HomeMy WebLinkAbout312 W 11th St (2)Application Number
Application pin nuniber.
Property Address
ASSESSOR PARCEL NI]]IIBER:
Application type description
Subdivision Name
Property Use
Property zoning
Application valuaLior1
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTIJ SINGLE FA]VIII]Y
0
18 - OO 0013 99 Date 9/tL/18
416258
312 W 11TII ST
05-30 00 0 3-4510-0000
EI,ECTRICAI, ONI,Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
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Application desc
Masts Repair
TOREY, SEAN R
:12 W 1lTH ST
PORT ANGELES
BOB'S EI]ECTRIC INC
2293 DEER PARK RD,
PORT ANGELES
(360) 45r-688?
wA 98362 riA 983 52
Additional desc
Pernit Fee
Issue Date
E).pira!ion Date
120.00
9 /ta/aa
3/\a/ae
ELECTRICA], ALTER RESIDENTIAL
00
0
Qty Unit Charge Per
1,OO 12O.OOOO ECII EIJ-O 2OO SRV EEEDER
Extens ion
120.00
Charged Paid Crediled Due
Permit Fee Total
Plan Check Total
Grand Total
120.00
.00
120.00
!20
420
00
00
00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
COMMENTS:q#.
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
Signa ture of owner or Electrical Contractor X Date:
Plan Check Fee
valuation
FINAL
ELr-2 sF
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
i2l E. 5th Street, Port Angeles, 'rlA 98362
360.417.4735 I www.cityofpa.us electricalpermits@cityofpa.us
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I
$---DProject Address -l )? u- t) *t<
Project Oescription
& Single-Family Residential n Duplex / ARU Building Square footage
Name raJ Email
Mailing Address
Name
lvlailing Address
Email
lr IJ Phone
License:
Expiratio n Date
Phone: 3 0
3o
C,
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Servicei Feeder 20'l-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
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Servic€/Feeder 201-400 Amp.
Temp. Service/Feeder 401.600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Houdy
Srgnal Circurulimiled Energy - 1&2 DtJ.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
" t,,,/)t of Port Angeles Municipal C ode. and L,til
a5e
Date
[Jnit Charoe
$120.00
$146.00
$20s.00
$262 00
$373.00
$5.00
$63 00
$s.00
$7s.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
Quantitv fola! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
!
$
$
$
$
$
$
$
$
2o"D ,,
TOTAL
Owner as delined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
requtred 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 lic€nsed electrical contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N E.C , RCW Chapter 19.28, WAC. Chapter 296-
bo12e
ity Spe s and PAMC 14 0 arding Electrical Permit Applications
Pri ame Signa tr Own F Electrical Contractor / Administrator)
[Electrical Permil Applications may be submitted to City Hall or epermits@cityofpa us or faxed to 360.417 .47111
lt
468,