HomeMy WebLinkAbout418 E Front StApplicalion Numbe!
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ASSESSOR PARCEL NUMBER:
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Property Zonirg
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ELECTRICAL PERMIT
CITY OF PORT ANCELES
360-417-4735
18-00001231 Date 8/07/te
652499
418 E FRONT ST
05-30 0 0 - 5 - 1 - L 9 3 0 - 0 0 0 0 -
ELECTRICAL ONIJY
RESIDENTIAI H]GI] DENSTTY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
G
Ng
Application de8c
Bathroom remodel
Ov,ner Contractor
AI,LANG/JOYSMERCIER
418 E FRONT ST
PORT ANGELES WA 98352
BIJACK DIAMOND EI'ECTRICAL CONTR
502 BI,ACK D]A,!4OND RD
PORT ANGELES WA 983 53
(360) 565 - r.o3 5
Permi.t
Addilional desc
Permi! Fee
Issue Date
Expiration Date
EI,ECTRICAI] AI,TER RESIDEN?IAI
1-4 CIRCUITS
75.00 PIan Check Fee
8/o'7/18 valuarion
2/03/re
00
0
QEy Unit Charge Per
BASE FEE
Extension
75.00
Charqed Paid Credi ted Due
Permi! Fee Total
Grand Total
75. 00
.00
75. 00
75_00
.00
75.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE (-=-.\
ROI]GH.IN a w
FINAL
yt
COMMENTS:7-X
PERMN WILL EXPIRE SIX (6) MONTHS FROM L,A,ST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 wwwcityofpa.us i electricalpermits@cityoipa.us
Prolect Address LllS (-,-r+ F,,,'l
Project Description Bdlrr.o,^rZt *
Mailing Address
';<r Email
Phone
ELECTRICAL CONTRACTOR INFORMATION
BI.rtr License
Mailing Address
Email:
Expiration Date
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 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 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 60'11000 Amp.
Portal to Portal Hourty
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA 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
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 IeE! (Quantity x Unit Charge)
tv
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for t\ro years after this electrical permit is finalize.l. (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 compliance with the electrical laws N. E.C., RCW Chapter 19 28, WAC. Chapter 296-
468 City of Port Angeles [/]unicipal Code, and Utility Spe d PAMC 14.05.050 regarding Electrical Permit /\pplications.
6 g l3e,a 9[*n
I
Print Name ure fil Owner E Electrical Contractor / Administrato0
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
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OWNER INFORMATTON
Name:
Name:
PROJECT DETAILS
o
Date