HomeMy WebLinkAbout525 W 10th StApplicaEion Nudber
Appficatsion pin nudber
Propertsy Address
ASSESSOR PARCEL NUMBER:
Applicatioq t!'pe descripcion
Subdivision Name
Property Use
Property zoning
Application valuaEion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS7 RESDNTL S]NGLE FAMIIY
0
18 - 00001749 Date 11/14/18
326735
525 W t oTH ST
0 5 - 3 0 - 00 - 0 - 2 - 9570- 0000-
ELECTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CO
-)
'.t\*D*$
Application desc
Ductless hea! pump
Contsractor
JEANNETTE F CARPENITER
600 W OLYMPIC PL #EO9
SEATTLE WA 98119
EXTRA MILE TECH
418 N. RACE ST.
PORT ANGEIES
{350l, 457 -5222
ELEC?, LLC
98352
Permi t
Additional desc
PermiE Fee
Issue Date
ELEC?RICA'J I\I'TER RXSf DENTIAT
]-4 CIRCUITS
75.00 Plan Check Fee
) t/L4/78 valuacion
s/J-3/1-9Ex?iration Date
oty Unit Charge
00
0
Per
BASE FEE
ExEension
75 .00
Eee summary Charged CrediLed Due
PermiE Eee Totaf
Pl an Check Total
Grand Totsal
75. 00
.00
75.00
75 .00
.00
75 .00
. o0
.00
. o0
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGI{.IN .P (.gF
FINAL ti h4l /R X f,
COMMENTS:
P
Signa ture of owner or Electrical Contractor X Date:
l;irrn
frECHUED
ELECTRI CAL PERMITAPP ICATION
Public Works and Utilities Deparknent
321 E. 5th Skeet, Port r\ngeles, WA 98362
360.41 7.47 3 5 | wwrv.cityofpa.us I elcctricalpermits@cityofpa.us
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Project Address:ii r4k I 0 t^ ->:t-.-*l-
:.-.r..r- .j- [-": : r-)-z-<
E Duplex /ARU Building Square footage
Name:Email:
Mailing Address:5?i trzr-It)t)/z-a"ri fgc;- jotl - 7/77
LY Ts License:
Mailing Address ,o. i3o*312-8 PA q97bL Expiration Oate:-ab-2ot1
E'I|a* E-X ol M€T Ptrone ?6o -{61 - t 33 B
Name:€x
<,.\rue
&n
ServicelFeeder 200 Amp-
ServicdFeeder 201-400 Amp.
SewicdFeeder 4O1-600 Amp
Service/Feeder 60l-1000 Arnp-
Service/Feede. over 1000 Arnp-
Branch Circuit W SerYice Feeder
Branch Circuit WO SerYice Feeder
Eash Additional Braodl Cirsr-rt
Branch Circuits 1-4
Temp. Servicer'Feeder 200 Amp.
Temp. SewicelFe€der 201{@ Amp.
Temp. Servicey'Fe€der 401$00 Arnp.
Temp- ServicelFeeder 601-1m0 Amp
Portal to Podal Hourly
Signal Circ{iUlimibd Ene.gy - I &2 DU.
Manufachrred Home Connedion
Renewable Elec. Energy: sKVA Sy$em or hss
Thermodat (Note: $5 for each additiorral)
Firgt 13fi) SquaE F€et
Each Addilional 5()0 square ftet"
Eadr Oleuidng / Dstached Gar3gE
Eadr Swimming Pool I Hot Tub
Quar$tv ]qh[(Qu.diry ! Unit Charge)
TOTAL -=:r.
Own€r as defined by RCW.'l 9.28-261 : (1 ) Os'ner will occupy the strlcture for two years efrer this etecfical permit is finalized (2) Owner is
required to hire ar electrical cqntrador if above said property is for sale. rent or lease- Permit expires after six months of last inspection,
Aner relding the above s[atemenl I hereby certr'fy that I am fie owner ofthe abgve named property or a licensed electical coniracto( I
am making the elestrical iftsbllation or alteration in compliance with the electrical la,ns, N-E.C., RCW. Chapter 19-28, WAC. Chapter 296-
Unit Charoe
s120.00
8146.00
$205.00
$262.00
9373.00
$5.00
$63.00
$5.00
$75.00
s93 00
sI10.00
$143-00
s158-00
$96.00
$64-00
$120.00
9102.00
$56.00
$r20-00
$40.00
E.,4,00
$'r10.00
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468, The City of PortAngeles Municipal Code, aod t til&y Specificatipns and PAi,lC 14.05-050
//- t .2. -r4 1- ;=f- 5',^ -.n--r(
Permit Applicatiqns.
Print Name Signature (E Owner Elecbical Contractor / Administrator)
[Electrical PermitApplications may be submitted to City Ha[ or electfl'calpermib@cityoFa us or faxed lo 360417.47111
1 - 2 SINGLE-FAMILY
Date