HomeMy WebLinkAbout423 Hillcrest Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-473s
RS9 RESDNTL SINGLE FAMII,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-ss
Applicatlon Nuflr.ber
Application pin nurber
Property Address
ASSESSOR PARCEI, NUMBER:
Application tl4)e descripEion
Subdivision Name .
Property Use
Property Zoning
Application valuatsion
19- 00 00182s Date Lt/L9/t9
7 55775
423 IIILICREST DR
06 3 0- 15 - 5 - 0 - 1500 - 0000-
ELECTRICAI, ONLY
Application desc
DHP
NANCY J BELI-
c/o JAMES & Assoc
1111 CAROLINE
PORT ANGELES
.360) 452-4a2',7
BI,ACK DIA}IOND ELECTRfCAL COlIlfR
502 BIACK DIAI,IOND RD
PORT ANGELES WA 983 63
(350) s6s-103swA 98352
Permit
Additional desc
Permit Fee
Issue Date
Erpiration Date
63.00
lt/!9/L9
5/!'7/20
ELECTRICA! ALTER RESIDENTIAL
Plan Check Eee
Valuation 0
Qty Unil Charge
1.00 53 .0000
PEI
ECIi EL'R BRANCH ClR WO/ SER FEED
Extension
53.00
Charged Paid Credited Due
Permit Fee Totsal
PIan Check TotsaI
crand Totsa1
53.00
.00
63.00
53 .00
.00
63 .00
00
00
00
00
00
00
PERMM WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN nl*oln $tr #
FINAL ti lz- tn (]@
COMMENTS:
I
T
Signature ofowner or Electrical Coutraotor X Date:
.oo
RESULTS:
Er ,-2 SFLL 1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles. WA 98362
364.417.4735 ww*'.cityofpa.us electricalpermits@cityofpa.us
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\\J.N\\Prolect Address
Single-Family Residential E Duplex / ARU Building Square footage
r-Lr-Email:Name
Mailing Address phone: \o6- tlt {
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name:
Email:
DE_License
Expiration Date:
Phone 36o -r1 cr-)ltzlvlailing Address
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp
Service/Feeder 401 600 Amp.
Service/Feeder 60'! -1 000 Amp.
Servics/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 Po(al Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sl(VA Sysiem or less
Thermoslat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detacied Garage
Each Swimming Pool / Hot Tub
[Jnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.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
Quantitv IgE! (Quantity x Unit Charge)
,?
$
$
$
$
U
$
$
$
$
$
$
$
$
$
$
$
$
$
$
ITOTAL
Owner as defined by RCW19.28.261: (1) Owner will occupy the structu.e for two yeaG after this electrical permit is finalized. (2) Owner is
required to hire an eleclrical contraclor if above said property js for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby cediry that I am the owner of the above named property or a licensed electrical contrado. I
am making the electrical installation or alteration in compl the e lectrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
and PAMC 14.05.050 regarding Eleclrical Permit Applications.468, The City of PortAngeles Muni Code, and
tl-lN-tot
Date Print Name Signature (Owner ! Electrical Contractor / Administrator)
its@cityofpa.us or faxed to 360.417.47111
t'l'1-
'7L7
lElectrical Permit Applacations may be submitted to City Hall or epe
Prgject Description:buc.flrcJJ
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