HomeMy WebLinkAbout1714 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Appfication Number
AppLication pin number
Propelty Address
ASSESSOR PARCEL NUMBER:
Application tsl'pe descripEion
Suldivision Name - .
Property tlse
Property Zoning
AppflcaEio valuation
20- 0000 0195 Date 2/t2/20
652640
1714 W 11T1I ST
05-30- 00 - 0 - 3 - 062 0 - 0000 -
ELECTRICAI ONLY
PEI
ECH EI-TEMP SRV O-2OO SRV EDR
ExEension
93 .00
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)RESfDENTAI, SF TOOO
RS7 RESDNTL SINGLE FAIVIILY
0
Application desc
Temp service
Owner Contractor
Kayfa Hennings & Galen Furford
4020 Newel1 Road
APT* 10
PORT ANGELES WA 983 63(350) 451- 63 69
SEOUIM VALLEY EI,ECIRIC
11 LONE EAGLE I,ANE
sEourM wA 983 82
(350) 581- 33 3 0
Permit
Additioral desc
Permit Fee
Issue DaEe ,
Expiratlon Date
oty Unit Charge
1.00 93 .0000
ELECTR]CAL TEMPORARY SERVICE
93.00
2/!2/20
I /to /2a
00
0
charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Totsal
93 .00
.00
93 .00
93 .00
.00
93.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION Tl?E INSPECTOR:
DITCH
SERVICE z)rt )zo }P =ibtr
ROUGH.IN
FINAL a)z-t lto ry w
COMMENTS:
Signature of owner or Electrical Contractor X
Plan Check Fee
valuation
DATE:RESULTS:
Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
3 60.4 17 .47 3 5 | vrrrwcityofpa.us I electricalpermits@cityofpa.us
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Project Address
Project Description 78r'r7/ 9u(- o t/EP/l{/fD
n Single-Family Residential ! Duplex / ARU Building Square footage
Name: GA L€N U,Z trAC
Mailing Address
Email:
Phone
OWNER INFORMATION
Name: -'t'ad u/ tl (€7 EL€<72 /<'License:
Mailing Address
21si1 14,4 NC\/4 33
l/.,/e ii cce l"t S€eu/n q33tz Expiration Date 6s" //'7_oa
s A/. eO Phone:-?:6C; 5!t 33-lO
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401 600 Amp.
Service/Feeder 60'1 -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€00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy -'l&2 DLJ.
Manufactured Home Conneclion
Renewable EIec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
FiGt 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the struciure for two years after this electrical permit is finalized. (2) Owner is
required to hire an eleclrical 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 owne. 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
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Date Print Name Signature (E Owner Electrical Contractor / Administrator)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$1'10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv Iglal(Quantity x Unit Charge)
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.471'l]
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ELECTRICAL CONTRACTOR INFORMATION