HomeMy WebLinkAbout1504 Bldg 775 Fairchild Airport Rd #785ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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Application Number
Application pln nun oer
Property Address
ASSESSOR PARCEL NUIVIBER :
Appllcation tl'pe description
Subdivisio'! Name
ProperEy Use
Property Zoning
Applicatsionvaluatsion -
19 - 00001741 Date U./A7/t9
lo692A
1504 BI,DG 775 FAIRCHTLD AIRPORT RD #785
06-30-06 0-0-0000-0000-
ELECTR]CAI ONLY
Application desc
XFR kits for disaster refief
PORT OF PORT ANGELES
PO BOX 135 0
PORT ANGELES WA 98352
ANGELES ELECfRIC
524 E. 1ST ST,
PORT ANGELES
\350) 4s2 9264
wA 98362
PermiE
Additionaf desc
Permit Fee
Issue Datse -
ExpiraEion Date
ELECTRTCAI AITER COMMERC] AI
1.4 CIRCUITS
85.00 Plan Check Fee
rl/O'7 /L9 ValuaEior
5/os/20
00
0
Qty unit charge Per Extension
85.00
Eee summary Charged Paid Credited Due
Permit Fee Total
PIan Check Toral
Grand ToLal
86.00
.00
86 .00
85_00
.00
85 .00
00
00
00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN z)o)zn efl \EP
FINAL ziailno ,^7
COMMENTS:
Signahrre ofowner or Electrical Contractor X Date:
TNDUSTRIAI HEAVY
0
BASE FEE
wi
17./05/2019 14; 50 FAX 360 452 9265 An8eles Electrlc @ 0002/0004
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ELcoM
.l,k ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Pon Angeles, lMA 9E362
360.41 7 .47 35 | www.cityofpa.us I electricalpermits@cityofoa,us
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Project Address:
Pro,iect Description:
EI Multi-Family Residential r,dommarcia tlndustial / Public Building Squars footEgs:
Email:
Mailing Address:Phone
Name:Anqeles Electric, lnc Licanse:AN
Mailing Address:524 E. First Port Anoeles.98362 Expiration Datc:2t1no20
Email:ksim pus,net Phon6:
PROJE,CT DE'tAII. S
Item
Service/Feeder 200 Amp.
Servic€/FesdEr 20J-400 Amp.
Service/Feeder 40'l -600 AmP.
Servlce/Feedsr 601-1000 ArnP.
S ervice/FeBder ore. 1000 Amp,
Branch Circuit W SeMco Feoder
Brancfi Circuit WO Servico Feedsr
Each Addltional Branch Circuit
Brancfi ckcuits 1-4
Temp. Servica/Feeder 200 Amp.
Temp. SeMc€/feeder 201-400 tunP.
Temp, Service/Feed9!{01 {00 AmP.
T€mp. Service/Fecd;Lgqj-1OOO Amp.
Portalto Portal Houdy .
Sign / Outline Ughting
Slgnal CircuiYLlmlted
UD[-CllIsr
8t32.00
0100.m
3225,00
$283.m
!{10.00
15.oo
s74.00
35.00
t86.00
3102.00
8121.00
ClllilTU
/7Z-t.--
$--
(quantlty r Unit Chrrg.)
l-t----:
$-t-E-t-t-tI
Signal Circuit/Limited En
(Note: E5.00 for esch
Renswable Elec. Energla sKVA 3-
$-Thermostat (Note: $5 for eacfi addifonal)tO
3 TOTAL
Print Name Slgnature (E Owner contractor /Ad minl3trEtor)
Owner a8 defined by RCW.192E261: (1) Own6r will ocojpy th6 structurB fc tro yaatr dtor thla shctlc.l P.mlt h fndtsld' (2) O |.rb
requirEd to hirB an slecl lcal contractor f abovo sald property ia for .ale, relrt c flarc. iemit crgt.Ba atEi th mq h. C hti ln'p'Gdon'
After reading lh6 sbovc ttatsment, I hctaby carlify thit I am lh, orYnd of ths lbovA named Plop'ny ot ' Icrnmd rba&d Ailtnebr' I
am maktng the etec.rical lnstattetion oiinefidon ln colnptimcc wiur oe erootfcer-la;, N.e.c', iqr;. cnapt . I 9e8, wAc' ch'pt'r 20c'
468, ThE ctty of port Angetea Munic6-i-iiJl, iro uurily sFdfic.tlons and PAlrc rl.os.oso ngarolng ELctio.t Porr{tAdlc'0bnt'
NOV .
Name:
ELECTRICAL CONTRACTOR INFORIVIATION
[Electricat P€rmitAppliaatlons may bo submitted !o clty Hall ot elecfrlcelpermi@cltyoQa.ue or-{bxed b 360 '417 '17111