HomeMy WebLinkAbout1018 Glenwood StApplication Number
Application pin nufiiber
Property AddreBs
ASSESSOR PARCE! NU}{BER:
Application t),?e description
subdivision Name .
Property Use
Proper!y Zoni4g
Appl j.cation valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41',7 -473s
RS? RESDNTIJ SINGIE E'A.T'IIIJY
0
17 0 000 0105 Date t/30/).7
696920
1018 GIJENWOOD ST
06 -30 - 08 - s,8 - I811- 00 00 -
EIJECTRICA! ONIJY
REPORT STATE SAI.ES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
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I
e)
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Application desc
Ductless heat pump
Owner
Aimee curtris
1018 Glenrood Street.
OLYIIPIA tlA 98512(360) 450-5S69
BLACK DIAMOND ELECTRICAIJ CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 983 53
(350) 555-1035
PermiE
AddiCional desc
Permi! Eee
Issue Date
Expira!ion Date
63.00
7/30/L7
1/29/17
EIJEC?RICA]' ALTER RESIDENTIAII
Plan Check Fee
ValuaE i on
00
0
qly unrE gnarge Per
1,OO 53.OOOO EcI{ E],-R. BBANCI] CIR wol sER FEED
ExLensioo
63. 00
Fee summary Charged credited Due
Permit Fee Total
Plan Check ToEal
Grand Tolal
63.00
' 00
63.00
53 .00
.00
53.00
00
o0
00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:ln
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Sigaature ofowner or Electrical Cootractor X Date
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I
E
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\
Crrv or Ponr ANGELES PnRlur AppLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
X 1 & 2 Single Family Dwelling
view May Be Required. Please Comolete Electrical Plan Review lnformation Sheet'lol8 w' fu.,Jhtooo
- Plan Re
Job Address
Building Square Footage
Descrjpllon of above
Owner lnformation
Name a-oQ:T1!
It/ailing Address
City:State: zio
FaxlPhone
License # / Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Sewice/Feeder 401 -600 Amp
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1 000 Amp.
Branch Circuit W S€rvice Feed
Branch Circuit WO Service Feeder
Each Addilional Branch Circuit
Branch Circuits 14 Only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 20'1400 Amp.
Temp. Service/Feeder 401{00 Amp.
Temp. ServicdFeeder 601 -1000 Amp .
Portal to Portal Hourly
Signal Circuiv Limited Energy - 1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
I,IEW COTISTRUCTIOI{ ONLY:
First 1300 Square Ft.
Each Additional 500 Square Fl. or Podion of
Each outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Contrac{or lnfo
Namer '^^P0z
i/lailing Add163
ctv State:_ Zip
$
Phone
License # / Exp
@Unit Charoe
$ 120.00
$ 146.00
$ 205.00
5 262.00
$ 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
Total (Qtv Multiplied bv Unit Charqe)
$
$
$
$
$
$
$
$(
$
$
$
$
$
$
$
$$ J2-$ 6) toar
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 monhs of last inspection.
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 the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Cha pter 296468, The City of Port
Angeles Municipa d Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications
contractor or eleclrical administrator:n ca* Fcmcrr
D Credit Cad #
02106t2012lr3
Signatu
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&/rri
D^'" /-26-17
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