HomeMy WebLinkAbout526 W 11th StApplicaEion Number
Applicatlon pin numlcer
Proper!y Address
ASSESSOR PARCEL NUMSER I
ApplicaEion type description
Subdivision Name
ProperEy Use
Propertsy zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDIirI! SINGIE EA]VIILY
0
18 - 00001787 DaEe L2/13/tA
67'7',l 7 5
526 W 11TH ST
06. 30. 00-0-3-4830-0000-
EIJECTRICAI' ONIY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application desc
Ductsless heat pump
Contractor
BOBBY E DANIELS
525 W 11TH S?
POR? ANGELES
(350) s04-1143
BLACK DIAIVION'D ELECTRICAL CONTR
502 BI.ACK DIAMOND RD
PORT ANGEIJES WA 98363
(350) 555-1035
Permlt
Additional desc
Permit Eee
lssue Date
Expiratsion Date
63 .00
a2/13/aB
6 /1-t/ t-9
EI,ECTRTCAI, A],TER RESTDE}ITIA],
.00
0
Qty Unit Charge Per
1.00 63.0000 ECH EL-R- BRANCH crR wo/ sER FEED
Extsension
53 .00
Charged Paid C!edited Due
Permits Fee Totsal
PIan Check Total
Grand Tot.al
53 .00
.00
63 .00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESIJLTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:z-)<
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
r.lA 983 62
Plan Check Fee
Valuation .
63 .00
. o0
63.00
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address
P ject Description DrtctLes)
Name:
Sin gle-Family Residential fl Duplex /ARU Building Square footage
rLv)Email
lvlailing Address Phone: b7o - 8207
LicenseName:
Mailing Address
Email:
Exp
Phone
iration Date
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 S00 Amp.
Service/Feeder 601-1 000 Amp.
Service/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. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: 5KVA System or less
Thermosiat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional500 square ieet"
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub
Unit 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
Quantitv IqEl (Quantity x Unit Charge)
PAMC 14.05.050 regarding Electrical Permit Applications.
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Owner as defined by RCW.19.28.261 : (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 prope(y is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certiry that I am the owner of the ove named property or a licensed electricrl contractor. I
am making the electrical installation or alteration in compliance I laws, N.E.C., RCW. Chapterl9.28, WAC. Chapter 296-
468,Angele tct and UtilityThe City of Pprt
-)o-U
Date Print Name re Owner ! Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted ity Ha or epermr ts@cityofpa.us or faxed to 360.4'17.471'll
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1 - 2 SINGLE-FAMILY
o VINIER INFORMATION
!IICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
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