HomeMy WebLinkAbout802 I St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
18-00000521 Date 4/ta/aB
934351
802 I S?
05-30 00 0 2 5208-0000-
EI]ECTRICAL ONLY
RS7 RESDNTI, SINGI,E FAMII,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
6
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Application Number
Application pin number
Property Address
ASSESSOR PARCEIJ NU}IBER I
Application type description
Subdivision Name
Properly Use
Property Zoning
Application valuation
Application desc
Fire damage tsemp GFCT
Owner Contract.or
RONALD BREITBACI]
802 I ST
PORT ANGEI,ES
\36A) 9!2-2A19
BI,ACK DIA]V]OND ELECTRICAI] CONTR
502 BLACK DIA]VIOND RD
PORT ANGELES WA 98363
(360) s65 1035
l{A 98353
Permi t.
Addilional desc
PermaE Iee
lssue Date
ExpiraEion DaEe
53 .00
4 /ra /tB
ro / o7 /ta
ELECTRICAL AI,TER RESIDENTIAIT
Plan Check Eee
Valuatrion
00
0
QLy Unlt Charge Per
r.00 53.0000 ECH Et-R- BRANCiI crR wo/ sER EEED
Extens ion
53.00
Charged Credi t.ed Due
Permil Fee Total
Plan Check Total
Grand Total
53.00
.00
63 .00
63.00
.00
63 .00
00
00
00
00
00
00
INSPECTION TYPE DATE:INSPECTOR:
DITCH
ROUGH.IN
FINAL
COMMENTS:4't-
PERMIT WILL EXPTRE Slx (6) MONTHS FROM I-AST INSPECTION
Signature ofowner or Electrical Contlactor X Date
RESI]LTS:
SERVICE
ELECTRI AL PERMITAPPLICATION
Public Works and Utitities Department
321 E. 5rh Street, Port Angeles, WA 9E362
360.4 17.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address:
Project 0escripti Ft Don
ingle-Family Residential E Duplex / ARU Building Square footage
l-^) S e-4-r/ /c-L fr---d <--F I
O\ANER INFORMATION
Name: 5QA 9A-o a^ri1
Mailing Address:Phone
Name BDC.
l\railing Address
Email:r,A qr.
gc-L BuN-e- Et .\-.-a rr-o
License tfi..taa6'2 Dt
Expiration Date
Phone: ? 60 - Ll6 l' ?SY'7
PROJECT DETAILS
Item
Serv ce/Feeder 200 Amp.
Servrce/Feeder 20 1 -400 Amp.
Service/Feeder 401.600 Amp
Service/Feeder 601 -1 000 Amp
Service/Feeder over 1000 Amp
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each AddiUonal Branch Crrcuit
Branch Circuits 1-4
Temp. Servic€/Feeder 200 Amp
Temp Service/Feeder 20'1400 Amp
Temp. Service/Feeder 401600 Amp
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hou.ly
Signal Circuiylimited Energy - 1&2 DU
Manufactured Home Conneclion
Renewable Elec Energy sKVA System or less
The.mostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Oetached Garage
Each Swimming Pool / Hot Tub
Unit Charqe
$120.00
$146.00
$205 00
$262.00
$373.00
$5.00
$63 00
$5.00
$75 00
$93 00
$ 11 0.00
$149.00
$168 00
$96.00
$64 00
$'r20 00
$102 00
$s6.00
$120.@
s40.00
$74.00
$'r'r 0.00
Ouantitv fohl (Quantity x Unit Charge)
U
$
$
$
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$
$
$
$
$
$
$
$
$
$
$
$
$
$
$-?r--TOTAL
Owner as deflned by RCW 19.28.261r (1) Owner will occupy the struclure for two years after this electrical permit is finalized. (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 c€dry that I am the owner of the ove na
am making the electrical installation or alteration in compliance wath the ele , N. E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Mu Code. and Utility Specrfi
med property or a licensed eleclncal contractor I
-1-tt
Oate Print Name
[Electrical Permit Applications may be submitted to C
14.05.050 regarding Eleclrical Permit Applications
Owner E Electrical Contractor / Administrator)
8r..'
nicloalfa
S
I or electricalpermits@crtyofpa. us or faxed to 360.4'17.471 11
1 - 2 SINGLE-FAMILY afr ytD
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ELECTRICAL CONTRACTOR INFORMATION