HomeMy WebLinkAbout2800 W 18th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
REPoRT srATE snles rnx
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatsion Nurnber
Applicat. j.on pin nuidber
Property Address
ASSESSOR PARCEI, NUMBER.
ApplicaEion tl?e descripEion
Subdivi.sion Name
Properly Use
Properly Zooing
Applicatsion valuation
18 - 00001922 DaLe L2/19/1a
636266
2ao0 w 18:ni sT
R6-30-00-0-0-0000-0000-
ELECTRICAL ONLY
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ApplicaEion desc
wave power supply
Contractor
CITY OF' PORT ANCELES
PO BOX 1150
PORT ANGELES WA 983620217
PENINSUI,A POI,E SERVICES INC.
P. O. BOX 13
Bt RI,EY WA 98322
(360) 710-3973
Perrnit
Addltional desc
PermlE tee
Issue Dat.e
Expiralion DaLe
132 .00
L2/1-9/t8
6/L7/t9
ELECTRICAL AIITER COMMERCIAL
PlaD Check Fee
valuat ion
00
0
Qty U]!it Charge Per
1.00 132.0000 ECH EL-COM 0-200 SBV FEEDER
Extension
132.00
Charged Paid Credited Due
Permi! Eee Total
PLan Check Toral
Grand Total
132 .00
.00
132 .00
132.00
.00
132,00
00
00
00
00
o0
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE eln lrc d =sPROUGH.IN (--\
FINAL t2)n hB \ka
COMMENTS
PERM T WILL EXPIRE Stx (6) MONTHS FROM LAST TNSPECTION
Signature of o\ ,,r1er or Electrical Contractor X Date
S/
MULTI.FAM I LY / COMMERCIAL
ELECTRI C ALP ERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
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NProject Address
Project Description
5
O\ANER INFORMATION
Mailing Address
Name
Name:
Nila iling
Email:
P hone
License
iration Date
ohone
Ad
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Email
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ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp
Service/Feeder 201 -400 Amp.
ServiceiFeeder 401€00 Amp.
Service/Feeder 601 -1 000 Amp.
Servic€/Feeder over 1000 Amp.
Branch Circuit W/ Service Fe€der
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'l-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuivLimited Energy - Multi-Family
Signal CircuivLimited Energy/First '1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Ouantitv fgE! (Quantity x Unit Charge)
$_
$_
s>eg TOTAL
LJnit Charoe
$'r32.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121 .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
_-*-4 $
$
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$'113.00
$56.00
$
Owner as defined by RCW'19.28.26,l: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hare an electrical crntractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby c€rtify that I am the owner of the above named property or a licensed eleclric€l contraclor I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (Owne Electrical Contractor / Administrator)
lEleclrical Permit Applications may be submitted to City Hall or epermits@cityofpa us or faxed to 360.417.47111
ELcoil
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E Multi-Family Residential D Commercial / lndustrial / Public Building Square footage:
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