HomeMy WebLinkAbout1017 E 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 - 00 000142 DaEe 2/02/tB
598596
1017 E 4TH ST
06 30-00 5-4-0240-0000-
ELECTRICAII ONTTY
RS7 RESDNTIT SINGLE FA}IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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NApplicalion Number .
ApplicaEion pin nun$er
Property Address
ASSESSOR PARCEI. NWBER:
Applicatj.on !)?e descrlpEion
Subdivision Name
Properly UBe
Property Zoning
Application valuatio[ .
Application desc
Ductless heat punp
Con!ractor
l(atherine Longmlre
101. ? E. 4Lh Slree!
IORT ANGEI,ES
BLACK DIAI'JOND BI]ECTRICAL qONTR
502 BLACK DIAMOND RD
PORT ANGEI,ES WA 98353
(350) 56s-1035
wA 98352
Pe!mit
Additional desc
Peamit Fee
Issue Date
Expiration Date
63 .00
2/02/18
B/ot/tB
Plan check Fee
ValuaEi.on
ELECTRICAL AI,TER RESIDENTIAL
.00
0
Qty Uni! charge Per:
1.00 63.0000 EcH E!-R- BRANCH CrR WO/ SER FEED
Extension
53 .00
Pee summary Charged C!edi t ed Due
Plan Check Total
Grand Total
53 .00
.00
53.00
53.00
.00
63 .00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS z\
PERMTT WILL EXPIRE SX (6) MONTHS FROM I.AST INSPECTION
Signature of owner or Electrical Conaacbr X Date:
Pof, r
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CITY OF PoRT ANGELES PERMIT APPLICATIoN
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box I150 / Port Angetes Washington, 98362
Ph: (360) 4174735 Fax: (360) 417-4711
Date: /'2q-rl 1 & 2 Single Family Dwelling
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' PIan Review l,4ay Be Req uired, Please Com
Job Address
Review lnformation SheetP
Building Square Footage
Description of above
Own€r lnbnnationName: LorJGru t aE
Mailing Address
City:Slate: _ Zip
Phonel al.
Item
Service/Feeder 200 Amp.
ServicdFeeder 201 -400 Amp.
ServiceJFeeder 401 600 Amp
ServiceiFeeder 601 J 000 Amp.
ServiceFeeder ov€r 1000 Amp.
Branch Circuil W Service Feeder
Branch Circ1.rit W0 Seryice Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Servicei Feeder 200 Amp.
T€mp. Service,feeder 201-400 Amp.
Temp. Service,feeder 401 $00 Amp.
Temp. ServiceiFeeder 601,1000 Amp .
Portal to Portal Hourly
Signal Circuiu Limited Energy - 1 & 2 Family Dwelling
Manuf actured Home Connection
RerEwable Electrical Eneey - sKVA System or Less
Thermostat
Noter$5.00 for each additional T-Stat
NEIV CONSTRUCTIOT{ Ot{LY:
FiBl 1300 Square Ft.
Each Additional500 Square Ft or Portion of
Each outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Signature of
Contractor
Name:
Mailing Address
City:Statei Zip
ax:L
Total (Qtv Multiolied bv Unit Chame)
$
s
s
s
s
Lrcense#/Exp_Phone:
License # / Exp.
su.unit Charqe
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00$ 5.00
$ 63.00$ s.00
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$ 120.00
$ 102.00
$ 56.00
s
s
s
$
s
$
$
s
$ 120.00
$ 40.00
$ 74.00
$ 110.00 $----l--
-_l-6 5 Totrt
owner as defned by RCW.19.28.261: (1) owner will occupy the structure for two years afrer this electrical permit is finatized. (2) Owner is required
to hire an eleckical conkactor if above said property is for sale, rent or lease. Permit expires afrer six months of last inspection.
Afrer reading he above statement, I hereby certify hat I am ttre owrer 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 2gM6B, The City of pori
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
S
r, electrical contractor or eleclrical administrator
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