HomeMy WebLinkAbout430 W 2nd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
INDUSTRIAL LIGHT
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application lruilcer
Application pin number
Property Address
ASSESSOR PARCEI NUMBER:
Application E)?e description
Subdivision Name
Propertsy Use
Propertsy Zoning
Application valuaclon .
19- 00001785 Date l),/t3 /t9
230990
430 W 2ND ST
05 -3 0 - 00- 0 - 0 - 5030 - 0000-
ELECTRICA]J ONLY
Application desc
Craul space 1ighE, Ext ouClet
ContracEor
BLAINE AND THERESA PUGSLEY
297 EI'IERY A!
PORT ANGELES WA 9A3 62
EX]IA MILE TECH &
418 N. RACE ST
PORT ANGELES
1350) 451-5222
E],ECT., I,],C
wA 98362
Permi t
Addi.tional desc
PermrE !'ee
Issue Date -
Expi.ratiolr Date
74.40tt/L3/t9
5/)-7/20
ELECTRTCAIJ AI,TER cor',o4Ehc rAL
Plan Check Fee
Valuation
00
0
oty Unit Charge
1 .00 74 .0000
Per
ECH EIJ'COMM BRANCH CIR WOl S/F
Extension
74.04
Fee summary Charged Pa id Credited Due
PermiE Fee Total
Plan Check Totaf
74 .00
.00
74 .00
14.04
- 00
74.OA
00
00
00
00
00
00
PERMTT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE;RESULTS:INSPECTOR:
DITCH
SER\,'iCE
ROUGH.IN u )Hln lax2 :flF
FiNAL tul14lfi ,\F
COMMENTS
Date:
w
Signature ofowner or Electrical Contractor X
M U LTI-FAM I LY / COMMERC IAL
ELECTRICAL PERM IT APPLICATION
I),.iblic ii''orks i,nd i-rtil iiies llepai'tme;it
,l: I ir. 5i; 5t!'.lia. i'r.)Li ,'\ntrlc::- !''.i 98-l(r2
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Project Address:
Name:
Mailing Address:
q. I n/<Email
47a a./-4+ 2^-/S/a*Phone:3Lo-'.1 a1 - lgSl
License:TRA /YlT ?'73 ReName:
Mailing Address:3t28
Email:A)€
Item
Service/Feeder 2@ Amp.
SeryicdFeeder 201-4OO Amp.
Service/Feeder 401 6@ Amp-
ServicdFeeder 601-1 000 Amp.
ServicelFeede. overI 000 Amp.
Blan(*l Circuit W Service Feeder
Branch Circuit wlo Service Feeder
Each Addiuond Branch Circuit
Branch Circuib 1-4
Iemp. Serybe,/Feeder 200 Amp.
Tetnp. Service/Fe€der 201400 Amp,
Temp. ServicdF€€der 401$@ Amp.
Temp. ServigFeeder 601-10@ Amp.
Portal b Porbl Houdy
Sign / Ouuine Ugtting
Signal Ciroriulimited Energy - Muli-Family
Signal Cirarit/Limited Energy/First 1500 sf- Commercial
(Note $5.@ for eacfi additional 1500 sD
Reney€ble Elec, Energy: sKVA SJ$em or less
Thermostat (Note: $5 for each additiond)
loZ Expiration he:/2- eG -20t?
-4El= t3?sPhone:,bo
-?4.o
9-+*-
Electrical Contractor /Administrator)
or faxed to 360.417.4711j
lrnlt ChaEe
$132.@
$160.00
$225.00
$28E.00
$410.00
$5.00
$74.00
s5.@
$86.00
s102.00
$ 121-00
$164-00
s185.00
$s.@
$88.O0
$88.00
$96.00
glrarutr'
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I
r
Ighl (Quanuty x Unlt Charge)
$
I
$
!
$
iD
$
U
$
$
$
$
$
$$113,@
s56.00
7y'."'
OWI)er as defined by RCW.I9.28.261: ('l ) Ownor will o€-cupy the sfucture for two years afrer this elecEical psmit h finaliz€d. (2) Owner'6
required to hirc an eleclrical contraclor ifabove said property is ior sale, rent or lease. Permit expires after six months of last inspoction.
After reading the above statement, I hereby cerlify that I am the o,vner of lhe above named prope.ty or a licensed eledital contrador. I
am making the electrical installation or alteration in compliance with the electical laws, N.EC., RCW. Chapter 19.26. WAC- Chapter 2S
468, The City of Port Angeles Municipal Code, and Utility Spscificalions and PAMC 14.O5.05t) regarding Elec'tical PemhApplications.
/ /-/a -/ 7
Date Prinl Name Signature (fl Orvner
lElectdcal Permit Applicalions may be submined to City Hall or
Project Description - /-,?ll a d +l/'/ z,,t (oto4l/?o.r & artl*,),
^tr.A),?a
lf
f]Multi.FamilyResioentlal/Commercial/lndustrial/PublicBuiuingSquarefootag€:-
EL=CTRICAI CONTRACTOR INFORAITATION
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