HomeMy WebLinkAbout1526 W 13th StApplication Nuniber
Application pin nuiber
Property Address
ASSESSOR PAXCEL NWBER I
Appl icat ioo, tsype descript'ion
subdivi.si.on Name
Property Use
Proper!y zoning
Applicatsion valuatsion . .
19- 00000286 Date 3/).9/19
0879L8
1526 W 13TH ST
05-30-00-0-4-0130-0000-
EIJECTRICAL ONIJY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
RS7 RESDMI], S]NGLE EA]VIILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Owner Contractor
.]AT'lES A AND EAITH F EPP JT
1526 W 13Tr{ ST
PORT ANGELES WA 98363(350) 417 - 5583
BI.ACK DIAMOND ELECTRICAI, CONTR
502 BI,ACK DIAMOND RD
PORT ANGELES WA 95] 53
(350) 555-103s
Permi !
Additionaf desc
Permit Fee .
lssue Date
Expiration Date
ELECTRICAL AITER RESIDEN?IAL
RV REC,
63.00 Plan Check Fee
2/28/79 ValuaLion
00
0
QEy Unit ClErge Per
1.OO 63,0000 EC}i EI,-R- BRANCI{ CIR WO/ SER FEED
Exteflsion
63-00
Fee summary Charged Paid credi.ted Due
Permi! Fee Total
PIan Check Totsa1
Gland Total
63. O0
.00
63.00
63 .00
. o0
53.00
00
00
00
.00
.00
.00
INSPECTION T\?E DATE:R.ESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN z/n )n &d
COMMENTS:
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
FINAL l*'/n'/,n I&BP
E E T LP APP
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 i www.cityofpa.us i electricalpermits@cityofpa.us
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Project Address
P Description
ngle-Family Residential E Duplex / ARU Building Square footage
Mailing Address
Email
Phone 8or- 32){-
LicenseName
lvlailing Address
Email:
Expiration D te
Phone 2
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401600 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
Brandr Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 6011000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufu ctured Home Connection
Renewabie Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Filst 1300 Square Feet
Each Additional 500 square feet"
Each Oubuilding / Detached Garage
Each Swimming Pool/ Hot Tub
Unit Charqe
$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
Ouantitv Iqlel (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261: ('1) 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 after six months of last inspection.
After reading the above statement, I hereby certify that I am the the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in ce electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter296-
468, The City of Port An cipal Code, and ons and PAMC 14.05.050 regarding Electrical Permit Applications.
2-L{-(\
Date Print Name Signature Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
Name:
O\M},IER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS