HomeMy WebLinkAbout223 E 4th St (6)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4'73s
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DdApplication Number
ApplicaEion pin numbe!
Proper!y Address
ASSESSOR PARCEL NUMBER:
Applicatlon t!'pe descripEioo
subdivision Name
Propert.y U6e
Property zoning
Application vaLuation .
18 - 00 00145 8 Date
322945
223 E 4TH S"
05 - 3 0 - 00 - 6 - 4 - 6?00 - 0 000 -
EIECTRICAI, ONIJY
s / 1e/r8
Applica!ion desc
Replce LT. UPS
PUBLIC BUIIJD]NGS & PARKS
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Conrractor
CLALLAM COIINTY
223 E 4T1{ ST
PORT ANGELES
1360) 4a7 2429
ANGEI,ES ELECTRIC
PORT ANGELES
\360) 452- 9254
r.ra 98362 wA 983 62
Permi. t
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAI] ALTER COMMERCIAL
1-4 CIRCUITS
85.00 Plan Check Fee
9/1a/rs vafuaEion
3 / t7 /1-e
00
0
Qty Unit Charge Per
BASE FEE
Extenaion
86. 00
Fee summary Charged Paid Credi ted Due
PermlL l'ee 10ta1
Plan Check Total
Grand Total
85 .00
.00
85,00
86.00
.00
86.00
00
00
00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN zlrc ln 4Y "6p
FINAL z'lnlg {r =fql
COMMENTS:
t-- t,'
Signature ofowner or Electrical Contractor X Date
09/17/2018 12:46 FAX 360 452 9265 Anaeles Electric
MU LTI.FAM I LY / COMMER.CIAL
ELECTRICAL PER MIT APPLICATION
ftrblic Works and Utilitie* Department
3:i E. 5rb Sneet. PorrAngcles, 1&A 9816f
36$.111 .47 35 | ww*'.cityofpa.us I electricalparmitsf@cityofpa.us
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223ProjectAddress:
Project Description:
E Multi-Family Residential Gommercial / lndustrial / Public Building Square footage:
Name;Email:
Mailing Address:Phone:
Name;ANGELES ELECTRIC INC Liconse:ANGELE146ORS
Expiration Date 02101t2019
Phone:360452-S26l.
Mailing Address:524
Email: ksim
Service/Feeder 200 Amp.
Service/Feeder 20 1 -400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-'t000 Amp.
Service/Feeder qver 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Ci.cuit
Branch Circuits 'l-4
Temp. Service/Feeder 20o Amp.
Temp. Service/Feeder 201-400 Arnp.
STREET
$225.00
$288.qQ
$41:O00
$s.00,.
$74;00
S5,00
$8610Q'
&1Cioo
$12l,oo
b
$
s
q
$
$
$
$
$
$
-w
Temp. Se
Temp. Se
Portal to Portal Houdy
Sign / Ou(ine Lighting
Signal CircuiULimited
Signal CircuiuLimited
(Note: $5.
Ronewable Elec. Ene
00 for each
rgy: st<VA s_
Thermostat (Note: $5 for each additional)$_
1L'o ,oro,
Owner as defned by RCW 19.28.261: (1) Owner will ocqJpy the stucture for two years after this dectical pemit is fnalized. (2) Owner is
required to hire an eleclrical contractor if above said property is for sals, rert or lease. Permit expir* ater six months of lasi ircPection.
After reading the above stabmgnl, I hereby certify that I am the o$/ner of the abov6 namod preperty or a licens€d €l€c'trical contactor. I
am making lhe electrtcal installation or alteration in c,omdian@ with ths electicallaws, N.E.C., RCW. Chapter 19.2E, WAC. Chapter 296-
468, Th€ Ciry of Port Angoles Municipal Code, and Utility Spscifications and PAMC 14.05.050 regarding El€clrical Permit Aodicativls.
Print Name Signature (! Owner Eleclrical Contractor / Administraior)te
Permit Applications may be submitted to City Hall or e{ecMcalpermits@cityoha.us or faxed to 360.417.47111
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