HomeMy WebLinkAbout829 E 8th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
COMMERCIAL NE IGHBORI]OOD
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-\
s..A
..ht-'\t
Application Nuiber
Application pin nuniber
Property Address
ASSESSOR PARCEI NUMBIR:
Application t!'pe descr j-ption
Subdivision Name . .
ProperEy Use
Property Zoning
Applicatio. vafuation
19- 00000964 Date 6/2e/t9
21606 0
829 E 8TH Sr
05 -30 - 00 - 0 - 2- 2495 - 0000-
ELECTRICAI O}IIJY
Application desc
Oener
IIOSPICE OF CIALI.AM COUI{IY
540 E 8TH ST
PORT ANGELES WA 983 62
PENINSULA I]EAT lNC
782 KITCHEN.DICK lID
sEourt't
(350) 681-3333
wA 983 82
Permi ts
Additional desc
Permit Fee
Issue Date
Expiratsion Date
56 .00
6 /28 /te
1-2/2s/19
ELECTRICAI ALTER COMMERCIA!
Qty Unlts Charge Per
1. OO 55. OOOO ECI] EIJ-IJW-THERMOSTAT
Plan Check Fee
valuation
.00
0
Bxtenslon
56. 00
Charged Paid Credited Du€
Perfiits Fee ?otaf
Plan Check ToLal
Grand Total
55-00
.00
55-00
56.00
.00
s6.00
00
00
00
00
00
o0
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN qh+ln ])7 =sPFINALt\)qtle $,F \*
COMMENTS:
DateSignature of o\a,ner or Electrical Contractor X_
RECETVED
JUN Z1 :lr\gM To
=l:-L A P IT P AT N
Public Works and Utilities I)cpartment
321 I-t.5th Srreet, porr Angeles, WA 9g362
360.4 17.4735 | www.ciryofpa.us I electricalpermits@cityofua.us
.t
N
\Project Address EL^lr.
Project Description:\t li
D Muti-Famity Residential Ef Commercial / lndustrial/ public Building Square lootage:3
Email
Phone
Quantitv Iahl (Ouantlty x Unit Charge)s_s_-0_-
$_-
$--t--
$.-
0.-
$.---s---
$-._-
$--
3-.-
i...--3.-3_
Name:
lrailing Address
Mailing Address
Email
Item
Se.vice/Feeder 200 Anp.
Service,lFeede. 201 -4OO Amp.
Service/Feeder,{O1€OO Amp.
Selic€r'Feeder 60,l -1 O0O Arnp-
SeMcdFeeder over 1 000 Amp.
Branch Circuit W Service Feoder
aranch Circuit WO Servic€ Feeder
Each Additionat Branch Circuit
BEnch Circuib 1-4
Temp. Servicer'Feeder 200 Amp.
Temp Service/Feeder 201-4OO Amp.
Temp Service,/Feeder 401 600 Amp.
Temp. Service/Feeder 601-iOO0 Amp.
Poatal to Portal Houdy
Signal Cirqriylimited ErErgy - Multi-Fsmily
Signal Crrqii/Limited E rErgy/First 1500 Bt _ ComrflercEt(Note: $5 00 for each qddithnal 1SO0 sD
Renewabb Etec. Ene,!y: SI(VA Sydern or bss
ThermGtat (Note: $S br each additional)
unlt Ch.roe
t132.m
$160.@
$225.00
t288.00
$4r0.00
ss.m
s74.00
E5.m
s86.m
s102.@
9121.00
t164.00
$185.00
$96.00
s88.00
$96.00
s113.00
$s6.00 ro--l-$
$
r 6L-g rorlr-Owner as de,ined by RCW19.28.261 (1) Ownerwilt occrJpy the alrudurE br two years after this elect.ical permit is finalized (2) Ownerisrequired to hire an eleclricai contractor if above said propedy is for sate, rent or lease. Permit expires afrer six months of last inspestion.Afrer reading the above statement, I hereby certify thal I am the the above namgd prope.ty or a licehsed elestical conlrac{or Iam making the elecbical instaltation o. alteration in compliance E,C 28. WAC Chapter 296-468. The City of portAngeles Mun icipal Code, and Utility 14.I Permit Applicatjons.
Date ignature (E Owner Electrical Contractor / Administrator)
lElectrical Permit Applicalions may be submitted to city Hall or electricatpermits@cityofpa.us or faxed to 360.417.4?.11j
c INFORMATlON
ELECTRICAL CONTRI 'CTOR IN
Name:
PROJECT DETAILS
Print Name