HomeMy WebLinkAbout608 D StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTI, SINGIE FAMILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
No
t
\no$
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER :
Appf ication tl,'pe description
Subdivision Name
Pr.oper.Ey Use
ProperEy Zoning
Application valuation
2c 00000138 Date a/29 /20
288038
508 D ST
05 t0 00 0 I 5s00 0000-
ELECTRICAL ONLY
Appllcation desc
Car Charger
BAKER PATRTCIA A
SO8SDST
PORT ANGELES
BLAC( DIAMON'D ELECTRICAL CO\ITR
502 BI,ACK DIAMOND FN
PORT ANGELES WA 983 63
(360) 555 103 5
r{A 983635508
Permit
Additional desc
Permits Fee
Issue Date
ExpiraEion Date
oty Unit charge
1.00 53.0000
ELECTRICAI- ALTER RESIDBNTIAI
63.00
t/29/2A
'7 /2-/ /20
Valuation 0
Per
ECH EL-R. BRANCH CIR WO/ SER FEED
Fee summary Char:ged Paid Credited
Permit Eee Total
Plan Check Tolal
Grand Total
53 .00
- 00
63 .00
53 .00
.00
63 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN z ln )z\rp d
FINAL zlfi lz,>A H
COMMENTS:
Signature ofowner or Electrical Contractor X Date
.00
63.00
Due
ELECTRICAL PERTU IT APPLI CATI ON
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360 -417 -47 35 I www.cityofpa.us I electricalpermits@cityofpa.us
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CPProlect Address:
Prolect Description
n Single-Family Residential n Duplex / ARU Building Square footage
Gor..,L
OWNER INFORMATION
Name c-f Email
Phone: ?C-O -
ELECTRICAL CONTRACTOR INFORMATION
a
Mailing Address
Email:
License
IlSllil%l;--qe-r-ssz-
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 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 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hou.ly
Signal CircuiyLimited Energy -'1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding i Detached carage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146.00
$20s.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
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv lq!a! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$@-TOTAL
Owner as defined by RCW 19.28.261r (1) Owner will occupy the structure fo. hxo 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 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 llcensed electrical contractor. I
am making the electrical installation or alteration in compliance with the el llaws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of PortAngeles Muni cipalCode, and Utility S PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name s re r E Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47'l'11
1 - 2 SINGLE-FAMILY
Mailing Address:
Name:
?oir
APPROVED
ELECTRICAL INSPECTION
I{UIRING REPORT
4174735
DITCH D
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COFIRECTIONS NEEDED:
NOTIFY IIIISPECTOR WHEN CORBECTIONS
AEE COMPLETED wlTHIN 15 DAYS
_ OO NOT REMOVE-
DATE:
Z NSPECTOF
CONTBACTOB
ADDFESS
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. ., ,. .. HOUGH IN/COVER
, . . SERVICE