HomeMy WebLinkAbout1722 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
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Application Number
Application pin number
Property Address
ASSESSOR PARCEIJ NUMSER:
Application type description
Su.bdivision Name .
Property Use
ProperEy Zoniflg
Applioatsion valuation
20 - 00000195 Date 2/t2/2o
?44192
1722 W 11rE ST
05-30- 00 - 0 - 3 - 603 0 - 0000 -
EIECTRICAL ONLY
ELECTRICAI, TEMPORARY SERVICE
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)RESIDENTAI] SF TOOO
RS? RESD}.IITJ SINGLE EA]'{ILY
0
Application desc
Temp servlce
OuTIer Contsractor
Monica Farris
1921 W Duval PI
PORT ANGELES
(360) 460-0s02
SEOUIM VAILEY ELECTRIC
11 LONE EAGLE I,ANE
SEQUIM WA 98382(350) 581- 333 0
wa 983 63
Permit
Additional desc
Perm.lt !ee
Issue Date
Expiration Dale
93 .00
2/t2/20
8/t0/20
PIan Check Fee
Valuation
00
0
otsy Unit Charge Per1.OO 93.OOOO ECH EL.TEMP SRV O-2OO SRV FDR
ExEension
93 .00
Fee summary Charged Paid crediLed Due
Permit Fee Totsal
Plaa Check ?otal
Gr:and Total
93.00
.00
93.00
93 .00
.00
93 .00
00
00
00
00
00
00
pERMrr wLL EXPTRE StX (6) MONTHS FROM I-AST TNSPECTION
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE zlx, Iz>,.bp -nP
I
FINAL t )r.ln IP fltR
Signature ofowner or Electrical Contractor X Date
RESULTS:
ROUGH.IN
COMMENTS:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. sth Street, Port Angeles, WA 98362
360.417 -4735 I www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address
Project Description /-Eaf. 5/,C- o v €z l€,4D
! Single-Family Residential n Duplex / ARU Building Square footage
Mailing Address
,/4
Address:.{-LZ I,,AJ,
Email
Name:
Mailing
Email:
Phone
License
iration Date
phone: ?/4,-i8/-l?i"
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ELECTRICAL CONTRACTOR INFORMATION
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l -400 Amp.
Service/Feeder 401600 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 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Porlal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Ouantitv IglE! (Quantity x Unit Charge)
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 afrer six months of last inspection.
After reading the above statement, I hereby certiry 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 Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
o2-/o-zo2n Z/OKEI rWAl/t --==z-Date Print Name Signature (D Ownf Electrical Contractor / Administratoo
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47'11]
unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$'110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$120.00
$40.00
$74.00
$110.00
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1 - 2 SINGLE-FAMILY
Name:
O\^NER INFORMATION
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PROJECT DETAILS