HomeMy WebLinkAbout202 W 10th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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\Appllcatsion Nuniber
Application pin nu cer
Property Address
ASSESSOR PARCEL NUMBER:
Appf icatsion t),pe description
subdivision Nane
Property Use
Property Zoning
Appfication valuation
19- 000013 77 Date
098971
202 W 10TH ST
05- 30 - 00 - 0 - 3 - 2600- 0000-
EIECTRICAI, ON]TY
9/t2/t9
RS7 RESDNTL SINGLE FAIIILY
o
Contractor
BRANDON D AND
524 W 4TH ST
PORT ANGELES
BARBARA P JOHNSO
wA 94352
BLACK DIA,I{OIT'D ELECTRICAI CONTR
502 BI.ACK DIA]I4OND RD
PORT ANGELES WA 98353
(350) s55 - 1035
Permits
Additsional desc
Permit ree
Issue Date
53 .00
9 /t2/t9
3/to/2D
ELECTRICAL ANTER RESIDENTIAL
Plan Check Fee
Valuation
00
Expi.ration Datse
Qty Unit charge Per
BASE FEE
Exte11sion
53.00
Charged Paid Credited Due
Permit Fee Total
Plan Check Tolal
Grand Total
53 .00
.00
53 .00
53 .00
.00
63 .00
00
00
00
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN p l*) rt .D )eP
FINAL n),d n *.V '*a-
COMMENTS:
l/
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
0
1 - 2 SINGLE-FAMILY
ELECT P IVIIT APPLICATION
Public Works and Utilities Department
32! E. sth Sirset, Port Angeles, WA 98362
36A.417.4'733 | www.citycfpa.us i eiectricaiperuits@cityofta.us
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Prolect Address 2oL {.)I oTbl
P ct Description D.rLtl-€.SS
err.l R
ngle-Family Residential E Duplex /ARU Building Square footage:
Mailing Address
Email
Phone -?ro - 2't l- ?-?3V
Name
Mailing Address
Email:
License:
Expiratio
Phone:
n Date:3co -1et -3?f7
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
Ouantitv IqE! (Quantity x Unit Charge)
TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
${arJ
Owner as deiined 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 electical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
Atter reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in compl iance with the I laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of PortAngeles Municip ode, and Utility on PAMC 14.05.050 regarding Electrical Permit Applications4o-
Date Print Name re(Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
Name:
ltem
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Servrce/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First '1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
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