HomeMy WebLinkAbout229 E 5th St TempELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Nunber
Applicatsion pin nurnber
Property Address
ASSESSOR PARCEIJ NI'MBER:
Applicatsion type description
Su.bdivision Name .
Property use
Property Zoning
Application valuaEion
19- 00000869 Date 6/07/1-9
994457
229 E 5TH ST TEMP
05- 3 0- 0 0 - 0 - 1- 594 0 - 0000-
EI,ECTRTCAI, ON',Y
Plaa Check Fee
valuatiolt
.00
0
Qty Unit Charge Per
1.OO 1O2.OOOO ECH EL- COMM O-2OO TEMP SRV / FDR
Extsension
102. 00
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Appfication desc
Temp service
Okarer
WIIJIIAM SHORE MEMORIAI, PCIOL
DISTRTCT
233 E 4TI{ ST
PORT ANGELES WA 98352
l36OJ 4L7 9'7 67
ANGELES ELEClRlC
524 E. 1ST ST.
PORT ANGELES
\36A) 452-9264
wA 98352
Permi E
AddiEionaf desc
Iss\re Date .
Expiration Date
102 .00
6/01/L9
t2 / 04 /Le
ELECII,I CAI, AI,TER COMMERCIAL
charged Pa id Credited Due
Perml E !'ee 10ta1
Plan Check Totsal
Grand ?otal
102
LO2
.00
.00
.00
102.00
.00
102.00
o0
00
00
00
00
00
PERMTT WILLEXPIRE StX (6) MONTHS FROM T-A.ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE tln)n =b "f,D
ROUGH-IN
FINAI F
COMMENTS:
v
Signature ofowner or Electrical Contactor X Date:
06/06/2019 15:42 FAtr 360 4s2 9265 Angeles Electric
MULTI.MI LY / COMM ERC AL
ELECTRICAL PERM IT APPLICATION
Fublic Works and Utilities Deparfinent
321 E. 5th Street, PonAngeles, WA 98362
3 60.417 .47 3 5 | www.cityofoa.us I electricalpermits@cityofpa.us
q0002/ooo2
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Sfl""fProject Address:
P Description:
ulti-Family Residential Commercial / lndustrial Publlc Building Squar. footrge:
Name
Mailing Address:
Name:Ange les Electric, lnc Licsnse:ANGEL
Mailing Address:524 E. First Street, Port . wA 98352 Erglration Date:2nno20
Email:ksim us.net Phonc:360
--16 0 -7t7;L
lleE
SeMce/Feeder 200 AmP.
SeMc€/Feeder 201-400 Amp.
Service,/F6Eder 40 1€00 tunp.
Service/Feeder 601-1 000 AmP"
Service/Feeder over '1000 AmP.
Branch Circuit w/ ssrvic€ Feeder
Brandr Circuit WO Servic€ Fecder
Each Addiuonal Branch Circuil
Brandt Circuits '1.4
Tamp. Sorvic€y'Feeder 200 AmP.
Temp, Sorvic./feeder 201-400 AmP.
Tsmp. Ssrvice/Feedpr 401400 AmP.
Temp. S8rvic6/Feede(,S0.'!-1000 knp.
Portalto Portal Houdy .
Sign / Outline Lighting r'' :r:
'r
Signal CircuiULlmitad
Sional CirqriuLimited- (Note: S5 .00 for each
Id,-cDsct
$132.00
3160.00
322s.00
$288.00
0410.00
ts.00
$74.00
E5.00
386,00
$r02.0o
8121.00
Clrldiu (Ourndty x Unlt Chsrg.)
t-
I __--:3-s-3-t.-3-
1t ^4,_T Et
$
0
Renew;bb Elec, EnergDrt 5l<\/A tThermostat (No!€: SS for each additional)
a TOTAL
Print Name Signstrra (E o1,vner Eloctrical Conbtctor /Admin baator)
Owner as delined by RCW.1926.261: (t ) Ownar will oocupy tha stuclutB for trvo ysan efbr rhb dcctrical pe rmlt ll indEcd' (2) Ofln'r i8
required to hire an etecticaf €oilr8aoi i/aUove ralO profrty ts fbr s.la. ro; ;i-doe' pjttn cop6"t dtai llr rnonfit of l"t hsp"llo'r'
Alter rsading the abovs statement, I hereby cErlity lhat I
-8m
ula of,n€r of thc abot,r named Pfopdty or a llccn"d cl'colc'l cofit'ador' I
am making the etsstdcat instattauon or arteltlon ii comprnnco tltt thE ed;;l-il. N'E'C" CcW' ct'"pt"r 192s' tlvAC' chaptcr 20&
468, Tho c1y of porrAngel$ Municipat cod6, and wtlry sp"oncarion".ir-JFerrrC'il.dtooti rega.dtng Ehcucal PomltApPllc'tloli''
/uvS,
Email:
ELECTRICAL CONTRACTOR INFORMATION
PRO.JEC.T DETAILS
lElectdcal permit Applications may bo submitted to city Hall or electlicalPermlts@cityofPa'ua or ftxed to 360'417 '47111
g.-
OWNER INFORMATION
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