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-sApplj-ca!ion Nudber
Applj.caEion pin number
Property AddreBs
ASSESSOR PARCEI, NWBER:
Application t)?e descriptsion
Subdivision Name
Property Use
Proper!y zofling
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
1a 00001229 Date S/ 0A/lA
506841
?15 !]ARINE D&
05 -30 - 00 -0 - 0-387s - 0000 -
EIECTRICAL ONLY
INDUSIRIA! I]EAIY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pot't Angeles
(Location Code 0502)
Application desc'
Storm waler Lrealment
PORT OF PORT ANGEI,ES
PO BOX 1350
PORr ANGELES WA 983620251
SlMPSON ELECTRlC
243 036 W HWY 101
PORT ANGELES
\35O) 451-9270
wA 98363
Permi!
Addiii.onal desc
Permi! Fee
Isgue Date
Expiration Date
430.00
8/08/18
2/04/19
Plao check Fee
valuation . .
EI,ECTRICAIT NEW COMMERICA.L
00
a
Qty Uni! charge Per4.00 5.0000 Ecr{
1.00 410.0000 EcH
Extension
20-00
410.00
Et-BRANCII CIRCU]T II/EEEDER
EI'COM 1OO1 UP SRV FEEDER
charged Cr.edited Due
PERMTT WILL EXPTRE StX (6) MONTHS FROM LAST INSPECflON
Permi.! 9ee Total
Plao check TotaI
Grand Tolal
430
430
00
00
00
00
00
00
00
00
00
INSPECTION TYPE DATE:INSPECTOR:
DITCH 7-S.o* rg M
SERVICE blt lR sp Edz
ROUGH.IN pln)B -fr @
FINAL n/ztlta &w
COMMENTS
Signature ofowner or Electrical Contractor X Date:
430.00
.00
4t0.00
RESULTS:4a
Public Wbrks and Utilities Department
321 E. 5Ih Street" Port Angeles, WA 98362
360.4 17.4735 wr.w.cityofpa.us I electricalpermits@:cityofpa.us
-7 l5- rnhYL)NE'- Vz--
M ULTI-FAM I LY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
1'o
3
m
I
tr
t'..1i.\
AUG 7tt1l
EIECIRICAI.
INSPECTIONS
Project Address 2€€*ar St Port Angeles (Marine Terminal
1200 Amp Service and 4 circuits for Storm Water Treatment
E [/]ulti-Family Residential U Commercial / lndustrial / Public Building Square footage
O\ANER INFORMATION
Name Port of Port Angeles Email chrish@oodof oa.com
Mailing Address: 338 W First St Port Angeles phone 360-457-8527
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l-400 Amp.
Service/Feeder 401600 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 401-600 Amp.
Temp. Service/Feeder 60'1 -1 000 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)
Quantitv lglEl (Quantity x Unit Charge)
20.00
lJnit 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
410 00
$
$
$
$
$
$
s
$
$
5
$
$
$
$
$
$
$
$
$113.00
$s6.00
0430 TOTAL
81612018 Andrew P Simpson
Date Print Name Signature (E Owner p Electrical Contractor /istrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
ELcoM
Project Oescription:
Name Simpson Electric LLC li6gnss. SIMPSEL9T3RQ
Mailing Address: PO Box 1086 Expiration 9a1s 12h112019
Email dlsimpsonsl @gmail.com phone: 360457-9270
Owner as defined by RCW.19.28.261: ('l) Owner will occupy the struclure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contraclor 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.