HomeMy WebLinkAbout1629 W 7th StApplication Nufirber ,
Application pin number
Property Address
ASSESSOR PARCEI, NI-TMBER :
Application t,.pe descrlption
Subdivi.sioJl Name
Property Use
Property zoning
ApplicaLion valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL S]NGIE EA}IILY
0
1? - o oo01o48 Datse 8/\4/17
755244
1529 W ?TH ST
06 -30- 00 - 0-1-5055- 0000 -
EIJECTRICAIJ ONIJY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
f,
1
o
-cG
Contractor
NrBLocK LErcIl A/MA&LA J
1529 W 7TH ST
PORT ANGELES WA 983 63 52 01
AIR Fl,O HEAT]NG CO
221 W CEDAR ST
SEQUIM
(350) 581 3901
INC
wA 983 82
Additional a.""
s6.00
a /14/\'l2/to/rB
ETECTRICAL ALTER RESIDENTIAL
00
0
ExpiraElon Date
Qty unit charge Per1.00 56.0000 ECH EL- ],VT-THERMOSTAT
Extension
56.00
charged Pald Credited Due
Permit Fee ToEal
Plan Check To!a1
Grand TotaI
55.00
.00
55.00
56.00
.00
56 .00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
COMMENTS:6-
PERMTT WILLEXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
Plan Check Fee
valuation
07/21/20L7 lHU 13:41 FAx 350 583 3971 Airflo aeatiog copier @oo2/oo2
CITY oT. PoRT ANGELES PERMIT APPLICATIoN
Building Division/Electrical.Inspections
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washirgton, 9E362
Ph: (360) 417-4735 Fax: (360) 4r7-47rr
X 1 & 2 Single Family Dwetling
\
G
\t\
6\Wg
* Plan Review Mav Be Reouired. Please &molete Elecn:al Plan Review lnformation Sheel14 't' ?19Job Address:
Building Squae Footage 34oo
Desc.idior Or aboye
Owner I
Name:
Caly:
P
Addrcss oa9 0. 7
Name:
Mailing
Cit,4
Led
lnformation
Address 22t l,.lAor 1t.
$ae:'ur$ Zp:i(.L sare;rl* zO, ll!.,jlg-
$ ,lr'a
Loeise # / ExD.-
a-xt
&m
Se.vicdFeeder 2m AmP.
servicdFeeder 201-{00 Am9.
S€{vicdFe€der 401 600 Anp
ServicdFeedst 60 1 1000 Anp.
ServicdFeede. over 1000 Amp.
Branch OroJit W S€ruce Feed€r
Bcnctl Cirdit wO Se ,ice Feeder
Each Additronal Branch Cimit
Branch Circrits 14
Temp. SeMce/ F€eder 200 Amp.
Temp. ServicdFe€der 201 4m Amp.
Iemp. S€McdFeeder 401-600 Amp.
Temp, SeMcelFeeder 601 1000 Amp .
Po.tal to Portal Hourly
Signal Circuiu Umited Ene.gy - 1 & 2 Family &relling
Manufactursd llorE Coonedion
Renewable Ehdrical Energy - sKVA System or Less
Thermctat
f,loto: $5.00 for eeh additbnd TStd
NEW CONSTRUGTIO},I OTILY:
Fimt ,1300 Square Fl,
Eadr Additional500 Square FL a Portion d
Eacfi Outbuilding or Hadled Ga-dgts
Eadr Swimming Pml or Hot Tub
Lirnse * I
axi
Total {Oh/ Uultiplied bv Unit oharcel
s
$
$_
$
Unit ChaEe
$ 120.00
E 146.00
$ 205.00
$ 262.00
$ 373.00$ s.m
$ 63.00$ 5.00
$ 75.00
s 93.00
$ 110.m
s 149.00
s 168.00I 96.00
$ 8r.00
$ 120.00
$ 102.@t s6.00
$
3
-
$
$
$
lt
$
$
I
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$--
$ =L Total
Oflier as defined by RCW.19.28.261: ( l ) Owner will occupy &e sbucturs for t$/o yea$ after hh dedrical p€tmit b finalized. (2) Ovrner is requircd
to hire an electicat contrador if above said prcperty is for sale, rEnt or lease. Pormit expires affs six monhs of last iBpedion.
After reading the above statemeot i hereby certity that I am the owner of the above named propeJty or a liceosed elecldcal cont6ctor. I am making
fie electrical installation or alteration in mmpliance w h he electical lawS, N,E.C., RCW. Chaptrer 19.28, WAC. Chapter 290-468, The City of Po(
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Elecfical Permit Applications.
Signature of owne( elecfuical conkaator or electrical administrator:ACl cash D
tr Credtcad *
7-2/- t7
iruE,lr Ll
o"E ?q7
$_
t
01,01n012