HomeMy WebLinkAbout327 E 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
18 - 000004 77 Date 4/A3/18
3 7115 0
327 E l1TH ST
05-30-00-0-3 -3085 0 000,
EI,ECIRICAL ONLY
RS7 RESDN?I SINGIIE FA],IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
S\
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J
-{
{Application Nutiber
Application pin number
Propert.y Address
ASSESSOR PARCEL NUMBER:
Application tt?e descriptlon
subdivisiofl NarRe .
Proper!y Use
Property Zoniog
Appl j.ca!ion vafuation
ApplicaEion desc
Duct less heat pump
Conlrac!or
ZACHARY AND JEANNE ROIiAN
4255 COAST CUARD RD RM 5
FLORENCE OR 9'43 9
BLACK DIMOND ELECTRICA! CONTR
502 BLACK DIMOND RD
PORT ANGEI]ES WA 98363
(360 ) 555-1035
Permit
Additional desc
Permit Fee
I ssue Da!e
Expiration DaEe
63.00
4/03/1e
e /30 /.J.9
ELECTRICAI AI,TER RESIDENTIAL
PIan check Fee
valuatiolr
00
0
Qty UniE Charge Per1.OO 63.0000 ECI{ EIJ,R- BRANCH CIR WO/ SER FEED
Extseasion
63.00
Fee summary Charged Credited Due
Ptan cnecx l'oEa1
Grand Total
63.00
- 00
63.00
63.00
.00
53.00
00
00
00
00
00
00
INSPECTION T1?E DATE RESI]LTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:,-Y-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM T-AST INSPECTION
Signanrre ofowner or Electrical Contractor X Date
2 SING E-FAMILY
ELECT RICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us electricalpermits@cityofpa.us
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{Project Address <27 E //n'L
P ect Description 2uc 7-DJJ /#
Single-Family Residential ! Duplex / ARU Building Square footage
Name Email
lvlailing Address 37_1 L TK Phone y'ZE -z,t t- 4a i o
OUNER INFORMATION
Mailing Address
Email:
(b> &t*<L D)r,+--.---Lg License 8a<e-r-c &9(a ?-
Expiration Date
Phone: :fuo -c/C (- 3 ?3. 7
PROJECT DETAILS
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/ Servic€ Feeder
Branch Circuit WO Servic€ Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp Service/Feeder 200 Amp
Temp Service/Feeder 201-400 Amp
Temp. Service/Feeder 401-600 Amp
Temp Serv c€/Feeder 60'1-'1000 Amp
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable E ec Energy: 5KVA System or leSS
Thermostat (Note: $5 for each additional)
First '1300 Square Feet
Each Additjonal 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charqe
$120 00
$146 00
$20s 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
Ouantitv Igjal (Ouantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$t
s
s
I
$TOTAL
Owner as defined by RCW 19.28.261 : (1) Owner will occupy the structure for two years afrer this electrical permit is finalized. (2) Owner as
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 contraqlor. I
am making the electrical installation or alteration in compliance the
468, The City of Port eles Municipal Code, and
electricallaws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
s and PAMC 14.05.050 regarding Electrical Permit Applications.
4-2-ttr
Date Print Name Signature Owner ! Electrical Contractor / Administrator)
S
63
b?
68
lElectrical Permit Applications may be submifted to City Hall or electricalpermits@cityofpa. us or faxed to 360 .417 .471'tl
lc?
Name: