HomeMy WebLinkAbout124 Apple LnELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
J
\AI.E
Application Number
Applicalion pin nu(ber:
ProperEy Address
ASSESSOR PARCEL NUMBER:
Application tsl,pe description
sDbdiwision Name
Property Use
Property zoning
Applica!ion valuaLion
17- 000 00341 Date
96s9't 4
124 APPLE IN
06 30 15 2 2-0075-0000-
ELECTRICAL ONI,Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
3/2a/a'7
0
Applicatsion desc
Ductsless heal pump
WERNER AND .]UDY MEIER
124 APPI.E I,N
PORT ANGEI,ES WA 983 62 6 903
(s03) 830-2903
BI,ACK DIAMOND ELECTRICAI CONTR
502 BI,ACK DIAMOND RD
PORT ANGEI.ES WA 983 63
(350) 555-1035
Permit
Additional desc
PermrL !ee
Issue Date
Expira!ion DaEe
53.00
3 /27/77
9/a1/t/
ELECTRICAL ALTER RESIDENTIAL
Plan Check Eee
Valuat ion
00
0
Qty Unit Charge Per
1 .00 63 . 0000 ECE EL R BRANCH CIR WO/ SER FEED
Extension
63 .00
Charged Paid Creditsed Due
Permits Fee Totaf
Plan check ToLal
Grand Total
63.00
.00
53 - 00
63.00
.00
53.00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:Z
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I-AST INSPECTION
Signatue ofowner or Electrical Conaactor X Date:
filRr
Crry or Ponr ANcerss PERlrrr ApplrcArroN
Building Division /Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417-4771
Dater J_Lo-t1
a
J
I
\il
-L
I
1 & 2 Single Family Dwelling
- Plan Review lVlay Be Required, Pleas e Comolete Electrical Plan Review lnformation Sheet, i Ltt ArlLa lr.)Job Address
Building Square Footagel
Description of above
Owner lnformation
Name:J+t*t Contra
Namel
ctor#SEation
IVailifq Address [4ailing Address
City State:Zip:
-
PNat.e 231frj9::ZUtF u Phone
License # / Exp L
Item
Service/Feeder 200 Amp.
Service/Fe€der 201400 Amp.
Service/Feeder 401 -600 Amp
Service/Feeder 601 J000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit WO Service Feeder
Each Additional Eranch Circuit
Branch Circuits 14 only
Temp. Service/ Feeder 200 Amp.
Temp. Sewice/Feeder 201-400 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp. Service/Feeder 6011000 Amp .
Portal to Porlal Hourly
Signal CircuiU Limited Energy - 1 & 2 Family Dwelling
fulan ufactu red Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
NEW COI{STRUCTIOI,I ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for tlvo years after this elecfical permit is finalized. (2) Owner is required
to hire an electrical contractor af above said property is for sale, rent or lease. Permit expires after six monhs of last inspection.
After reading the above statement, I hereby certjfy that I am the owner of fre above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the eleckical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of port
Angeles Municipal Code, and Utility Speciflcations and PAMC '14.05.050 regarding Electrical Permit Applicatlons.
Signature of ical contractor or electrical administrator:E cash E check
State; _ ap Ciiy:
ax
Ljcense # / Exp
@Unit Charqe
$ 120.00
$ 146.00
$ 205.00
$ m2.00
$ 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
*
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
x Dated 3'20 -17 fr"atc"'a*
ozo 2n12 q-
Total (Qtv Muttiplied bv Unit Charqe)