HomeMy WebLinkAbout112 W 6th StApplication Number .
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ProperEy Add!ess
ASSESSOR ?ARCEL NUMBER:
Application type description
subdivision Name
ProperEy use
Property zonlng
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
RESIDENTIAL HIGH DENSITY
0
19- 00001534 Date 11101/19
720032
112 W 6T1l ST
05- 3 0 - 00 - 0- 1- 552 0- 0000-
ELECTRICAI ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appfi.cation desc
Furnace heac pump
BAITS GARY S/MYLINDAS
112 W 6TH ST
PORT ANGELES WA 98362
BI.ACK DIAMOND ELECTRICAL CONTR
502 BIACK DIAMOND RD
POR? ANGETES WA 98363
(350) 565-1035
Permi t.
Additional desc
PermlE t'ee -
lssue Date
Explrat ion Date
58 .00
1\/Ot/le
4 /29 /20
ELECTRICAI AITER RES IDE}ITIAI
.00
0
Qty Unic Charge per
1.00 5 .0000 EcH EL
1.00 5l .0000 EClt EL
ECII ADDIfT BRANCI] CIRCUIT
R. BRANCH CIR WO/ SER FEED
Extsension
5, 00
53.00
Eee summary Charged Paid credited lhre
PermiE Aee ToEal
Plan Check Totaf
68 .00
.00
68 .00
68.00
.00
68. O0
.00
.00
.00
o0
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN il kh1 f :PP
FINAI,ullln
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Eleotrical Contractor X Date:
P Lan unecK !'ee
valuation
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.473 5 | *'ww.cityolpa.us I electricalpermits@cityofpa.us
Email
Phone
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Project Address L u 6v+
Pro Description Rt t-r-
Single-Family Residential E Duplex / ARU Building Square footage
Name
Mailing Address
kr,JA'r f4-'t'>.\2
Name License
lvlailing Address Expiration Date
Email Phone
Quantitv IqE! (Quantity x Unit Charge)
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this eleclrical 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 ceftify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N. E.C., RCW Chapter 19.28, WAC. Chapter 296-
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lJnit Charoe
$120.00
$146.00
$205 00
$262 00
$373.00
$5.00
s63.00
$5.00
$7s.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
$
$
$
$
$
$
$
$
$
$
$
$
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$
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6"t" ------------- t reEtectricat contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417.47111
Lr-2 s
1 - 2 SINGLE-FAMILY
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETATLS
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 14
Temp Service/Feeder 200 Amp
Temp Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp
TeF p. Servic€/Feeder 60'-1000 Anp
Portalto Podal Hourly
SignaL Circuiulimited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Noter 95 for each additional)
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub
TOTAL