HomeMy WebLinkAbout311 E Ahlvers RdAppfication Nuftber
Applicalion pin nurber
ProperEy Address
ASSESSOR PARCEI NU}.iBER:
Application type description
subdivision Name .
Property Use
Property zoning
AppLication valuat j.on
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-473s
RS9 RESDNTIT SINGLE FA,I4IIJY
0
19 -0000159? DaLe tO /L'7 /19
952423
311 E AHLVERS RD
06- 30 - 15 -5 - ?- OO90- 0000 -
ELECTRIC}I ONI]Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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AtrT)1icatsioo desc
DIIP
Contstactor
Clara C Eord
311 E Ahlvers Road
PORT ANGELES
l35O) 452-0a61
BLACK DIA]VIOI\ID ELECTRICAL COT.ITR
502 BI.ACK DIAMOND R.D
PORT ANGEI]ES WA 98363(350) 555-103s
wA 98352
Permi t
AddiEional desc
Pemit Fee
Issue DaEe
Expirat.ion Date
63 .00
1o/17 /te
4/1-4/20
ELECTRICAI ALTER RESIDENIIAL
Plan Check Fee
vaLuation
.00
0
Permit Fee ToEal
Plan Check Total
63 .00
.00
53 .00
53 .00
.00
53.00
.00
.00
.00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
ROUGH.IN tt lt le .tr
FINAL n tl)i?-T,)
COMMENTS:
7-f
PERMTT WILL EXPTRE SIX (6) MONTHS FROM LAST TNSPECTION
Date:
Qty UniE Charge per ExEension1.00 63.0000 EcH EL-R- BRANCE CIR WOl SER FEED 53.00
Fee summary Cbarg.ed paid Credited Due
SERVICE -*v
Signature of owler or Electrical Contractor X
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
32i E. 5th Street, Pon Angeles. WA 98362
360.417.4735 www.cityofpa.us electricalpermits@cityofpa.us
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Prolect Address
Single-Family Residential E Duplex / ARU Building Square footage
Name Email
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name
Mailing Address
Email:
Expiration Date
Phone 5
Item
Service/Feeder 200 Amp.
Service/Feede. 201-400 Amp
Servic€/Feeder 401 -600 Amp.
Service/Feeder 601-1 000 Amp
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Servlce Feeder
Each Additional Branch Circuit
Branch Crrcuits 1-4
Temp Service/Feeder 200 Amp
Temp Service/Feeder 201100 Amp
Temp Service/Feeder 401€00 Amp.
Temp Service/Feeder 60'1 -'1 000 Amp.
Portal to Portal Hourly
Srg,ra C..curt/Lrrr.rreo 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 i Hot Tub
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
$s6.00
$120.00
$40 00
$74.00
$110.00
Ouantitv Iqtr! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW19.28.261. ('l)Owner will occupy the structure for two years after this eleclncal permit is finalized (2)Owneris
required to hire an electrical contractor if above said property is for sale, rent or lease Permit expires after six monlhs of last Inspection.
After reading the above statement, I hereby certify that I am the owner ofthe above named property or a licensed eleclrical contractor I
am making the electrical installation or alteration in compliance the electrical laws, N E C., RCW Chapter 19 28, WAC. Chapter 296-
468, The City of Port Angeles Mu pal Code, and Util and PAMC 14.05.050 regardrng Electrical Permit Applicatjons.
-(s -
Print Name S natu Owner ! Electrical Contractor / Administrator)
License:
PROJECT DETAILS
[Electrical Permit Applications may be submitted City Hall or epe ts@cityofpa. us or faxed to 360.417.47'l1I
L{-2 sF
Project Description, D U CTW.|
Mairing Address: 3(l C A+kLw azl-J pnone:3ao t{Z-OlL7
Date