HomeMy WebLinkAbout1814 W 11th StELECTRICAL PERMTT
CITY OF PORT ANGELES
360-4t7473s
RS7 RESDNTL SINGLE FA]'ILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaEion Number
Application pin nBirbel
Property Address
ASSESSOR PARCEL NUMBER:
Applica!ion. type description
S\rbdivision Name
ProperEy Use
Property Zoning
Applica!ion valuation
19- 00000360 Date 3 /tA /).9
536280
1814 lt 11TIr ST
06- 30- 00 - 0 - 3 - 6115 -0000 -
ELECTRICAIJ ONIJY
Applicat.iot! desc
Nei, home
Contractor
ANN M RIDER
82 N .rENsE[ RD
POR" ANGELES
SEQUI}4 VALLEY EIECTRTC
11 LONE EAGLE I,ANE
SEQUII', WA 983 82(360) 581-3330
wA 98363
PermiE
AddiLional
Issue Date
Expirat ion Dat.e
160 .00
3/a8/19
9/14/t9
ELECTRICAL NEW RESIDENTIAI
Plan Check Fee
valuaElon
.00
0
Qty Uni! Charge Per1.00 120.0000 EcH
1- 00 40.0000 EcB
ExEension
120.00
40.00
EL-R-SQFT PIRST 1300
EL-R-SOFT ADDITIONAL 5OO
Fee summary Charged Paid CrediLed Due
Permit Fee Totsal
PIan Check Total
Grand ?o!al
160
160
. oo
. o0
.00
160.00
.00
160.00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE q lu ltt &Y4
ROUGH.IN q'la1n rR <*
FINAL eiqd n ev *cf
COMMENTS:
Signature of owner or Electrical Contractor X Date:
1 .2 SING E-FA ILY
ICATI f;,,ii;f F
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EL ECTRI CAL P ERMI T APP ON
Public Works aad Utiiities Departrnenl
32 I E. sth StreeL Port .A,ngeles, WA 99361
360.417.47]5 I wwwrciryofr a.us I electricalpernits@cit5,oft6.us
Pnlject AddBBs:1814 W 11h Sr
Pro,iect Descriptlon;New 1588 SF HOME
tr Shgle-Family Residential I Duplex / ARU Building Square fuotage . 1588
NEme. Ann RJder Email:
Mailing Address:Phon€:
Name:
Malling
Email .com
s€quim Valby Electric, lnc.
Addrqgs: 11 Lqne Eagh Lane,sequim. wA 96382
Licens€;6E0UtVE901t3
Eryir€tion od/€: oat?1tfr2o
Ph66g. 360-6813330
hsrrr
S€rvic€r'Feed€r 20O Ary|p.
S€.vice/F6edor 201-400 Amp.
Sarvic€/Feeder zO1{OOAmp.
Scrvicer'Feeder @1-lOO0 Amp.
S€rvic€r'Feeder over 1 O0O AInp.
Brandt CirqJ( W/ ServicE Fgedrr
Branch Ciralit WO SErvic! Feeder
Ea€h Additionel B.an€h CiBlit
Br8ndr Orcuib ',-4
Temp. SeMc6/F€€d.r 200 Amp,
Temp- S€wic€r'Feedef 201 -{O0 Amp.
Iemp. SErvicrr'Feeder 401{@ Arnp.
Tqhp. S6rvicer'Feeder 601-1OOO Amp.
Po.tal to Portal HqJrly
Siignal Cirq/it hitEd Encrgy - 1&2 DU.
Manut6aiursd Homc Connecton
Renexrable Elec, EnErgy: OKVA sys em or las€
Thermodat (Note: SS for eadr
o\mgr as 41ns6 6y RCW..19.28.26.1: (j) Orner will
raquired to hire an decticrl mnradof if above Esid
ft,IAI
ocapy th6 Gtruc{ure for two yearc alter
propeay ls br sale, rcnt or lea€6. permit afrcr slx monlhs
hat I am th6 oq,ner ot the above named prop€fty or a llcen€€d dcdicd
cornpliance $fih thB decdc{d lawe, N.E C., RCW. Chapter tg,2g, WAC.Chapter29&
Utility Sp€dficadms and PAMC 14.05.reg5ding Etscficat peffi it Appticatjons.
Lrnh Ch.rle
s120.00
$146.00
$205.m
s2az0o
3373.00
s5.m
$80.00
$s.00
$75.00
$s3,00
s110.00
$149.00
0168.00
$96.00
$er.@
$r20,0o
$102.m
55€,OO
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After.€eding OlC above statemant I hereby cedfy
am makinE the olodical in6tEtbton or altaration i;
468, Th€ CiV ol PortAngsts€ Munidpet fue, and
O3.12{:O1S ANDREA HANA
Date Print Name Signatur€ (E Ownor F E lectical Contraclor / Admlnislrator)
[Electrlcel Permil Applic€uon8 may be submited to city Hall or eleclticalpemits@cityofpa.us or fax€d to K;0.117.47111
..95*q."T'EY
%x7$
ELECTRICAL INSPECTION
WIRING REPORT
417-4736,
INSPECTOR
CONTBACTOR
1sl>w t.9-c.r. a V gjt,Ac:trr4,C-
ADDNESS
/g)Ll d l)
NOT APPROVED
DITCH D
D... ROUGH IN/COVER
SERVICE
APPROVED
tr
tr
o
D FINAL D
t3c-
NOTIFY INSPECTOR WHET.T CORBECTIONS
ARE COMPLETED WTHIN 15 DAYS
_ DO NOT REMOVE-
coBRFcroNs NEEDeo: CotJtt*z-l lz-fa]Ds tzzD 'f-or-
3