HomeMy WebLinkAbout914 W 10th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
RS? RISDNTL SINGLE FA}.IIIY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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{Applicatioa Nunber . . . .
Application pin nufiber
Property Address
ASSESSOR PARCEL NIIMBER i
Application type degc!lpEion
Subdivision Name
Property Use
Propertsy zoning
Applicat j.on valuat.ion
19-00001375 Date 9/1-2/1-9
699375
914 9{ 10TIt ST
05 - 30 -00 -0 -3 -1910-ooo0 -
ELECTRICAI, ON],Y
Applicatiorr desc
TIEAT PUMP
ConEracEor
MARC ! AND KATHR\1{ S ORTH
914 W 10TH ST
PORT ANGEIES I4A 9A]62
(160) 775-4830
BI,ACK DIA.I,'OND BLECTRICAI CONTR
502 BIJACK DIAMOND RD
PORT ANGELES WA 983 63(350) s55-1035
Penn i t
Additsional
Permit Fee
Issue Date
Expiration
EI]ECTRTCA! AITER iES IDENIIAIJ
53 .00 +5.00
58.00 Plan Check Fee9/t2/79 valuarion .
3 /lO /20
desc
DaEe
00
0
Qtsy Unit. Charge Per
BASE FEE
Extension
68.00
Fee summary Charged Credited Due
Permi.t Fee Total.
Plan Check Toial
Grand Total
58 .00
.00
68.00
58.00
.00
58 .00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM L.{ST INSPECTION
INSPECTION Tl?E DATE RESULTS:INSPECTOR:
DITCH
SER}'ICE
ROUGH-IN tt,lzlh F w
FINAL tirzlg {F
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
.00
.00
.00
d
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Depa:tment
321 E.sth Street, PortAngeies, WA 98362
3 60.4 1 7 .47 3 5 I www.cityofpa.us electricalpermits@cityofo a.us
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Project Address:
ect Description +#h).\/
Name
Single-Family Residential E Duplex /ARU Building Square footage
elLat+Email
Mailing Address ql{ br /o-tt Phone 'Jod-
Name
Mailing Address
Email:
License
Expiration Date
Phone
"60
- 7( t- 3t(7
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401600 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 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA 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
l.lnit 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
Quantitu Total aouantitv x unit Chardel
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$w
Owner as defined by RCW 19.28.261: (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 certify that I am the owner ofthe above named property or a licensed electrical contractor I
am making the electrical installation or alteration in compl the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port les nicipal Code,cations and PAMC 14.05.050 regarding Electrical Permit Applications.vt
Date Print Name Signatu re Owner fl Electrical Contractor / Administra
[Electrical Permit Applications may be su itted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
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