HomeMy WebLinkAbout237 W 8th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-473s
COMMERCIAL NEIGI{BORHOOD
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
--f)
t
N.t
cs
Applicalion Number
Application pin number .
Propert.y Address
ASSESSOR PARCEL NUMBER:
Applicalion type descripcion
subdivision Name
Property Use
Property Zoning
Appllca!ion valuation
19 - 0000024 8 DaEe 2/22/t9
836904
237 W 8AH ST
0 5 - 3 0 - 00- 0 -2 -3 3 53 - 0000 -
ELECTRICAL ONLY
application d€sc
3 ner, exit signs
ContracEor
CIiII]DERS GARY D
742 DURWACHTER RD
PORT ANGELES
EXTRA MILE TECI{
4L8 N. RACE S".
PORT AIiIGEIES
/.360) 45't-5222
WA
, I,LC
94352
&
wA 983 51978 7
Permi. t'
Addit ional
Permit Fee
Issue Date
84 .00
2/22/19
I /2L/ Le
ELECTRICAL A',TER COWERCIAL
desc
Plan cnecK !'ee
Valuatsion
00
0Expirallon Date
Qty Unil
1,00
2.00
Charge
?4 .0000
5.0000
Per
ECH EL-COMI{ BRANCH CIR WO/ S/PECH EL-ECH ADDNT BRANCH C]RCUT?
Extsension
74 .00
10 .00
Cha!ged Paid Credited Due
84 .00
.00
84 .00
84 .00
.00
84 .00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN z )zz)s d FF,
FINAL z1ni)n 4F "M
COMMENTS:
IIII
Date
vermrE !ee 'rota1
Plan Check Total
Grand Totsal
Signature ofowner or Electrical Contractor X
frr! lt Tt-tr4ft/!il Y er}M M trRCIAI
ELECTRICAI- PERMIT APPI-I CATION
Public Works and Utilities Departrnent
321 E.5th Street, Port dngeles, WA 98362
360 -4 17 -4735 | www.cityoftaus I electriealpermits@cityofra-us
/lt LJ..'i-i fi'" ',, l-""-+
!i',u,if,l
.I
oI
==t9
-S
\.
N*trs
Proie{t Address:
Project Desc,iption:rtS
E MuttFFamityResaenial EllGommen:ial / hdustial / Psblic Building Square botage:
'3 i$rs tr
Name:,zc.v{ {u k,la'rru nc Email iJ
Mailing Address:? 3? v)a-L* f '-r Phone:94c -a.57 -5-6 ?
x
Mailing Address:
Lkr,16s €-Xfatv',rf|?RL
?h- n9z Lt Expirafton Dab:/2-rb -2ot 1
Phone:VGo -4 al -,3rgEmall:
]*am
Servioe/Fceder Z!0 Arnp.
Service/Feeder m1{0O Arnp-
Servic€rFeeder €1$@ Amp-
ServkdFeeder 601-l 000 Amp.
Sen ice/Feeder over 10{X, Amp.
Brandr CilqritlM Servbc Feeder
Brancft Cinrrit WO Saryice Feeder
Each Additional Blanch Cirqrit
Brandr Cirarib 1{
Temp. Se{vioe/FBeder 20O &np.
Temp ServbeJHer 201400 Ainp-
Temp. SewicdF.€der 41-600 Amp.
Temp. Sen icelFeeder 60l-100O Arp.
Portal to Portal Hourly
Signal CirEuit&imited Energy - Multi-Famiy
Slgnal Ctoriulimitgd EnergyrFirst 1500 sf - ConmErdd
{Nots: $5-00 for each sddlional f500 s0
Reneu,able EleG Energy: slC/A Sysne{n or bss
Therma3rtat (Noie: SS for eacfi additional)
?i/t; ( I
P- .> . 8.. zt 2-9
Unit Charde
913200
$160.00
5A5.m
$288.00
s410.00
s5-00
$?4.00
s5.00
$86.00
s102.00
s12 t.00
s184.00
$r85.m
$s5.00
s88-00
s.00
Qu.ntitv IgBl (Alrndry r Unft Chrrfp)
U
$
I
$
$
s
$
$
s
$
$
I
$
3
s
sfi300
$56.C{)
)IOTAL
Ou,ner as detued by RgrL192&261: (l) Ot\.ner $,i[ oc.r,rpy lhe ltudrIe 6rtr{o years afferlhfr ebc*rical p€fl*f is frra,id" (Z} O^,ner b
requlrad 10 hit€ an al€fiical co.tEctor it absve saH proFiy [s fur 33b, rs or base. Pqmit erpirss er :ix rpnlhs of last inspeE{in.
Afur readit€ t le above *atetnanq I h€rEby certiry &d I am tie owner oftie eDove named propsrt or s fcans€d €&[ti:al grtl.ador. I,n making the ele€tical in$allaliqn orateration i! complisncp wirt tlte GE filal ls!r€, N.E.C.. R61rU c'lEdsr f 92A, ffr{c. Chabr 29&
468, The Gty of krt Ar€eh€ Milniip8l Code,Utility Specincdons and PAI\rC 14.05.050 rBEardtng Ebeical Pew{tApdcadons.ard
-1r-
Date Print Name Sigflature (E O,tmer Accffcal Conlrsctor / Adminktabr)
[Elecficd PemitApplicatiorc rnay be submitEd b City Ha{ or electuicalpemitB@cityoFa.us or fa)(ed to 360.r$17.47111
Name: