HomeMy WebLinkAbout403 S Lincoln St 5 (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMUNITY SHOPPINC DISTR
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
s$
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^...lApplication Number
Application pin nunber
Property Address
ASSESSOR PARCEL NI]MBER:
Application Lype descripEion
Subdivision Name
Property Use
Property zoning
Application valuation
18 00001s77 DaEe i0/11/18
2 64t4 2
403 S LINCOLN ST 5
06-30-00-0 1 5920 0000
E]-ECTR]CAL ONLY
Application desc
ExEend circuitss ats counLer
Owner Contractor
KEN I,I PRICE
5418 S O],D M]LL RD
PORT ANGEI,ES
(350) 460-8310
APS EIECTP.lC
546 BENSON RD,
PORT ANGE],ES
l36A) 452-6153
wA 983621,972 wA 98363
Permit
Additional desc
Permrt ! ee
Issue Date
Expiratlon DaEe
ELECTRICA]- ALTER COMMERCIAL
1-4 CTRCUTTS
86.00 Plan Check Fee
10 /:Lt /tB va.LuaE lon
4/oe/Le
00
0
Qty Unil Charge Per
BASE FEE
Extension
86.00
Charged Paid Credited Due
Permlt t ee 10ta1
Plan check Total
Grand ToEal
85. 00
.00
86. 00
85.00
.00
86.00
00
00
00
00
00
00
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECIION
INSPECTION TYPE RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN 4zs,)n N
FINAL a lzaltz x&
COMMENTS:
l/
Signature of owner or Electrical Contractor X Date :
DATE:
VP#
t
i/c[, ITIT
Publi \lbrks and Utilities f)epartment
321 E 5th Street, Port Angeles, WA 98162
360.4t7.4735 .cityoQa-us eiectricalpermis@ciq ofpa-
Proj.ct Address ?o3 inc"l
Proiect Descnplon C-\ t
E Muni-FamilyR$idenlial hdustial/ Publb BuiHing Squarc botage:
Name:Email
Mailing Addre3s Phone
Name:License
Maillng Address Eqriration Oat€;
Email:n Phofle
IL
JS
@
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_-tl
"{s L,JU (_
1
tlE
Ss'\,ica/f acdGr 200 frrp.
S€.\ria./F6.dcr 201{00 Amp.
Sen i:.rf 6.d.r 401 600 Amp.
SJt irF!.d.r 60'l-10O ArF.
S.flit/F..dcr oY€r 1@ Amp.
8f.rich Cirs,,it Ud Srvi€" Faadcr
*andr C'[uJit !.{O S€naa Fradlr
Exfi Additiond Br8{rcn Ciranit
Brardt CirqJib 1.1
Trnp. S.n ir/f!.d{ 200 Anp.
Tgrtp Sslio.rfug 2ot-aooAnp-
T.firp. Scrvi*lFad.r lor€@ ArlD.
Tcmp. S€fl,be/Fc.d"r60'l-10@Arnp.
Porbl to P6tal Hourrry
Sign l Cilrrftt,mrld Ensfy - iin,IiFrnay
Signal Cildtl-knibd ErErgytriri 15O st-
(Nobr 35.00 lor cacfi Edditional 1 sl)
Renavabb Elac. Ene{g}: sKVA Sysen or L6s
Thcrmostrt (Nob: 35 for eadl additionao
Orrur as defined by RCltV. 1 9.28.261 : ( I ) Grier
rEquitgd ic hirB an gladrical contn€tof it aboyc
A{ier l€adir€ tha aoove statsrn nt, I h€rsby
a.n mrking the €lcctriral in8tallalion or altaratbll
4aB. The City ol Pod Muniqpal C6de.
tl Cherr
3t32.m
$60.00
l?25.m
1288.00
trlr0.m
t5.00
3,4.m
$.m
t88.00
$02.&
t12r.m
t164.m
3185.m
t96.oo
t88.00
ts6.@
Ourrdtr,&hl (Axllriy r Uidt Clueo)
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8113.@
$56.00
$
t ZL.oo ?O'AL
oc.r..|glr th! sfuctur! io. two y.!Is.ter lhi! ol€drical p.rmit i9 fndiz€d. (2) Orne. a
propcrty ie for !rle, rent or loala. Psrmi erpirss afor lir mootlE qf hqt inipedion.
that I im tha oinar of the Ebori€ mm€d proparty or E lic!n!.d cl&ticat cofltador. I
complrncc witr tl'tc ch.tric.l hti!, N.E C., ROrV Chaatar 19.28, t AC. c,raDbr 29&
.l?tu
sD.ct cttiorle
acE
ahd wfft**c
Date Print Signaure (E O rEr tI Contactor i AdminBtrato0{t Cl- fiAnq ler-fro-a6ass-
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t-c*ri c.al t2 8sn-lon
ELECTRI(:AL CONTRACTOR INFORMATION
lElectrioal Permit ApplicelioN may be to City HaI or eledncalpermits@cityofpa.us or lbrcd b 360.417.47111
ELcor
I
PROJECT DETAILS
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ELECTRICAL INSPECTION
WIRING REPORT
4174735
APPR
DITCH
APPROVED
il
tr
tr
D
CORRECnONS NEEDED: CoN Ov t-f- l4tz- .. .-? z I t Crr^)t7DC5/b}.
NOTIFY II,ISPECTOR WHEN CORRECTIONS
ARE COMPLETEB WTHIN 15 DAYS
- OO NOT REMOVE _
lo
INSPECTOB
CONTFACTOB
ADDRESS