HomeMy WebLinkAbout312 W 13th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
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^p
\,uApplication Number
Application pin nuhber
Property Address
ASSESSOR PARCEL NLI4BER r
Application t)4)e description
Subdi.wision Name
Propertsy Use
Property Zoning
Application valuation
19 - 00001?93 Date lL/t4/t9
694862
112 W 13T',lt ST
05- 30 - 00 - 0 - 3 - 8 910 - 0000 -
ELECTRICAL ON],Y
ELECTRICAI ALTER RESIDENT]AL
REPORT STATE SAI.ES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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LUSTIG, SUSANNA]I R
312 W 12TH ST
PORT ANGELES
BLACK DIA]VIONID ELECTRICAL CONIR
502 BI.ACK DIA}IOND RD
PORT ANGELES WA 98353
(360) 56s-1035
\tA 943627507
PermiE
Additional desc
Permit Fee
Issue Date
Expiration DaEe
140.00
J-t / t4 /!9
5/12/zo
PIan Check Fee
Valuation
00
0
Qty Unlt Charge Per
4.00 5.0000 EcH EL BRANCH ciRCUfT W/FEEDER
1. OO 120. OOOO ECH EL-O-2OO SRV EEEDER
Extension
2A.OA
124 .04
Charged Paid Credited Due
Permits Fee Total
PIan Che& Total
Grand Total
140
140
00
00
00
140
140
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE RESULTS INSPECTOR:
SERVICE ttlnlfi *P s
ROUGH-IN trln'ffr hr w
FINAL xlnlA ,Ar :FF
COMMENTS
Signature ofowner or Electrical Contractor X Date:
Application desc
Remodel
DATE:
DITCH
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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\nProject Address
P Description Re$4oLL-
Single-Family Residential ! Duplex / ARU Building Square footage
Name:
Mailing Address
Emall
Phone
Name
Mailing Address:
Email:
License:
Expiratio
Phone:
n Date:)eo q67=3?77
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 400 Amp.
Service/Feeder 401600 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 20'l-400 Amp.
Temp. Servicei Feeder 401600 Amp.
Temp. Service/Feeder 601-'l 000 Amp.
Portal to Portal 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
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
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv IqE! (Quantity x Unit Charge)
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Owner as defined by RCW 19.2E.261: (1) Owner will occupy the structure for two years after this eleclrical 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 licensed elec{rical contractor I
am making the electrical
468, The City of PortAn
installation or alteration in compliance with llaws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
MunicipalCode, and Utility S PAMC 14.05.050 regarding Elec,trical PermitApplications.
lc
Date le Electrical Contractor / Administrator)
cityofpa.us or faxed to 360.417.47111
181
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[Electrical Permit Applications may be submitted tb City Hall or e
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EL{-2 s
OWNER INFORMATION
r ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Print Name
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CORRECTIONS NEEDED:
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APP o,r:5^_NOT APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DITCH tr
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ROUGH IN/COVEF
. . - SEHVICE
....FINAL.
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DAIE
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INSPECTOF
OWN
CONTRACTOR
ADDRESS
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NOTIFY INSPECTOR WHEN CORRECTIOITIS
ARE COMPLETED WlTHltl 15 DAYS
- OO NOT REMOVE -
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