HomeMy WebLinkAbout2811 S Oak Street - Building ELERICAL PERMIT
CITY 4f PORT ANGELES
3604174735 v:
Application Number . . . . . 20-00000975 DaREFOMGTATE SALES TAX
Application pin number . . . 998225 OUC eXCISe tax form
Address . . . . . . 2811 S OAK ST on Y
ASSESSOR PARCEL NUMBER: 06-30-16-5-0-1400-0000- t0 the City of Port Angeles
Application type description ELECTRICAL ONLY (Location Code 0502)
Subdivision Name . . . . .
Property Use . . . .
Property Zoning . . . . . UNKNOWN
Application valuation . . . . 0
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Application desc
DHP
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Owner Contractor
CHERYL VEBLEN BLACK DIAMOND ELECTRICAL CONTR
2811 S OAK ST 502 BLACK DIAMOND RD.'
PORT ANGELES WA 983626920 PORT ANGELES WA 98363
(360) 929-5379 (360) 565-1035
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 63.00 `Plan Check Fee .00
Issue Date . . . . 8/31/20 Valuation . . . 0
Expiration Date 2/27/21
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged , Paid Credited Due
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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 DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL hIj
COMMENTS:
PERMir WILL EXPIRE Six(6)MONTH$.FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
x
r
1 .
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1 - 2 SINGLE-FAMILY CD
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ELECTRICAL PERMIT APPLICATION
Public Works OOd [lfi}i\iCS {)epadUQeQ/
321 E' 5(h 5UzcL Pod/\ngc|cs, W4 98362
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360.417.473� / x��*�ci1>a0muy | douzicu|ponni(s��ci�uhmuo
Project Address:2811SOak / \
Project Description: OUctelss
n Single'FumilyReok1endm| [] Duplex/ARU Building Square :
Name: Veb lem Email:
Mailing Address: Phone:360-929-5379
Name: BDE
License: BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone:360-461-3957
Min Unit Charge Quantity JQW(Quantity x Unit Charge-)
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $ 63
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Portal to Portal Hourly $96.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $56.00 $
at
-0
TOTAL $ 63
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,ThoQtyofPort Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name - .VI F~ Electrical Contractor- /. _m-._--'_' �