HomeMy WebLinkAbout1020 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-47t5
Applicatsion Number
Application Pin nuniber:
Property Addz:ess
aSSESSOR PARCET I\TUMBER:
Application L}?e descriplion
Subdivision Name .
Propertsy Use
Property zoning
Application valuation
21- O0O0o93I Date
933452
1020 w 11TI{ ST
o6-l0 00 -o -3 - 532 0- 0000 _
ELECIRICAI] ONLY
8/02/2t
RS7 R'SDNI'T, SINGIE FAI4IIJY
0
ApplicaEion desc
service / rewire
SIIOFSTAI], DAIRELL
1305 W 5TII ST
PORT ANGEIJES
UPPER IEFT E],ECTRIC I,IJC
1306 ROOK DR
PORT ANGEI,ES WA 98362
1360) 461-',t124
vtA 983531805
Permit
AddiEional desc
Permit Eee
Issue Date
Expiration Dace
oly Units Charge Per
20 .00 5 . 0000 Ecll
1. O0 120.0000 ECII
EIECTRICAI AITER RESIDENTIA!
SERV]CE REWTRE
220. OO PIan Check Fee
a/02/2t valuaLion
L/29 /22
00
0
EL BRANCH CIRCUIT W/FEEDER
EL- O - 2OO SRV FEEDER
100.00
120.00
Permits Fee ToLal
PIan Check ToEal
Grand Total
224 .OO
.00
220.40
224
220
00
00
00
.00
.oo
.00
00
00
00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RTSTILTS:INSPECTOR:
DITCH
SERVICE nltaht A-'W
ROUGH-IN dtb)at .ry :@e
FINAI 4z>lzc-&w
COMMENTS
Signature ofowner or Electrical Contractor X
Gr\EXCHANGE\BUILDING
Date:
l.)
I
"$\ri
0t
charged Paid credited Due
I
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Puhlic \\rorks and Utilitie s l)epartment
321 E. 5th Strcet, Port Angeles, WA 98352
364.4 17.47 35 | www.cityofpa.us I electricalpermits@cityofpa.us
Project Address 1020 w 'l 1th
Project Descrip tion. complete rewire including service
112ms Dale Schofstall Email:
lilailing Address Phone
Mailing Address
Email:
Name upper left electric License:
Expiration Date
P hone:
fgkl(Quantity x Unit Charge)
$_
$-
$-
$-
$_
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servic€/Feeder 4O'1 -600 Amp.
Service/Feeder 601-1 000 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 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feedet_601-_1000 Amp
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2
Manufactured Home Connection
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$
$
$
$
$
$
$
$
$
Renewaole Elec. Energy: 5KVA System
Thermostat (Note: $5 for each a
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 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 lvlunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications.
7129121 chace Botero
Date Signature (E Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
!o
3
It
)
tr Single-Family Residential E Duplex / ARU Buildlng Square footage:
W
Quantitv
1
n
Print Name