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'Application Number . . . . . 19-00000905 Date 6/13/19
Application pin number . . . 795605 REPORT STAYTE SALES tAX
Property Address . . . . . . 224 9 IST OT
R6 tax form
ASSESSOR PARCEL; NU!4BBR: 06-30-00�-6_�-,�aOMO-00,00- .,,Dn ywr exd,
Application type description RUCCMCAL ONLY to the,City of Pdrt Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Locaffon Code 0502)
Property Zoning . . . . . . . C014KERCIAL-ARTERIAL
Application valuation 0
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Application desc
Remodel and service
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Owner Contractor
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SEANDAWN PROPERTIES,LLC
AvGwAs,atisciRrt
1221 DUTCH DR 524 E.: IST ST.
PORT ANGELES WA 98363 PORT ANGELES. WA 98362
-5209 (360) �S2-9,264
(360) 670
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Additional desc
Permit Fee . . . . Plan,Check,Fee I.-DO
Issut'Date . . . . 6/13/19 valuation . . . . . . 0
Expiration-Date 12/11-0/19
�Qty Unit Charge Per Extension
BCH EL-BRANCH CIRCUft _W/FE$D%R 170.00
1.-00 160.6000 BCH, -IL-COM 201-4QVSRV1M1_ W"1 160.00
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7--- ----------- ---.7-
Fee summary Charged_ Paid Creftted Due
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Permit Fee-Total 330.00 33�0.00 00 .00
Plan Check�'T6tga .09 40, .00
G I rand Total . 330.00 330.60 ' .00
INSPECFOR.-
DATE
INSPECTIONIMP-il,
IDITCH
SERVICE
ROUGH-IN
FINAL
CoMbWNTS:
PERUff WILL MMME Sik'(6Yk MM 1AST.
Signature of owner or Electrical Contractor X Date:
_100 9_0�1 1141110-MOW w1k,_71K."
05/29/2019 08:55 FAX 360 452 9265 Angeles Electric 100001/0001
ELcOm
MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATIQN
Public Works and Utilities Department RECEIV�C
31-1 E. 5th Street, Port Angeles,WA 98362 JUN 71
360.417.4735 1 www.cityofpa.us I electricalperniits@cityofpa.us
Project Address:
Project Description: A72W— SWi2e
0 Multi-FamilyResidential 11 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: ;kZ�
MAW1 T Email:
Mailing Address: Y Phone: 360—q77-03YI"
ELECTRICAL CONTRACTOR INFORMATION
Name: Angeles Electric, Inc License: ANGELE1460RS
Mailing Address: 524 E. First Street, Port Angeles,WA 98362 Expiration Date: 2/1/2020
Email: ksimpson@oly.mpus.net Phone: 360-452-9264
PROJECT DETA�LS
11AM Unit Charge Quantity JaW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder.204400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
ServicetFeeder over 1000 Amp. $410.00 $
Branch Circuit W1 Service Feeder $5.00 $
Branch Circuit WIO Service Feeder $74.00 $ 00
Each Additional Branch Circuit $5.00 $
Branch Circuits 14 $86.00 $7,- -70
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feed?"01-600 Am p.
Temp.Service/Feeder,40.1-1,000 Amp. 40
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuitfl-imited Energy;,�,.M�yflp.�—
Signal Circuitti-ImIted Energy/Fk�t 45mat.s*--Cpihina m--'
(Note:$5.00 for each
$
Renewable Elec.Energy.5KVA Systern-PIrloss
Thermostat(Note:$5 for each additional) $ -7 r--N
TOTAL
Owner as defined by RCW.19.28.26 1:(1)Owner will occupy the structure for two years after this elecb<��errrh is finalized.(2)Owner Is
required to hire an electrical contractor if above said prop"is for sale,rent or lease.Permit expires after six months of last inspection.
After reading the above,statement. I hereby certify th-at 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 1928,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.060 regarding Electrical Permit Applications.
01
S::F—�Zk
Dati 0 . Print Name Signature(E] Owner��IeArical Contractor/Administrator)
[Elec trical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111