HomeMy WebLinkAbout1703 S B St ShedELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
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Applicat.ion Nunlber
Applicatior pir number
Property Addre6s
ASSESSOR PARCEI, NIJ}IBER :
AppllcaEion t)?e de6cription
subdivi6ioR Name -
Property Use
Plope!ty Zoning
Applicatj.on valuatiofl
18 - 00001630 Dare 10/19/18
s22610
1703 B ST SHED
05 - 3 0 - 00 - 0 - 4 - 4 850 - 000 0
EI]ECTRICAIJ ONIJY
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
UNKNOWN
0
application desc
Lighling retrofit
ConEractor
CI"Y OF PORT ANGEIJES
PO BOX 1L50
PORT ANGELES IlA 983620217
Oi]NER
Permit
Additional desc
Permit Fee
rasue Date
Expira!ion Date
14.40
aa/19/aa
4/L'7 /te
EIECTRICAL AI,TER COMMERCIAI
PIan Check Fee
val"uation
00
0
Qry UniE charge Per1.00 ?4.0000 ECH EL coMM BRANCIT crR wo/ s/F
Ex!ens ion
74.00
Fee summary Charged Pald Credited Due
Pefinit Fee Total
Plan Check Total
Grand Total
74.00
.00
74.00
?4. 00
.00
14.00
00
00
00
.00
.00
.00
PERMIT WILL D(PIRE SIX (6) MONTHS TROM LAST INSPECTION
INSPECTION T1?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN olzt lt\$P @)
FNAL tilz.i /a "N d>
COMMENTS:
v
Signature ofowner or Electrical Contractor X Date:
M ULTI.FAMI LY / COMM ERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us electricalpermits@cityofpa.us
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C,Project Address t1b, 5 e /LDi{o
2
Project Description
n NIulti-Family Residential Commercial / lndustrial / Public Building Square footage
Name Email
Mailing Address l7o 3 &sr Q.,< IPA- qk76z Phone'. 7bo .-1
-oJ
t?4 bL<
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name ,'* G? Yft License
lvlailing Address
Email:
Expiration Date
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1S00 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal Circuiulimited Energy - MultiFamily
Signal Circuiulimited 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)
Quantitv IgE! (Quantity x Unit Charge)
7z{ ,rO
Unit Charqe
$132.00
$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
t
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$14 co TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor 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 certify that I am the owner of the above named property or a licensed electrical contractor. 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 Port Angeles Municipal Code, and utility Specjfications and PAMC 14.05.050 regarding Electrical Permit Applications.
$113.00
$56.00
€a)- C'(-.)).,
Date Print Name Signature (Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417 .4711)
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PROJECT DETAILS