HomeMy WebLinkAbout102 W Front StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
CENTRAI BUSINBSS DISTRfCT
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REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Application pi$ nun$er
ProperEy Address
ASSESSOR PARCEL NUMBER :
Application ty?e descriptsion
Sr.bdivision Name .
Property use
Propertsy Zoning
Application vafuatron
t9- 00001503 Date 9/2'7 /-l-9
1013 75
102 W FRONT ST
06-3 0- 00- 0- 0 - 1s00- 0000 -
ELECTRICAI ONLY
Application desc
Cooler compressor
ConEractor
ROBIN POOLE
PO BOX 351
BEAVER wA 983 05
STTAMP EIECTRICA]- CONTRACTING
PO BOX 383
PORT ANGEIES WA 983 52(350) 4s2-1689
Permit
AddlEional desc
Pemit Eee
Issue Date
Expiration Date
EITECTRICAL ALTER COMMERCIA]'
1-4 CTRCUITS
85.00 PIan Check Fee
a/zt/lY vatuaElon
3 /2s /20
BASE FEE
.00
o
Extsension
86.00
oty unit charge Per
Charged Due
PermiE Fee Total
Plan Check ToEal
Grand Total
85.00
.00
85.00
85 .00
.00
86 .00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPgCTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
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FINAL pln)r9 "F W
COMMENTS:
Signa ture of owner or Electrical Contractor X Date:
Paid Credited
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SERVICE
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ELECTRICAL INSPECTION
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 OAY$
- OO NOT REMOVE _
IVIULTI-FAIMILY /COMMERCIAL FFC
Stp tELECTRICAL PERMIT APPLICATION
Public Works and Utilities Depaftment
3l I Il. 5th Stleet, Port Anseles. \f1{ 98-162
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|r.!.1Project Address 102 W Front St Port Anqeles
Project Oescription Hook up compressor for cooler unit
E Multi-Family Residential ! Commercial / tndustrial / pubtic Buitding Square footage
New Dav Eaterv Email:
lMailing Address Same Phone 360-504-2924
Name Shamp Electrical Contracti no License EC SHAMPECO23B3
Expiration Date 02103t20
Phone: 360-4s2-1689
Mailing Address PO Box 383 Port Anoeles, WA 98362
Email shampelec@olypen.com
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1-400 Amp
Service/Feeder 401-600 Amp
Service/Feeder 60'1 -1 000 Amp
Service/Feeder over 1000 Amp.
Branch Circuit W Servic€ 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 601-'1000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal ClrcuiVLirnited Energy/First 1500 sf- Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Ouantitv Total uantity x Unit Charge)LJnit Charoe
$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
86
$
s
$
$
$
$
$
$
$
$
$
1
$
$
$
$
$
$
$
$
$113.00
$56.00
86 00 TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this elect.ical permit is finalized. (2) Owner is
required to 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, 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 Electricat Permit Applications.
0912512019 Renee Adams
Date Print Name Signature (! Owner p Electrical Contractor / Administrato0
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
OWNER INFORMATION
Namel
ELECTRICAL CONTRACTOR IN FORMATION
PROJECT DETAILS
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