HomeMy WebLinkAbout831 W 10th StELECTRICAL PERMTT
CMY OF PORTANGELES
3604174735
16 00000082 Dale 7/20/t6
L62414
831 W 10TH ST
06-30-00-0-2' 9950 0000
ETECTRICA! ONLY
REPORT SALESTAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
$-
1
Cen
NApplicaEion Number
Application pin nurnber
Property Address
ASSESSOR PARCEL NUI,jBER:
Application lype descrlpLion
subdivision Name
Property Use
Property zoning
ApplicaEion valuation
Application desc
House remodel
SCOTT A GREMEL
PO BOX 2931
PORT ANGEIES
OWNER
wA 98362
Pernit
Additsional desc
Permit Fee
Issue DaLe
Expiration Date
131.00
). /20 /t6
7 /7a/16
ELECTR]CAL AIJTER RESIDENTIAIJ
Plan Check Eee
Valuation
00
0
Qly Unit Charge Per
14 - 00 5.0000 ECH
1. 00 53 . 0000 ECH
ExEenslon
r0.00
53 .00
EL'ECI] ADDNT BRANCH C]RCUIT
EL R BRANCII CIR wo/ SER EEED
Charged Paid CrediEed Due
Permi! Fee Total
Plan Check Total
Grand Total
133
133
00
00
00
131
133
00
00
00
00
00
00
00
00
00
INSPECTION Tl?E DATE RESIJLTS:INSPECTOR:
DITCH
SERYICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL E}OIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
C:\EXCHANGRBUILDINC
Date
RS7 RESDNTI, SINGI,E FA!]]LY
0
t)zlB.JV =p
M,"
PoIr
CTTy oT PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street- P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date €j'1 & 2 Single Family Dwelling
L_ E..-!
- Plan Review MaJle
JobAddrcss: -1
U re4 Complete Electrical Plan Review lnformation SheetReqP
Buitding SquaE Footage
Description ol above
ffi:jt"*115*Il6r.*( 1 Name:
Maili
City:Y'.fr""Slate: id z)p:
Phone:ax:
Item
Service/Feeder 200 Amp.
SeruicdFeeder m1400 Amp.
ServicdFeeder 401 600 Amp
SeNice/Feeder 601 I 000 Amp
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch CiroJit WO Service Feeder
Eadr Addilional Branch Circuit
Branch Circ1lits 14
Temp. &rvice/ Feeder 200 Amp.
Temp. Servicei Feeder 201400 Amp.
Temp. Servicei Feeder 401S00 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Houdy
Signal Chcuiu Limited Energy - 1 & 2 Family hvelling
Manufaclu red Home Connection
Renewable Electrical Energy - sKVA System or Less
Themostat
Note: $5.00 for each additional Tstat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each oulbuilding or Detached Garage
Each Swimming Poolor Hot Tub
///
T
l\lailino Address:
City:State:
Far:
zipr
-
Phon
License # / Exp.--
SU Total {Qtv Multiplied bv Unit Charoe)Unit Charqe
$ 120.00
$ 146.00
$ 20s.00
$ 262.00
$ 373.00
$
$
$
$
$
$
$
$
$
$
s
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
5.00
63.00
5.00
75.00
93.00
110.00
149.00
168.00
96.00
64.00
120.00
$ 40.00
$ 74.00
$ 110.00
-.J -?.\
$_
$
$
02.00
56.00
$ 120.00
l-Bf-ro,",
Owner as defined by RCW.19.28.261t ('1) Owner wjll occupy the structure for two years after this electrical permit is linalized. (2) Owner is required
to hire an electrical ctntractor 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 cedfy that I am the owner ofthe above named property or a licensed electrical contractor. I am making
the eleclrical installation or alleration in compliance with the electrical laws, N.E,C,, RCW. Chapter 19.28, WAC. Chapter 296-468, The City of pori
Angeles lilunicipal Code, ald Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature of owner, 6le6y'(ricgL{l,tkaclor or electrical adminishator: tr cash E check
I
Dited
D C.edit Cad #
0110112012
lfp s-'
O@
N
Contractor lnformation
License # / Exp._
APPROVED
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CONTFACTON
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