HomeMy WebLinkAbout2311 Jeri Lynn St-N
in
CO
Applicatsion Number .
ApplicaEion Pin number
Properly Address
ASSBSSOR PARCEL NIJIiIBER I
ApplicaEion !)?e descriPEion
subdivision Name .
Propertsy use
Proper!y zoning
Application valuaEion
21- ooooo3s8 Datse 4/09/21
9'19836
2311 .JERI LYNN ST
o5 -30-01-7-5- 0300-0000 -
EI,E TRICAI ON!,Y
RS9 RESDN'IL SINGIJE FAJIIILY
o
Application desc
DHP
JOHN IiOPK]NS
2 311 JERI LI'NN ST
PORT ANGEIES
(350 ) 390-8300
BI.ACK DIAMOND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGEI,ES WA 98363
(360) s55-1035
wA 98353
Peflnit
Additional desc
Pemil Fee
fssue DaLe
Expiration Datse
63. 00
4/09/2L
Lo / a5 /2r
EIECTRICAI AI,TER RESIDENIIAL
PIan check Fee
valuatsion
00
0
QEy Unit Charge Per
1- 00 53 . 0000 EcH EL R- BRANCIT CIR WO/ SER EEED
ExEens ion
53.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Sigoature of owner or Electrical Contractor X
Pennit Fee Tota]
Plan Check Total
crand Totsal
63.00
.00
63 .00
53.00
.00
63-00
.00
.00
.00
_ 00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E RESULTS INSPECTOR:
DITCH
ROUGH-IN nlElzt JF BP
FINAL ilr)a =P d)
COMMENTS:
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Charged Paid credited Due
DATE:
SERVICE
I
G:\EXCHANCE\BUILDING
E LECTRICAL PE RIVI IT AP PLI CATI O N
Public Works and Litilities Depaltment
3?l E. 5th Street. Port Angeles. 1tr',{ 98-162
-160.4 1 7..1735 | x.wrv.cityolpa.us j clectricalpermits(]cityofpa.us
\
\
$e0
Proje 61466rcss. 231 1 Jeri Lynn
Project Description
Name: Ho NS
Mailing Address
Email:
Phone:360-390-8300
\3ms; BDE License:
lVlailing Address
Email:
Expiration Date
Phone: 360-461-3957
Item
Service/Feeder 2OO Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 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 20'1-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeoer 60'1 -'l 000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
[4anufactured Home Connection
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$ 110.00
$149.00
$168.00
nit Charge)
1 63
$
$
$
$
$
Renewable Elec. Energy or less
Thermostat (Note: $5 for
TOTAL
Owner as defined by RCW.'19.28.261: (1) Owner will occupy the structure for two years atter 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 Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
3-22-20?1 Benjamin Shamp
Date Print Name Signature 1@ Owner I 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-FAIMILY -o
o
3
Ductless
E Single-Family Residential E Duplex / ARU Building Square footage:
-
$_
c
$_
q
c
q
q
$110100,:;-