HomeMy WebLinkAbout627 W 10th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
=s\
\-.
\,.1ApplicaLion Nudber
ApplicaLion pin number
Property Address
ASSESSOR PARCEL NT]I,{BER :
Application t),pe description
Subdivision Name
Property Use
Property Zoning
AppllcaEion valuatsion
19 - 00 001513 Date Lo/16/).9
547495
52? W 10111 ST
o6- 30-00-0-2- 975 5 - 0000-
ELECTRICAL ONT,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
Garage and soffits outfets
O$$er
LISA & RYAN HAINSTOC(
52? W 101'lt ST
PORT ANGELES TiA 983527305
OWNER
Permlt
Additional desc
Permit. Fee
Issue Datse
Expiration Datse
ELECTRICAI AITER RESIDENTfAI
1.4 CIRCUITS
?5.00 Plan Check Eee
LO/16/t9 valuari on
4 /!3 /20
BASE I'EE
.00
0
Extension
75 .00
Qty UniE Charge Per
Charged Paid Creditsed Due
Permits Eee Totsaf
PIan Check Totaf
Grand ToEal
75 .00
.00
75 .00
75.00
.00
75_00
00
00
00
00
00
00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM T-A.ST INSPECTTON
INSPECTION TYPE REST]LTS:INSPECTOR:
DITCH
ROUGH.IN d =DFINAL*/rt l9 dh-
COMMENTS:
Signature of omer or Electrical Contractor X Date:
DATE:
SER\'ICE
n/q /tq
T*
ELE TR AL PERMIT APPLICATION
Public Works and Utiiities Ilepartnrent
-r2l E.. 5tii $hect. Poil r\ !i.ics. 1\.'A 98,jti2
-i60.+ 17.17i5 | r'r.rvr"-.1il1'ofpa. L;s I eleel: ie :riper mits,ti'rcit,r.'r,lpa.ris
ff::),;,
-o
o
3
--$
f\
\n
Project Address 627 W 1Oth St, Port Anqeles, WA 98362
Project Descrip 1;on wiring of garage extension and soffit outlets on house
Name Self-Home Ow ner License:
Mailing Address:
Email:
Expiration Date
Phone:
Item ntity x Unit Charge)
Service/Feeder 200 Amp-
Servjce/Feeder 201 -400 Amp.
Service/Feeder 40'1 -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 401-600 Amp.
Temp. Service/Feeder 60'1 -1 000 Amp.
Ponal to Portal Hourly
Signal CircuiVL,mrted Energy - 1&2 DU.
l\4anufactured Home Connection
Renewable Elec. Energy 5KVA System or iess
Thermostat (Note: $5 for each addition
TOTAL
Owner as defined 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 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 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 compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles l\,4unicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Perm it Applications.
1011412019 RyanHainstock (yan /dost-ek
Date Print Name Signature (7 Owner I Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
Unil Charoe
$120.00
9146 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
s
$
)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1 - 2 SINGLE-FAMILY
dSingle-FamilyResidentialnDuplex/ARUBuildingSquarefootage:-
Name: Rvan Hainstock Emait: bowtiel (Aolvpen.com
Mailing Address:38'l Hidden ValleV Rd p666g' 360-460-2407
4