HomeMy WebLinkAbout607 E 3rd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTL SINGLE FAJ{I LY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
os
I
Appfication Number
Application pin nudcer
ProperLy Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Propertsy zoning
Application valuation
18 00001s9s Date 1o/L2/t8
556565
607 E 3RD ST
06 :0 00 5 2 5970 0000
ELECTRICAL ONLY
0
Application desc
Ductless hea! pump
Owner Contraclor
DIANE E }.ICCRIMMON
507 E ]RD ST
PORT ANGELES
(350) 809 3507
BLACK DIA}IOND ELECTRICAL CONTR
502 BINCR DIAIIIOND RD
PORT ANGELES WA 983 53
(150) 555 103 5
wA 98362
PermiE
Additional desc
Permit Fee
Issue Date
Expir:ation Date
QLy uniE charge
1.00 63.0000
63.00
aa/12/t8
4/).0 /L9
ELECTRICAL ALTER RESIDENTIAI,
Plan Check Fee
valuat ion
Per
ECH EL R BRANCH CIR ViO/ SER EEED
00
Extension
5i.00
Charged Pa id Credited Due
Permlt t'ee 10ta1
Plan Check Total
Grand Tot.al
63.00
.00
53.00
63.00
.00
63.00
00
00
00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN nlz-u/t*tr #
FINAL )r*-/ia/,O 4g >&
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I.{ST INSPECTION
Signature of owner or Electrical Contractor X
0
Date:
RECHUEA
1 - 2 SINGLE-FAIMILY
ELECTRICAL PERM lT APPLlCATlOl0mmanr
Public Works and Utilities Department lNSPECIl0flS
321 F..5th Street. Port Angeles. \\'A98362
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6o1 z 3*eProject Address
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EL{-2 sF
Project Description D cs c- t-^t-c-t J
Single-Family Residential E Duplex / ARU Building Square footage
Name Pt c-Cn- w\+..J
Mailing Address
Email
Phone )ao -8of 7fo-a
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
B,Df-License
Mailing Address
Email:
Expiration
Phone
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 €00 Amp.
SerYicei Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch CircuiE 'l-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601-l000 Amp.
Portal to Portal Hourly
Signal CrrcuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
FiBt 1300 Square Feet
Each Additional 500 square feet''
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
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
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv fgla! (Quantity x Unit Charge)
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
s
$
$
$
ITOTAL
Owner as defined by RCW19.28.261 (1 ) Owner will occupy the structure for two years after this electrical permit is flnalized. (2) Owner is
required to hlre an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last anspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed eleclrical contractor. I
am making the electrical installation or alteration in com the electrical laws, N.E C , RCW Chapter 19.28, WAC. Chapter296-
468, The City of Port Muni lCode, and ons and PAI\,C 14.05.050 regarding Electrical Permit Applications
Date rint Name Signature Owner D Electrical Contractor / Administrator)
IElectrical Permit Applications may be subm to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
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Name: