HomeMy WebLinkAbout233 W 10th StApplicatlon Nuhber
Application pin number
ProperLy Addres s
ASSESSOR PARCEL NUMBER I
Application tl,?e description
subdivision Name
Pr:opertsy Use
Propertsy Zoning
Application valuaEion
18 -00001268 Date A/15/ La
995384
233 W 10TH S?
05 30 - 00 - 0 - 2 - 93 5s - 0 000 -
ELECTRICAL ONIJY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-411-4'735
RS7 RESDNTI, SINGIE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application desc
carage feeder and circuits
Contractor
NANCY MCFAUL
223 W 10TH SA
PORT ANGE],ES
],INCOLN W]RlNG
81 WESTR]DGE RD
PORT ANGELES
(360) 808 1757
wA 983 52 wA 98353
Permit
Additional desc
Permlt !'ee
Issue Date
Expiration Date
r50.00
8/15/tg2/lt/te
EI,ECTRlCAI, ALTER RESIDENTIAL
Plan Check Fee
Valuat ion
00
0
Qty unrts Charge Per5.00 5.0000 ECH
1.00 120.0000 ECE
Extension
30.00
120.00
EL BRANCH CIRCUIT w/FEEDER
EL O 2OO SRV FEEDER
Charged Paid Credi tsed Due
PerniE Fee Total
Plan check Total
Grand ToLal
150
150
00
00
00
00
00
00
00
00
00
150
1s0
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:
DITCH *l,a /, -s ,(f
SERVICE
ROUGH-IN t luln rs .EbP
COMMENTS:6->,
Signature ofowner or Electrical Contractor X Date:
INSPECTOR:
,€)
FINAL
1-2SI NGLE -FAM LY
EL CTRI CAL P ERMITAPP LICATIO N
Public \\irrks an(l [.riiirrc( l)dpafinlent
i l'. 5ih Stre.t. Porl \'r"elcs. \\A qB.li;l
rr u $ gitvrr!px ns,:l!ctl.icrllurnlils d r:ilr otpa.usi6{).,11 7.4715
!oIit
w\
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6-tpProrecl Add.ess w arl+
Project ( ption o
Single-Family Residential E Duptex / ARU Bu ing Square footage
Name
Mailing Address
Name:
Mailing
Email:
Item
Serv,celFegder 200 Amp
Servrce/Feeder 201-400 Amp.
Servace/Feeder 40 1 g0O Amp
ServicelFeeder 601-1000 Arno
Service/Feeder ove. 1000 Arnp
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Eacn Additonal B.anch Circurt
Branch Circuiis 1-4
Temp. S€rvice/Feeder 2OO Amp
Temp Service/Feeder 201-400 Afig.
Temp Servrce/Feeder 401-600 Anrp.
Temp. Servrce/Feeder 601-t OOO Amp
Porta{ to Porlal Houriy
SiEnal CircuvLimrted Energy . 182 DU
Ilranufacl{rred Home Coonecllon
Emeii
6 etrone. (36o\*{-73Jf,
License:
iration Date
Phone Gaa.l*or*t-*z-
Ouantitv IOtrl (Quantlty r Unia Chargel
s lAo.ara
Uait Charoe
s120.00
$146.00
$205.00
$262 00
$373 00
$s 00
$63 00
$5 00
$7s.00
$93 00
$11C.00
$ 149.00
$168.00
s96 00
s64 00
$120.00
$102.00
$55 00
$120.00
940.00
$74.00
E110.00
$
$
$
gZo.oi
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S-
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Renewabie Elec. Energy SKVA System Oi tess
Thermostat (Note 55 for each additionat)
FiBt 1300 Square Feet
EachAddilionat S00 Eqlsre teet.
Each Outbrrilding / Oetac,hed Garage
EBch Swimming Poot / Hot fub
s L69, oo
Date Prlnt Name si gnature (E Owner cat Contractor / Adminiskator)
s
$
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$
$
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owlet as defined by Rcw 19 28.261 ( 1 ) Owner wll occupy the slruclu.e for h,vo years after this eteckrcal permfi is finalized. (2) owner isrequired lo hire an electrical conlractor rf above sard prcperty rs fo. sale. rent Or l;ase permit expires after Six months Of last tnsoecton
After reading the above statel!|ent, I hereby ce(tfy that I am the owner ofthe above named properly or a licensed elecldcal contGctoa Iam makng the electricat instatlation or alteratton r. comptrance with the etectncat taws, N C. RCW Chapter i9.28, WAC Chapter 296-468. The C y of Port
3
Arg '11 Code and Utility Soecrfications and
(e.t
regarding Electnca, Permrt Applicatio.s
*
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on.l.sw
lElectrical Pe.mit Applications may be submitted to crty Hall or electflcatperftits@cityotpa us or faxed to 360.417.47111
IET
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
APPROVED NOT APPBOVED
.....DITCH.....
ROUGH IN/COVER
CORRECTIONS NEEDED: FIa<qA! * 2.,.,v €C.ZD*-fl_
NOTIFY INSPECTOfi WHEIIT CORRECNONS
ARE COMPLETED WITHIN 15 DAYS
-DO NOTREMOVE-
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OATE:
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CONTHACTOR
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ADDRESS
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