HomeMy WebLinkAbout211 E 10th StApplication Nunber
Applicalion pin nuniber
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsion tsype description
Subdivi6ion Name
Property Use
Property zoning
Applicatlon valuation . .
19- 00000929 Date 5/17 /19
14 9186
211 E 1OTH ST
06 - 3 0 -00 - 0 -2- 905s - 0000 -
EIJECTRICAL ONLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTT SINGLE FA]VIIIJY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatioa desc
Service change
SCOTT .1 SCHWAG],ER AND TRACI .'
325 HOARE RD
PORT A]TGELES WA 983 63( 35)
I'T{ETER ELECTRIC
423 BLACIq{AWK LOOP
PORT ANGELES
(350) 417 - 11s 1
wA 98362
PermiL
Additional desc
Permic Fee
Issue Date
Expiration Date
120.00
6/17 /t9
L2/14/1-9
ELECTRICAL ALTER RESIDENTIAI
Pran cneck !'ee
Valuation
00
0
Qty Unit Charge Per
1.00 120-0000 EcH EL-0-200 sRv FEEDER
Extension
120.00
Fee summary Charged Paid Credited Due
PermiE Fee ToEal
Plan cnecl< 1'ota1
Crand Total
L20
120
.00
.00
.00
120. 00
.00
120. 00
.00
.00
.00
.00
.00
.00
PERMTT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE tln )n &YD
ROUGH-IN
l)
FINAL e)n k7 -,k-.#
COMMENTS
Signature of owner or Electrical Contractor X Date
ELl-2 sF
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Wcrks and Utilitics Depanment
l2i E.. jia Street, Pori.Angeles. \!.A 98362
j60.1I7.17l5 wnu.cinot-pa.us ciectricalperi-n its'.@ c iq o l'pa.us
r"-{
if??,u,
't?lb
!o
=I
!t
l
--$
N-t
Project Address fute )o
Project Description 3zLicv <//4-il(rr, zce,+
Name
Mailing Address
Email
Phone:3Co ?4,/ O/57
O\ANER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name:L,')
lvlailing Address
(a License:
Expiration Date
Phone ?€,o <16/ ol<7Email:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1600 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. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Porlalto Porlal Houdy
Signal Circuiulimited Energy -'l&2 DU.
lranufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Addational 500 square feet '
Each Outbuilding / Oetached Garage
Each Swimming Pool / Hot Tub
Quantitv IOh!(Quantity x Unit Cha rge)
TOTAL
Owner as defined by RCW 19.28.261r (1 ) Owner will occupy the st.ucture 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 owner of the above named property or a licensed electrical 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 City of PortAngeles Municipal Code, and utility S 050 regarding Electncal Permit Applications
Print Name gnature (E Owner Electrical Contractor / Administrator)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$s3.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
b
$
$
$
$
$
$
/zo
[Electrical Permit Applications may be su itted to City Hall or epermits@cityofpa.us or faxed to 360 417 .47111
!
L
B Srngle-Family Residential L-l Duplex / ARU Building Square footage:
-