HomeMy WebLinkAbout118 W 7th StApplication Number
Application pin aunber
Property Address
ASSESSOR PAXCEL NUMBER:
Applicarion type descriprion
Subdivision Nane
Properly Use
Properly Zoning
Application valuat.ion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RESIDENTIAL HIGH DENSITY
0
17 - 00 001618 DaEe L7/02/l'7
121418
1ta w ?TH sr
06-30 0 0 - 0 - 2 - 3 2 2 5 - 0 0 0 0 -
EIJECTRICAIJ ONLY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
J\
s-6
ApplicaLion desc
Service repair
Contrac!or
SMTTI{, DENNIS & DONNA
?82 EAGLE POINT RD
SEKIU I,IA 9838}
OWNER
Permil
Additional desc
Permit Fee
Issue DaLe
Explration Date
120 _ 00
rr / a2 / t'7
s/aa/18
ELECTRICAL AI,TER RESIDENTlAI,
Plan check Fee
valuatioIr
.00
0
Qty Unit Charge Per
1.00 120.0000 EcH EI,-0-200 sRV FEEDER
Exlension
120.00
charged Paid Cred i E ed Due
Permit Fee Total
Plan check Total
Grand Total
120
).20
720
!20
00
00
00
00
00
00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE .// - 22 -,/ 7 4P r'D
ROUCH.IN
FINAL
COMMENTS:4
PERMIT WILL EXPIRE SIx (6) MONTHS FROM IAST INSPECTION
Signature of owner or Electrical Contractor X Date
APPROVED
COFTRECTIONS NEEDEDi
E
tr
tr
D
ELECTRICAL INSPECTION
wlRING REPORT
417-47s5
NOT APPROVEO
DTTCH n
t4
OATE:]NSPECTOB
OWNER
CONTRACTOB
ADOHESS
/";u.*-
a,sfr .& Ar,..e 2 6, <:rref*,.* ,, Fi"
P)*rd'21 drzr-aroo,.r\AlE
NOTIFY INSPECTOR WHEN CORBECTIOI{S
ARE COMPLETED wlTHIH 15 DAYS
- DO NOT REMQVE-
Crry on Ponr A.rrcnlss PsRlur Apil,rCATIoN
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles lYashington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
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(!Date:_ 1 & 2 Single Family Dwelling
Please Complete Eiectical Plan Review I nfo Sheetw May Requi' Plan Revie
Job Address:
Building Square Footage:
L r 7a
LJ
Description of above
Owner
Name:
ln on Contraclor lnformation
Name:
l\4ailing Address
ci9 Statq Zo'
Phone
License # / Exp.--
Total (Multiplied bv Unit Charqe)$ lZc)
t ) 7t-h.ar
tate: ,- 1 Zp
ax:
License # / Ex
Item
Service/Feā¬der 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401 -600 Amp
Service/Feeder 601 -1 000 Am p.
Service/Feeder over 1 000 Amp.
Branch Circuit W Service Feed
Branch Circuit W0 Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 0nly
Temp. Service/ Feeder 200 Amp.
Temp. ServicdFeeder 201400 Amp.
Temp. Service/Feeder 401{00 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Houdy
Signal Circuiu Limited Energy - 't & 2 Family Dwelling
Manufacturcd Home Cofl neclion
Renewable Elecfical Energy - sKVA System or Less
Thermostat
Note: $5.00 for each additional Tstat
HEW COiISTRUCT|OI oriLY:
Filst 1300 Square Ft.
Eaclr Additional 500 Square Ft. or Portjon of
Each outbuiiding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charqe
$ 120.00
$ 146.00
$ 205.00
$ 373.00
@
I Oa)
s
S
$
$
$
$
$
$
$
s
$
$
$
$
75.00
$
$
$
$
$
$
$
$
$
$
$
$
5.00
63.00
5.00
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
$
$=.-
$
s
S
$/ lr__ - _Iotat
Owner as defined by RCW.19.28.261: (1) owner will occupy the structure for two years after t]is elecfical permit js finalized. (2) Owner is rquired
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six monflls oflast inspection.
After reading he above statement, I hereby certiiT flrat I am be owner ofthe above named property or a licensed elecfical confactor. I am making
the electrjcal installation or alteration in compliance with fie electical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of port-
Angeles lvlunicipal Code, and Utili$ Specifications and PAIVIC 14.05.050 regarding Electrjcal Permit Applications.
Signature ofowner, olectrical contractor or electrical administrator: E cash E check
E creditcad #/-AX 0210612012
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