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Home My WebLink About3210 S Laurel StELECTRIEALPERMIT EIIYOFPORTA}.IGELES t@4174735 Itro I\)g Application Number Application pin number Property Addrese ASSESSOR PARCEI] NWBER: Application, t)'pe descriplion subdivision Name . Property Use Property Zoning Application vafuaEion 2O-OO0OO241 Date 2/t9/2O 122114 3210 S LAUREI ST 06 -30- 16 - 1-4 - 0150 - 0000 - EI,ECTRICAI ON],Y REFORT STAIE SALES TAX on wtr exci* taxffin totleCitydPut@es (Locafrq CodeOSO! Application desc DHP Contractor TIM AND MOILY MESSMER 1237 S VICTORIA AVE NO 266 oxNAAt-D CA 93035 BI,ACK DIAMOND ELECTRICAL CONTR 502 BI,ACK DIAMOND RD POR? ANGEI.ES WA 98353 (360) 55s-1035 Permit AddiElonal desc Permit Eee Iasue DaEe Expiration Date 63.00 2/te/za I /t7 /2a EIECTRICAL ALTER RESIDENT]AI Pfan Check Fee valuation 00 0 Extension 63.00 Fee summary Charged Paid CrediEed Due Permit Fee ToEal Plan Check Totsaf Grand ToEal 53 .00 .00 63 .00 00 00 00 00 00 00 PERMm WlIr E)(PrRE SD( (6) MONIHS FROM IAST INSPECnON INSPECTIONTY"E RESI.JLTS:INSPECTOR: DMCH SERVICE ROUGH.IN zlorrb ffi =sd2 FINAL ildzo #@ COMMENTSI III TII Sigtrahrr€ofowner or Eleotrical Contraclor X Date: 0 Qty Unit Charge Per 1.OO 53.OOOO ECH BL-R- BRANCH CIR WOl SER FEED 53.00 .00 53 .00 DATE: EL{-2 sF 1 .2 SINGLE-FAMILY ELECTRI CAL PERMITAPP ICATION Public Works and Utilities Department 321 E.sth Street, Port Angeles, WA98362 360.417.4735 | www.cityofpa.us electricalpermits@cityofpa.us Zto S. L-ftw*L D<2c77A r i;,;;f; Project Address P Description r! OWNER INFORMATIONI Single-Family Residential E Duplex / ARU Building Square footage: Name lvlailing Address Phone 3t? Zao 7?-L c ELECTRICAL CONTRACTOR INFORMATION lvlailing Address Email: License: Phone Date Item Service/Feeder 200 Amp. Service/Feeder 201400 Amp. Service/Feeder 40'1 $00 Amp. Service/Feeder 60'1 -1 000 Amp Service/Feeder over 1000 Amp. Branch Circuit W Service Feeder Branch Circuit W/O 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 Circuiulrmrted Energy - 1&2 DU Manufactured Home Connectaon Renewable Elec. Energy: st(VA System or less Thermostat (Notei $5 for each additional) First 1300 Square Feet Each Additional 500 square feel" Each Outbuilding / Detached Garage Each Swimming Pool / Hot Tub LJnit Charqe $120.00 $146.00 $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 $s6.00 $120.00 $40.00 $74.00 $110.00 Quantitv lehl(Quantty x Unit Chargo) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ sTOTAL Owner as defined by RCW 19.28.261 ( 1) Owner will occupy the structure for two years after this eleclrical permit is finalized. (2) Owner is required to hire an eleclrical crntraclor 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 eleclrical contractor. I am making the electrical 468, The City of PortAn installation or alteration in co the electrical laws, N. E.C , RCW Chapter 19 28, WAC. Chapter 296- MU lCode, and ons and PAMC 14.05.050 regarding Electrical Permit Applications. -zo'?a Date rint Name Signature Owner fl Electrical Contractor / Administrator) PROJECT DETAILS IEleckical Permit Applications may be subm d to City Hall or el rmits@cityofpa.us or faxed to 360.417.47't1l !oif lst K] l* ls Email: Name: