HomeMy WebLinkAbout727 Lopez Ave (2)RES]DENTIAI, MEDIUM DENSTY
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REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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Application Number
ApplicaEion pin nurber
Property Address
ASSESSOR PARCEL NLABER:
Application t)?e descript.ion
Subdivision Name
ProperLy Use
Propertsy Zoniag
Application valuation
Application desc
Phone, Data and TV
Contractor
ANGELES COMMI,'NICATIONS INC.
102 ROSS r,N.
PORT ANGEIES, WA
PORT ANGELES WA 983 62
(360) 457-437s
Permit
Additlonal desc
Issue Date
EI,ECTRICAI NEW COMMERICAIJ
PHONE, DATA AND TV
88.00 Plarl Check Fee
5/ 16/ 18 va.Iualion
!1-/L2/L8Expiration Date
QLy Unir
00
0
Charge Per
BASE FEE
Extension
88.00
Fee summary Charged Paid Credited
Permit Fee Total
Plan Check Total
Grand To!al
88.00
.00
88.00
88.00
.00
88.00
00
00
00
00
00
00
INSPECTION TYPE INSPECTOR:
DITCH
SERVICE
ROUGH-IN L/o lB SV .ffif ,
FINAI b lc'1t,8 w H
COMMENTS l'v
PERMIT WILLEXPIRE Srx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 00000734 Date 5/15/tB
20663 4
727 I]OPEZ AVE
06 30 10-s-2-1300 0000
ELECTRICAIJ ONIJY
PEN]NSUI]A HOUSING AUTHORITY
2503 S FRANCIS ST
PORT ANGELES WA 983525710
Due
DATE:RESULTS:
MULTI-FAMILY /COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilitics Dcpartment
321 Fl.5th Street, Port Angeles, WA98362
360.411 .47 35 | www.citvofpa.us I electricalpermits@cityofpa-us
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Project Address:
]( Uuru-famity nesidential E Commercial / Industrial / Public Building Square foohge
Name:Email
Phone:
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Mailing Address t\c.7l:ta c't 77
4/. ,-v:4 AJ ;/, e-n//1 i:
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name:
Mailing
Email:
License:,tc/
Address c2
-{ "n ; ;, ^;-l
piration Date
Phone:<:- C C.r\ v1 .,t ^
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PROJECT DETAILS
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Service/Feeder 200 Arnp.
Service/Feeder 201-400 Arnp.
Service/Feeder,l()'l 600 Amp.
Service/Fee(br 601-1 000 Amp.
ServiceFeeder over| 000 Afip.
Branch Cirsiit w/ Sarvie F€eder
Branch Ciaorit WO Service Feeder
Each Additional Branch Cirorit
Branch Circuib 1-4
Temp. ServiceJFe€der 200 Amp.
Temp. S€rvic€r'Feeder 20 1400 Amp.
Temp. Service/Feeder 401600 Amp-
Temp. Sefticey'Feeder 601-1000 Amp.
Portal t! Poftal Hourly
Signal Circuiulimited Energy - Multi+amily
Signal Circuiulimit€d Energy/Firsl 1500 3l - Commercbl
(NeE: 55.00 for each additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 tor each a&itional)
Suantitv fghl (Quandty x Unit Charg.)
,t'
Uoil-Qbarce
$132.m
$160.00
$22s,00
$288.00
$410.00
$5.00
$7.1.00
$5.00
s86.00
$t02.00
$r21.00
9r64.00
t185.@
0s6.@
988.00
s98.00
s
$
5
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00 {.7.'TOTAL
Owner as detined by RCW-19.28.261: (1) Owner will occupy the strudure for two years after thrs eleclrical permit is fnalized. (2) Owner is
required b hire an electrical contEctor if above said property b for sale, rent or lease. Permit expires afrer six months qf lasl inspection.
Afrer reading the above statement, I hereby cefiiry that I am the o,vner of the above named property or a licensed eleclrical contrador- I
am making the electrical installalion or alteration in @mpliance with the electrical laws, N.E Chapter 19,28, WAC. Chapter 29+.
The City of PortAngeles MunicipalCode, and Utility Specificatons and 14.regarding Electrical Perlit Applications.
t ,f D,xtaP t'9,^
Print Name Signature (E -Cwnert8l Electrical Con mi nistratoi)
lElectrical PermitApplications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
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pmiectoescriprion: D.+Trt ,17 I t?t(al i-*fi i-; y' r tt C