HomeMy WebLinkAbout204 S Lincoln StApplication Number
Application pin Buhber
ProperLy Address
ASSESSOR PARCEL NU}IBER:
Appl j.catsion trpe description
subdiwision Name
Propertsy Use
Property zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
1?-00001386 DaEe 9/29/L'7
453730
204 S LINCOI,N ST
06-30-00-0-0-5400-0000-
ELECTRICAIJ ONIJY
COMMUNITY SHOPPING DISTR
-0
REPORT STATE SAIES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
-..1
(
$\
ts
Appllcation desc
RoofEop heat pump
CIAI]LA}I ?ITI]E COMPANY
PO BOX 248
FORT ANGELES WA 94352
BLACK DIA}IOND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 983 53
(350) 55s 103s
Additional desc
Permi! Fee
fssue Date
Expiration Dale
EI,ECTRICAI] A'TER COIIMERCIAI]
1-4 CTRCU]TS
85.00 Plan Check Eee
9/29/t"1 valuarion
3 /2A /t8
0
QLy Unit Charqe Per
BASE FEE 86.00
Fee summary Charged Paid Credited Due
Permlt Eee Totsal
Plan Check ToLal
Grand ToLal
85. 00
.00
85. 00
86.00
.00
86.00
00
00
00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAT
COMMENTS:1
PERMIT WILL EXPIRE SlX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
.00
fORr i
Crrv or Ponr ArcrrES Pf,Rirrr AppLrcATroN
Building Division{Electrical Inspections
321 East Fifth Str€et - Port Angeles \Yashington, 98362
Ph: (360) 417-4735 Fzxz (360) 417-4711
Date -2o -l 1
{I
\N
00
6-
)6,.l\,4ulti-Family or Commercial.mercial Addition / Alteration / Remodel / Repaif
iew Mav Be Reouired, Please Comolete Electrical Plan Review lnformation Sheet' ' 2a4. S 'Lt,., car-J
. Plan Rev
Job Address
L. ---r
Building Square Footage
oescription of work
Owner lnformation
Name: C L y'<t .-*.- 'T1.tt--4-
l\.,lailing Address:
City State: Zip
Fax:Phone
Liceose # / Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
ServiceFeeder 401 S00 Amp
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuits 14
Branch Circuit W Service Feeder
Branch Circuit W0 Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. ServicdFeeder 401$00 Amp.
Temp. Seryice/Feeder 6011000 Amp .
Po(alto Portal Houdy
Sign/Outline Lighting
Signal CircuiU Limited Energy / FiI51 '1500 sf - Commercial
Note: $5.00 for each additional '1500 sl
Renewable Electrical Energy - sKVA Syslem or Less
Thermostal
I Pru Contractor Inf ormation
Name
It/ailing Address:
ciry Slate:_Zip
ax:
Total (QW Multiplied bv Unit Charqe)
$
$
$
$
$
$
$
$
$
$
$
Unit 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
Phone
License # / Exp
@
E Cash
t
$
$
$
$
$
$
$
$
$
)
$
$
$
$
$
$
$
96.00
88.00
96.00
$ 113.00
$ 56.00
r--96liota
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after his electrical permit is finalized. (2) Owner is required
to hire an electrical contactor if above sald property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certrfy that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in mmpliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port
Angeles
Signatu
l\4unicipal e, and Util ity Specifications and PAMC 14.05.050 regarding Electical Pe
E Credit Card #7-u-n 01101t2012
re own ,el cal contractor or electrical administrator:
rmit Aoolications
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