HomeMy WebLinkAbout910 E 9th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
$
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ApplicaEion Number .
Applicalion pin nuniber
Property Address
ASSESSOR PASCEL NUMBER:
Applicatsion E),?e descriPEion
subdivisio]1 Name
Propertsy use
Propertsy zoning
Applicatsion valuation
21-00000172 Date
3427 52
910 E 9TH ST
06 -30-oo -o-2 - 8326 - 00 0 0-
EIECTRICAI. ONI,Y
2/22/2\
RS7 RESDI.ITI, SINGI,E FAM]LY
0
Application desc
DHP
Contsractor
Permit
Additsional desc
Permit Fee
Issue DaLe
Expiratsion DaEe
53 .00
2/22 /2!
8/2L/2a
ELECTRICAI AI,TER RESIDEMlAL
Plan check Fee
VaIuatsion
00
0
EL-R- BIIANCE CIR WO/ SER EEED
Extension
63. 0O
Pemit Eee ToEal
Plan check Total
Grand Total
61 .00
.00
63.00
63.00
.00
53 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
REPORTSALESTAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN t ln )zt g 18
n) s'lar *w
COMMENTS:
I
Signature of owner or Elecaical Contractor X
GIEXCHANGE\BIJILDING
Date:
WINSTON R AND CONNIE M WII,SON BI'ACK DIAITIOND EL'ECTRICAI CONTR
910 E 9TI{ S'T' 502 BI'ACK DIAMOND RN
PORT ANGEIES WA 983628013 PORT ANGELES WA 98353
1360) 477 -A624 (360) 55s-103s
OEy Units Charge Per
1- 00 53.0000 ECI{
cha.ged Paid Credited Due
FINAL
ELECTRICAL PERMIT APPLI CATION
Public Works and Utilities Department
321 E. 5th Stteet. Port Angeles. \IA 98,1(i2
360.4 17.47 3 5 | r,r,rvw.cityofpa.us I electricalpennits(Dcityofpa.us
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3
]t
910 E gth
s
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Project Address:
Project Descripti on. Ductless
tr Single-Family Residential E Duplex /ARU Building Square footage
Name Wilson Email
[/ailing Address p6sns 360-477-8624
Name: BDE License
Mailing Address
Email:
Expiration Date
Phone. 360-461-3957
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1 -600 Amp.
Service/Feeder 601- 1000 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 40'1-600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Signal CircuiULimited Energy - '1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Notet $5 for each additionat)
unlt Charoe
$120.00
$146.00
$205.00
$262.00
$s73.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$
$
$
$
$
$
$
$
$
$
$
)
$
$
$
$
$
$
1
Quantitv Iqbl (Quantity x Unit Charge)
TOTAL 63
Swimming Pool / Hot Tub
$
owner as defined by RcW 19 28.261: (1) owner will occupy the structure for two years after this etectrical permit is finatized. (2) owner isrequired to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires aftei 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 Iam making the electrical installation or alteration in compliance wath the electrical laws, N.E.i., iCr,,.i. Cfrapt"l' t s.za, WAC. Chapter 296-
468, The city of PortAngeles Municipal code, and Utility Specifications and PAMc 14.05.050 regarding Electrical permit Applications.
2-12-202i Benjamin Sham p
Date Print Name Signature 1@ Owner I Electrical Contractor / Administrator)
[Electrical Permit APplications may be submitted to City Hall or electricalperm jts@cityofpa. us ot faxed to 360.4j7 .47 j1]
1 - 2 SINGLE-FAMILY
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECIDETAILS
E .,: $120 00
.i $40.00
$74.00 $_