HomeMy WebLinkAbout1532 W 6th StApplication Nuflrber
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application tlpe description
Sr.rbdlvisron Name .
ProperEy Use
ProperLy Zoning
Apptication valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGI,E FANILY
0
18 00001353 Dare B/3A/18
613 942
153 2 rd 6TE ST
c6 30 00-0-1-51:8 C000
ELECTRICAL ONLY
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applrcation desc
Ductless heat pump
MICEAEI,,]AI1ES AND ANNE DOMONOS
1532 W 6TIt ST
PORT ANGEI,ES WA 983 52
B],ACK D]AMOND ELECTRICAL CONTR
502 BI]ACK DIA!'IOND RD
PORT ANGEIES WA 98363(360) s5s 1035
Permit
Additlonal desc
Permrt t ee
Issue Date
Expiration Date
53.00
B/30 /18
2/26/1e
ELECTRICA]T AITER RESIDENTIAL
Plan Check Fee
Valua! ion
00
0
Qty Units Charge Per
1.00 63.0000 ECH EL R BRANCH crR vtol sER FEED
Extension
63.00
Paid Credi E ed Due
Permf t !ee 108a1
Plan Check To!a1
Grand Totaf
63.00
.00
53.00
53 .00
.00
53.00
00
00
00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
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COMMENTS:
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signahrre ofowner or Electrical Contractor X Date:
Charged
ROUGH-IN
FINAL *?D
EL{-2 sF
Project Address
ELECTR I CAL PERMIf APPLI CATI ON
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 wwwcityofpa.us I electricalpermits@cityofpa.us
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\NProlect Description
Single-Family Residential n Duplex / ARU Building Square footage
Name aLV,
^J Email
Mailing Address: 19 3t t ^l L nt phone: a3z- bA - 3677
O\ANER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
Email:
License
Expiration Date
Phone. 4/a l-313-7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Cirqrit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201{00 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 60'll 000 Amp.
Portal to Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manulactured Home Connection
Renewable Elec. Energy: sl(VA 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
Unit Charoe
$120.00
$146.00
$20s.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
Ouantitv fglel(Quantity x Unit Charge)
$
$
$
$
$
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$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261 : (1) Owner will occupy the structure for two years afte. this electncal 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 elec{rical contractor I
am making the electrical installation or alteration in complia ce the electncal laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468. The City of Port MunicipalCode,el
--z?--
cations and PAtliC '14.05.050 regarding Electrical Permit Applicatjons
sisnature K Owner I Electrical Contractor / Administrator)
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Date Print Name
IElectrical PermitApplications ma d to City Hall or epermits@cityofpa.us or faxed to 360.417.47'111
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