HomeMy WebLinkAbout1432 W 11th StELECTRICALPERMM
CITY OF PORT ANGELES
3604174735
17-00000580 DaEe 5/08/L7
008150
143 2 W lLTH ST
05 30 0 0 - 0 - 3 - 5 7 4 0 - 0 0 0 0 -
ELECTRICAIJ ONLY
RS7 RESDNTIJ SINGI'E FAII1ILY
0
REPORTSALES rAX
on your excise tax form
to the City of Port Angetes
Location Code 0502)
t
U\
0soApplicationNumber .
Applicatio! pin number -
Property Address
assEssoR PARCEL NUMBEi,
Application !!?e descrj.pLion
Subdivision Name
Property use
Propertsy zoning
Application valuation
Applicalion desc
SecurlEy systsem
Owner Contraclor
TANNA M I4CGU]RE
1432 W 11TH ST
PORT ANGEIES
360) 4s7 1643
PROTECT YOUR IIOME
3?50 PRIORI"Y WAY SOUTH DRIVE
200
INDINAPOLIS IN 46240
317 ) 810 - 4 720
wA 983535510
PermiE -.
Additional desc
PermiE Fee
fssue Date
Expiration Date
54.00
s / o8/ 1'7
7t/a4/al
Plan cneck Fee
valuat ion
ELECTRICAL ATTER RESIDENTIAL
00
0
Qty Unit ChargePer1.OO 64.OOOO ECii EL.SINGLE CIR IIMITED MULTI
Extension
64. 00
Fee sunmary Charged Paid CrediEed Due
Plan check Total
Grand Total
54.00
00
54.00
54.04
00
54.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS
PERMIT WILL E)GIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
C:\-EXCILA.NGRBUILDING
Date
RECEIt,ED
ELtcTRlcAr
rNsPtclt0Ns
PgTI
I
TNdoCITYoFPoRTANGELESPERMITAPPLICATIoN
Building Division/Electrical Inspections
321 East Fifth Streea - p.O, Box ll50 / port Angeles Washington, 9g362Ph: (360) 417-4735 Fax: (360) 417-4711
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Plan Review Ma Be Required . Pleasel* I
Com plete Eleclrical PIan Review I
BTJobAddrers:)-
8lilding Squae Fool4e | 20a
Description ol abow
Owner lnformalion
Name
lnformation
L (^l r{-
Namel
Mailiflg Address
License I / E4.
t/v zip:4L>4t,
4
3
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WA Lp qQ,z,tn<
License * i
Item
ServkE/Feeder 200 Amp.
S€{Yice/F€eder 201-4m Anp.
rvic6/Feeder 401{00 Amp
SeMce/Feeder 50,-1000 Amp
Seryicei Fesds over 10m Amp
Era.lch Circuil W S8rvice Feeder
Branc-h Cirorit WIO SeMce F€€d€r
Each Additons, &anch CiroJil
Brandi Circuits 1-{
Fsmp. Sgrvicd Feeder 200 Amp
Temp SeMcdFeeda mt -400 Ano
Temp SeryicdFeeder 40i 600 AmD
Temp SeryicdFeeder 601-1000 Anp
Podal lo Podd Hourty
Sgnal Cir.uiu Lrmned En€rgy - 1 E 2 Fanity D,rc ng
lvanufatlurcd tblle CmnEr:t'.n
Reoewable Eleclrilal Eneqy - 5KVA System o. Less
Thermoslal
Noter $5.00 for eadl additional T-Stat
EW CO STRUCIIO ONLY:
Filst 1300 Squar8 Ft.
Eadr Addilio0al500 Square Ft. d portion ot
Each Outbuildinq or Deladtsd Garaoe
Eadr S'dmminq Poolor Hot Tub -
UnitChame
120.00
146.00
205.00
3 262.00
373.00$
5.00
63.00$
5.00
s 75.00
s s3 00
110.00
149.00
i68.00
96.m
3 64.00
r20.m
t 102.00
56.00
@
T--
ryr"*-chartr$_
t._-.
120.00
40.00
74.00
s 110.00
l_6e,4O_ totat
owner as defined by Rcw'19 28.261: (l) o|in€ftrill.omrpy.the slruciure tor two years after his eleclrical permit is fnalized. (2) olrner isrequircdtohireandecticarconbaclorifabovesaidEope{ty is for sate, rent or tease i"#i "
rpi* .
t"r,i, rnJiil;;;i;;;;;."' ""
Alter reading the above statement, I helebv certity that I am lhe olmer of hs above n amed property or a licensed elect ical conlractor. I am making$e electical installation or alteration in complianie with the.eleclricat taws. Ni.c., ncw c},qit"ris.zs, wA6. cilpi.rr9ilii6lir,. citvorporrAngelesMunicipatcode, and utiritv specifiiarions
no
pnmc r+oioid iis;i;d iI*-, p"rml App,ications.
Signatu.e of owner, electrical conlnclor or elect cal adminlstrator: tr cah E chlct
0l/01/2012
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