HomeMy WebLinkAbout1020 CAROLINE ST - Building (2)~
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ELECMCAL PERMIT
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Application
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REPORT S TATE SALES TAX
1020 CAROLINE c��zmm SnASSESSOR
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your excise tax form
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'(Locadon Code 0502)�
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COMMERCIAL OFFICE.
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'KAVON, A WA LLC.-`
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PORT ANGELES WA 58362
PORT ANGELES WA 98362
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---------------------------------- _____—__permi* . . . . . . ELECTRICAL ALTER coMxoazzAL
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1.00 96.0000 BCH EL -LIMITED
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IST �00 SQ PT 96.00
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Paid Credited Due
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Permit FeeTotal 96.00
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PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Si�tm. oowner mrElectrical Contractor X Date:
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MULTI -FAMILY / COMMERCIAL RECOVEb
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department EL9T
321 E. 5th Street. Pert Angeles, WA 98362 INSPECTIONS
360.417
36f).4l 1.4 35 ! WWW.cityofpa.us j clectricalpermits,t7 cih.-ofpa.tzs
Project Address: 1020 Caroline
Project Description: Move security system from 408 E 5th to 1020 Caroline, add cellular communicator.
❑ Multi -Family Residential 0 Commercial / Industrial / Public Building Square footage:
OWNER INFORMATI•
Name: Northwest Justice Project Email:
Mailing Address: 1020 Caroline
Phone: 360-452-9137
Name: Hi Tech Security, Inc License: HITECTS955BS
Mailing Address: 723 East Front St Expiration Date: AdAffi%19 1/10/2021
Email: hitech@olypen.com Phone: 360-452-2727
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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 Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
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 Hourl
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Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi -Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf) '
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity IW
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00.
$88.00
$88.00
$96.00
$113.00
$56.00
11(Quantity x Unit Charge)
$
$ 96.00
$ 96.00 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 installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1/10/2019 Mike Shirleyike Shirley
Digitally signed Mike Shirley
Y Y Date: 2018.05.311 14:52:42 -07'00'
Date Print Name Signature (❑ Owner V Electrical Contractor / Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.4711 ]