HomeMy WebLinkAbout416 E 11th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-41't -4735
RS? RESDNTI, SINGLE FAMILY
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Application Number
Applicalion pin numlcer
Proper!y AddreBs
ASSESSOR PARCEL NUMBER:
Applicalion lyl)e descriprion
subdivi6iorl Name
Proper!y Use
Property zoning
AppIi.caEior1 valuation
22 -00000310 Date 3 /lA /22
3 010 90
415 E l1TH ST
05-30- 00 -0-3 -4025- 0000 -
ELECTRICAI, ONLY
Application deac
selvice and circuitss
S?EVEN BI,AKEMAN
415 E 11TI{ ST
PORT }NGEI,ES
(350 ) 452-7184
JOHNSON ELECTRIC COMPANY
3129 S REGENT
PORT ANGELES WA 98362
l.360) 728-4327
wA 98352
Permi!
AddiCional desc
Permit Fee
Issue Daie .
ExpiraEion Date
ELECTRICA! AITER RESIDENTIAT
1-4 CTRCUITS
195.00 PIan check Fee
3/t8/22 valuaL ion
e /14 /22
00
0
Oty Units Charge Per
1.00 t-20.0000 EcH
BASE FEE
EI,-O.2OO SRV FEEDER
?5.00
120.00
Charged crediEed Due
PermiE Fee lotal
Plan Check ToEal
Grald Total
195 .00
.00
195.00
195 .00
.00
195 .00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPE DATE RESLTLTS:INSPECTOR:
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COMMENTS:
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Date:
I
ELECTRI AL PERTMITAPPLICATION
Fublic Works and Utilities Depafiment
121 E. -ith Street, Port Angeles, WA 98352
360.41 7.4715 | lvwi.r".cityolpa.us j electricalperrnits@cityofpa.us
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Project Address 41 6 E. 1 1th Street, Port Angeles, WA 98362
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Project Description Panel Change, Add Outlets
Name Sleve Blakeman
lilailing Address. 416 E. 11th Street, Port Angeles, WA 98362
Email: cus.mu@yahoo.com
Phone:360-461 -6001 or 360-457 -1784
f!srng. Johnson Electric Company License. JOHNSEC817K4
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
.1
Quantitv Total (Ouantitv x Unit Charge)
120.00
$_
$_
75.00
Service/Feeder 200 Amp.
Service/Feeder 201-4OO Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601.'1000 Amp.
Service/Feeder ovilr '1000 Amp.
Branch Circuit W Service Feeder
Branchr 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 401-600 Amp.
$5i00
$63.00
$s.00
$75.00
$93.00
$110.00
$
$
$
$
$
Temp Service/Feed-dr 601-1000Amp
Portalto Portal Hourly
Signal CircuiVLimited
l\4anufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
TOTAL $195.00
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 sajd property is for sale, rent or tease. 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 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 Munlcipal Code, and Utility Specificatjons and PAMC 14.05.050 regarding Electrical permit Apptications.
11129t2021 Wayne Johnson Wayne Johnson 3:gt::i,,;i[',t#Zli,':#;31Date Print Name Signature (E Owner p Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.4'17.4711]
,1 - 2 SINGLE-FAIMILY
tr Single-Family Residential tr Duplex i ARU Building Square footage: _
Mailing Address: 3129 S Regent Port Angeles, WA 98362 Expiration g21g.Q513112023
ar"it,-*urn"@jo phone: 360.477.4594
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