HomeMy WebLinkAbout415 E 10th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
RS7 RESD}III, SINGIJE FAMILY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nunber
Application pin nuiber
Property Address
ASSESSOR PARCEL NT]I{BER:
ApplicaLion tsype description
Sr.rbdivision Name .
Property Use
Property zoninq
Application valuation
19 - 00000754 Datse s/2t/19
75A496
415 E t oTH ST
05 - 3 0 - 00- 0-2 - 8860 - 0000-
EI,EC"IRICAI, ONLY
ApplicaEion desc
Service and circuits
Owner Co:ltractsol
rj.chard and nadya robinson
415 E 1OTH S?
PORT ANGEI]ES WA 9A3527925
BLACK DIAMOND ELECTRICAL CONTR
502 BI,ACK DI-AMOND RD
PORT ANGELES WA 98363(350) 565-1035
Permit
Additsional desc
Pel]n.rE l'ee
Issue Date
Expiration Date
135.00
5/2t/t9
Lt/ !7 /t9
ELECTRICAL AI,TER RES IDENIIAL
Plan Check Fee
Valuation .
00
0
Qty Unit charge per
3.00 5.0000 EcH1.00 120.0000 EcH
EL BRANCH CIRCUI? W/FEEDER
EL- O -2OO SRV FEEDER
ExEension
15.00
120. 00
Pernit Fee Total.
Plan Check totaL
Grand Total
13s.00
.00
13s. 00
135 .00
.00
135.00
00
00
o0
00
00
00
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PERMIT WILL EXPIRE SIX (6) MONTHS FROM II.ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE slzt I n -F
ROUCH.IN cil zlln €
FINAL a'lzrln fr
COMMENTS:7
ri.i
Signature ofowner or Electrical Contractor X
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Date:
1-2SING LE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public \\'orks and Utilitics Depanmenr
il i E.5ih Street. PonAngcles. \&A98i6l
3 60.4 1 7.,+71 5 n w.,r.c itvof pa.us eiecrricaLpermitsfrdc ityoipa.us
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Project Address:
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Prolect Oescription NA/A.) -9r,"c4 -l-Z x DccnEtJ
n Single-Family Residential E Duplex / ARU Building Square footage
O\^NER INFORMATION
Name
l\ilailing Address:
lNf O /-/Email
Phone le"o-7-d1- l2'1 1
ELECTRICAL CONTRACTOR I NFORMATION
Name
[/ailing Address
License
Exoiration Date.
enon. ?6e-767-7?f7Email
PROJECT DETAILS
Item
Service/Feeder 200 Amp
Service/Feeder 201-400 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 40'1600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note $5 for each addit,onal)
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub
5
"
,
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TOTAL
$_ ;Qi;w l3t
leclrical permit is finalized. (2) Owner is
Ouantitv f-elel (Qua Unit Charge)Cb
ires after six months of last inspection.
above named property or a licensed eleclrical contractor I
cal laws, N E C., RCW Chapter 19.28, WAC. Chapter 296-
PAMC 14.05.050 regarding Electrical Permit Applications.
Owner E Electrical Contractor / Administrator)
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
$56.00
$120.00
$40.00
$74.00
$110.00
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Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this e
required to hire an electrical contractor if above said p.operty is for sale, rent or lease. Permit exp
After reading the above statement, I hereby certify that I am the owner of
am making the electrical installatron or alteration in comp liance with the
468, The City of PortAngel nicipal de, and Utility io
Date nt Name
[Electrical Permit Applications may be submitted to C HaII or epermr ts@cityofpa.us or faxed to 360.4'17.47111
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