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HomeMy WebLinkAbout - Building (93) IPF 'I Or 5ci Application Number ��-OOi�00845 ��P �d�T� -SALES TAX Application gin number 11000 Property Address. 3A, w 6TK sT t XCfS"� X ASSESSORPARe L 06-30- -0=0-sass-floe- 0� ' ftt Al Application type description ' ELRCTRICAL, ONLY 0 � I Subdivision Name . PrOj3ert+ Life PrOvitt oning r _ 1t8_tVkRS IAF, HI 'D�3SITY Ap tlica tion valuation . 0 Agpliatin desc Serum and DHP ------------- Owner Contractor -FINOWT-, LAURINDA L. BLACK DIAMOND ELECTRICAL CONTR. 11 V 6TH ST 502-BLACK DIAMOND RD - PORT AGEL£S RA 98352 PORT ANGLES WA 98363 ('360) S45-1035 rk�e�emit-" ELk EIcAL ALT09 Rwibm TIAL - --- -- - - AdciiicnalVdesc _ PaxtAin Fee `125.00 Plan Mock Fee .00 issue" 7t29/20 Valuation iration bate w25sv CSkud4 1, PzitUt Extension EL4900Ci.gIRCUIT 61/FEEDER 5.00 .:o0' 120.0000 Eei 0.-cif©;siV FE,DER 120.00 --------------- Fee scary Ckarg � ~FaixiT Cxedited Due - Pesminie Total 12"5;�00 15. _8U 00 Plan,Check Total 00 .00 0© .00 Qr t, 1 5�_Ot! 125.([0 .60 00; I NSPEM-ON ME ,RE MTS: INSPECTOR: FWAL COAO&WS• Pfmg VdtL utE SIX_{ FRbM TAU 1NVE i'ON Signature of over sir tl�c#M Contractor X Date: 1 - 2 SINGLE-FAMILY - ELECTRICAL PERMIT APPLICATION 3 l'uhlic �A'orks and t 'tilitics 1)giartmcnt N '--, I F :01 `strcct. Ilo t ,inI-,i::lw,. WX 98"02 Pea (iO. t 17. 47�; i��e��.�ii���th�i.�a, of�ctri4�11�errn it :cr citti��ip��.t.M, Project Address: 119 W 6th IN11 Project Description:panel change/mast update/ductless n Single-Family Residential ❑ Duplex/ARU Building Square footage: OWNER INFORMATION Name: Laura Fineout Email: Mailing Address: Phone: ELECTRICAL ; CONTRACTOR ; it INFORMATION Name: BDE License:BLACKEC894D2 Mailing Address: Expiration Date: Email: Phone:360-461-3957 PROJECT DETAILS jM Unit Charge Ouant ty Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ 120 Service/Feeder 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/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ 5 Branch Circuits 1-4 $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 Connection $120.00 $ Renewable Elec.Energy:5KVA System or less $102.00 $ Thermostat(Note:$5 for each additional) $56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding/Detached Garage $74.00 $ Each Swimming Pool/Hot Tub $110.00 $ TOTAL $ 125 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 installation or alteration in compliance with the electrical laws,N.E.C., RCW.Chapter 19.28,WAC.Chapter 296- 46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 7-28-2020 Benjamin Shamp Date Print Name Signature(;d Owner ❑ Electrical Contractor/Administrator) (Electrical Permit Applications may be submitted to City Hall or electricalpermits@?a cityofpa.us or faxed to 360.417.4711]