HomeMy WebLinkAbout2007 O St BELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
INDUSTRIAL LIGHT
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
co
*l
-$
Application Nuiber
ApplicaEion pin ltumber
Property Address
ASSESSOR PARCEI, NT]MBER:
Applicatio4 tsype deacription
Subdivision Name . .
Property Use
Property Zonirg
Application valuation - .
18- 0000L719 Date 11/06/18
0 03 961
2007 0 sT B
05 - 3 0 - 00 - L- 1- 1900 - 1000 -
ELECTRICAIJ ONLY
Application desc
Power for ne!, equipment:
O$ner
PORT OF POR? ANCELES
PO BOX 1350
PORT ANGELES WA 983620251
ANGELES EI,ECTRIC
52{ B. 1ST ST.
PORT ANGEIJES
1360l 452-9264
lra 98362
Permi,E
Additional desc
Permit Fee
Issue Date
Expirat.ion Dale
ELECTRICAL AITER COMMERCIAL
1-4 CrRC UrTS
86.00 Plan Check Fee
tI/O5/tA Vafuation
s/os/te
00
0
oty uni! charge Per
BASE EEE
Extension
86.00
Fee summary Charged Paid Credited Due
Permit Fee Total
PIan Check ToEal
crand Total
86.00
.00
86.00
86.00
.00
85.00
.00
.00
.00
.00
.00
.00
PERMTT WILL D@IRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN ilzolp.F BF
FINAL tJzo /tR F \J,N
Signature ofowner or Electrical Contractor X Date:
COMMENTS:
ll/05/2018 14:31 FA.f, 360 452 9265
Projeci Addrcss:
POecl Description:
D Mu lti-Family Resklential
Name;
Mailing Addrsss:
Name:
Mailing Address
Email:
Itm
S€fldce/Fee&r 200 A,Ip.
Soryic.rFee&r 20t-t00 &rp.
S€rvice/Fae(br'!{)l400 Amp,
S.rvirFss&r 601-1 000 AnE-
Seoic€r'Feeder over 1000 Arnp.
&andr Circuit W Sgrvico Feedor
Brand! Clrcult tlrro S.rvica F..d.r
E!ct! Addiion.l Blandt Clrorlt
Brandr Cirqi6 1l
Tarp. S€irie/F€edof 20O &np.
Tatnp. Slrvica/Facde. 2Ol -lO0 Amp.
Tlrrp. SerYicslFr€&r /O1 600 A.np.
Tamp. S€lrrio./F.eder 601-r0@ &rlp.
Portrl b Portsl Houdy
Sbnel Cirorit^-imitd Ensly - Mutliflmly
SignslCio/it/t imiH Enrqy/Fiot lfr00 d- Co.rn lcial
(NoE: 15.00 for saclr additond l3m O
R.rEwatle Elec. Efldly: SKVA Sy3Em o. bs6
Th.rmotiat (Nob: $5 for sadl ddiuona0
M ULTI-FAMI LY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E,5th Str€et, Pon Angel€s, WA98362
3 60.4 l7 .47 3 5 | wwwcityofu a.us I electricalpermits@cityofpa.us
@ oool/oool
Phone:?7 -53@-/p,5:/
Llcenae:
AnSeles Electrlc
rl ,l
!o
3
*
i$
oo
\
(
/ lndr]stkrl / Public Building Squ8r! fuoEgc:
Email
Exfriration Data:
-
;;;:7 ffi47.7
Unlt Charoa
0r32.m
5r80.00
$225.00
s280.00
E410.00
95,00
g/4.00
5s.m
486.00
s102.m
t121.00
115,t @
t160.@
$s6.@
IEE,@
1s6.00
O!!.dt Iqbl (qu.ndty x Unlt
@
$
3
$
$I
t
$t
st
t
I
3
$
3t
I
46B,Port Angel€s Code, lnd Wity Spqdlicadon. and 14.05.050 Appllcailon3.
Oate Print Name signatrr€ (o olrvn t
i113.00
s5{t.00
Owner as dcfirEd by ROlt 19,2E,261: ( l ) O'rner w ocqrpy tlE ltrudrI! iorirvo reaE elier thir olecbical permit i.linslizld, (2) O*tter b
rlqualld lo hirE an El€drical contsador it 8boy€ sail property is for sal€,
'rnt
or lasla. PEmlt sxpirs! 8lt!r lir rDqrth3 ot lsrl h.p€6,tjon.
Ater Gading lhs abova ststemcnt, I ltallby carlit thi I am t rG ownar of tha abovc nemod poparly or . licans.d .Lddcal contractor. I
am makir€ thc elsctric.l iftrt3llatign or alta.rtio.! in @]nplianc€ {ilh ti. .lactical lmr, N.E.C., RC1\r. Chrptaa ,928, v\tAC. ChPt.r 296-
OWNER INFORMATION
PROJECT DETAILS
v,
lElectrical PemitApplicatioG may bc rubr{tEd !o Cw Hall or el.ctiealpe ts@cityotpa.ur or tuad to 360.117.47111
ELcorrt
T
8_
t 96@tot*
ELECTRICAL CONTRACTOR INFORMATION