HomeMy WebLinkAbout912 Joshua StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18-00000432 DaEe 3/21/t8
039952
912 JOSHUA ST
06-30-01-7-5-0060 0000
EIECTRICAL ONJ,Y
RS9 RESDNTI] SINGI,E F'AM]I,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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NApplication Number
Application pi]l number
Properly Address
ASSESSOR PARCE], NUMBER:
Applicat.ion t]?e descriptio$
subdivision Name
Pr.operty Use
Property Zonlng
ApplicaLion valuation
Application desc
DHP'S
AARON C AND NICOLE DELUCA
PO BOX 519
POP.T ANGELES WA 98362
12 ta) 312-9613
BLACK DIAMOND ELECTRICAL CONTR
502 BLACK D]AMOND RD
POR? ANGELES WA 98353
(360) 565-1035
Permit
Addi tional
lssue Date
EIECTRICAL ALTER RESIDENTIAL
14 CIRCUITS
75.00 Plan Check Eee
l/zt/tE valuaIlon
9/23/L8Expiration Date
otsy uoit charge
desc
00
0
BASE FEE
Extenslon
75.00
Fee summary Charged Paid Credited Due
PermiE Fee Totsa1
Plan Check Tota]
Grand Total
75. 00
.00
75.00
75.00
.00
?5.00
00
00
00
00
00
00
INSPECTION TYPE DATE RESIJLTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
trJq
PERMIT WILL EXPTRI SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
COMMENTS:
Project Address
ELECTRICAL PERM IT APPLI CATION
Public Works and Utilities Department \!,
321 E. sth Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us I electricalpermits@cityofpa.us
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Pro.lect Description Dvc-ttEJ.f *-L
Name
5 ingle-Family Residential E Duplex / ARU Building Square footage
D L-Vc-^,Email
Mailing Address qtz- 5\tltuA 5T phone: 2zo -3 l2- 1L7 3
@oa
5b>. B t-x<-e- T,l k*o.\,,O R-D
License: E *czct87(0 Y
Expiration Date
Phone 3t o L{61 ?q,r7lvlailing Address
Email:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
SeNice/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 20'l -400 Amp.
Temp. Servic€/Feeder 401S00 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Signal CircuiULimited Energy - '1&2 DU.
fulanufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding I Detached GaEge
Each Swimming Pool / Hot Tub
Quantitv Igle! (Quantity x Unit charge)
TOTAL
am making the electrical installation or alteration in com
468, The City of PortAngeles Municipal Code, and Util
pliance th ectrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
and PAMC 14.05.050 regarding Electrical Permit Applications
-z(
Date Print Name gnatu Owner ! Electrical Contractor / Administrakr)
LJnit 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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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IElectrical Permit Applications may be subm to City Hall or electricalpermits@cityofpa. us or faxed to 360.4'17.47
4
1-2
aI
1 - 2 SINGLE-FAMILY
Name:
Owner as defined by RCW.19.28.26'1: ('l ) Owner will occupy the structure for two years afler 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 sjx 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
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ELECTRICAL CONTRACTOR INFORMATION
PROJECTIDET'AILS