HomeMy WebLinkAbout1504 Bldg 825 Fairchild Airport Rd #835ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
INDUSTRIA.L HEA!ry
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REPORT STATE SATES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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ZDL 2tj 711t4
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{oApplicatlon Number
Applicatj-on pin rrumber
Property address
ASSESSOR PARCEL NOMBER:
Application type descriptsion
Subdivisior Name .
Property Use
ProPerty Zoning
Appl,ication valuation
19-0000t 740 Date 11/ o'7 / t9
033920
1504 BI,DG 825 PAIRCHILD AIRPORT RD #835
05 - 3 0 - 06- 0 -0- 0000- 0000-
ELECTRICAI ONI.Y
Application desc
XFR kit for disasEer relief
Contractor
PORT OF PORT ANGELES
PO BOX 1350
PORT ANGEIES WA 9A352
AI,IGELES ELECTRIC
PORT A].IGELES
l35O) 452-9264
wA 983 62
Permit
AdditionaL desc
Permit Fee
Issue Date .
Expiration Date
E],ECTRICAL ALTER COWERCIAI
1-4 CIRCUITS
85.00 Plan Check Fee
lt/ a7 /t9 valuarion
s/os/20
00
0
Qty Unit Charge Per
BASE FEE
Extension
85.00
Fee suilmary charged Credited Due
Plan Check Total
Grand ToEaf
85 .00
. o0
86. O0
85.00
,00
85.00
. o0
.00
.00
. o0
.00
.00
PERMIT WILL EXPTRE SIx(6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN ulrolzo 4P \hN
FINAL ilnlzt .&?tr
COMMENTS:
Signature of owner or Electrical Contractor X Date:
O$oer
LL/05/20t9 14:50 FAX 360 452 9265 Angeles Electric
ELECTRI CAL PERM lT APPLICATIQN
Public Works and Utilities Department
321 E. 5th Street, PortAngeles, WA 98362
360.417.4735 | www.cityofoa.us I elecficalpermits@cityofua.us
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Proroct Address:
Project Description:
E Multi.Family Residential {Cqnmeraat tlndustrial / Public Building Squarc fuotage:
Name:
Mailing Address:
Nam6:Anqeles Electtic, lnc
Mailing Address:524 E. First Street. Port Anseles, WA 98362
Email ksim
Liconso:ANGELE r460RS
Expiration Dato;2nno20
Phone:-9264
lleB
Service/Feedor 200 Amp.
Service/Fesd612q{ -400 Amp.
SeMce/Feeder 401 -600 Amp.
Sewice/Fseder 60'l -l 000 AmP'
Service/Feeder over 1 000 Amp.
Brench Cirdrit w/ Servics FEeder
Branch cirqrit W/O SsMGe Fosder
Each Addltlonal Eranch Cirqrit
Branch Cirdrits 1.4
Temp. Service/Foeder 200 Amp.
Tsmp. Service/Feeder 201.400 AmP,
Temp.
Temp.
Portal
Sign /
600 Amp;
ServiceiF AmP.
to Portal Hourly
Outline Llghting
Slgnal Circultllimibd En
llLc[rlcr
$r32.00
$100.00
$225.00
$288.00
t410.00
35.00
374.0O
$5.00
3S6.OO
3102.00
t121.00
qllllflg
I ''%-
Iejhl (Quantlty x U nlt Chargr)
t
0
$
s
E
$
$t
E
$t
$
$
3
Slgnal CircuiuLimited
(Noi* 55.00 for eacfi
R€newablo Elec. EnergY: 5Kr'A
Thennostat (Note: $5 for cac$ addidonal),o
TOTAL
Owner as defined by Roiv,19.2Ez6t: (1) oflnerwill ocoupy tho struchrl€ fortrvo y.€t! dt r lhls sl€ctlc.l,P.nnlt b fnalts'd' (2) o*'|cr i'
requirBd to hire an sledrical oormaoi dabova sald property b for sale, rctd ; l;a.6. Permit eplrea aftar sh mqfhs of hlt lnsp'ctst'
After reading the abovs statsment, I hersby certifi that I am tho or,vflOr of lhc aboG nam€d ptoporty or a llcan'6d el'colcat c'ff'ctor' I
am making the eteotricat rnstatration oi an#rion ii cornpri.nce wrur ore d;fr;i;;N.eC-, Acrri. ctt"ptut 19.?8. w'cc' ch'pt'r 290-
ru:;; Eiry, i;rtens"tes rruni"rpsl'ii,o", iiio Uti]r[i sper*fcadons and PAMc 1.*.05.050 t€ga]ding Elec$cal PrnhtApp0oatlon:'
Slgnaturo (E Orvnor Contactor /Adml ni3taio.)
[Electrical Permit Applications may be submittad to city Hall or €lectricalpermits@d[yofra'us or fo(€d to 380'417'471{l
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