HomeMy WebLinkAbout940 W 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
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Applicacion Nun$er
Application pin nunber
Proper!y Address
ASSESSOR PARCEI NI'MBER:
Applicalion tl?e description
Subdi.vision Name
Proper!y Use
Properiy zoning
Appl-ication valua!ion
).7-O0OOa761 DaLe 12/ Ot/L1
652909
940 W 5TH ST
06 -30 -00- 0 - l - 0740 -0000 -
EIJECTRICAIJ ONIJY
Appl icat ion desc
Garage
Contrac!or
ANITA L LECCESE
940 WEST 5TH ST
PORT ANGELES
BIACK DIAMOND ELECTRICAI, CONTR
502 BLACK DIAMOND RD
PORT ANCEIJES WA 98353
(360) 56s - 103 5
wA 983 53
Permit
Addi!i-onal desc
Permit Fee
l ssue Da!e
Expiration Date
EI,ECTRTCAI, AI,TER RESIDET{TIAI.
t -4 cIRCt ITS
?5.00 PIan Check Fee
12/07/77 valualion
s/30 /ls
00
0
Qty Unit Charge Per
BASE FEE
Extension
75. 00
charged Paid Crediled Due
Permi! Fee Total
Plan check Total
Grand Total
75 .00
.00
'15 . AA
75.00
.00
75.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS: $K 2
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
Crrv on Popr A"rcslss Fsnnsr APP{-TCATIoN
Building DivisionElectr-ical Inspections
321 East Fifth Street - port Angeles lYashington, 98362
Ph: (360) a17-4735Fax: (36$) 411-4111
Date
-7-l 7 d t A Z Singb family Dwelling
. P{an Review May Be Required,olete Electrical Plan Review lnformation SheetLt {74
t'I'\l0\
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Job Address
Builoirq So rare Eooraqe:_
oescription of above
l<--].2'+'
Owner lnformation
Namei LD /.-o -t C
Contractor
Name;
knffiYn
l\4ailing Address:
City:State:- Zipl
ax:
Total (Ot/ Multi bv Unit Charoel
License # / Exp
Item
Ser,/ice/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Seryice/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 B.anch Circuit
Branch Circuits 14 Only
Temp. Service/ Feeder 200 Amp.
Tenrp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp. Service/Feeder 601-1000 Amp .
Poiral to Portal Hourly
Signal Circul Limited Energy - 1 & 2 Family Dwel{ing
Manufactured Home Connection
Renewable Electical Energy - sKVA Systern or Less
Thermostat
Note: $5.00 for each additional T-Stat
iIEW CONSTRUCTIOI{ OHLY:
Fist'1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each outbuilding or Detached Garage
Each Swimming Pool or Hol Tub
License # / Exp
@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
,$
$_
$
$
$
$$_
s
$
s
-K 3-=--
$
$ 120.00
$ 40.00
$ 74.00
$ 1'10.00
$
s
3 zr=r*,
Owner as deflned by RCW.19.28.261: ('l) Owner will occupy the structure for two years after this electrical pennit is finalized. (2) Owner is required
to hire an electrical 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 certitr/ that I am the owner oflhe above named property or a licensed electrical con[actor. I am mak ing
the eleckical installation or alteration in compliance with fre elecbical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port
Angeies l\,4unicipal Code, and Utility Specifications and PAMC 14.05.050 regarding
Signature of own , electrical contractor or elcctrical administrator:
Electrical Pemit Applicatjons.
tr casrrlQlrecr
L-.1 CredhCard #
/ kt7 -,0210612012X7
Vlailing Address: _
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