HomeMy WebLinkAbout124 E FRONT ST - Building (3) ,g
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Application Number . . . . . . 19-00001484 Date 9/24/19
Application pin-number 605760 T S
REPOR TATE SALES TAX
Property Address . . . . . . 124 2 FRONT ST
ASSESSOR PARCEL NUMBER:- 06-30-00-5-1-1401-00*0-` on your exdse tax form
'Application type description ELECTRICAL ONLY -
to the City of Polf AngeleS
Subdivision Name
Pro (LOCation Code 0502)
perty Use . . . . . . . ....
Property Zoning . . . . . ... CENTRAL BUSIMS.5 DISTJaCT
Application valuation 0
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Application desc
Lighting update
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Owner
Contractor
----------------- - -------- -
EDWARD BOYD/MOHICA, STRIMM BLACK DIAMOND ELECTRICAL CONTR
000 OLYMPIC DR 502 BLACK,-DIANC06 RD
FORKS WA198331 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . . .E7 COMMERCIAL
Additional desc 1 _4� C
Permit Pee Plan Check Fee-
.00
Issue Date . . . . Valuation 0
Expiration Date /2,�/20
Qty Unit Charge *-r Extension
BASE PEE 86.00
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Fee summary Charged Paid Credited Due
-------- ---------- ----------- ------ -- -------
Permit Fee Total 86.-00 86.00 .00 .00 -
Plan check Total .00 .00
Grand Total .00
0
INSPECTION TYPE DAM RESULTS: INSPECTOR:
DITCH
7! ,
SERVICE
ROUGH-IN
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FINAL
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CONQAENTS:
PsRA4rr wiLL Emu six(6)bmms FRom LAsT vapwrm
Signature Of ownqvr Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL
REQ .
• ELECTRICAL PERMIT APPLICATION �i� t �-
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Public Works and Utilities Department SEP 1 4 ZOIy
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: 12 H E FA<:)t j-r
Project Description: Jkrb ft�, L I Cv-4�T e"G.-
0
Cf0 Multi-Family Residential ACommercial/Industrial/Public Building Square footage:
OWNER i ' •
Name: kiliZ-—_ smxb 16 Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone: 6D
PROJECT DETAILS
Item Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp. Service/Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 201-400 Amp. $121.00 $
Temp. Service/Feeder 401-600 Amp. $164.00 $
Temp. Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$ �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 el rical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specificati ns PAMC 14.05.050 regarding Electrical Permit Applications.
9-2o- t le IJ�'. .
Date Print Name Si at e X Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111