HomeMy WebLinkAbout100 W Ediz Hook RdApplication Nuriber
Application pin number
Property Address
ASSESSOR PA.RCEL NUMBER:
Application ts!'pe descripEion
Subdivisioo Name
Property Use
Property zoning
Application valuation
19 - OO0O2O04 Date 12/18/L9
s95504
1OO W EDIZ HOOK RD
05 -31- 00- 0 - 0 -0000 - 0000-
ELECfRICAL ONLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PI'BI.IC BUII,DINGS & PARKS
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
500 amp panel replacement
Orrner:
CTTY OF PORT ANGELES
PO BOX 1150
PORT ANGEI,ES WA 9536202\'7
NORTH PENINSUI,A ELECTRIC
761 FRESI]WATER PARK RD
?ORT ANGELES WA 98353
1360) 4'17 -1764
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
225.O0t2/rs/t9
6/ts/20
EIECIRICAL ALTER COMMERCIAI
Plan Check Fee
val.uation
00
0
Qty Unit Charge Per
1.00 225.0000 EcH EL COM 401 500 SRV FEEDER
Extension
225 . AO
Charged Paid Credited Due
00
00
00
PERMIT WILL EXPTRE Slx (6) MONTHS FROM LAST INSPECTION
Permit Eee Totsaf
Plan Check Total
Grand Total
225
225
o0
o0
00
225
225
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE ,ilrs/)z +Y @
ROUGH-IN
FINAL plilm p EF
COMMENTS:
Signature of orrner or Electrical Contractor X Date
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MULTI.FAMI LY / COMM ERCIAL
ELEC TRICAL PER IVIITAPPLIC ATION
Public Works and (ltiiitics I)cparrmenr
121 t.l. 5rh Streel, Pon Angcies, W'A 98362
360.4 17.1735 i wwrv.cityofpa.us i electricalpermits@cityofpa.us
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Proiect Address Ediz Hook Road
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Project Description Uni States Coast Guard 600amp feeder
n
.
M:lti:Famill R:srd:ntia] X Commercial / tndustrial / public Buitding Square tootage:
:::'.]:'....]..-..-..:-':.
jName: t ISC Email
Name North Pe nt n ula Electric License northoe930
ttem
Service/Feeder 20O Amp.
Se.vice/Feeder 20 1-40O Arnp.
Service,/Feeder 401 60O Amp
Se.vice/Feeder 60,-1 000 Amp
service/Feede, over 1000 Arrp.
Baanc*r C'rcuit t/V/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additiooal B.anch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp
Iemp SewicelFseder 201-400 Amp.
Temp. Seryice/Feeder 401{00 Amp.
Temp. SeNic€/Fe€der 601 t000 Amp.
Portal to Portal Houdy
Sighal Ci.oJit/Limited ErErgy - Mufli-Famity
Signal Cirqriulimited Energy/First 1500 sl - Commeroal
(Nob: $5.00 for each additional ,1500 s0
Rene'.,able Elec. Energy: sKVA System or less
Thermostat (Nob: $5 for each additional)
Quantitv IoEl (Qu.ntity x Unit Chsrge)t nil Charge
sr32.00
$r60.00
t225.00
$288.00
$410.0o
$5.0o
$74.00
55.00
$86.00
s102.00
$121.00
6164.00
E185.00
s96.00
$88.00
$96.00
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g 225.00 ronr-
Owner as defioed by RCW 19.2E.261: (1) Owner will ocqJpy the st.ucture for two years after this electrical permit is finalized. (2) Owner |s
required to hire an electrical contractor if above said propeny is fo. sali-6, renl or lea6e. Permit expires atter six months oflast inspection.
Affer reading the sbove statement, I hereby certily that I am the owner ol the above named property or a licensed electrical contraclor I
am rnaking the electrical insta lation or alteration ih compliance with the elec,trical laws, N.E C., RCW. Chapte. lg.2g. WAC. Chapbr 296,
468, The City of PortAngeles lrunicipal Code, and Ufility Specifications ahd PAMC 14.05 05O regarding Ele.Irical permit Apptications.
Kiwbarl Rae Walker
s113.00
s56.00
01 Kimb
Date Print Name Sionature lg Owner I--l Contractor / Administrator)
-READY FOR INSPECTION-
lElectrical Petmit Applications may be submitted to City Hall or etectricalpermits@cityofpa.us or fax€d to 360.4.17.4711]
m rl
tvtailing loAress: Ediz Hook ROad Port Angeles WA phone: __--
Mailing Address: 760 Freshwater Park Expiration Date: ----Emait: northpeninsrrlaelectric@yahoo-com pnone:360 477-1764
$_
