HomeMy WebLinkAbout536 W 11th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17 0000084? Date 6/23/L1
0:l?975
536 W 11TI.I ST
05 30 00 0 3 4840 0000
ELECTRICAI, ONLY
RS7 RESDNTIT STNGI'E FA]VIILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
{
I\N
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Application Nudber
ApplicaEion pin nunioer
Property Address
ASSESSOR PARCEL NUMBER:
ApplicaLion t)?e descrlption
Subdivision Name
Property Use
Property zoning
Applicatsion valuatiorr
Owner Contsractor
ERIC J AND JILLIAN MUNGER
536 W EITEVENTH ST
PORT ANGEI,ES WA 98362
BLAC( DIAI{OND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98353
(360) 565 1035
Permlt
Additional desc
Permit Fee
Issue Date
Expir.at.ion DaLe
150.00
6/23/tl
t2/2a/a'7
Plan Check Fee
Valuation
.00
0
Qty Unit Charge Per
1.0 0 120.0000 ECH1.00 40.0000 ECH
Extension
120.00
40.00
EL R SQFT FIRST 13l]O
EL R SQFT ADDITIONAL 5OO
EI]ECTRICAI] NE!! RESIDENIIAI
Fee sunmary Charged Paid Credi t ed Due
Permit Fee Total
Plan Check Total
Grand Total
160
r50
00
00
00
00
00
00
00
00
00
DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
ApplicaLion desc
New hone
160.00
.00
150.00
INSPECTION T\?E
I
f{lLI
Crrv or Ponr ANcnrES PERMTT AppLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4135 Fax: (360) 411-4711
s"p 6'Zo - (a & 2 Single Family Dwelling
. Plan Review lvlay Be Required, P lease Comolete Electncal Plan Review lnformation Sheet<?e c^) L l'r*Job Address
J
\($
=L!
Building Square Footage:
Descriplion of above
Owner lnfo
Name
l\,4ailing Address
ation
. LA)
Contrac{or I
Namel
?,
City:State:
Fax:
zip
Phone
License # / Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 -600 Amp
Service/Feeder 6011 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits'14 0nly
Temp. Service/ Feeder 200 Amp.
Temp. ServicdFeeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1 000 Arnp .
Podal to Porlal Houriy
Signal CircuiU Limited Energy - 1 & 2 Family Dwelling
I\4anufactured Home Cornection
Renewable Electicai Energy - sKVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
t{E!fl COTISTRUCTIOI{ ONLY:
Fist 1300 Square Ft.
Each Additional 500 Square Ft. or Pofiion of
Each 0utbuiiding or Detached Garage
Each Swimrning Pool or Hot Tub
Signature of
City
License #/ Ex
tr
E Credit Cad #
State: Zia
$
ax:
otal Multi Unit ChaIiUnit 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
$
$
s
$
s
--=
$
$
$
$
$
$
s
'?t
$
$
$
s
$ 120.00
$ 40.00
$ 74.00
$ 110.00
cal contractor or electrical administrator:
$><t\$ >*-
$.28'
'*^' iLouo
finalized. (2) Owner is required
inspection.
l'zc
Vo
s
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this elecfical permit is
to hire an electrical conkactor if above said prope(y is for sale, rent or lease. Permit expires after six months oflast
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 m aking
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 Port
Angeles l\,4unicjpal Code, and Utility Specifications and PA[,4C 14.05.050 regarding Electric tionsai Permit ABjrlica
casn/cnecr,
x Dated 6'2.-t7 020 2012
X
l\4ailing Address:_
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