HomeMy WebLinkAbout1630 W 11th StELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-417 -4735
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N
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Application Nundler
Application pin number
Propert.y Address
ASSESSOR PARCEL NUMBER:
Appf ication ty?e description
Subdivision Name
ProperEy Use
Property zoning
Applicacion valuatsion
19- 00001123 DaEe 7 /29 /19
409850
1530 W 11TH ST
06 -3 0 -00 - 0 - 3 - 5 915 - 0000 -
ETECTRTCAL ON]-Y
ELECTRICAL TEMPOFARY SERVICE
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)RESIDENTAL SI' 7OO O
RS7 RESDIIII, SfNGI,E FAMII,Y
0
Application desc
Temp service
ELSTROM ,]R, ARI.AND
PO BOX 1402
PORT ANGELES
NORTH PENINSUI.A ELECTRIC
761 ERESI]WATER PARK RD
PORT ANGELES WA 983 63
(350) 417-a764
wa 98362
Permit:
Additional desc
Permit Fee
Issue DaEe
Expiration DaEe
93 .00
7 /29 /1-9
1/ 25 /20
l]lall uneck t'ee
Vafuat ion
00
0
Qty Unit Charge Per
1.OO 93.OOOO ECH EL-TEMP SRV O 2OO SRV FDR
Extension
93 .00
Eee summary Charged Paid Credited Due
PermrE !ee t'ota1
Plan Check Totsal
Grand Total
93 .00
.00
93 .00
93 .00
.00
93 .00
00
00
00
00
00
00
PERMIT WILL EX?IRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE e,lblfi "r8 ffi
ROUGH-IN I
FINAL sltlfi R -:l?flP^
,
Signature oiowner or Electrical Contractor X Date
RESULTS:
COMMENTS:
REI
IUL1 - 2 SINGLE-FAhTILY
ELECTRICAL PER MITAPPLICATION
\-:-
1630 W 11th Street
Project Address:
Prolect Descriotuon: 60amF ternpnrary power polg
I singte-Family Residential E Duplex /ARU Building Square footage:
Narne Arland Elstrom Email
Narne North Peninsula Electric License northpeg30mz
Mailing Address 760 Freshwater Park Expiration Date
Emait: northpeninsulaelectric@Phone 360 477-1764
Pubiic Wclks anci {;''iiiii:s i)cpartmcnt
-l2l [, 5th Stre ct. Pon /\ngel!'s. \\',1 98-3ii2
-16C.4 I 7.4;35 i \1'r vi.cii.volpn.us I clectricalpclmitsigiicit;oipa.Lrs
T
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!t
l-^l)l-
I r-\
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tteft
Servica/F6eder 200 Amp.
SeMce/Feeder 201{00 Amp.
Service/F€oder 401€00 Amp
Service/F66de. 601 - 1 000 Amp.
Servic€/Feeder over 1 000 Amp-
Brsnch Circlit w/ Servic6 Feeder
B.anch Circlrit W/O Service Feeder
Each Additional Br8nch Circuft
Brandr Cirurits 1-4
Temp. SeMce/Feeder 200 Amp.
TemD. ServiaelFeeder 201-400 Amp.
Ternp. Servicey'Feeder 401€00 Amp.
Temp. SeNice/Feeder 601J000 Amp
Portal to Portal Hourly
Signal CirqritLimited Ene.gy - ,&2 DU.
Manofactured Home Connection
Renewable Elec. Energy: 5K/A Systef or less
Thermostal (No!e: $5 frcr each additional)
Frst '1300 Squa€ Feet
Each Additional 500 6qU3€ iset"
. Each Oulbuilding, Detacfi€d G8rs9€
Esdl S\rrnming Pod / Hot Tub
Unit Charoe
s120.00
s146.00
$205.00
$262.00
s373.00
$s.00
$63 00
$5.00
$75 00
$93 00
$110.00
sl49.00
s168.00
$96.00
s64.00
$120.00
5102 00
$56 00
$120,00
$40.00
$74.00
5110.00
Ousntit IAlg! (Ouanllty x Unit Charge)
93.00T
s
$
s
$
$
s
$
$
$
$
o
$
$
$
!
$
$
5
$
$
D
sTOTAL
Owner as defined by RCW 19.28.261 : (1) Owner w{l occupy the struclure for two years after this electricel permit is finalized. (2) Owner is
required to hire an eleclncal contractor if above said property b lor sale. .ent or lease Permit expkes aftersir monthE of last in+ectjon-
Affer reading the above stalement, I hereby Cenily thal I am the ovJner ofthe above named property or a licensed electdcal contractor I
am makrng the elect.ical instalation or alteration in compliance wrlh thE electrical laws' N.E C., RCw Chapter '19 28, WAC' Chapter 296-
4eB. The City ot PodAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regetding Electrical PermitApplicatioos.
July 25, 2019 Kimberly Rae Walker Kiab Rae Walkar
Print Name Sign Owner f] Electrical Contractor / Administrator)ature
93.00
IEteovrcsl Permit Appliealions may be aubmi6ed tg City Hall or electricalpermits@cityofpa.us or faxed to 36,4-417.4711)
,P**+=.
Maiting Address -PO Box 1402 Port Angeles WA 98362 Phone.
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