HomeMy WebLinkAbout1115 E 9th StApplication Number .
Application pin luldber
?roPerty Address
ASSESSOR PARCEL M]MBER I
Applicatiol] type description
Subdivision Name .
Properly Use
Proper!y Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTL SINGI]E FAI.IIIJY
0
18 - 00000995 Date 6/28/18
5183 0 s
1L15 E 9TH ST
05 -30- 00 - 0 - 2 - 7855- 0000 -
EIJECTRICAIJ ONIIY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
os
*_0.--D
\
Applicalion desc
Duct less hea! pump
Contrac!or
NIXOtr" VICLA !1
1115 E 9TH ST
PORT ANGELES \rA 983626632
BI,AC( DIAIIOND EI,ECTRICAI CONTR
502 BI,ACK DIAMOND RD
PORT ANGELES I4A 98363
(360) 555,1035
Permil
Additional desc
PermlE tee
Issue Date
Expiralion Date
53.00
5/28/La
L2 /2s/ LB
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuat lon
00
0
oEy Unit Charge Per1.00 63.0000 EcH Er,-R- BRANCH CIR WO/ SER FEED
ExEension
53.00
Eee summary Charged Paid Credited Due
Permil Eee Total
Plan Check Total
Grand Total
63.00
.00
53.00
63. 00
.00
53.00
00
00
00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL E)(PIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electdcal Contractor X Date
e\
ELECTRI AL PERMIT P LICATI
Public Works and Utilities Department
321 E. 5th Sreet, Port Angeles, WA 98362
1'o
3
F
($
\f L ?71rProject Address
Project Description Vlcz-to ,IJ
\&singte-famlty Residential fl Duptex / ARU Buitding Square footage
Email
Mailing Address
Email:
License:
Expiratio
Phone:
n Date
364
PROJECT DETAILS
Item
Servic€/Feede.20C Amp
Service/Feeder 201-400 Amp
Service/Feeder 401600 Amp.
Service/Feeder 5C1-1 000 Amp
Servrce/Feede. over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp Service/Feeder 200 Amp.
Temp. Servlce/Feeder 20'l -400 Amp.
Temp Service/Feeder 401S00 Amp
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Houriy
Signa Circuiulimited Energy - 1&2 DU
l\4anufactured Home Connection
Renewable Elec Energy. sKVA System or less
Themostat (Note. $5 for each additional)
First 1300 Square Feet
Each Additioflal 500 square feet''
Each Outbuilding / Detached carage
Each Swimming Pool / Hot Tub
am making the electrical installation or alteration in compt
468, The City of rt An unicipalCode and Utility
Quantitv fglE! (Quantity x Unit Charge)
and PAMC 14 05.050 regarding Electrical Perm it Applications
Unit Charoe
$120 00
$146 00
$20s.00
$262 00
$373 00
$5 00
$63 00
$5 00
$75.00
$93 00
$'1 10 00
$149 00
$ 168.00
$96.00
$64 00
$120 00
$102.00
$56 00
$120.00
$40.00
$74.00
$110.00
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owner as deflned by RCW19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said propefty is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I heieby certify that I am above named property or a licensed electrical contrac{or I
cal laws, N.E.C., RCW Chapte|19.28, WAC. Chapter296-
n
Date Print Name natu Owner ! Electrical Contractor /Administrator)
IElectrical Permit Applications may be s itted City Hall or electricaipermits@cityofpa. us or faxed to 360.417.41111
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1 - 2 SINGLE-FAMILY
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1 60.4 | 7 .47 3 5 I wwucityo fpa.us I electricalpermits@cityofpa. us
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Name:
Matting Address: ///f e ? phone:
--
Name:
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
TOTAL