HomeMy WebLinkAbout532 E 1st StApplication Nudber
Application pin number
Property Address
ASSESSOR PARCEL NU}1BER:
ApplicaEioD type descliption
Subdivision Name
Property Use
Property ZoIling
ApplicaEionvaluation -
Owner
wA 983520235
ELECTRICAL PERMI]
CITY OF PORT ANGELES
360417-4735
17 - 000 00 807 Datse 5/t9/17
14 9110
532 E 1ST ST
05-30 00-5-1 2705,0000-
ELECTRICAL ONIJY
COI{MERCIAL ARTERIAIJ
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Con!ractor
RONALD E ELMER ETAI]
PO BOX 1272
PORT ANGELES
BI,ACK DIAMOND ELECTRICAL CONTR
502 BI.ACK DIA.I.4OND RD
PORT ANGELES WA 98353
(360 ) s6s 103s
Permit
AddiEional desc
Permit Fee
Issue Dace
Expiratioll Date
E],ECTRICAI, ALTER COMMERClAI
DHP
?4.OO Plan Check Fee
6/t9/11 valuat ion
t2/t6/L1
Permit Fee Total
Plan Check Total
Grani Total
'74 _OA
.00
74_00
74.O0
.00
'74 .00
.00
.00
.00
.00
.00
.00
00
0
Qty Unit Charqe
1. 00 ?4. 000 0
Per
ECH EIJ-CoMII,I BRANCH cIR wo/ s/F
Extens ion
74 .04
Fee sumnary Charged Paid crediEed Due
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date;
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. PIan Review May Be Req uired, Please Com plete Ele ctncal P-lan Review lnformation Sheet
Job Address &s
Description ol work
0wne
Name LLr lnformation Contractor ln
Name
*'Er
Mailing Address l\.,lailing Address:Citu: S
Phale Lft-lloL F
taiei _ Zip:
ax:
Llcense # i Exp
Item
Service/Feeder 200 Amp.
Sewice/Feeder 201 400 Amp.
Seryice/Feeder 401$00 Amp
ServicdFeeder 601 J 000 Amp.
Seryice/Feeder over 1000 Amp.
Branch Circuits 14
Branch Circuit W Service Feeder
Branch Circuii W0 Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401400 Amp.
Temp. Service/Feeder 601,1000 Amp .
Portai to Portal Hourly
Sign/0utline Lighting
Signal Circuiu Limited Energy / First 1500 sf - Commercial
Note: $5.00'or each additional 1500 s'
Renewabte Electrical Energy - sKVA Syslem or Less
Thermostal
City:
Phon
Slate:_Zip:
ax
Total (MultiDlied bv Un it Charqe)
License # i Exp
@Unlt Charqe
$ 132.00
$ 160.00
$ 225.00
$ 288.00
$ 410.00
$ 86.00
$ 5.00
$ 74.00$ 5.00
$ 102.00
$ 121.00
$ 164.00
$ 185.00
$ 96.00
$ 88.00
$ 96.00
q
s
$_
s
$
$
$
$
$
$
s
s
q
$ 113 00
$ 56.00
$
s
$7 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
lo 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, { hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am makin s
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port
Angeles l\4unicipal Code Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications
sig nature of owner cal contractor or electrical administrator:tr cash (rn""*
E Credit Card#
6 -/)-/1 01lunuz
4ro /
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Crry or Ponr ANcuns Prmur Appr,rcArroN q,
Building Division/Electrical Inspections @, g
321 East Fifth Street - Port Angeles Washington, 98362 b . 4
Ph: (360) 417-4735l.rx: Q60) 417-4711 ?6
oau, b- 15'( 7 N / '1,b
-
-
Multi-Family or Commercial. V( Commercial Addition / Alteration / Remodel / Repair.
Bu.ldrng Square Footage
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