HomeMy WebLinkAbout1207 W 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNT], SINGLE FAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Ia(Fr
Application Nunrber
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application t)?e descriptsion
Subdivision Name
Property Use
Propertsy zoni$g
Application valuation
19 - oooo1884 Date tt/26/a9
188412
1207 W 5TH ST
06-30 - 00- 0- 1-1490 - 0000-
EI,ECTRICAL ONNY
Application desc
D]1P
Contractor
Ritchj.e D vogef
4414 Happy Va11ey Road
SEQUIM WA 98382
{350) 775 - 050 9
BI,ACK DIAI"IOND ELECTRICAL CONTR
502 BLACK D]AI'.]OND RD
PORT ANGELES WA 983 63
(350) s55-1035
Permit
Addi t 1onal"
Issue DaLe
Expiraticn Date
63.00
1-r/26/1-9
s/24/2a
ELECTRf CA], ALTER RESIDEN?IAL
Plan Check Eee
Valuation
00
0
Fee summary
Qty Unil Charqe Per
1.00 63.0000 ECH EL.R- BRSNCI] CIR WO/ SER FEED
Extension
53 .00
Charged Credited Due
PermiE Eee Total
Plan Check Totsal
Grand ToEal
53 .00
.00
53 .00
63.00
.00
53.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM [-AST TNSPECTTON
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN rulnlfi V -ep
FINAL n- ln /h &-vF
COMMENTS
Signature ofowner or Electrical Contractor X Date:
DATE:
1 - 2 SINGLE-FAMIIY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address
Pro Description b u<-rva I
Single-Family Residential E Duplex / ARU Building Square footage:
Name
Mailing Address:
Email
Phone:760115--o9o1
Name
Mailing Address:
Email:
License
Expi
Phone
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 600 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 '14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Servic€/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DL.J.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA Syslem or less
Thermostat (Note: $5 for each additional)
First '1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Ouantitv Iqla! (Quantity x Unit Charge)
_-tr-
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
x
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW'19.28.261: ('1) Owner will occupy the struciure for two years afler this eleclric€l permit is finalized. (2) Owner is
required to hire an eleclrical contrac{or if above said poperty is for sale, 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 eleclrical 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 City of Port Angeles/rrlniciprl Code. and Ulrlity SJrcittQttonsSna PAMC 14.05.050 regarding Electrical Permit Applications.ll-2t-0 !lu-;'t*--, W -
Date Print Name --,{.'sigi',"trrd'-if :o*,,ertrEleclricalcontractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
L1-2 s
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS