HomeMy WebLinkAbout1126 E 7th StApplicatlon Nufiibel
Application pin nultber
ProperEy Address
ASsESSOR PARCE1 NTJMBER:
Application Eype description
Su.bdivi s ion' Name
P.op€rty use
Proper!y Zoning
ApplicaEion valuation
ELECTRICALPERMM
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGIf FAI'IILY
0
18- 00001883 DaLe 1-2/13 /LA
101S 6 2
1126 E 7TH ST
05 -3 0 - 00- 0 -2 - 2110- 0000-
EI.ECTRICA], ONI,Y
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
&)
*\n
Applicatj.on alesc
Remodel
Contsractor
LOPRESTI, RHONDA L
1126 E 7TH ST
PORT ANGELES
BI,ACK DIAMONO ELECTRICAL CONTR
502 BLAC( DIA.IIOTTD R.D
PORT ANGEIES WA 983 63
(350) 565 - 103 5
IiA 983 62
Permit
Additiooal desc
PermiE Fee
Issue Date
Expiration Date
63.00
72/1-3/78
6 /tt/ 79
ELECTRICAL ALTER RESIDENTIAI
Plan Check Eee
valuation
00
0
Qty Uoj.C Charge Per
1.OO 53.OOOO ECH EL-R- BRANCH CIR WO/ SER FEED
gxtension
63.00
Charged Paid Credited Due
PermI E tee 't'ota.L
Plan Check ToEal
Grand Total
63 .00
.00
63 .00
53 .00
. o0
53 .00
.00
.00
.00
00
00
00
PERMIT WILL E'(P[RE SIx (6) MONTHS FROM T-AST INSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN /2-z>-tB 1+
FINAL tleqh4 w }P
COMMENTS
I
Signature ofowner or Eleckical Contractor X Date
1"6r
Id I 1.2 SF
1 - 2 SINGLE-FAMILY
CT ICAL PER TAPPLIC
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | *r,vw.cityofpa.us I electricalpermits@cityofpa.us
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Project Address
Project Description k.a..oe,--
O!\NER INFORMATION
Name
Mailing Address
Email
Phone
ELECTRICAL CONTRACTOR INFORMATION
License
Mailing Address
Email:
Expiration Date
Phone
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Servrce/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 401€00 Amp
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Houdy
Signal CircuiULimited Energy - 1&2 DU
lranufactured Home Connection
Renewable Elec Energy: sl(VA System or less
Thermostat (Noter $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool / HotTub
Quantitv fglE! (Quantity x Unit Charge)
TOTAL
Owner as defined by RCW 19.28.261r (1) Owner will occupy the struclure for two years afrer this eleclrical permit is finalized. (2) Owner is
required to hire an electrical contraclor if above said property is for sale, rent or lease. Permit expires after six months of last inspection
After readang the above statement, I hereby certify that I am the owner of the above named property or a licensed eleclrical contraclor I
am making the electrical installation or alteration in compliance laws, N.E.C., RCW Chapter 19.28, WAC Chapter296-
468 The City of Port Angeles Mu , and Utility PAMC 14.05.050 regarding Electrical Permit Applications
L-l- tE
Date Print Name
IElectrical Permit Applications may
re(er E Electrical Contractor / Administrator)
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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
be submitted to city Ha or epe its@cityofpa.us or faxed to 360.4'17 .471'11
!
!SingIe-FamilyResidentialDDUplex/ARUBuildingSquarefootage:-
2
Name: