HomeMy WebLinkAbout808 W 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS? RESDNTI, SINGITE FAIII]LY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nudcer
ApplicaEion pin number
ProperEy Addr.ess
ASSESSOR PARCEI NUMBER:
Application t].pe description
Subdivision Name -
Property Use
Property zooing
Applicatsion vafuatsion
19 - ooooooSo Date t/t4/19
433120
808 W 6TH ST
05- 30-00-0-1-5805- 0000 -
ELECTRICAI ON],Y
Application desc
Ductless heat pump
MARCUS L AND PATRICIA F THOMSE
PO BOX 4 007
PORT ANGELES WA 983 52
136O) 4t't-27A2
BLACK D1AMOND ELECTRTCAI CONTR
502 BLACK DIAIVION'D R'D
PORT ANGEIES WA 98363
(350) s5s-r035
Permit
Additsional desc
Permit Fee
fssue Date
Expiratsion Date
ELECTRICAL ALTER RESIDENTIAL
63 .00
a/t4/19
7/13/t9
Plan Check Fee
vafuation
00
0
QLy UniE Charge Per
1.OO 53,OOOO ECH EL-R- BRANCH CIR WO/ SER FEED
Extsension
53 .00
Fee summary Charged Paid CrediEed Due
permit Eee Totsal
Plan Check Tol:al
Gr.and TotaI
63 .00
.00
63.00
63.00
.00
63.00
00
00
00
.00
.00
.00
DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN t /zd tt &-s'p
FINAL t'/249 452
COMMENTS:
t,
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signahrre of owner or Electrical Contractor X
INSPECTION TYPE
!&>
Date:_
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EII,ED *
Public Works and Utilities O"nT-T:1, JAN i 1 20tC
321 E. 5th Street. Port Angeles. WA 98362
17.4735 t w'rvw.cityofpa.us electricalpermits@clryofpa.#IICIR|CAl.
06 d 6"1* ll{s,t[110t{s
360.4
Project Address
Project Description
Name:
lvlailing Address:
Email
Phone Eod - 3-77 (
O\^NER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address:
License
Expiration Date:
Pnone. &o _ rtG? ?qsZEmail
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401$00 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp Servace/Feeder 601-1000 Amp.
Portalto Portal Houdy
Signal CircuiuLimited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec Energy sKVASystem or less
Thernostat (Note $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / HotTub
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
s96.00
s64 00
$120.00
$102.00
$56 00
$120.00
$40.00
$74.00
$110.00
Ouantitv lqtr! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
ITOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contraclor if above said properly 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 ol the above named property or a licensed eleclncal contractor I
am making the electrical installation or alteration in compl laws. N.E.C. RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAn nt lCode. and on nd PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name atu Owner ! Electrical Contractor / Administrator)
lElectrical Permil Applications may be subm City Hall or epermits@cityofpa. us or taxed to 360.417.47'11I
1 - 2 SINGLE-FAMILY
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