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ELE hUCAL PERMIT
CITY Of PORTANGELES
360 417-4735
Application Number . . . . 21-00000086 Date 1/27/21
Application pin number . . 217636
Property Address . . . 213 E 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2960-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Bedroom bathroom remodel
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Owner Contractor
COTTON MONTE D OWNER
213 BE 11TH ST
PORT ANGELES WA 98362
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . 75.00 Plan Check Fee .00
Issue Date . . . . 1/27/21 Valuation . . . . 0
Expiration Date 7/26/21 ?
i
Oty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 00 .00
Grand Total 75.00 75.00 .00 .00
DEPORT SALES TAX
on your excise tax form
to the City of Port Angeles
y
(Location Code 0502)
INSPECTION TYPE DATE RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL , /► t
COMMENTS: -
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGSBUMDING
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1 - 2 SINGLE-FAMILY -CD
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ELECTRICAL PERMIT APPLICATION
* � Public Works and U7tiiities Department N
.121 E. Sth Street, 1 oil Angeles, WA 98302 i
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Project Address:213 E. 11 th Street, Port Angers, WA 98362
Project Description:Bed/Beth Addition
F1 Single-Family Residential ❑ Duplex I ARU Building Square footage:
INFORMATION
Name: Monte Cotton Email:sharonlouaruon@yahoo.com
Mailing Address:213 E. 11 th Street,Port Angeles,WA 98362 Phone:(360)457-8076
w w t ® w w y
Name: N/A License:
Mailing Address: Expiration Date:
Email: Phone:
- PROJECT DE
.
1Le Unit Charge Quom Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
SenricelFeeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp_ $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/0 Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 X $ 75.00
Temp.Service/Feeder 200 Amp. $93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp_ $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 DU. $64.00 $
Manufactured Home Connecfion $120.00 $
Renewable Elec.Energy.5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56-00 $
Fast 1300 Square Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each OutbuiMing I Etched Garage $74.00 $
Each SWir a*V.Pool I Hot Tub $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 sac months of last inspection.
After reading the above statement,I hereby certify that 1 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 eie4ical laws, .E.0, C pter 19.28,WAC.Chapter 296-
468,The City of Port Angeles Municipal Code,and Utility Specifica` s an PAMC .05.0�' art�Iectri.cal Permit Applications.
1/26/2021 Monte Cotton
Date Print Name Signature(iZ Owner 0 Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]