HomeMy WebLinkAbout1110 W 9th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
RS7 RESDNTI SINGLE FA],4ILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Fort Angeles
(Location Code 0502)
es
\asApplication Number
Application pin nunrber
Property Address
ASSESSOR PARCEL NUMBER:
Appl ication t)'pe descri"pEion
subdivision Name
Propertsy use
Propertsy ZoniDg
Application valuation
18 - OO 001418 Date a2/3\/LA
94 9154
1110 W 9TH ST
06 - 3 0 - 00 - 0 - 3 - 0210 - 00 00 -
EITECTRICAL ONLY
Owner
I4RIGHT, NIC(OI,AS T
1110 W 9TH ST
PORT ANGELES
(360 ) 4 50 - 9714
Oh,NER
wA 98363
Permi ts
Additsional desc
Permit Fee
fssue Datse .
Expiration Date
ELECTRICAI AI-TER RES IDENTIAL
1-4 CIR
75.00 Plan Check Fee
9/t3/t8 valualion
5/26/t9
00
0
Qty UniE Charge Per
BASE FEE
Extension
75 .00
Charged Paid Credited Due
Permi! Fee ToEal
Plan Check ToEal
Grand Total
75 .00
:00
75 .00
75.00
.00
75.00
.00
.00
. o0
00
00
00
PERMIT WILL EXPIRE SD( (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:R.ESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN tz-7A.-tZ ,F *C
FINAL
COMMENTS:{-\$vYz\) 4&:s+-
Signature ofowner or Electrical Contractor X Dato:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLI CATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | wr*w.cityofpa.us j electricalpermits@cityofpa.us
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Project Address: 1 1 10 W gth Street Port Angeles, Wa. 98363 .€Zrfl*.l\lf
Project Description Remodel - rewire
OWNER INFORMATION
Name Nick Wriqht Email theron324@qmail.com
ELECTRICAL CONTRACTOR INFORMATION
Email
Mailing Address
License:
Expiration Date
Phone:
Item
Service/Feeder 20OAmp.
Service/Feeder 20't-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Signal Circu Vlimited Energy - 1&2 OU.
l\,4anufactured Home Conneclion
Renewable Elec. Energy: SKVA System or less
Thermostat (Notej $5 for each
468, The City of Port Angeles Munic
et11t2018 Nick Wri
Unlt Charge
$120.00
$146.00
$20s.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s.00
$93.00
$110.00
$149.00
s168.00
$96.00
$ .00
$'120.00
s102.00
$56.00
Total Charge)
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
0075
TOTAL
Owner as defined by RCW.'19.28.261 : (1) Owner will occupy the structure for two years after this electrical permit is flnalized. (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 certiry that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
ipal Code, and Utility Specific€tions and PAMC '14.05.050 regarding Electrical permit Applicationsght . --- ---- --
Date Print Name
[Electrical Permit Applications may be submifted to City Hall or electricalpermits@cityofpa.us or faxed to 360.411.42111
E Single-Family Residential E Duplex / ARU Building Square footage: _
Maiting Address: 1 1 10 W gth Street Port Angeles, Wa 98363 p6616. 360-460-97'14
Name:.--
Irlew
Constructian
Only
1
First 1300 Square Feet
Each Additional 500 square feef'
Each Ou$uilding / Detach6d Garage
Each Swimming Pool / Hot Tub
$
C
c
$
$_
PROJECT DETAILS
Signature (K Owner ! Electrical Contractor / Administrator)