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CA PERM
11
CITY dr poRT ANGELES
60-417-4735 p�
Application Number . . . 20-00001200 Date 10/20/20
Application pin number- 536800
Property Address 825 C40RGIANA ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3773-0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . . . . .
Property Zoning . . . . UNKNOWN
Application valuation 0
-----Application desc
Temp service
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Owner Contractor
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VOLUNTEERS IN MEDICINE BOTERO & SON ELECTRICAL PLLC
819 GEORGIANA 'ST PO BOX 702
PO BOX 639' CARLSBORG WA 98324
PORT ANGELES WA 983623511 (360) 461-9132
(360) 457-4431
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Permit . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Pee ,. . 102.00 Plan Check Fee _ .00
Issue Date . . . 10/20/20 Valuation 0
Expiration Date. ., 4/18/21
4ty Unit Charge Per Extension
1.00 102.0000 ECH EL- COMM 0-200 TEMP SRV / FDR 102.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 102.00 102.00 .00 .00
Plan Check Total, .00 -.00 .00 .00
Grand Total 102.00 102.00 - .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
( OC&t on Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUt'rH-IN
FINAL ;zl
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
WEXCHA►NGEWU.DING
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- 1.
ELcOm
M FAMi_ LY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department N
321 E. 5th Street, Port Angeles, WA 98362 G
.417.47351 www.eityofpa.us( electricalpermits@cityofpa.us N
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Project Address: �( �J)6
Project Description:
Multi-Family Residential -V Commercial/Industrial/Publil uilding Square footage:
OWNER 1114FORMATION
Name: =19Email
Mailing Address: Phone:
Name: License: (�!�
Mailing Address: Expiration Date: /
Email: '
Phone:
PROJECT DETAILS
y. Isttiel0 a x rrgs)
Service/Feeder 200 Amp• $13200 $
Service/Feeder 201-400 Amp. $180.00 $
Servioe/Feeder 401-600 Amp. $225,00
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.60 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $7400 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $8600 $ p->
Temp.Service/Feeder 200 Amp. $102.00 $ 1 f`� ,
Temp.Service,/Feeder 2014M Amp. $121.00 $
Temp.Service/Feeder401-6WAmp•
Temp.Service/Feeder801-1000Amp,
Portal to Portal Hourly $K0
Signal Circuit/Limited Energy=Mutii-Family $ pp. $.
Signal Circuif/t irri ted Energy/Flrs 1500.sf-Cortxrierclal $9B4O0 $
(Note:$5.00 for each addrtiona11500 st)
Renewable Elec.Energy:51NA system or less $11300 $
Thermostat(Note:$5 for each additional) $56.00 y_ $
TOTAC
Owner as defined by RCW.19.26.261:(1)Owner will occupy the structure fortwo 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 elecMcal installation or alteration in compliance with the I ws,N. .C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Speciflcad` n C 14. .050 regarding Electrical Permit Applications.
J
Date Print Name CP� tU r,P ElecMcail Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hal or electricalpermits«cityofpa.us or faxed to 360.417,4711]