HomeMy WebLinkAbout411 E 9th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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ApplicaEion Number
Application pin nurber
Property Address
ASSESSOR PARCEL NUMBER :
AppIicaEion, lype description
subdivision Name
Property use
ProperEY Zoning
Application vafuats j.on
19 - 00000403 Date
091466
411 E 9TH ST
05 - 3 0 - 00 - 0 -2 - 7150- 0000 -
ELECTRICAI, ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
3 /20 /t9
RS7 RESDNTL SINGI,E EAMILY
0
Application desc
Temp power
Ouirer ConEractor
.]OSEPH JON / LORT
130 6 CdLUMBIA ST
PORT ANGEIES
1350) 775- 5915
LI'NN CROTEAU
wA 98352
MEYER ELECTRIC
42 GEOI,AINE WAY
SEOUlM
{360) 471 22a2
t{A 983 82
Permit
Addilional desc
Permit Fee
Issue Date
ExpiraEion Datse
93 .00
3/za/t9
9/t-6/Le
Plan Check Fee
Valuation
ELEC]BICAL TEMPOR.ARY SERVICE
00
0
Qly Unit Charge Per
1.00 93.0000 ECH EL-TEMP SRV O-2OO SRV FDR
ExEension
93.00
Fee summary Charged Paid Credited
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Due
Permi! Fee Total
Plan check Totsal
Grand Total
93 .00
.00
93.00
93 .00
.00
93 .00
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE rlztl fi N ...flbD
ROUGH.IN
FINAI >l^t l,ot &:#
COMMENTS:
Signature of owner or Electrical Contractor X Date
ELr-2 sF 1-2 ILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4 17 -4735 www.cityofpa.us I electricalpermits@cityofpa.us
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&Vrlfl^Project Address
Project Description
E Single-Family Residential n Dupl ARU Building Square footage
t
O!\NER INFORMATION
PROJECT DETAILS
ELECTRICAL CONTRACTOR I NFORMATION
Name
Mailing Address
Name:
lilailing Add
Email
Item
Servic€/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Servicei Feeder 401600 Amp.
Service/Feeder 60'1-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Cirqrit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601I000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 'l&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sl(VA System or less
Thermostat (Notei $5 for each additional)
FiIst 1300 Square Feet
Each Additional 500 square feel"
Each Outbuilding / Detached Garage
Each Swimming Pool / HotTub
Date rint Name
Email
Phone
License.
Expiration
Phone: -ll,o Y77 l).o a
Quantitv IgEl (Quanrity x Unit Charge)
q.r oo
Owner
f
Electrical Contractor / Administrato0
.)oa C r,/o tCc .-1.
(-
tis
I
Unit Charoe
s120.00
$146.00
$20s.00
s262.00
$373.00
$s.00
$63.00
$5.00
$7s.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
s102.00
$s6.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as deflned by RCW 19.28.261: (1) Owner will occupy the struclure for two years after this eleclrical 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 lhe owner of the above named property or a licensed eleclrical contraclor. 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
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