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ELECMCAL PERMIT
CITY OF PORT ANGELES �
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Application Number . ." . . 21-00000184 Date 2/17/21
Application pin number . . . 108712
Property Address' . . . . . 204 S-`LINCOLN ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-5400-0000-
Applieation type description ELECTRICAL ONLY
Subdivision Name . . .
Property Use . . .
Property Zoning . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . 0
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Application desc
Lighting update
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Owner Contractor
CLALLAM TITLE COMPANY BOTERO & SON ELECTRICAL PLLC
PO BOX 248 PO BOX 702
PORT ANGELES WA 98362 CARLSBORG WA 98324
(360) 461-9132
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Permit . . . ELECTRICAL_ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit: Fee . . . 86.00 Plan Check Fee _ .00
Issue Date . . .. 2/17/21 Valuation 0
Expiration Date 8/16/21
Qty Unit Charge Per Extension
BASE FEE 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 .00 .00
Grand Total 86.00 ` $6.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN I
FINAL
COMMENTS:
PERMIT WILL EXPUZE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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MULTI-EAMILY I COMMERCIAL m
Public Works and Utilities l�partmen#
N
321 E.5th Swat Port Angeles,WA 98362
360.417.4735 1 Www,cityOfpa us I electricalperrmi t 0 1
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ProjeCtAddresa: jh I jh
Project Dese"on: r
Multi-Fam4 Reside 1 Com I ln=!Pub$c' Building Square footage:
Name: AKIA.,I Email
Maildng Address: Phone:
Name: t.loens®:
MOVIng Add ;" 1
EmrA: ExpiraWn Date:
Phone:
�1 Itt3at �x
SmViae/F er*MVp #$132 00
/Feeder20t-4MAmp. $1ty0.00 � $��
SwvkWFftdet 401-M Amp. $225.00 $
SenrkWFeder Qttt-10WMp. $20.00SaMosifteder $�...�.
aver 1000 Amp, $410.00 $
Branch Cirtixrit Mt/Berke Feeder WOti $
Branch C kwit VIO Service Feeder $74.00 $
Each Additional Branch Ciroud $5.00 $
Branch Cirpuita 1.4 $r3t3.00 $
Temp.Seruicre/Feed�200 Amp, $102.00 $
Temp.Servl 201-400Arnp $121.00 $
Tamp.See F 401•rWAmp. $184.00
Temp. 11000 Amp. $180.00
Portal to Portal Hourly
ircuit/i.6nitid $ .00
Signal C $
Energy�MWti-Faa►NY �8.00 $
Signal C2rtxritlLimtited tnergy -Ir
trxnerotal MOD $
(Notre:$8.00 fara'-"'
1ty00>�
Renewable Elm.En
�'gY»SKVA $113.00 '
Ttemxrste {Now:$e3 for each addidonah $
III':K TOTAL
Owner as deiced by RC K18.28.281 (1)Owner vA 000upy the structura for two years after this eiec al permit Is fl Wtmd.(2):Owner is
required to Mre an elerMcai cxr*acW If above eaid pmpariy,is for sak,rent or lease.Permit expires after alx months of last inspection.
After reading are above statement,I hereby earthy that I am the owner of the above named property or a licensed NkeoMoal torrbaotor.1
am ma1V the 610chud installatkn or alteration in dance wM the E.C.,RM Chapter,19.28,MC.Chaff 2W
46B,The City of PortA Munl ,and UtOtty .050 regarding EdeMcal Pernrl AppRomVon
Date Pr nt histrte 81iiRwirl ontraotor/Administrator)
lEleetrie i Perm►EApplkationS may be submitted to City Hall or etectricslpermits(Mcltyafpa.uS ar faxed to 360.417.47111