HomeMy WebLinkAbout536 W 11th StApplicatlon Number
Application pin nuflrber
Property Address
ASSESSOR PARCEI, NI]MBER:
Appf icaEion type description
Subdivision Name
Property Use
Property zoning
Appf ication vaIual-ion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS7 RESDNTIJ SINGI'E FAMITY
0
1?-00000846 Date 6/23/t"t
963550
536 W 11TIl ST
06-30-00 0-l 4840-0000-
ELECTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
{G
s-
Applicaiion desc
Temp service
ERIC J AND JILLIAN MT]NGER
535 W EI,EVENTH ST
PORT ANGEI,ES WA 9A362
BLACK DIAMOND EIECTRICAL CONTR
502 BLACK DIAI"IOND RD
PORT ANGELES WA 983 63
(360) s55 1o3s
Permit
Addit.ional desc
Permit Fee
Issue Date
ExpiraEion DaLe
Qty Uni! charge
1.00 93 . 000 0
E],ECTRICAL TEMPORARY SERVTCE
FT,-TEMP SRV O 2OO SRV FDR
93.00
6 /23/t1
\2/2a/11
Plan Check Fee
Valuation
Per
ECII
00
0
Extension
93.00
Charged Credited Due
Permi! Fee Total
Plan check Total
Grand Total
93 .00
.00
93 .00
93.00
.00
93.00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SD( (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
Crrv oB'Poe.s A"rcslss PERlvffT AppLrcarroru
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washingto 1,98362
Ph: (360) 417-4735 Fax: (360) 417-4711
o.rc,6'Za-('7
lete Electrical Plan lnfonnatron Sheet
....l
$
=I.
Or
. Plan Review May Be Required,Please Com p
Job Address:
Building Square Footage
Description of above
Owner lnfo
Name
Mailing Address
ation
. t,,'_)
contraclor InfBlgoh
l,,1ailiflg Address
cl/State: _ Zp;City:State: Zo
License # / Exp
After reading
the electrical
Angeles [\,4un
Signature of
Phone
License # i Exp
as
axi
Unit Charqe
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00
$ 500
$ 63.00
$ 5.00
s 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
?t
$
$
$
$
$
$
$
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$
$
$
$
$
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$
$
$_
l'z-c
Yo
2ts 3
a-70D
,Jq?,a
g_ Totat
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for tu/o years after this electrical permit is finalized. (2) Owner is
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
the above statement, I hereby cerufy that I am the owner ofthe above named property or a llcensed electrical contractor. I am making
installatjon or alteratlon in compliance with the electrical laws, N.E.c., RCW. chapter i9.2g, wAC. chapter 296-468, The ci ty of Pod
icipal Code, and Utility Specifrcations and PAMC 14.05.050 regarding Electric
cal contractor or eleclrical administrator:tr
ai Permit Agillicatiors
cash/<check
E Credit Card#
x 6-2'-17
02t46t2012
,1*-tr';=l I
X a z sinol. P.milv Dwettinor-\
?*r.L)E-tt-)
Dhone _Fax.
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401-600 Amp
ServicdFeeder 60'l-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit WO Service Feeder
Each Additional Branch Circuil
Branch Circuits 14 0nly
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp .
Poaial to Portal Hourly
Signal Circuiu Limited Energy - 1 & 2 Family Dwelling
l\4an ufactured Home Conneclion
Renewable Electricai Energy - sK1y'A System or Less
Thermostat
Note: $5.00 foreach additional T-Stat
t{Ew cousTRucTto oNLY:
Filst'1300 Square Ft.
Each Additional 500 Square Ft. or Podion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hoi Tub
Total (Qtv ililultiplied bv Unit Charqe)
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