HomeMy WebLinkAbout402 N Ennis StApplication Nudber
Application pin number
Property Address
ASSESSOR PARCEI, NWBER.
ApplicaEion c]?e descripEion
subdivision Name .
Property use
Property zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
17-00001780 Date 1,2/A',7 /!'7
2'.7 47 20
402 N ENNIS ST
05- 30 - 00 -7- 8- 0345-0000-
EIJECTRICA! ONI]Y
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaEion desc
Ductless heat pump
JUSTIN D BROh'N
402 N ENNIS S'I
PORT ANGEITES
(360) 808 0r20
BIJACK DIAMOND EI'ECTR]CAI' CONTR
502 BI,ACK DIAMOND RD
PORT ANGEITES WA 983 63
(360) 56s-1035
r,rA 98162
PermiE
Additional desc
PermiE Eee
I ssue DaLe
Expiratlon Date
53.00
t2 / at /t't
6/os/ta
EI,ECTRICAI, AI]TER RESIDENTIA!
PIan Check Eee
Valuation
00
0
oty Unit Charge Per
1.OO 63.0000 ECH EI, R- BRANCH CIR WO/ SER FEED
Ex!ension
63.00
Fee summary Charged Paid Credited Due
Per.mit Fee Total
Plan Check Total
Grand Total
63 .00
.00
63 .00
.00
.00
.00
.00
- 00
.00
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:z* il4\fr
PERMIT wlLL EXPIRE SD( (6) MONTHS FROM LAST INSPECTION
Signalure ofoEmer or Electrical Contractor X Date:
63.00
.00
63.00
DATE:
CrIy op' Pon.r AIscrLEs PSR.MIT A-PPLTCATION
Building Division €lectrical Inspections
321 East Fifth Street - Port Angeles \Yashington, 98362
Ph: (360) 471-4735Eax: {36$) 4t7-4717
(t A e Singte Pamily Dwelling
'Plan Review lVlay Be Required, Please.Qomplete Electnc_al Plan Review lnfomation Sheet
"oo Adq.ess: t/o Z At. €-*lt ttt
Building Square Footaqe
Description of above
Contractor
Namei
on
License # i Exp
Item
Service/Feeder 200 Amp.
Service/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 \ /i 0 Service Feeder
Each Additionai Branch Circuit
Branch Circuits 14 Only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Servicei Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Podal Hourly
Signal CircuiU Limited Energy - 1 & 2 Family Dwelling
lvlan ufactured Home Connectio.
Renewable Electncal Energy - sKVA System or Less
Thermoslal
Note: $5.00 foreach additional T-Stat
NEIY COT{STRUCTIOI,I OTILY:
FiEt 1300 Sqlare Ft.
Each Addiiional 500 Square Fi. 0r Portion of
Each outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
ll4aiiino Address
City State: Zo'
Phone:
License # / Exp
q
axi
Total {Qt/ Multiplied bv Unit Charqe}Unit Charqe
s 120.00
$ 146.00
$ 205.00
s 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
$
E Credit Card f_
a210612012
$
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$
$
$
$
$
$
$
$
$
$
s
$
$
$ 120.00
s 40.00
$ 74.00
$ 110.00
$
Total
Owner as defined by RCW.19.28.261: (1) owner will occupy the structure for two years after ttris 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 sjx months of last inspection.
After reading the above statement, I hereby certii/ that I am the owner of the above named property or a licensed electical contractor. { am making
the electrical lnstailation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of port
Angeles l\lunicipal Code, and Utility Specifications and PAIV]C 14.05.050 regarding Electrical Permit Applications.
Signature of owne electrical contractor or electrical administrator:tr cash Aheck
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