HomeMy WebLinkAbout1033 W Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
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ApplicaEion Number . .
Appl.icalion pin nunber
Propeily Addreas
ASSESSOR PARCEL NU}IBER:
Applicalion type descrj.ption
Subdivision Name .
Properly iJse
Proper!y zoning
Application valuai:ion
21- 00001415 Date 4/28 /22
195000
1033 }I IJAURIDSEN BI'VD
05 -3 0-00 - 0-4-5480-0000 -
ELECTRICA'J O}IIJY
0
Application deEc
Upgrade Stand Alone Card Reader
ContsracEor
CIJALLAM COUNTY
PORT ANGELES
MASCOIT EQUIPMENT CO ]NC
435 NE HANCOCK ST
PORTLAND OR 912A2
ls03) 2a2-25A7
wA 98352
PermiE
Additional desc
Pernit Fee .
Issue DaLe .
Expirati.on DaEe
EIJECTRICA'T A!TE& COM!{ERCIAL
1-4 CTRCI ITS
86.00 Pla]l Check Fee
rL/OA/2f Valualion
s/03/22
00
0
Oty Unir Charge Per Exlension
86.00
charged Paid Creditsed Due
Permit Fee Totsal
Plan Check Total
Grand Tolal
85.00
.00
86 .00
86 .00
.00
85.00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE RESIILTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAI-
COMMENTS:r-Y
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature ofowner or Electrical Contractor X
C EXCHANGE BUILDTNC
I
Date:
MULTI-FAMILY / COMMERCIAL
ELECTRI CAL PERMIT APPLICATION
Public \lbrks and Utilitics Dcpartntenr
l2l E. 5th Street. Port i\ngeles, lVA 9li-162
-1 60.:t I 7.473 5 lvwlv.ci rvo fi:a. us, electricalpcrmrts(rr.ciryotpa. us
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Prolect Oescription:
I t
be
EI Mu[i-Family Residential mercial / lndustrial / Public Building Square footage:
Name:Email;
Mailing Address:Phone
Name License
lllailing Address
Email:
Expiration
[sn
ServicElFeedor 200 Amp.
SeMcs/Feeder 201 400 Arnp.
Servic€/Feedor 401 {00 Amp.
Servicsr'Feeder 601 -1 0@ Arnp.
Servico/Feeder over 1000 Amp.
Branch Circuit w/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Cirqrit
Branch CirGjits '14
Temp. Seruic€y'Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temo. Service/Feeder 401600 Amp-
Temp. Servic€r'Feeder 601-1 000 Amp.
Portal to Portal Hourly
Sign / Outine Lighting
Signal CirrrriuLimited Energy - Mufti-Family
Signal Circlliulimited Energy/First ,tSO0 sf - Commercial
(Note: $5.00 for each additionat 15OO s0
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each addilional)
one:
Iglal (Quantity r Unit Charge)t nlt Cham. Ousrtitv
$132.00
$160.00
$225.O0
t288.00
$410.00
$5.00
$74.00
$5.00
$86.00 I
5102.00
s121.00
s164.00
$185.00
$96.00
s88.00
$88.00
s96.00
$113.00
$56.00
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$
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$
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Owner as defined by RCw.19.28.261: (1) O.vnerwill occupy the structure for two years after this electrical permit is finalized. (2) Owner isrequired to hire an electrical contractor if above said property is for sale, rent or lease, Permit e4ires after six months of last inspeclion.
After reading the above statement, I hereby cedify that I am the owner
am making the electrical installation or alteration in compliance with the
468. The City of Port Angeles Municipal Code, and Utility Specirication
of the abovs named property or a licensed electrical cont-actor. I
laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296c 14.05 regarding Electrical Permit Applications
t Name sis Electrical Contractor / Administrator)Da
0
IE lectrical Permit Applications may be submitted to city Hall or etectricstpermits@cityofpa. usl
Project Address: JO-L1-
WNER INFORI\/'ATTON
EI.ECTRICAL COA R IAFO
I PROJECTBETAILS
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