HomeMy WebLinkAbout720 E 10th StApplication Nunber
Application pin number
Property Address
ASSESSOR PARCEIJ NU}4BER :
Application. t,,pe description
subdivision Name
Property Use
Property zoning
Application valuation
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4'735
RS7 RESDNTIJ SINGLE FAMILY
0
18 - 00001785 Date 12113/18
079330
?20 E 1OTH ST
06-30-00 - 0-3-3420- 0000-
ELECTRICAL ONLY
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
9s
i-s
\
Application desc
Duclless heat pump X2
ConEraCtor
CRITCHFIELD LILLIA.IJ V
720 E 10?H ST
PORT ANGELES WA 983 52 8OO4
BIACK DIAMOND EI,ECTRICAL CONTR
502 BI.ACK DIA,4OND RD
PORT ANGEI]ES WA 983 63(360) 565-1035
Permil .
Additional desc
Permit Fee
Issue Datse
Expilation Datse
68.00
72/t3/t8
6/ tL/ t9
ETECIRICAL AITER RESIDENTIAT
Pla[ Check Fee
VafuaEion .
.00
0
QEy UoiE Charge Per
1. OO 5.0000 ECH1.00 5l . ooo0 EcH
EIJ-ECH ADDNT BRANCH CIRCUIT
EL.R- BRANCH CIR }IO/ SER FEED
ExtensioD
5.00
63 .00
charged Paid Credited Due
Permit Fee TolaL
Plan Check Total
Grand Total
68-00
.00
68 .00
68 .00
.00
68 .00
.00
.00
. o0
.00
.00
.00
PERMM WILL EXPIRE SIX (6) MONTHS FROM I-A.ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUCH-IN qlp lfi +w -BP
FINAL q )nlfi {t?Y@P
COMMENTS:
I
T
T
T
Signature ofowner or Electrical Contractor X Date:
Er 1-2 SFLL 1 - 2 SINGLE-FAMILY 1)o
3ECCELI
Public Works and Utilities Department
321 E. 5th Street, Pon Angeles, WA 98362
3 60.4 17 .47 3 5 www.c ityofpa. us e lectrical permits@cityofoa. us
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UED
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Project Address
P ject Description bucflr.-rJ )<'l-
ngle-Family Residential n Duplex / ARU Building Square footage
OWNER INFORMATION
Name.l\.k-!soL-c..Email
lvlailing Address 77a E- I o-r*Phone Zo(-tl6-aqo('
ELECTRICAL CONTRACTOR INFORMATION
Name
Iilailing Address
Email:
License
Expiration Date
pnone. 360-146t'hCV
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 600 Amp.
Service/Feeder 601-l 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W Se.vice 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/F€eder 401€00 Amp.
Temp. Service/Feeder 60'l I 000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manuhctured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note; 55 br each additional)
First 1300 Square Feet
Each Additional 500 square feel'
Each Oulbuilding / Detached Garage
Eacrl Swimming Poot/ Hot Tub
Unit Charqe
$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
$110.00
Ouantitv fgE! (Quantity x Unit Charge)
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$
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3 --<t--TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afier 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 anspection.
After reading the above statement, I hereby certify 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
468, The City of Port Ang eles Mun palCode, and Utility and PAMC 14.05.050 regarding Electrical Permit Applications
,l1q-t(t'/
Date Print Name nature Owner ! Electrical Contractor/Administrator)
e electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
[Electrical Permit Applications may be submitted to City Hall or epermr ts@cityofpa.us or faxed to 360.417.47111