HomeMy WebLinkAbout138 W 2nd StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417 -4735
RESIDENTIAL HIGI] DENSITY
0
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Applicatsion Number
ApplicaLioE pin number:
Property Address
ASSESSOR PARCEL \ruMBER:
Application lype descriplion
subdivision Name
ProperEy Use
Property zoning
ApplicaEion valuaEion
21- O0o0ts2? DaLe tt/22 /2L
25t432
1:ta w 2riD sT
06 -30- 00-o-o-5336 - 0000-
EL,ECTRICA], ONLY
Application desc
oven feeder.
PENINSUIA COMMUNITY MENTAI HEA
118 E 81H ST
PORT ANGEI,ES WA 983525129
ANGELES ELECTRIC
524 E. 15? ST.
PORT ANGELES
136O) 452-9254
wA 98352
Permil
Additional desc
Permit Fee
Issue Date . .
ExpiraEion Datse
132.00
LL/22/2t
5/21/22
EI,ECTRlCAI ALTER COMMERCIAI,
00
0
Qty UniE Cha.ge Per
1.00 132.0000 EcH EIr-coM 0-200 SRV FEEDER
ExEension
132.00
Charged Creditsed Due
I Permil Fee Total
Plan Check TotsaI
Grand Tolal
132
132
132 .00
.00
112.00
00
00
00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
iNSPECTION T\?E DATE:RESULTS INSPECTOR:
DITCH
SERVlCE u)n)ar .E d
ROUGH-IN
FINAI
COMMENTS:4yftt\V__\-z
PERMTT WILL EX?IRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGE\BUILDINC
Date:
Plan Check Eee
ValuaE ion
VI ULTI-FAMILY / COMMER CIAL
ELECTRICAL PE M ITAPPLIC toN
, Pnblic Works and Utilitics Department
321 E. 5th Strcct, Port Angcles, WA 9ll3(i2
'360.417.4'l 35 | www.cityofpa.us I electricalpelmits(Dcityofu a.us
mercial / lndustrial/ Public Building uare foolage:
Emall:
Phono:
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$
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ProJect Address:
Pro,ig"ef Oescripti
{uutr*ranity
on:
Re sidenlia
Name:
tvlailing Address
Name:Anqeles Electric, lnc.
lvlailing Address : 524 E. First Street, Port Anqeles, WA 96362
License:ANGELEI46ORS
Explratlon Oate 2t112020
Emai ;ksimpson@olympus,net Pho ne; 360-452-9264
llsrr
S e rvice/Feode. 200 Amp,
5€rvlce/Feeder 201400 Amp.
Servlce/Feeder 401 -600 AmP.
Ssrvice/Feeder 601 -1 000 Amp.
Servlce/Fe€d8r over 1000 Amp.
granch Circuil W Servlce Feeder
Branch Clrcuit WO Service Feeder
Each Additional BrBnch Clrcult
Branch Clrcults 1-4
Temp, Servics/Feede. 200 AmP,
Temp, Service/Feeder 201-400 AmP,
Temp, Servlce/Feeder 401-600 AmP
Temp. Sorvlce/Feeder 601-1000 Amp.
Portal to Podal Hourly
Sign / Oulline Lighting
Signal ClrcuiULimited Energy - Multi.Famlly
Slqnal Clrcull/Llmited Energy/First '1500 sf - Commercla'l
(Note: $5,00 for each addltlonal 1500 s0
Renewable Elec, Energy: sKVA System or less
Th€rmostat (Note: $5 tor each addltlonal)
Ken Sim son
Print Name Signatura (! owner Eleclrlcal Conlraclor / Administrator
t nlt Charoe
$132.00
$150.00
$225.00
s288,00
$410,00
$5.00
s74.00
$5.00
,$86.00
$102.00
$121.00
$164.00
$1e5.00
$96.00
' $88r00
$88.00
$96.00
Quantlty x Unlt Charge)/74OuantltvTotal (
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$1'13;00
.$56:oo
$
$
$
P
TOTAL
oyvner as deflned by Rcw..19,28.261: (1) Owner will occupy the structure fo[ two vears after thls eleclrlcal p6rmit ls flnallzed (2)Ownerls
r€q.rkod lohire an elBctr,cal contractor if'abou. ""io propliry is tor solo' rentorloase Psrmit ExplreE ofl6rsixmonlhs of last lnspoclion
Afler readlng lhe above st6tement, I herooy certify that I anl lhs owns. ol the.sbova nalned proporty or a llcon6ed elsctrical conlractor' I
arr maktng the oloctrical instaltatlon or atte/ation tircompltance wlrh the eleckical lsws, tl.g.i., nCni Cnaptor 19 28' WAC Cnapter 296'
468, The City of porr Angeroe Muntclpar Ecr-oel "; ilt,i;ap;;n;;Gns and pAprc 14.05.050 rsgarding Eloctrlcal Permlt Appllcatlons'
[Electrical Permjr Applicalions may b€ submittod to city Hall or 0lectricslPermits@cityofpa us or faxed to 360'417 47111
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