HomeMy WebLinkAbout1705 W 16th StApplicati.on Number .
AppLication pin nuiber
Property Addreas
ASSESSOR PARCE! NUMBER:
Application E)?e descript j.on
Slbdivision Name .
Property Use
Property Zoning
Applicatsion vaLua!ion
ELEETRIEALPERMIT
EIT]TOFPORTANGELES
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RS'7 RESDNTI] SINGLE FA},III,Y
0
19 - 00000604 Date 4/25/L9
508448
1705 W 16TH ST
05 - 3 0-00- 0 -4 - 3 790- 0000-
ELE TRICAI, ONLY
REPORr STATES,,..EsTAX
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Applicati.on desc
Ductless heat pump
Owner ContrasEor
CHARLES A AND KATHERINE L BO1D
1705 W 16TIl S?
PORT ANGEI,ES WA 9836368'71
(350) 450-54?8
BI,ACK DIAMOND ELECTR1CAL COMTR
502 BI.ACK DIA]UOND R.D
PORT ANGELES WA 98353
(360) 565 - 103 5
Permit
Addi tsional
Issue DaEe
desc
63 .00
4/25/79
r0 /22 / L9
Plan check Fee
Valuation
ELECTR:CAL AITER RESIDENTIA!
00
0
Expiration Date
Qty Unit Charge
1.00 53 .0000
Per
EL-R. BRANCH CIR WO/ SER FEED
ExEension
53 .00
Cha!ged Pai.d credited Due
PermiE Fee Total
Plan check Total
53 .00
.00
53 .00
53.00
.00
53.00
00
00
o0
pERMn WLL BXPRE StX (6) MONfftS FROM LAST INSPESTION
INSPECTIONTI'PE DATEI RESULTS:INSPECTOR:
DTTEH
SBRVIEE
ROUCH.IN Aln )fi ,p *V
FINAL 4'l*i ltq *p d,
C€MMENTST
Sigaetue ofowror or Eloouiod ConEaotor X Date:
. o0
.00
.00
EL{-2 sF 1-2SING LE-FAMILY
EL E C TRICAL PERMITAP PLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | wwwcityofpa.us electricalpermits@cityofpa.us
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Project Address
Project Description D<lczte; ]
ingle-Family Residential E Duplex / ARU Building Square footage
OWNER INFORMATION
Name
Mailing Address
Email
Phone
ELECTRICAL CONTRACTOR I NFORMATION
Mailing Address
Email:
License
Expiration Date: _pn"n", ]6oJ4(/-Jfl7
PROJECT DETAILS
lGm
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 1-4
Temp. Service/Feeder 200 Amp.
Temp. Servic€/Feeder 201-400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 6011000 Amp.
Portal to Portal Houdy
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable EIec. Energy: sKVA System or less
Thermostat (Note: $5 for each addilional)
First 1300 Squarc Fe€l
Each Additional 500 square teet"
Eadl Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
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
Ouantitv IqE! (Quantity x Unit Charge)
-
$
$
$
$
!
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
'-t)-'-
TOTAL
Owner as defined by RCW 19.28.261. ('1) Owner will occupy the structure for two years after this elecirical 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 owner of the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in compl iance with the llaws, N.E C., RCW Chapter 19 28, WAC. Chapter296-
468,
4
The City of Port An-E-ni ode and Utility S and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Name re(Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted City Hall or epermits@cityofpa. us or faxed to 360.4'17.47'l 1l
Name: