HomeMy WebLinkAbout613 W 9th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -473s
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Appllcation Number
Application p:in nu cer
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsion tlT)e description
Subdivision Name
ProperLy Use
Property Zoning
Application valuation
18 - 00001955 Date 1/O2/t9
r44556
613 W 9T',Il ST
o5 - 30 - 00 - 0- 2 - 62 58 - 0000 -
ELECTRICAI ON],Y
Owner
0
RAY
PO BOX 04
PORT ANGELES wA 98352
SHAMP ELECTRICAL CONTRACTfNG
PO BOX 383
PORT ANGELES WA 983 52
(350) 452 - r68 9
Permit
additional desc
Permit Fee
Issue Date
Expiration Datse
ELECTRTCAIJ AITER RES IDE}'ITIAI
MTR BASE AND MAST
120.00 Plan Check Eee
| / 02/L9 va I uat.ion'1/ot/te
00
0
Qty Unit Charge Per
1.00 120.0000 EcH EL-0-200 sRv EEEDER 120.00
Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grard Total
120
120
00
00
00
120
120
00
o0
o0
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
00
.00
00
.00
.00
.00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCII
SERVICE t1^-27.lB AP k@
ROUGH.IN
FINAL D--z?- )8 4p
COMMENTS:
Signature of owner or Eleclrical Contractor X Date:
AT
NEOEIUED frr
CITY OF P(}RT ANGELES PER\.IIT APPLICATION
tluilding Division/Electricrl Inspections ucu 2
'
7'018
321 East Fifth Street - P.O. Box I150 / Port Angeles Washington, 98362 tttflRlf,ft
Ph: (360) 417-{735 f*r: (360) 417-4711 ,NSPE0Il0llS >$
Nn21s. 17' 29- lZ -_ 1 & 2 Single Family owelling
' Plan Review May Be ired, P lease Com plele Electrical PIan Review lnformalion Sheet4'6
BuildiE Squarc Footage
Descn ron ol ab,c,!e
owner ln
Namo
Cortractrr on F[<-..\"" c." I C Lr', {Naanel
Mailing Address:tJailint Addrcss
Cily: ? A ,,
-
State. tr!+_ Zip -tG 3 Ciry J €a,
Phone .l5L- tgen
Staler LrJ.r, Zip ?-
Phone'all Fax
L'cerse | / Exp Lrceise r l Exp.
Item T
Seryice/Fe€der 200 Amp.
ServicelFeed€r 201-400 Arnp.
ServicdFeeder 401 400 Amp
SerwcdFe€der 601 - 1000 Amp.
Se.vicolFeedel over 109) Anp.
Eranch Circuil Wl Ssrviae f€eder
Sranch Circuil W0 Service Fe€der
Each Addilional Branch Circuit
Branch Circuih 14
Temp Servicd Feeder ZS Amp
Temp. ServicelFe€der 201-400 Asrp.
Temp. SeMcdFe€der 401-600 Amp.
Temp ServicdFeede{ 601-1000 Amp .
Porlal lo Porlal Hourty
Signal Circliu Limited tuergy - 1 & 2 Family Dwelling
Mafl uf aclurcd Home CmneclilI
Renewable Elecidcal Energy - sKVA Syslem or Less
thermostat
Noter $5.00 lor each additiosal Tslal
EW COI'|STRUCT|O O LY:
Frrsl 1300 &uare Ft,
Each Addilional 500 &sare Fl €r Porlion ol
Each Outh.rilding or Detehed Garage
Each Swimming Poolor Hot Tob
Unit Charoe
s 120.m
$ 146.00
$ 205,00
$ 262.00
$ 373.00$ 5.00
$ 63.00$ 5.00
$ 75.00
$ 93.&
s 110.00
s 149.00
3168.00
$ 86.00
s 64.00
$ r20.m
$ 102.00
$ ss.00
ag
I $
$
$
5
$
$
s
5
s
s
$
$
s
$
$
$
$
z-
$ 120.00
$ 40.00
$ 7!.00
s 110 00
)
S
S
$-[lo 9J 16131
owner as defned by RCW.'19.28.261: (1) Owner will occupy the structure for two years afler this eleclrical permit is finalized. (2) Ower is required
to hrre an electrical qlnlraclor if above said property is for sale, rent or lease. Permil expires atter six monlhs oI last inspeclion
After .eading the above statement, I hereby cerlify thal I am the owner of the above named prcperiy or a licensed electrical contraclor. I am making
the eleckical installation or alleration in compliance wilh the electrical laws, N E.C., RCW. Chapler 19.28, WAC. Chapter 296-468, The City ot Port
Angeles Municjpal Code, and Utilily Speciications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, eleckical contractor or electrical admirirtrator: U cash C chect
01/01,?012* 2-r- . ' on*, - le/zgl rg = '*0""