HomeMy WebLinkAbout1818 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -473s
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ApplicaEion desc
New hone
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsion, tsype descriptsion
subdivi.sion Name
ProperEy Use
Property Zoning
Appfication valuation
r.9- 000003 61 Date 3/1e/L9
6 71103
1818 W 11TI{ ST
06-30- 00- 0 - 3 - 5120 - 0000 -
EIECTRICAI ONLY
RESIDENTAL SF TOOO
RS7 RESDNTL SINGIE FA]VIILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Contractor
CEALEENA C SIMMONS
P O BOX 522
PORT ANGELES
SEQUIM VAI]I]EY EI,ECTRIC
11 I]ONE EAGITE LANE
SEQUIM WA 983 82
(350 ) 581- 33 3 0
wA 98352
PermiE
Additional desc
PermiE Fee
lssue Date
Expiration Date
150.00
3/18/19
9/U/a9
ELECTRICAL NEI,^I RESIDENTIAL
Plan Check Fee
Valuation
00
0
oty Unit Charge Per
1. 00 120 .0000 EcH
1. 00 40.0000 EcH
EL R SQFT EIRST 13OO
EL.R.SOFT ADDfTIONAI 5OO
Extension
120.00
40.00
Charged Pa id Creditsed
150
160
150.00
.00
160.00
00
00
o0
00
00
00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESI.JLTS:INSPECTOR:
DITCH
SERVICE 4lehq x Btr
ROUGH-IN ,a \fih,q N w
FINAL dlzt')n R w
COMMENTS
Signature of owner or Electrical ContIactor X Date:
Due
Permat f'ee 'I'oEaL
PIan Check Total
crand Total
1 SING E.FA ILY
ELECTBTCAL PERMTT APPLTCATTON
Pubiic \lbrks and Utiiities Deparrment
l2l E. -{th Sneel p66 o1nr"ies, 'rVA 98362
160.4 I 7..173 5 | w-wrr.c iq.ofu a.us I eteorical pcrm its(alcilyofpa.us
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Pro,ject Address:'t818 W 11th st
Projecl D€sc.iption:NevY 16't4 SF HOME
tr Single-Famity Residential E Duplox /ARU Building SquerB botage . 1814
NamB: Chal€ena Siormong Email;
MaillngAddress:Phone:
Name:Sequim Vrlley Elcctric, lnc.Llcense:SEOUIVEgOIL3
Elpiration Dete:06t21t2i20
Phone: 36S681-333O
[\rEiling AddresE:11 Lore EaEle Lane. Ssquim , WA 9E382
Emeil:
trilo
Servlcs/Feeder 20O Amp.
Servlce/F€€der 201-400 Amp.
Servicer'Feeder 401 {@ Amp_
SeMce/Feed$ 601 -10O0 Arnp.
ScMc€y'Feed€r over 10@ Amp,
Branch Circuft W/ S€ryic! Feeder
Eranch Clrcuit WO Scrvice Feeder
Eacfi Additional Branci CirdJh
Blancfi Orcuits 14
Temp. S€MceJFecder 2m Amp.
Ts,np, Se Jc€r'FeedEr 20 t *4OO Amp-
Ternp. Service/Feed6r 401€OO Amp-
TGmp, SeMceJ'F€edgr 601.'tOOO Amp.
Portal to Portal Hourly
Signd CirqJit4.imitsd Energy - 1&2 DU.
Msfl ulacfu r€d Home Connedion
Renewaue Elec. Energla 5KVA SFtEm ar lc66
Thermostat (Note: $5 for lsctt
Ol3ntitv LeEl (OmIItny x Unn Ch.rgc)
$
I
$
$
$
s
s
$
$
$
$
$
$
l
TOTAL
after IE
afrer six moflths ol la8t
Owne. as deflned by RCW.19.28.261: (1) Orvner will oc.lpy the sflldure fq $/o ye$s
required tg hire an dectical contrador if above ssid propeih/ is for sale, ll_nt or lsase.
Afi9r r€ading the ebove stalgment, I hereby cor$ry
am meldng fts elecficd in$allation or altcration in
4AB, The Ctty of Po( Angcles Munlcipat Cods, and
03.12.2019 ANDREA HANA
$120r00
$146.00
$205.00
$2R2.00
s373.00
$s.00
$63.00
$5.00
s75.00
$93.00
s110.m
9140.00
$16E.00
$06.00
$81.00
$120.0O
$'102,00
s56.m
$ rao @
i6
fiat I am lh. trw|er of the above nsmed prop€rty or a licor,s€d Eledrical confador. Ioompliance wih the docfical laws, N. E.C., RCW Chapter 1S.28, WAC. Chapter 296t tiliv SpedficaHons and PAMC 14.O5.OSO regardhg Et8ctrical permtr Application6.H:
Date Print Name Signature (0 Owner p Eledrical C,ohbactor / AOmlntatratoij
[El€drical Perm't Applications may be submitBd to city Hall or electricalpermits@cityofua.us or fex€d to 360.417.4711J
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