HomeMy WebLinkAbout1037 W 9th StELECTRICAL PERMIT
CITY OF PORTANGELES
360-417-4735
RS7 RESDNTL SINGI,E FA141LY
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REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaEion Number
Appfication pin nurber
Property Address
ASSESSOR PARCEI. NUMBER:
Applicatlon l]'pe description
subdivision Name
Propertsy Use
Property zoning
Application valuation
18 OOOOls46 Daie 10/Cll18
891380
1037 w 9Tt{ sT
06 30 00 0-2-5844-0000
ELECTRlCAI, ONI,Y
ApplicaLion desc
Ductle ss heaL pump
GEORGE.]A},IES
3213 ST CLAIRE DR
DENTON
(350) 4]7 - 75 80
BI,ACK DIAMOND EIECTR]CAL CONTR
502 BI,AC( DIAMOND RD
PORT AN6EI.ES WA 983 53
(350) 56s - 103 5
TX 76210
Permit
AddiLional
fs sue Date
Expirat ion
53.00
10/03/aB
4/0a/ae
ELECTRICAL ALTER RESIDEN?IAL
a"".
Oatu
PLan Check Fee
valuat ion
00
0
Qtsy UniE Char.ge Per
1.00 63.0000 ECE EL R BRANCH CIR Wo/ sER FEED 5i. c0
Charged Paid Credited Due
Permit Eee Total
Plan Check Total
Grand Total
53.00
.00
63.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONIHS FROM I"A.ST INSPECTION
INSPECIION TYPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN to),1ltfr t :gP
FINAL ;/,ilB +V 4
COMMENTS:
u
Signature of owner or Electrical Contractor X Date
63.00
.00
63.00
RESULTS:
EL1-2 sF
ELECTR ICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street" Poft Angeles, WA 98362
360.417.4735 r www.cityofpa.us I electricalpermits@cityofpa.us
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s..\Project Address /o37 l,J q7L+
Project Description Dtt e'Z-tet J
Name
Sin gle-Family Residential n Duplex i ARU Building Square footage
.'l* t-'tz t Email
Mailing Address p666s JCo -4 lt-tSS-'a
OWNER INFORMATION
Name a-License
Exp
Phone
iration Date
o-u-
Mailing Address
Email:
PROJECT DETAILS
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 WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1400 Amp.
Temp. Service/Feeder 40'1600 tunp.
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Podal Hourly
Signal CircuiuLimiied Energy - 1&2 DU.
Manufu ctured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square i-.et"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Quantitv Iqtrl(Quantity x Unit Charge)
Owner ! Electrical Contractor /Administrator)
its@cityofpa.us or faxed to 360.4'17.47111
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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
,^ _{a! \TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this elec{rical 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 above named property or a licensed electrical contractor I
cal laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-am making the electrical installation or alteration in complian with
46B, The City of Port Ange untct Code, and Utility and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print N ame S nature
[Electrical Permit Applications may be subm o C ity all or epe
1 - 2 SINGLE-FAIUILY
ELECTRICAL CONTRACTOR INFORMATION