HomeMy WebLinkAbout1011 E 5th StApplication Nudber .
Applicati.on pin number
PloperEy Addre6s
ASSESSOR PARCE], NI]MBER:
Application lype description
subdivigion Naoe . -
Property Uae
ProperEy zoning
ApplicaEion valuation
ELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-417-4735
RS7 RESDNTIJ SINGI'E FMII'Y
0
17 000003 22 Date 3/1-5/1'l
'7 96122
1011 E 5Tg ST
05 -30 - 99 - 0- 1,7720- 00 00 -
EIIECTRICA! ONI'Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatio$ desc
Ductless heat punp
Owner Contrac!or
PAI4ELA M I/IEIDER
1105 E 8TH ST
PORT ANGELES
( 36) 912-3819
BI.ACK DIAMOND EI.ECTRICAI, CONTR
502 BLAC( DIAMOND RD
PORT ANGELES WA 98363
(360) 555-1035
wA 98362
Peroit
Additional desc
Permit Fee
Issue Date
Expiratj.on Date
63 .00
3 /:Ls / a7
9 /1t /t7
ELECTRICAL AIJTER RESIDENTIAL
Plan Check Fee
valuation
.00
0
Qty UDit Charge Per
1.00 53.0000 EcIt EL-R- BRANCH ClR WO/ SER FEED
Extensiolr
53 .00
Charged credi.ted Due
Permit Fee Tota1
Plan check Total
Grand ToEal
53.00
.00
63 .00
63.00
.00
63-00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
IiINAL
COMMENTS:I
PERMN WILL EXPIRE SIX (6) MONTHS FROM I-AST INSPESIION
Signature ofowner or Electrical Contractor X Date:
te
ITI iR I
Crry op Ponr ANcer,ns Prnnur ArpLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
X I & 2 Single Family Dwelling
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- Plan Revrew May Be Required,
Job Address:
Please Com olete Electncal Plan Revrew lnformation She€t'tr (-r+
Building Square Footage
Description of above
Owner lntormation Contra
Name:
ctorlnform;Bb
"Name:l/) L t D A-a-
l\4ailing Address
City
[,1a]lino Add.ess
State: _ Zip
Fa(:
Cjty Slater _ Zip: _
License#/Exp-License #/ Exp
@Item
Seryice/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401 -600 Amp
Service/Feeder 6011 000 Amp.
ServicdFeeder over 1000 Amp.
Branch Circuil W Service Feed
Branch Circuit WO Seryice Feeder
Each Additional Branch Circuit
Branch Circuits '14 only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Hourly
Signal Circuiu Limited Energy 1 & 2 Family owelling
Manufacturcd Home Connection
Rene,,yable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stal
NEW CONSTRUCTIOTI ONLY
First '1300 Square Ft.
Each Additional 500 Square Ft. or Porlion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Total
Owner as defined by RCW.19.28.261: (1) Owner wall occupy he structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said prope(y is for sale, rent or lease. Permit expires after six months of last inspection.
Afler reading the above statement, I hereby certify that I am the owner of he above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical la\,'/s, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29&468, The City of port
Angeles MunicipalCode, and Utility Specilications and PAMC 14.05.050 regarding Eleckical Permit Applications
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
Total {Qty Multiplied bv Unit Charqe)
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
$
$
S
s
S
S
$
Signature of owne I contractor or electrical administrator:E cash
E CreditCard#
-
0210612012
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