities Department CCl ,:'Y€n
321 E. 5rh Srreet. Port Angeles. WA 98362 D^- ,i',, -
360.417.4135 ww-w.cityotpa.us electricalpermits@cityofpa.us ,liLY,!pr,
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Project Address
(+^ ilrRet.,^,+ l..eJ,',,n 5 €u-\AQA <ir.*iiProject Description
dsingle-Family Residential E Duplex /ARU Building Square footage ns7
Email
[/ailing Address 5n \./Phone: 3d*)
1 C o. C o ,-\
5-612.o
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Mailing Address
Email:
Expiration Date
Phone:
PROJECT DETAILS
Itam
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1600 Amp.
Service/Feeder 601-1 000 Amp.
SeNice/Feeder over 1000 Amp.
Branch Circuit 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{00 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 60'l - 1 000 Am p.
Portal to Portal Hourly
Signal CarcuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Firsl 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146.00
s205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$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
Ouantitv Iqtr! (Quantity x Unit Charge)
$
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Owner as defined by RCW 19.28.251. (1) Owner will occupy the structure for two years afrer this electrical permit is ftnalized. (2) Owner is
required to hire an eleclrical 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 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-
46B, The City of PortAngeles Municipal Code, a
/o-17-t6 -E ^" ,.,-.1,,
nd Utility Specifications and PAM
ffin"*t.'g
Electrical Permit Applications'
| .t*
Date Print Name Signature 1ff Owner E Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa us or faxed to 360.417.471'tl
Name:
Name: License: _
I
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