HomeMy WebLinkAbout123 S Peabody StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMERCIAl, ARTERIAL
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REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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I
NNApplica!ion Number
Application pin number
Property Address
ASSESSOR PARCEL NTIMBER:
Applica!ion tlrpe description
subdivision Name
Proper!y Uae
Property Zoning
Applicalion valuation
18 00001250 Date 8/lo/te
'75625O
123 S PEAAODY ST
o5 - 30 - 00 - 5 - 9-2830 - 000 0 -
EIECTRICAIJ ONIIY
Application desc
Freezer circuit
Contractor
SAJ,VATION ARMYpo Box 9219
SEATTITE
(360) 452-1579
ANGELES EIECTRIC
524 E. 1ST ST.
PORT ANGEIES
\360) 452-9264
wA 98109 lrA 98362
Permit
Additsional desc
Permit Fee
Issue Date
EI.EC?RICAN AI,TER COMMERCTAI
1-4 ClRCUITS
86.00 Plan Check Fee
A/r0/ tg ValuaL ion
2/06/L9Expiration Date
Qty Unit Charge
00
Per
BASE EEE
Extensi.on
86. 00
Eee summary Charged Paid Cr.edited Due
Permi! Fee ToEal
Plan Check Total
Grand Tot.al
85. 00
.00
86. 00
85 .00
.00
85 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST TNSPECTION
INSPECTION T\?E DATE:RESULTS:NSPECTOR:
DITCH
SERVICE
ROUGH.IN alqltq (F #
FINAI -itq'ln ,F :SP
COMMENTS:I
Date
0
Signature of omer or Electrical Contractor X
O8/09/201,8 12:08 FAI 360 452 9265 {naeles Electr lc
MU LTI-FAM I LY / COMM ERCIAL
ELECTRI CAL PERMIT APP tcATto N
Public Works and. Utilities Depa-rrment
311 E. 5th Srreet, Port Angeles, WA 98162
360.4 I 7.471 5 | w*rv.ci tyofpa. u.s I elecrrioalpermils/a)citycfpa.us
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Prolect Address:
Project Description:
o Multi-Family Res idanttal dm mercial / lndustrial /Public Building Square footage:
Name:Email:
Mailing Address:Phone:
Name:ANGELES ELE tc, lNc License: ANGELEI460RS
Expiration Date:o2t01t2019
Phone: X60-4 52-9264
Mailing Add
Email: ksim
ress: 524 TREET
Item
Service/Feeder 200 Amp.
Service/Feeder 20r-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Servrce/Feeder over 1000 Amp.
Branch Circult W Service Feeder
Branch Circuit WO SeMcs FGeder
Each Additonal.Br6nci Circuit
Branch Cirarits 1-4
Temp. Servico/Feeder 200 Amp.
Temp. Service/Feeder 201-40OAmp.
Temp. Servic€/F
Temp. Service/F
Porlal to Portal Hourly
Sign / Oudine Lighting
Signal Circuivlimited E
Sjgnal Circuit/Limited E
(Note: $5.00 for each
Renewable Elec. Energy: sKVA
Charga)
$$aoqi i, _. -________
$160:00
$225.00
$iss.oo
$*lqoo ,
$$.o0
$74.00
95.00
.s86,00
9102.00
6121.00
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$--
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TOTAL
Owner as defined by RCW.19,28.261: (1) O\wner will occrrpy the structure for two y€ars after this electrical p€rmit is fnalized. (2) Owner is
required to hire an €lectrical contraclor if above said property is for 8ale, rent or lease. Pemit expires after six months of last inspection.
Afler reading the abovE statement, I hereby cartiry that I am ths ow't€r ot tha above named proporty or 8 licensad elacflcal contractor. I
am making the elecbical inslallation or alteration in complianc€ wi& the etectrical laws, N.E.C., RCW. Chapter 19-28, WAC. Chspter 2gG
468, Ihe City of Port Angeles Municipal Code, and Utility Spscifications and PAMC 14.05.050 rega.ding Elect ical PermitApplic€liqns.
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Print Name Signature (E Owner / Administrator)
Amp
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lEtectrical Permit Applications may be submifted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
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Thermostat (Note: SS for each additional)
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