HomeMy WebLinkAbout115 E 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTIJ SING]'E FAMILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
='.1
\h
..'f,\lApplicatsion Numler
Applj.catsion pin nunber
Property Address
ASSESSOR PARCEI] NUMBER:
Application t!?e descrip!ion
Subdivision Name .
ProperEy use
Property zoning
Applica!ion vafuatioD . .
17 - 00000549 Date 4/28/L7
297't'7 A
115 E 11TII ST
06-30-00-0-3-2850-0000-
ELECTRICAL ONIJY
ApplicaLion desc
carage feeder and circui!s / Expired service
Owner Con!ractor
ADAl,l AND JESSICA ORAVETZ
115 E 11TH ST
PORT ANGELES I4A 983627809
OWNER
Permi t
Additional
I ssue Date
130 .00
4/2a/r7
to/2s/r7
ETECTRICAL AITER RESIDENTIAL
ExpiraEion Date
Qty Unit Charge
Plan check Fee
valuation
EL.BRANCH CIRCUIT W/FEEDER
EL.O-2OO SRV FEEDER
00
0
Per Extension
10.00
120.00
2. 00
1. 00
5.0000 EcH
120 .0000 ECH
Fee summary Charged Paid Credited Due
Permit Eee Total
Plan Check Total
Grand ?otal
L30
130
.00
.00
.00
130
130
.00
.00
.00
00
00
00
00
00
00
PERMTT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH sh )ft N bR
SER\TICE
ROUGH.IN
FINAT
COMMENTS
Signature of owner or Electrical Contractor X Date:
?( ),r I 'I
"{
(\
-T
-D
Crrv or Ponr ANGELES PERMTT AppLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - P.O, Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) rllT-4711
Date 13 / 1 & 2 Single Family Dwelling
- Plan Re
Job Address
view l\4a yBe
Building Square Foolage
Req ulfi ired, Pleas Comple Electrical Plan Review lnformation Sheet
Description ol above
Owner
Narae 'A'TT*" O Contractor lnformation
Name
tl
City:State: l^]4zip qa3( L
Phone tr-7 ax:
LiceNe4/Exp_
il5 € rtfH <i [4ai]ing Address
City Siate:_Zip:
Fax:
Item Total (qty Multiplied by unit charqe)
ServicdFeeder 200 Amp.
ServicdFeeder 201 400 Amp.
SeryicdFeeder 40'l 600 Amp
Seryice/Feeder 601 - 1 000 Am p.
Seryice/Feeder over 1 000 Amp.
Branch Circuil W Service Feeder
Branch Circuil WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Servicd Feeder 200 Amp.
Temp. ServicdFeeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601,1000 Arnp .
Portal to Portal Houdy
Signal Circuiv Limited Energy ' 1 & 2 Family Dwelling
l,,lanufaciu red Home Connection
Renewable Electrical Eneey - 5KVA System or Less
Themostat
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTIOiI ONLY:
-trd
FiNt 1300 Square Ft.
Each Additonal500 Square Ft. or Podion of
Each outbuilding or oetached Garage
Each Swimming Poolor Hol T!b
$-:L3z)-totat
Owner as deflned by RCW.19.28.261: ('1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permjt expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named prope(y or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the eleckical laws, N.E,C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAI\4C 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: tr ca6h E check
Unit Charoe
$ 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
License # / Exp.
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LA 0110112012
RECE,YEI
E C.edit C.rd *
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