HomeMy WebLinkAbout1703 S B St GaragELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Applicat.ion Nufiiber
ApplicaLion pin number
Property Address
ASSESSOR PA.RCEL NUMBER:
AppLicaEioIr tsype description
Subdivision Name
Property Use
Property Zoning
Applicat.ion valuation
18 - 00001711 Date tl"/os/t8
422209
1703 B ST GAXAG
06-3 0- 00 - 0- 4 -4 850- 0000 -
EIECTRICAL ONIY
UNKNOi^lN
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaLion desc
Replace diesel dispenser
Contractor
CTTY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
INNOVATIVE EI,ECTRIC
PO BOX 43 99
EVERETTwA 98362021'7 wa 98204
Permit
Additional desc
PermiE Fee
Issue Date
Expirat.ion Datse
EI,ECTRICAL Aj,TER COMMERCIAL
1-4 CIRCUITS
85.00 Plan Check Fee
rt / 05 / La va luar ion
5/ 04 /t9
00
0
Qty Unit Charge per
BASE FEE
Extension
85.00
Eee summary Charged Paid Credited Due
Permit Eee Totsal
Plan Check ToEal
Grand Total
86.00
.00
86 .00
86.00
.00
86.00
00
00
00
o0
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION Tl?E RESULTS:INSPECTOR:
SERVICE
ROUGH-IN n lu.lB JP -*R
FINAL ,) l)b l/B tr #
COMMENTS:
Signature of owner or Elecirical Contractor X Date
DATE:
DITCH
Nov. 2. 2C18 3:10PM INNOVATIVTELECTRiC No,21l2 P. l
tUULTI.TMILY / C OVIIVIERCIAL
ELEC TRICAL PE IVIITAPPLICATION
Public Works and Utilities Deparment
321 E. sth Streeq Port Angeles, WA 98362
360.417.4735 | www.cityofpa.rrs I electr.icalpelmits@eicyofpa.us
flECEIUED
AECIPJC{I
rNsPtc?0its
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Project Address:o
Project Description:
fl Multi-Famity Residential
Name:
Mailing Addross:al E sl
Name
Mailing Address:
Email
l&m ,'
ServiceJFeeder 200 AmD
Service/Feeden20'l -400 Arp.
Servic€,/Foeder 401€00 Amp.
SeMc€/Feeder 601-1000 Amp.
Sorvico/Feeder over 1000 Amp.
Branch Circ it W S€Mce Feeder
Brgnch Circuit WO SeNlce Feeder
Each Additional Branch Circuit
Brdnch CkcuiB 1.4
TBmp. ServicerFeeder 200 4f.Ip.
Tsmp. S€Mco/Fesdsr 201-400 Amp.
Temp. SeNice/Feeder 401€00 AInp.
Temp. SeMce/Feedir ri0t -tOoO n"np.
Porlal to Portsl Hourly
Sign / Outline Lightjng '
Signal CircuiyLimitsd Ensrgy - MultlFamily
Signal CircliuLimited Energy/Flrst 150O sf - Commercial
(Note; $5,00 tor sach additional 1500 sD
Renewable Elec. Energyr sKVA Systoin or less
Thermostat (Note: $5 to, each additional)
C
/ lnduslrial / Public Buildjng Square footage:
Email
F Phone:
ltL License:
,n
001
Expiration Date:03o
Phone:42€'1.70-1.5o3
Ouantity Toal lQuantlty x Urilt Clrarge
$132,00
$160.00
$225.@
$288.00
$410.00
s5.00
.$74.00
s5.00
$66.00
$102.0o
$121:00
$164.00
$185.00
$96.00
$88.O0
688,00
$96.00
$
$
$
$
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$
$
$
$
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$
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$113.00
$56.00 u
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Owneras derined by RCW19.28.261: (1) Ownea wlll occupy the structure for two years aftor this olectrical p€rmit i6 finaliz€d- (2) offler i6
requirod to hire an electrical cont.actor i, above said properly is for sale, rent or lesse. permit expires after six months of last i;spection.
After reading the above slatement I hereby ceniry that I am the owner ofthe above namsd property or a lic€nsed eleclrical crnhactor. I
am making lhe electrical installation or alteration in compliancs with the etectricsl laws, N.E.C,, RCW Chapter 19.28, WAC. Chaptor 296.
468, The city of Pott Ahgeles Municlpal code, and lJtility Specilications and PAMo 1,t.0s.0s0 regarding ilectrlcal pelmlt Apptications.
'D2- /1 Guuu,tB TITZoLD
TOTA L
Date Print Name Signature (E Ow Contractor /Administrator)
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
lEleckical Pelmit Applications rnay bs submitted to City Hall or electricalpemits@cityofpa.us or faxed lo 360.411.47111
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