HomeMy WebLinkAbout811 W 14th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-4735
18 0 0 001-3 52 Date 9/06/78
538928
811 W 14TH ST
06-30-000394880000-
EIECTRICAL ON],Y
RS? RESDNTII SINGLE FAMII'Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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\I\V\
ApplicaEion Number
Application pirl nurloer
ProperLy Address
ASSESSOR PARCEL NUMBER.
Application E)?e descrlpEion
Subdivlsioa Name
Property use
PIoPerty Zoning
Applicalion valuatiol1
N
Application desc
Ductless heat pump
Contractor
MA&CY AND
'IA}IES
BOLES TTES
61a0 N Camino Almonte
TUCSON AZ 85?18
\520) 91s 3254
BI,ACK DIA}IOND EIECTRICAL CONTR
502 BI,ACK DIA]VIOND RD
PORT ANGELES WA 983 53
(350) s5s 103 s
Permit
Additional de6c
Permit Eee
Issue Date .
Expiration Date
oty UoiE Charge
1.00 63.0000
EI.ECTRICA], ALTER RESIDENTIAI
EL R BRANCH CIR I"]O/ SER FEED
63.00
8/30/\e
3/a4/\9
Plan Check Fee
Valuation
00
0
Per
ECI]53.00
Charged Paid Credited Due
Perlnlt Fee Total
Plan Check Total
Grand Tot.a1
63.00
.00
63-00
63.00
- 00
53.00
.00
.00
.00
PERMTT WILL EXPIRE SIX (6) MONIHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESLTLTS:INSPECTOR:
DITCH
ROUGH.IN qlr ln F \+lP
FINAL 6 J" I'a #
COMMENTS:
Signature of owner or Electrical Contractor X Date:
.00
.00
.00
SERVICE
qh€l
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
3 60.4 1 7 .47 3 5 i wu,'w.cityofpa.us electri calpermits@c ityofpa.us
bwottLSJ
!
(D
3
Pro.iect Address
o\
I
q
N
Prqiect Description.
ffiin9te-ramity R esidential n Duplex i ARU Building Square footage
OWNER INFORMATION
*)Email
Atl ,42 tl i*Phonei Tzo -tQ l' lCtt
ELECTRICAL CONTRACTOR INFORMATION
lvlailing Address
Email:
License
Expiration Date
Phone: 3co -(61-le c7
PROJECT DETAILS
Ouantitv lgta! (Ouantity x Unit Charge)
TOTAL
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 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 contracto. I
am making the electrical i
468, The City of PortAng
nstallation or alteration in compliance with electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
M icipal Code, and Utility S d PAMC 14.05.050 regarding Electrical Permit Applications
f-28.tt
Date Print Name ature Owner ! Electrical Contractor / Administratoo
llnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
[Electrical Permit Applications may be submitted Hall or epermits@cityofpa.us or faxed to 360.417 .47'l1l
1 - 2 SINGLE-FAMILY
Name:
Mailing Address:
Name:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 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 20'1400 Amp.
Temp. Service/Feeder 401600 tunp.
Temp. Service/Feeder 601-'1 000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
lManufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub