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ELECTRICAL PERMIT � �
CITY QE PoRT'ANGELE
36(Y-41 17-4735 'S
Application Number . . . . . 19-00001754 Date 11/08/19
Application pin number 502124 REPORT STATE SALES TAX'
Property Address . . . . . 200 W 1ST ST Oi1 your excise tax fOm
ASSESSOR PARCEL; NUMBER: 06-30-00-0-0-3300-0000-
Application-type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . (Location Code 0502)
'Property Use . . . . .
Property Zoning . . . . CENTRAL BUSINESS DISTRICT
Application valuation 0
Application desc
Cameras
Owner Contractor
JOHN J & ROBIN R MILE'TICH -< HI TECH SECURITY INC
312 RED DEER DR 723 E FRONT ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 4s2-7175 (360) 452-2727
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 96.00 Plan.Check Fee .00
Issue Date . . . 11/68/19 Valuation . . . . 0
Expiration Date 5/06/20
Qty Unit Charge Per Extension
i.00 96.0000 BCH EL-LIMITED 1ST 1500 SQ FT 96.00
Fee summary Charged Paid Credited Due
Permit Fee Total 96:00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00 �'Y!�`►
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN l
NALAll
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION " ` V %0n —
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[»Uh{ic Works and T/tifitic5 Department
]�| [ 5|h Sb�cL Por �\n�t|ca, \�A 98�62
�6O,417,47�5 I »nWa�ci/!of'p^ua | lee uicu\ponu its-�"�citNv`hxuxs
Project Address: 200VV 1st Street _E
Project Description: Install |p Surveillance Cameras with wiring
[] yNubi'FamilyReoidonUe| 0 Commercial/Industrial/Public Building Square footage:
Name: Byron Email: countryairemarket@_gmail.com
Mailing Address: 200VV 1stStreet Phone. 3604527175
Name: HiTech Security, Inc License: mTs
Mailing Address: 723 East Front St Expiration Date: 1/10/2021
Email: hitech@olypen.com Phone: 360-452-2727
&M Unit Charge Quantity JQJAJ(Quantity x Unit Charge)
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $'_-------__
Branch Circuits 14 $06.00 *__-----___
Temp. Service/Feeder 2OUAmp. *102.00 __ $____-____�
Temp. Service/Feeder 20140O Amp. *121.00 $----____-_
Temp. Gamime/Faeder 1'808AmP. $1 ' ` ��
Temp. Service/Feeder� 1_1O0OAmp. �� $ �
Portal0oPn�o| Moudy �� $
---��
Sign/Outline Lighting ^ ����� `w�� `��� m°^ $88.00' '��__e�� ���$
Signal Circuit/Limited Energy- lti'F $88 `'' ' ���$
Signu|CirouiVLimiVed ' Commercial $96.00 $��Ll
(Note: $5.000n each additional
Renewable Boo Energy � ��` ==�`$113.00 - $-_--___--_
Thermostat(Note: $5 for each additional) $56. o_-------__
" $�6L00--_--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-
46B,TheCityofPortAnge|ouMunicipo|Code. ondUd|ity8penificobonnandPAMC14.O5.O5OmgoodingElectrioo|PonnitApp|inodonu.
1 1/��/1�� Mike Shirley Mike Shirley oionany�onou»vmmaomnov
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]