HomeMy WebLinkAbout307 W 9th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
RS7 RESDNTL SINGI,E FAMII]Y
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
s$
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Application Number
Application pin number
Properly Address
ASSESSOR PARCEL NUMBER:
Applicallon type descrip!ion
subdivision Nane
Propertsy Use
Property Zoning
Application valuaEion
18-0000154? Dare 10/03/18
023910
307 W 9TI{ ST
06 - 3 0 - 00 - 0 - 2 - 5588 - 0000
EI]EST&ICAI] ONI,Y
ApplicaEion desc
Heat pump and furnace
Owner Con!ractor
MOSELEY SCOTT M
307 W 9TH ST
PORT ANGELES
BLACK DIAMOND E],ECTRICAL CONTR
502 BIACK DIAMOND RD
PORT ANGEI]ES WA 98353(350) 555-1035
wA 98362 750 3
Permi!
AddiEional desc
PermiE Fee
Issue Date
E}?iratsion Date
58.00
10/03/18
4/0L/79
ELECTRICAI, AIJTER RESIDENTIAT
Plan Check Fee
valuat ion
00
0
Qty Uni.! Charge Per
1.OO 5.OOOO ECH EL-EC}T ADDNT BRANCII CIRCUIT
1.OO 63.0000 ECH EL.R. BRANCH CIR WO/ SER F'EED
Exteosion
5.00
63 .00
Fee summary Charged Paid Credited Due
PermiE Fee Total
Plan Check Total
Grand TotaI
68.00
.00
68.00
68.00
.00
58.00
.00
.00
.00
00
00
00
INSPECTION T}?E DATE:RESULTS:NSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:6-st
PERMIT WILL EXPIRE SLT (6) MONTHS FROM LAST INSPECTION
Signature
Efl_
of owner or Electrical Contractor X Date:
ELECTRICAL PERIVI IT APPLI CATION
Public Wbrks and Utilities Department
321 E. sth Street, Port Angeles. \lA 98362
360.4 17.4735 i *ww.cityofpa.us I electricalpermits@cityofpa.us
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Prolect Description
ingle-Family Residential n Duplex / ARU Building Square footageDds
O\i\INER INFORMATION
Mailing Address
Email
Phone 3aa -VLl -?tur
ELECTRICAL CONTRACTOR INFORMATION
lvlailing Address
Email:
License:
Expiratio
Phone:
n Date:
36c-/6/-?r 9-7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40 1 $00 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 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 6011000 Amp.
Portalto Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Addjtional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
468, The City of Port Antoz-tt al Code and
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
$120.00
$40.00
$74.00
$110.00
Quantitv Iqlgl(Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261. (1) Owner will occlpy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property rs r saie, rent or lease. Permit expires after six months of last inspection
After reading the above statement, I hereby certify that I am of the above named property or a licensed electncal contractor. I
electrical laws, N.E.C., RCW Chapter'19.28, WAC. Chapter296-am making the electrical installation or alteration in
--6r-
ons and PAMC 14.05.050 rega.ding Electdcal Perm it Applications
Signature Owner ! Electrical Contractor i Administrator)
nl
Date Print Name
IElectrical Permit Applications may be su to City Hall or epermits@cityofpa us or faxed lo 360.417.4711)
1 .2 SINGLE-FAMILY
Project Address:
.+il /*" lzarx-t
Name:
Name: