HomeMy WebLinkAbout1608 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Applicatioo Number
Application pin number
Property Address
ASSESSOR PARCEL NUIIBER:
application t)?e description
subdivision Name
Property Use
Propertsy zoning
Application valuation
19 - 00002008 Date t2/ta/19
059580
1508 W 11TH ST
05 -30 -00 - 0- 3 - 5903 - 0000-
ELECTRICAI, ONLY
Qty Unit Charge
1- 00 120 . 0000
Per
ECH EL R-SOET FIRST ].300
.00
0
Exlension
120 _ 00
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)RESIDENTAL SF 70 OO
RS7 RESDNTI: S]NGLE FA]VIILY
0
Application desc
New home
REAI-TFUST IRA ALTERNAII\IES LLC
PO BOX 898
PORT ANGELES
POR" ANGELES WA 98352
UPPER IJEFT ELECTRIC
'IJC13 06 ROO( DR
POR! AIIGELES WA 98362
.360) 46a-'7720
Permi ts
Additional desc
Permit Fee .
Issue Date . ,
Erq)iratsion Date
120 .00
1-2/!8/L9
5/rs /20
ELECTRICA! NEII] RESIDENTIAL
Charged Paid Credited Due
Permits Fee Total
PIan Check Total
Grand To!a1
).20
120
00
00
00
120-00
.00
120.00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST NSPECTION
INSPECTION T}?E DATE:RASUI-TS INSPECTOR:
DITCH
SERVICE G]BIfl .P =E67
ROUGH-iN n1e fn a-
FINAL zln ln ffi aD/
I
Date
l.tan cneck !'ee
Valuation
yh_
COMMENTS:
Signature of owner or Electrical Contractor X
ELECTRICAL PERMI TA P PLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
3 60.4 1 7 .41 3 5 | w'wrv.cityofpa.us e lectri calpermits@cityofpa.us
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0Er 11 201.9
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$Pro.iect Address
Project Description 4
n Single-Family Residential n Duplex / ARU Building Square footage
Name:
lvlailing Address
Name:
Mailing Address
Email:
Email
Phone
License:
Expiration Date
Phone:
ELECTRICAL CONTRACTOR I NFORI\,ATION
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 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 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Houdy
Signal Circuit/Limited Energy - 1&2 OU.
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 / Detached Garage
Each Swimming Pool / Hot Tub
Unit 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
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv fgta! (Quantity x Unit Charge)
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$TOTAL
Owner as defined by RCW.19.28.251: (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 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 electical 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 14.05.050 regarding Elect cal Permit Applicataons.
ate Print Name sis nature (tr er cal Contractor / Administrator)
V
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 360.417 .47111
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OWNER INFORMATION
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I PROJECT DETAILS
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ELECTRICAL INSPECTION
WTRING REPORT
4174735
NOT APPROVEDAPPROVED
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FINAL
CORIlECTIONS NEEDED:do"I r.:Oltl't< r r. /A
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NOTIFY IIIISPECTOR WHEN CORRECTTOT{S
ARE COMPIETED wlTHIN 15 DAYS
- DO lraOT REMOVE-
DATE:
CONTBACTOB
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