HomeMy WebLinkAbout2203 S Cherry StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Applicat.ion Number
Applicatsion pin number
Property Address
ASSESSOR PARCE! NUMBER:
Appllcatlon t),pe descript.ion
Subdivision Name
ProperEy Use
Property zoning
Application valuation
19- 00 001680 Date 10/30/19
351920
2203 S CHERiY ST
05-3 0 - 09- s - 2 - 1835 - 000 0,
ELECTRICAL ONIJY
UNKNOhN
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Application desc
Ohfler
RICIIARD P AND L'ANICE L SHAUGHN
19075 W BIG I,AKE BL!'D
MOUNT VERNON WA 98274 6o8 4a{
Permit
Additional desc
Permrt Iee
fssue DaEe
Expiration Date
120.00
ro / 30 /te
4/27 /20
ELECTRICAL ALTER RESIDENTIAL
Pian cneci( t'ee
Valuation
00
0
Qty UniE Charge Per
1.00 120.0000 ECH EL-0-200 sRv EEEDER
Extsension
120 _ O0
Fee sunmary
Permit I'ee Total
Plan Check Total
Grand Total
120.00
,00
120.00
124
t2a
00
00
00
o0
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON
Tn-a.{ otz- slEi b'
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE tt lalP #\d
ROUGH-IN
FINAL u)qln ^a w
COMMENTS:
Signa ture of orvner or Electrical Contractor X Date:
BLACI( DTAMOND ELECfRICAL CONTR
502 BIACK DIA]VIOND RD
PORT ANGELES WA 98363(350) 565 1035
:i::Ti :iti :::it::i. 3::
1 - 2 SINGL E-FAMILY
ELECTRI CAL PERMITAPPLI CATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 | wwwcityofpa.us electricalpermits@cityofpa.us
FECTiyED
0."T Z:. tiltg $
s
0
Project Address LL 03 5 C*[A*,
Description L)e,bJ < L4.-ULc--e
ngle-Family Residential E Duplex / ARU Building Square footage
Mailing Address
Name:
Mailing Address:
Email:
Phone 3 to *Kd_ <aof
License:
Expiration Date -J
Email
Phone L
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 €00 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 201-400 Amp.
Temp. Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - '1&2 DU.
Manufactured 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
Igltr! (Quantity x Unit Charge)
TOTAL
Owner as defined by RCW19.28.261: (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 c€rtiry that I am the of the above named property or a licensed electrical contraclor. I
am making lhe electrical installation or alteration in complia llaws, N.E.C., RCW. Chapter 19.28, WAC. Chapter296-
468, The City of Port Angeles nicipal ode, and Utility PAMC'14.05.050 regarding Electrical PermitApplications.
2_t-R
Print N re Owner E Electrical Contractor / Administrator)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$s.00
$75.00
$93.00
$1'10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
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[Electrical Permit Applications may be submifted ore @cityofpa.us or faxed to 360.417.47111
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Name:
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
f PROJECT DETAILS
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APPROVED
ELECTHICAL INSPECTION
WIRING REPORT
4174735
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NOTIFY INSPECTOR WHEN COHREGTIOilS
AFE COMPLETED W]THIN 15 DAYS
- DO NOT REMOVE-