HomeMy WebLinkAbout1703 S B St (4)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
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Applicatsion Number
Applicatsion pin number
Propertsy Address
ASSESSOR PARCEIJ NUUBER:
ApplicaEion lype descrip!ion
Suldivieion Name .
Propertsy Use
Propertsy zoning
Application valuation
21-00000878 DaEe
315978
1?03 B ST
06 -30 00 - 0 -4 -4 850 - 0000 -
EI,ECTR]CAI, ONLY
't /20 /21
IT\]-DUSTRIAI L]GHT
0
ApplicaEion desc
Two offices
CITY OE PORT ANGEI,ES
PO BOr 1150
PORT ANGELES
Ol,,lNER
wA 9836202L7
Additsiodal
Issue DaEe
ExpiraEion
EIECTRICA], AITER COMMERCIAI,
1-4 CIRCUITS
85. OO Plan Check Fee
'1/20/2L Va1uaEion
! /16 /22
desc
DaEe
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0
Qty UniL charge Per Extension
86.00
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST
PermiE Fee ToEal
Plan check ToLaL
86.00
.00
86.00
00
00
00
charged Paid CrediEed Due
85. O0
.00
85.00
00
00
00
Signahrre of owner or Electrical Contractor X
INSPECTION TYPE DATE:RESULTS:INSPECTOR
DITCH
SERVICE
ROUGH-IN 7/z-t/at F
FINAI-
COMMENTS 4e-
G:.EXCHANCE\BUILDING
Date:
REPORT SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
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ELE CTRICAL PERM ITAPPLIC toN
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 9g362
360.417.4735 | www.cityo$a.us I electricalpermits@cityofpa.us
Project Address:o
Project Oescription:
fl Multi-Famity Residential fl Commercial/ tndustrial / public Building Square footage:
Name:Email
Mailing Address:Phone:
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Name License
Mailing Address:
Email:
Expiration Oate:
Phone:
PROJECT DETAILS
Item
Service/Feeder 2OOAmp.
Service/Feeder 201-4OO Anp.
Service/Feeder 401 4OO Anp.
Service/Feeder 601-1000 Amp.
Service/Fesder over i0OO Amp.
Branch Circuit w/ SeMcE Feeder
Branch Circuit WO Sarvice Feeder
Each Additionst Eranch Circuit
Brandl Circuits 1-4
Temp. Servic€r'Feede t 2OO Amp.
Temp. Servic€/Feeder 20.l -4OO Amp.
Temp. Service/Feeder 4Oi 600 Anp.
Temp. S€rvice/Feeder 60 1-.1OOO Amp.
Portal to Portal Hourly
Sign / Outlin€ Lighting
Signal CircuivLimited Energy - Mu{i.Fsmil,
Signal Cir(I/iylimited Energy/Fir8t l5OO sf - Co8rnedal
(Note; $5.00 for eadl additionat ,500 sf)
Ren€wable Elec. Energy: 5KVA System orhss
Thermostat (Note: SS tor eadl addidonat)
a-fi-
Iotal x Cha196)
E6.oo
$_
$_
s 8{" * roral
$r32.00
$160.00
$225.00
$288.00
$410.00
s5.00
$74.00
$5.00
986.00
$102.00
$121.00
$164.@
8105.00
$96.00
g88.OO
s88.m
$96.00
$56.00
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3.1::::-o:I1-oll"-*19.28.261 (1) owner willocdrpy the st uclurE lortwo yaars after this etectricatpermit,s finetized. (2) o.vner isregulreo lo nrre an electnc€l contractor if abov6 said property is for sal6, rent or leaEe. permit expires afte; six monlhs of lasfinspection.
Afrer reading the above statemont, I hereby certiry that I am the gwner ofthe above named properly or a licensed alectrical contraqtor. Iam making the etectrical instaltation or alteration in compliance with the etectrica aws, N.E C., RCW Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Mun icipal Code, and Utility Specmcations and PAMC 14.05 .050 Permit Applications.
Date Print Name re(E Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricelpermits@cityofpa. us or faxed to 360.417.47111
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CONTRACTORI I N FORMATioNEL€CTRICAL
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