HomeMy WebLinkAbout319 E 6th StN
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ApplicaLion Nurnlcer
Applicatsion pin number
Property Address
ASSESSOR PARCE! NUMBER:
Appf icaEion E!?e descripEion
subdivision Name .
Propertsy use
Property zoning
Applicalion valuaEion
21-OOOO1119 Date 9 /Ls/2t
277524
319 E 6TE ST
05-30-00 -o- 1- 9955-0000 -
EI-ECTRICA], ONIY
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
COMMERCIAI OEFlCE
0
ApplicaEion desc
Rewire
JACK S BEVINS/IJAUREN M GAISTER
wA 98352
921 E 71'tt ST
PORT ANGELES
(435 ) 901-0445
BLACK DIAMOND ELECTRICAI CONTR
502 BI,ACK DIAMOND RD
PORT ANGELES WA 98363
(360) s55-103s
Permit
Additional desc
Permi.E fee
Issue DaEe
Expiration DaEe
EIECTRICAIJ ALTER RES IDEI\I"IIAI
1-4 CIRCUITS
1.25.00 Plan Check Fee
9/t5/2t valuation
3 /t4 /22
00
ory Unit Charge Per
10.00 5.0000 EcH
Extension
?5 .00
50.00EL-ECH ADDNT BRANCH CIRCUIT
charged Paid Credired Due
125 .00
.00
125.00
00
00
00
.00
.00
.00
L25
t25
00
00
00
REPORT SALES TN(
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN P
FINAL sla)*-N
COMMENTS /r,; t 2,sn FtooTs
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature of ou.ner or Electrical Contractor X
GIEXCHANGE\BUILDING
Date:
0
PermiE Fee TotsaI
Plan Check Tolal
crand Total
DATE:
h#r-2
ELECTRICAL PERMIT APPLICATION
Pubtic Works and Lrtitities Department
321 E. 5th Sheet, Port A,1geles, WA 98362
360.417.4735 | www.cityolpa.us I electricalpennits@cit1,ofpa.us
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Project Address 319 E 6th
Project Description rewtre
tr Single-Family Residential E Duplex / ARU Building Square footage
Name. Blevins Email
Mailing Address Phone:360-
Name: BDE License:blackec894d2
Mailing Address
Email:
Expiration Date
phone.360461-3957
Item
Service/Feeder 2OO Amp.
Service/Feeder 201-4OO Amp.
Service/Feeder 401$00 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder ovet 1 000 Amp.
Branch Circuit Wl Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Servic€i Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401 -6004mp.
Temp. Service/Feeder 601 -'1 OOOAmp.
Portalto Portal Hourly' - i....:tt,..
Signal Circuivlimited Energy - 1gz.'l]U
Manufactured Home Connection
$96.00 .-
$64,00 :., .-
Uiiit Charge)
$120.00
$'146.00
$205.00
$262.00
$373.00
$63.00
$5.00
$75.00
$93.00
$ 110.00
$149.00
$168.00
10
1
TOTAL
Owner as defined by RCW 19.28.261: (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 certity that I am the owner 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 Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
9-1-2021 Benjamin Sham p
Date Print Name Signature 1@ Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
.OWNER INFORNIATION
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