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Home My WebLink About123 W 11th Street - BuildingINSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL CON VfENTS: DATE: RESULTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G.IEXCHANGb1 ALDING -% REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR Date: ELECTRICAL PERMIT MY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00001532 Date 10/10/16 Application pin number . . . 550860 Property Address. . . . 123 W 11TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -2765 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . , . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ RAY L & ANN MARIE HENNINGER ------------------------ BLACK DIAMOND ELECTRICAL CONTR 322 KLAHHANE RD 502 BLACK DIAMOND RD SEQUIM WA 98382 PORT ANGELES WA 98363 (360) 46P-3561 (360) 565-1035 ------------------ ---.---_--------_------------------------------------------ Permit . . . . .. ELECTRICAL ALTER RESIDENTIAL Additional desc . DUCTLESS Permit Fee . . 63.00 Plan Check Fee .00 Issue Date . . . . 10/10/16 Valuation . . . . 0 Expiration Date 4/08/17 Qty Unit Charge Per Extension BASE FEE 63.00 ---------------------------------------------------------------------------- Fee summary Charged ---------- Paid Credited Due ---------- ---------- ---------- ----------------- Permit Fee Total 63:00 63.00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL CON VfENTS: DATE: RESULTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G.IEXCHANGb1 ALDING -% REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 1&4 " b — 14 K 1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above 7>c)c.7-u4c r Owner Information Name: 1 sAjnj►tj&-E/Z- Mailing Address: City:State: Zip: Phone: Ytso 35761 Fax: License # / Exp. Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feed Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Only Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp, Service/Feeder 401-600 Amp, Temp. Service/Feeder 601-1000 Amp . Portal to Portal Hourly Signal Circuit/ Limited Energy -1 & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub $120.00 $ $ 40.00 $ $ 74.00 $ �-- $110.00 $ $--� 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 installatio or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG. Chapter 296-4613, The City of Port Angeles Municipal C , a Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of , el cal contractor or electrical administrator: O Cash X, check f 0 Credit Card # x Dated: " O1 6 '/� 0210812012 - 6 2, �-1 10 tj �Z Contractor InforWati/onn Name: Mailing Address: City: State: Zip: Phone:Fax: License # t Exp. t—t� j C ?I Y D 2 - Unit Charge Q�yt Total (Qtv Multiplied by Unit Charge) $120.00 $ $146,00 $ $ 205.00 $ $ 262.00 $ $ 373.00 $ $ 5.00 $ $ 6100 $ $ 5.00 $ $ 75.00 $ $ 93.00 $ $110.00 $ $149.00 $ $168.00 $ $ 96.00 $ $ 64.00 $ $120.00 $ $102.00 $ $ 56,00 $ $120.00 $ $ 40.00 $ $ 74.00 $ �-- $110.00 $ $--� 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 installatio or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG. Chapter 296-4613, The City of Port Angeles Municipal C , a Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of , el cal contractor or electrical administrator: O Cash X, check f 0 Credit Card # x Dated: " O1 6 '/� 0210812012 - 6 2, �-1 10 tj �Z