HomeMy WebLinkAbout234 E 9th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESD}qTL SINGLE FAMILY
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REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Application pi.n number
Property Address
ASSESSOR PARCEL NI]MBER :
Appf icatsion ts),'pe descriptsion
Suldivision Name
ProperEy Use
ProperEy zoning
Application valuation
19- oooooTo2 Date s /1-s / L9
7 81978
234 E 9TH ST
06- 30- 00 -0 - 2 -9005 - 0000 -
E],ECTRICAI, ONI,Y
Appllcation desc
carage feeder and circuit
Contsractor
.f,A]VIES O AND ,JO A JARL
234 E 9TH ST
PORT ANGELES WA 983 62(512) 694-3050
OWNER
Permi t.
AddiE.ional desc
Pemit Fee
Issue Dale
Expiration Datse
125 . O0
5/as/re
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ELECTRICAL AITER RES]DENTIAL
Plan Check Fee
Vafuation
.00
0
oty Unit Charge Per
1.0 0 5.0000 ECH EL
1. O0 120 .0000 ECE EL
BRANCH CIRCUIT W/FEEDER
O-2OO SRV FEEDER
ExEension
5.00
120.00
Fee sunmary Charged Paid Creditsed Due
PermiE Fee Totaf
PIan Check Total
Grand Total
L25
725
00
00
00
00
00
00
00
00
o0
.00
.00
.00
1,25
125
PERMIT WILL EXPIRE STX (6) MONTHS FROM I.AST INSPEC'TION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH cl.zaltl P +)
SERVICE
ROUGH.IN t )n) rq w B>
FINAL Zt,ii )iz &>8
COMMENTS:
Signatur€ ofownff or Electrical Contractor X Date:
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1 - 2 SINGLE.FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us electricalpermits@cityofpa.us
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2 E 1A {TProject Address
/ D,/1 12" d-."-- <rP
B Single-Family Residential n Duplex / ARU Building Square footage
OVINER INFORMATION
Name fi)-r a-('
z?q F 9/4 9-
Email i(
s1\^/7q-3csot\4ailing Address Phone
ELECTRICAL CONTRACTOR INFORMATION
Name License:
lvlailing Address
Email:
Expiration Date
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servrce/Feeder 40'1 $00 Amp.
Servrce/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Crrcuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circurts 14
Temp. Service/Feeder 200 Amp
Temp Service/Feeder 201-400 Amp
Temp. Servrce/Feeder 40'1€00 Amp
Temp. Servrce/Feeder 601-1000 Amp
Portalto Portal Hourly
Signal CrrcuiULimited Energy -'l&2 DU
Manufactured Home Connection
Renewable Elec. Energy sKVA System or less
Thermostat (Noter $5 for each additional)
Unit Charoe
$120.00
$146 00
$205 00
$262.00
$373.00
$5.00
$63 00
$s.00
$75 00
$93.00
$110 00
$149.00
$168.00
$96.00
$64 00
$120.00
$102.00
$56.00
Ouantitv Total x Unit Charge)
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4; d)I
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
TOTAL
Owner as defined by RCW 19.28.261 (1 ) Owner will occupy the structure for h,vo years after this electrical permit is finalized. (2 ) Owner is
required to hire an electrical contractor if above said property isforsale, rent or lease Permit expires after six months of last inspection.
After reading the above statement, I hereby certify 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-
468. The Ciiy of Port Angeles Mun crpal Code. and Utility Specifications and PAM c 14.05.050 regardrng Electncal Permrt Applicatrons
AO Ta..\
Date Print Name Sign (B Owner E Electrical Contractor / Adminislrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
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Project Description;
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PROJECT DETAILS
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
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