HomeMy WebLinkAbout816 W 9th StApplication Nuhber
Applicatj.on pin number
Property Address
ASSESSOR PARCEIJ NU},IBER :
Application t)?e description
Subdivision Name
Propert.y use
Property Zonirg
ApplicaEion valuatioD
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTI] SINGIJE FAMILY
0
18 - 00001575 Date 10/05/18
462900
815 W 9TH Sr
05 - 30 -00 - 0 -2 - 9915 - 0 000 -
EI]ECTRICAI ONIJY
REPORT STATE SALES IAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
s
d\Jq
Application desc
Owner lrork repairs
Contraclor
PATRICK Z WOOD
8]5 W 9TH ST
PORT ANGELES
BLACK DIAMOND ELECTRICAI, CONTR
502 BI,AC( OIAMOND RD
PORT ANGEITES WA 98353(360) 56s-1035
wA 98363s?24
53 .00
ao / 05 /78
4/03 /79
Qty Unit Charge
1.00 63.0000
Per
ECI{
E],ECTRICAL ALTER RESIDENTIAI
Plan Check Fee
valuation
EIJ-R- BRANCH CIR }IOl SER FEED
00
0
Ex!ension
63.00
Eee sunmary charged Credited Due
Permil Fee Total
Plan Check Total
Grand Total
63 .00
.00
63 .00
63 .00
.00
53 .00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAI
COMMENTS:
PERMTT WILL EXPIRE SX (6) MONTHS FROM I,.A.ST INSPECTION
Signature ofowner or Electrical Contractor X Date
Pe!mit
Additsional desc
Permit Fee
I ss\re Date
Expilation Da!e
p)ilR F Fp\trff....---
ELl-2 sF
ELECT RICAL PERMITAPPLICATI
Public Works and Utilities r:p.11:1, 6CT " ?t321 E.5th Street, Port Angeles, \!A98362
360.41'1.4735 i www.cityofpa.us electricalpermits@cityofpa.us EIECIRICAI
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1 - 2 SINGLE-FAMILY
CEIUED
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ON
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q
ProJect Address:
Project Descripti Ot )..Je..._LL<-ton e_<.
Single-Family Residential E Duplex / ARU Building Square footage
zrct<Email
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
DAL License
Expira
Phone
l\railing Address
Email:
tion Date, .JLo -L/6/-37r-7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp
Service/Feeder 40'1600 Amp
Service/Feeder 601 -1 000 Amp
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiultmited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additionat)
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
am making the electrical installation or alteration in compli
468. The City of PortAngel pal Code, and Uti
-r{-l g
Date Print Name
[Electrical Permit Applications may be s
Ouantitv fgg! (Quantity x Unit Charge)L,lnit 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
$s6.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$wTOTAL
Owner as defined by RCW 19.28.251 : ('l ) 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. Permit expires afrer six months of last inspection
After reading the above statement, I hereby certify that I am the e above named property or a licensed electncal contractor Io
cal laws, N.E.C , RCW Chapter 19.28, WAC. Chapter 296-
and PAMC 14.05.050 regarding Electrical Permit Applications.
Si nature Owner I Electrical Contractor / Administrator)
tted to City ll or pe @cityofpa.us or faxed to 360.417.4711)
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Name:
lilailing Address: Phone.. 3 Co 7 11 *ZL7
Name: