HomeMy WebLinkAbout1402 Pedestal1 Fairchild Airport Rd SligELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Number
Application pin nu ber
Propertsy Address
ASSESSOR PARCEL NT'}IBER:
Applicatlon t,'pe descr:iptsion
subdivision Name ,
Property use
Property Zoning
Application valuation
19 00001,3 70 Date 9/10/19
3?8590
1402 PEDESTAIJ] FAIRCHIITD AIRPORT RD SLIG
R5-30-00-0-0-0000-0000-
EIJECTRICAL ONIJY
Qty Unit Charge
1 , 00 132 .0000
Per
ECH EI,-COM 0-200
ELECTRICAI, ALTER COWERCIAL
SRV EEEDER
.00
0
Extension
132.00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
UNKNO}iN
o
Ouner Cootractor
CITY OF PORT ANGELES
PO BOX 115 0
PORT A}IGELES
OWNER
wA 98362021?
Permit
Addi!iooa1 desc
Permit Fee
Issue Date
Expiration Date
132 .00
9 /Lo,/ t9
1/08 /20
Fee summary Charged Paid Credired Due
Permi,t Fee Total
Plan Check Total
Grand Totsal
.00
.00
.00
!32
132
00
00
00
00
00
00
L32
132
00
00
00
PERMTT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTTON
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
SERVICE qlulfl fi d
ROUGH-IN
FINAL tltln N -sP
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
Appllcation desc
SERVICE CASINET STREET LICHTS
Valuation
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CITV OT PonT A.r\GELES PrnrlrlT ABTIICATION
Building Division{Electrica! Iuspections
321 East Fifth Street - Port Augeles Wzshington, 98362
Fh: (360) 41.74735Fax: $6q 4fi4711
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Commercial Addition i Atteratton / Rem0del i Repaif
Complete Electricai Plan Review Information Sheet
_ lilulti-Famtly or Commercial"
" Plan Review lr/ay Be
Jab Addrcss /aD2-Reouired. PleaseFFs\a+*o I l:Arzd-t;.eE ArRfat4f ED 3t. t&
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Building Square Footag e: '-
Description of work
Owner lnformation
Name
[4ailjng Address
CIty:State:_Zip:
ax:
Ljcense # / Exp
Item Unit charqe
Service/Feeder 200 Amp. $ 132.00
Seryice/Feeder 201400 Amp. $ 160.00
SeruicelFeeder 401{00 Anp $ 225.00
Service/Feeder 601-1 000 Amp. $ 288.00
Service/Feeder over 1000 Amp. $ 410.00
Branch Circuits 14 $ 86.00
Branch Circuii W Servjce Feeder $ 5.00
Branch Circuit WO Service Feeder $ 74.00
Each Additional Branch Circlit $ 5.00
Tenp Service/ Feeder 200 Anp. 9102.00
Terp Serv cdFeeder 201400 Amp. $12i.00
Temp. Service/Feeder 401$00 Amp. $ 164.00
Temp. Service/Feeder 601,1000 Amp $ 195.00
Portalto Poftal Hourly $ 96.00
Sign/Outline Lighting $ 88.00
Signal Circuiv Llmited Eneryy / Ftlst 1500 sf- Commerciat g 96.00
Note: $5.00 for each additionat 1500 sf
Renewable Electrical Energy - SKVA Systern or Less g 1j3.00Thermostat $ 56.00
Contaclor lnformation
Name:
Itriailino Address:
ci!:State: _ Zp
Fax:
License # i Exp
au Total (MultiDiied bv Un Charqe)$ 13Z - rza
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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
to hire an electrical contraclor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statemenl I hereby cefiry that I am the owner ofthe above named property or a licensed electricaj contractor. i am making
the electical installation or alteration in compliance witr the electrical {aws, N.E.C., RCW. Chapter i 9.2g, WAC. Chapter 296-468, The City of pori
Angeles ltlunicipal Code, and Utility Specmcations and PAMC '14.05.050 regarding Electrical iermit Applications.
Signature of owner, electrical contraclor or electrical administrator: E cash E check
E CreditCard#n 3't*. - t*0'1t0112012
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