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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Appficaeion Nurbe! .
Application pin number
ProPertY Address
ASSESSOR PARCEL NU}IBER:
Application Eype descriptsion
subdivision Name .
Property U€e
ProperLy Zoning
Application valua!ion
21-00001294 Date lo /08 /21
550666
06 - 30 - 00 - 0 - 2 - 277 0 - 000 0 -
EI.ECT&.ICAI ONIJY
COMMERC]ATJ NAIGHBOBHOOD
0
Application desc
servtce and circuits
R]CTTARD I, I{OCB
4201 TRUCK RTE
PORT ANGEIES
(350 ) 452-s381
BOTERO & SON EI,ECIRfCAL PI,LC
po Box 702
cARrsBoRG WA 99324
(350) 451-9132
wA 9815324?0
Permit
Addili.onal desc
Permit Fee
Issue Date
Expiralion Datse
152.00
ro/08/2!
4/06/22
EIJECTRICAIJ AITER COMMERCIAI
Plan Check Fee
valuatsion
00
0
oty Units Charge Per
5.00 s.0000 EcH
1.00 132. 0000 Ecti
EIJ'BRANCH ClRCUIT W/FEEDER
EIJ-COM O-2OO SRV FEEDER
Exlension
30.00
132.00
Permi! Fee Tolal
Plan Check Totsa1
Grand ToEal
152
t62
00
00
00
162.00
- 00
L52.00
00
o0
00
00
o0
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE /ohz)as N -0r
ROUGH.IN
FINAL
COMMENTS /'\
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON
Signature of owner or Electrical Contractor X Date
GIEXCHANCE\BUILDINC
Charqed Paid crediEed Due
DATE:
I
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Public Works and Utilities Dcparrment
321 E. 5th Strcet, Port Angeles, WA 98162
360.417.47351 wwx.eityofpa.usl electricalpermits@cityofoa.us {A
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-f,{Proj€ct Address;<-s-(
Projcct D*cription:
Multi-Family Residcntial Commerciai , lfldustial/ Pubtic Euilding Square tootage:
Name:Email:
Mailino AddrBss:- ,--. phone:
Name:
Mailing
Email:
Add1683:
SeMcglFeede. M Anp.
S€wlo€/Fsedar 2Ol40O Amp.
Ssrvice/Fe.dsr 401 $00 Amp.
Servic8lFordsr 601-1 000 Amp.
SerYice/F€€dsr over 1000 Amp.
Branch Circuit w/ S€rvic€ Fesdsr
A.8nch CirqJit W/O Sorvice Fesdsr
Each Additional 8raffh Circuil
&ancfi Circuits 1-4
Temp. SsNice/Fsrdsr 200 Amp.
Temp. Ser\i6,/Fe€der 20 1-4OO Amp.
Temp. gervioB/FoedBr 401€OO Amp.
Temp. Seryics/Feeder &t -10@ &np,
Porl61 to Portsl Hourt
Slgnal CkqJiVLImit€d Eoalgy - Mujtif.mity
Sigml Cirqrit/Limitcd En6rgy/First iSOo !t-CorBnardat
(tJoE: 65.00 tor each ddftional I 5OO s0
Renewablc Ehc EnErgy: sKr'A Syltdn or lesg
Thermostst (Note: eS for !ad! additionat)
Licensa:
ExDiration Date:
Phone '{/,,/-E/<2-"
lJnltCh.rde
$132.00
$'160.00
$225.00
8288.00
s4r 0.00
s5.00
$74.00
$s.m
$85.00
s102.00
s't2'1.00
s184-00
t185.00
: Sgo.oo
$88-00
ss.00
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a
$
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$
$
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$t
3
$
s5113.00
9s6.00
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$
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Owner as dsfin€d by RCW. i 3.28.261 :(J ) Owner $/ill occirpy the strudure tor rwo years afrer ihia eLdrical p3rmll is finatized.(2) Airnar isroqui.ed lo hir! an eb€{ricarl contrEdor jt aboE sak propBrly is fur sab, rBnt or leaEe. Permil oxpilas aier sk months of lsst hspedionAtEr.sading thg above stElem6nt, I he,eby ccrtit that I am thc gvrne, ot the abov6 named propgrty or I licenssd ehc{.ical contrador. tam makit€ the electical lnsialiation or altoration in compllanoe Mltl tio Gllct ic€l laui8, N .E.C., ROrU. Chspter 19.28, WAC Chsptsr 296-488, ThE Caty ot podAngelee Municiplt Code, and Speclfications and Elec*.ical Psmit Applications.
Date Print Namc Ownerfi Eleckical Cantaeior / Adminklrator)
lElectdcal PermitAppliixtions may be submit!8d to city Hall or elBctricslpermiB@cilyotss.us or taxed to 0.4,17.47111
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