HomeMy WebLinkAbout112 E 8th St A (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
COMMT]N]TY SHOPPING DISTR
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nuniber .
Application pin nudber
Property Address
ASSESSOR PARCEL NI]MBER :
Application t),pe description
Subdivision Name
Property Use
ProperEy zoning
Application vafuatsion
19- O0O0OO34 Date 1-/08/19
438530
112 E 8TH ST A
05 - 3 0 - 00 - 0 -2 -6831.- 0000-
ELECTRICAI- ONLY
Application desc
Data / phone
OqTrer
PENINSUI,A COMMT]NTfi MENTAL
HEALTII CENTER
118 E STU ST
PORT ANGELES WA 9A3625!29
(350) 4s 7 - 0431
ANGEI.ES COWI]NICATIONS INC.
102 ROSS LN.
PORT ANGELES, WA
PORT ANGELES WA 983 52
1360) 45'7 -4315
Permit
Addilional desc
Permit Fee
Issue Date
106.00
7/A8/19
'7 /a1/le
ELECTRICAL ALTER COMMERCIAL
Expiration Date
OEy Unit
1.00
2 .00
Charge
95.0000
s .0000
Per
ECII
ECH
EL LIMITED 1ST 15OO SO FT
EL-ADDIVT I,IMTTED 15OO SO FT
00
0
Extension
96.00
10.00
Charged Cr:edited trLre
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Permit Fee Total
Plan Check Total
Grand Total
105
106
106
106
00
00
00
.00
.00
.00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
RoucH-rN s lzzlfi z)s rtt tr eF&
FINAI slx)n D
COMMENTS::7
Signature of owner or Eleclrical Contractor X Date:
Plan Check Fee
Valuation
&,
t\fl il Tt-trat\fllY eo M [TtrRCIAI
ELECTRICAL PE MIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angetes, WA 98362
360.4 17.4735 | www-cityofpa.us I eleckicalpermits@cityofpa.
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L' ^.,Project Address:
Prolect Description:L.-o cJ
E Mutti-Family Residential b.Commercial / lndustrial / Public Building Square footage:3gcD
Name:
Mailing Address t Email:,r7
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Servic€i Feeder 401600 Amp.
Servicei Feeder 601 I 000 Amp.
Service/Feeder over 1000 Amp.
Brsnch Circ it W Service Feeder
Brancfi Cirq/it WO Sorvice F66der
Each Additienal Branch Circuit
Brandr Circlrits 1-4
Temp. Service/Fe€der 200 Amp,
Temp. Service/Fe€der 201400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Po.tal Hourly
Signal Circuivlimibd Energy - Mutti+amily
Signal Ciroriulimited Energy/FiBt 't500 st - Commercial
(Note: g5.OO ,or each additional 15@ sf)
Reoewable Elec. Energy: snr'A System or less
Thermostat (Note: S5 for each additional)
Phone 7Lo | .t'
"O.l
2l
License:2-
Expiration Oate
Phone: j6 o ?s 7 tlz
Cluartite lgEl (quantlty x Unlt Chsree)
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/t)
LJ,
Name:
Mailing
Email:
a2-L r't -)o
t'r')
Unit Char.e
$132_00
$160.00
8225.00
$288.00
s410,00
$5.00
$74.00
s5.00
$86.00
$102.00
s121.00
$r&t.00
s185.00
$s.00
$88.00
$96.00
$
$
u
$
$
$
s
s
$
$
$
$
$
s
$
t
,
J.
6113.00
s56.00
/ cl,'TOTAL
Owner as defined by RCW19.2E.261: (1) O$iner will occupy the slructure for two years afrer this electricat permit is fnalized. (2) Owner is
tequired to hire an electtical contractor if above said property b for sale, rent or lease. Permit expires aRer six rnooths of last inspeclion.
After reading the above statement, I hereby certify that I am the owner ofthe above named property or a Iicensed electrical contrador I
am making the electrical installation or alt€ration in compliance with the elechical latvs, N.E.C., RCW. Chapter 19.29, WAC. Chapler 296-
468, The Caty of PortAngeles MunicipalCqde. and Utitity aWYC 14.05.050 regarding Ehdrical Pemit Apptications,
1 lcr o,t rCl 5-r n
Date s (fl Owner [l Elec-bical Contractor
ELECTRICAL CONTRACTOR I NFORMATION
lElectrical Permit Applicstions may be submitted to City Hallor electricalpermits@cityofpa.us or faxed to 360.417.4711,!
ELcoM
Print Name
OWNER INFORMATION