HomeMy WebLinkAbout218 W 9th St (2)Application Nunber
Applicatsion pin nuiber
ProperEy Address
ASSESSOR PARCEI NUMBER:
Application t)'pe descriptio4
Subdivision Name
Property Use
Property zoning
Appficatsion valuatioIl
19- 00001662 DaLe tO /3L/1-9
013 4 54
218 W 9TH ST
o6 - 3 0 - 00- 0 -2 - 9320 - 0000-
EIJECTRTCAL ONIJY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SfNGLE FAMT],Y
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
MEYER ELECTRIC
42 GEOI.AINE WAY
SEQUIM
1350J 47'7 -2202
wA 983 82
PermiE
Additional desc
PermiE Fee
Issue Datse
ELECTRICAL ALTER RESIDENTTAI,
1-4 CIRCUITS
75. O0 Plan Check Fee
Lo / 29 / L9 va.Iuar ion
4 /28 /20Expiration Datse
oty Unit Charge
00
Per
BASE I'EE
Extension
75.00
Fee summary charged Paid Credited Due
PermiL Fee ToEal
Plan Check Totsa1
Grand Tolal
75_00
.00
75 .00
75 .00
.00
75 .00
00
00
00
00
00
00
PERMTT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:R.ESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN ,o/., /t1 #'eil
FINAL /;14; ln N -*
COMMENTS:
Signa ture ofowner or Electdcal Contractor X Date:
Application desc
Crawl space clean up
PAULINE C SCHUL?Z AND DIANE M
14523 Greystone Dr
SIIN CITY WEST AZ A5375
0
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
3 60.4 17 .47 3 5 | www.cityofpa. us I electricalpermits@cityofpa.us
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Project Address:
P.oject Description
+r.^.
E Single-Family Residential E Duplex / ARU Building Square footage
C)i.,r.r,ta- uJo I Email
Mailing Address t\6 u) q Prrone: ( E>o ?..o.-, Lo3 Y
Name 4\)
Mailing Add
Email:
Li]- G
Item
Service/Feeder 200 Amp.
Servicei Feeder 201400 Amp.
Service/Feeder 401-600 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 201-400 Amp.
Temp. Service/Feeder 40'1.600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5l(VA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding i Detached Garage
Each Swimming Pool / Hot Tub
U!il-elaIge
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s.00
$93.00
$110.00
$149.00
$168.00
$96.00
$ .00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
License:
nD
Phone: 3)cr-. \1 7 7 77,l ' 2-
Quantitv lqlel (Quantity x Unit Charge)
-1< -, J ,c ()i
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL '6..r...1
Owner as defined by RCW19.28.261: (1) Owner will occupy the structure for two years afrer 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 six months of last inspection.
After reading the above statement, I hereby cedify that I am the owner ofthe above named property or a licensed elecirical contrac{or. I
am making the electrical instaliation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and l.ltility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
c&\- - }5 - h, Kt. tc L.,ut7rv,tttt t/Z-^t+a-,--
Date Print Nard Signature 1! Owner F Electrical Contracor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
EL{-2 sF
\O^
O\i\NER INFORMATION
Name:
EI-ECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
