HomeMy WebLinkAbout410 E 11th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNT! SINGLE FA!,llIJY
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Applicatsion Number - -
ApplicaEion pin nurnber
ProperEy Address
ASSESSOR PARCEL NUMBER:
Application Lype description
Subdivision Name . . -
Property Use
Property zoning
ApplicaEion valua!ion
22-00000167 Date 2/15/22
6 83 312
410 E TITH ST
05- 30-00-o-3 -4030 -0000 -
ELECTRICiIJ ONLY
ApplicaEion desc
wiring ouEbuilding
BREEN, TERRY
7452 W MOUN:IAIN QUAIL CIR
TUCSON AZ 85750
,JOHNSON EIJECI RIC COMPANY
3129 S REGEtitt
PORT ANGEI,ES I]\ 94362
1360) 72A-432'-7
AddiLlonal
Expiralion
de6c
oate
120.00
2/t6/22
a/ts/22
ELECTRICAL ALTER RESIDENTIAI,
.00
0
Qty UniE Charge Per
1. 00 120.0000 Ecti EL-0-200 sRv aEEDER
Extension
120.00
charged Paid crediEed Due
PemiE Fee Total
Plan Check Total
Grand Total
120.00
.00
120 .00
120.00
.00
120.00
o0
oo
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN l-.ln lzt-p w
FINAL ilt )zz &
COMMENTS
Signature ofowner or Electrical Contractor X
G:\EXCHANGE\BUILDINC
Date:
Plan check Eee
valuation . .
I
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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F"6FI
ELECTRICAL PERIVI IT APPLICATION
llLrblir: Works and Lltilitles llepaltment
l:1 trr. ith Strc.t. Ib{;\ngclcs. \\A 98162
,;a{1..i 1 1.-i 7,l j l r', rv'"r,.c it1o}pa.us ; elecr|icaipern:its@citycfpa.us
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Project Address 410 East 1 1th
Project Descrip 1;on Wiring for outbuilding
E Single-Family Residential n Duplex / ARU Building Square footage
Name Terry Breen
IMailing 466rsss. 410 East 11th Port Angeles, WA 98362
Ema il: piyayancha@gmail com
p6ens. 360-406-0374
1r1sms; Johnson Electric Company License JOHNSEC8l TK4
Exp iration Date: 05131 12023
Phone: 36Q .728 .4327
N4ailing fl(d1gs5. 3129 S Regent Port Angeles, WA 98362
Email wayne@johnsonelectric360.com
$205.00
$262.00
$373 00
Tolal Charge)
$
$
$
$
$
$
$
$
$
$
$
1
$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
$_
$_
$_
$-
Renewable Elec. Energy: SKVA System or less
Thermostat (Note $5 for each additional)
Feelr
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 electricai contraclor if above said properly 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 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
2t14t2022 Wayne Johnson Wayne Johnson 3:g,::!,,;?l[,y,H[:i,1"ffi;:
Date Print Name Signature (D Owner p Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricaipermits@cityofpa. us or faxed to 360.417.4711]
1 - 2 SINGLE-FAIVIILY
Item
ServicelFeeder 200Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'l-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch 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.
Temp. Service/Feeder 60'l -1 OOO Amp.
Portalto Portal Hourly
Signal CircuiVLimited Energy - '1&2 DU.
Manuf actured Home Connechon
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