HomeMy WebLinkAbout206 S Lincoln - Building Fl
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ELECTRICAL PERMIT .�
CITY OF PORT ANGELES
360-417-4735
Application Number 21-00000185 Date 2/17/21
Application pin number 179955
Property Address . . 206 S LINCOLN ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-5400-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . .
Property Zoning . . . COMMERCIAL OFFICE
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
-------- --------- -----= -------------------- -
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 00
Flan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR-
DITCH
SERVICE .
ROUGH-IN
FINAL
CONIlAENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWIL DING
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MULD
1.. P R 'IT AP-- 1 N
Public Works and Utilities Department
321 E. 5th Street,Port Angers,WA 98362
360.417.47351 w%vw-cityofpa,us I etectricalpermits city0fpa us �.
Project Address:
Project Description. rIZ
❑ Mum-pa!ly R isi(deMie i Comm I 1 Industrial/Public Building Square footage;
Name: > Emaii
Mailing Address: Phone
Name: ucanse: 2
Mailing Expiration Date:
Email: Phone:
[ .: ..
t1ra_ ar+ e)
Service/Feeder 2W AM. 8
ServicelFeeder 20144M Amp., $181.00 $
Service/Feeder 401.600 AoMp. $225.00 $
ServioelFeeder 6011-100Q Amp. $288.00
servica/Feeder over 1000 Amp. $410.00 $
Branch Circuit Wt Service Feeder $5.10 $
Branch Circuit ft Service Feeder' $74.00 $
Each AddItIonai Brh Circuit $3,00 $,,
Branch Ciraults 1-4 $66;00
Temp.Service/Feeder 200 Amp. $102.00 $
Tema.servicalFe 201-400Amp. $121.00 $
Temp.ServicafFeeder401,-600Amp. $1ti4.00 �— fi r
Temp.servk t 1-1006Amp. $1 0} w $
Portal to Portal Hourly $
Signal Circuit n Imd -----�-- ----
energy 1�lutti-Fame
Signal CirculVLJmbdI ErWgyIl rs at- orrr<narcial
(Note:$5:t)0 fcr earth
Renewable EbC.Ener
gy.5WA 5y !of teas
Thermostat(Note:$5 for each addfonal) $ $
$ TOTAL
Owner as defined by RCW.19.26 261:(t)Owner wB occupy the structure for twc years after this electrical permit is finalized.(2)Owner is
required to him an electrical al contractor N above said property is for sale,rent or lease.Permit expires after six months of Nat inspection.
After reading the above statement,I hereby certify that I am the owner of the.above named property or a licensed erlecdricol contractor.l
am making the electrical Installation or afteratlon In complian thelaws,N. .C.,RCW.Chapter 19.28,WAG.Chapter 29&
46B.The City of Port An ales pal
e,and Unity n AMC 14.05 regarding Electrical Permit'Applications.
1
Date Print Name aturs( [�j Electrical Contractor t Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermhQcltyofpa.us or faxed to 360.417,4711]