HomeMy WebLinkAbout2903 W 18th StApplj.cation Number .
Applicatsion pin nunber
Property Address
ASSESSOR PARCET NI'}IBER:
App}ication t)?e description
Subdivision Name
ProperEy Use
Property zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
L7-00000041 DaEe r/a3/t7
305527
2903 I,[ ].8TH S?
0 5 - 3 0 - 99 - 0 - 0 - 953 0 - 0 0 00 -
EIJECTRICA! ONIJY
RS9 RESDNTI, SINGLE FAXILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of PotI Angeles
(Location Code 0502)
J
I.I
Application desc
Duc!less heat pump
Rochelle Smith Blankenship
29 03 W 18TH ST
PO&T ANGELES WA 98362
BLACK DIAMOND ELECTRICAL CONTR
502 BI,ACK DIAMOND RD
PORT ANGEITES VIA 983 53
(350) s5s-103s
Permi i
Addi!ional desc
Permit Fee
Issue Date
Expiration Date
63.00
a/t3/a1
1/L2/t'l
ELECTRICAI] ALTER RESIDENTIAI]
PLan check Fee
valuation
00
0
Qly UniL Charge
1.00 53.0000
Per
ECH EIT-R- BRANCH CIR WO/ SER FEED
Extension
63 .00
Fee sunuuary charged Credited Due
Permr c !'ee 'loEa1
Plan Check Total
Grand Tota1
63.00
.00
53 .00
63.00
.00
63.00
00
00
00
00
00
00
INSPECTION T\?E DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS: dU
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEC"IION
Signature ofowner or Electrical Contractor X Date:
NSPECTOR:
Irlllr t"
Crry or Ponr ANcms Pnruvrrr ArPLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washingtot,98362
Ph: (360) 417-4735 Fax: (360) 417-4711
fi t a z singte family Divellin g
-J
(-t
LIIU lll(
I'iSPtCTll
. Plan Review l\ilay Be Required,Please Com plete Electrical Plan Review lnformation Sheet
Job Address
Building Square Footage
/V-
Description of above
Owner lnformation
Name
[.4ailing Address
Llcense # / Ex
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
ServicdFeeder 401 {00 Amp
Service/Feeder 60'l J 000 Amp.
Service/Feeder over '1 000 Amp.
Branch Ckcuit W Service Feed
Branch Circuit W0 Service Feeder
Each Additional Branch Circuit
&anch Circuits 14 Only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401{00 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Hourly
Signal Circuiu Limited Energy - 1 & 2 Family Dwetting
Manufactured Home Conneclion
Renewable Electrical Energy - sKVA System or Less
Thermostat
Note; $5.00 for each additional T-Stat
NEW CON OiILY
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Poolor Hot Tub
Contractor lnfo
Narne.
Ciry: _ State _Zip _
Phone. 4AO oo.lfiu _
$
Phone
License # / Exp.
@
ax:
Total (Qty Muttiolied bv Unit Charse)$_
$
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
$
s
I
$
$
$
$
$
$
$
s
$
$
$ 120.00
$ 40.00
$ 74.00
$ 110.00
al contractor or electrical administrator;
or a licensed electical contractor. I am making
9.28, WAC. Chapref 296468, The City of port
Applicatjons.fi**
$
$
$
$
Total
Owner as delined 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 he above statement, I hereby certify that I am the owner of the above named property
the electrical installation or alteration in compliance with the elecuical laws, N.E.C., RCW. Chapter 1
Angeles Municipal Code, and Utility Specificatjons and PAMC 14.05.0S0 regarding Electricat permit
E cash
02106n012
Signature of
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h-)./--t- c-
NECEIT'EF
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AN
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Mailing Addrcss: _
City:
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trl Credit Cad # _