HomeMy WebLinkAbout926 W 8th StApplicatioo Number
Applicalion pin nuniber
ProperEy Address
ASSESSOR PARCEI, NI'MBER:
Applicatj.oo type descriptiofl
Subdivision Name
Property Use
Property zoni[g
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7 -4735
PUBIJIC BUIIDINCS & PAR(S
0
17 - 000 00145 Date 3 / 2:L /77
258830
925 n arr{ sT
06 - 3 0 - 00 - 0 - 2 - 5920 - 000 0 -
EI]ECTRICAI, ONLY
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
J
I\n
(n
ApplicaEion desc
Ductsless heat pump
Contractor
CIJALIJAI4 COUNTY HISTORICAL SOC
P O BOX 1327
PORT ANGELES WA 983620244
BI,ACK DIA}1OND ELECTRICAL CONTR
502 BI,ACK DIAMOND RD
PORT ANCEIJES WA 983 53(350) 56s - 103 s
63.00
3/21/t7
9/t't/L't
EI]ECTRICAN AI,TER RESIDENTIAL
Pt an cnecJ( t'ee
Valuation
00
0
Qty Unit Charge
1.00 53.0000 ECH EI,.R- BRANCH ClR WO/ SER FEED
Exten6ion
63 .00
Fee sunnary Charged Paid Credited Due
Permlt !'ee 10ta1
Plan Check Total
Grand Total
63.00
.00
53.00
63.00
.00
63.00
00
00
00
00
00
00
INSPECTION T1?E DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
Owner
Permits
Additional desc
termlE !'ee
Issue Dale
ExpiratioD Date
INSPECTOR:
!t llr )H I l
Crry or PoRT ANGELES Prnnnrr AppLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washington,98362
Ph: (360) 417 -4735 Fax: (360) 417-4711
our" J-?o - l7 (r a z sinete ramily Dwelling
I
J
\
\}.1
{q
- Plan Review May Be Required, P
Job Address:
leaseq7 Complete Electrical Plan Review lnformation Sheet
L u) 8 11*
Building Square Footage
Description of above
State: _ Zip: _
Fax:
Lrcense # i Exp._
Item
City
phore .lll -rLty
Service/Feeder 200 Amp.
Seryice/Feeder 201400 Amp
Service/Feeder 401 $00 Amp
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit W0 Service Feeder
Each Additional Branch Circuil
Branch Circuils 14 only
Temp. Service/ Eeeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp Service/Feeder 601-1000 Amp .
Podal to Portal Hourly
Signal Circu U Limiled Energy - 1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostal
Noler $5.00 for each additional T-Stat
ilEW COI{STRUCTTON OI{LY:
First '1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Mailing Addrcss
Clty
License # / Exp
@
regarding Elecfical PermitApplicatjons
E Cash E Check
State Zip:
-Total (Qtv irultio ed bv Unil Charoe)
$
S
$_$_
5
0210612012
Contractor ln
Name:
formation?ot
ax
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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s
\_6fr
Owner as defined by RCW.'19.28.261: (1) owner will occupy the structure for two years after this electrical permjt is finalized. (2) Owner is required
to hire an eleckical contractor if above said property is for sale, rent or lease. Permit expires after six months 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 mak rng
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The C ity of Poat
Angeles l\.4
Signature
unicipal and Utility Specifications and PAMC 14.05.050
al contractor or electrical administrator:
2(creait cara *w &X
e
Dated 3 -t-o -t
7oc /
RECEIYf
Owner lnformationName: @
lllailing Address