HomeMy WebLinkAbout1504 Bldg 850 Fairchild Airport Rd #856ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
I\'DUSTRIAL HEAVY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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\\rApplicatsion Nunlcer
Appfication pin nunrber
Property Address
ASSESSOR PARCEL NIJ'}IBER:
ApplicaEion t!?e description
Subdivision Name
Propertsy use
Property Zoning
Applicatsion vafuation
19- 00001?42 DaEe Ll/07 /19
179935
1504 B'DG 850 FAIRCHILD AIRPORT RD #856
05- 30 - 05 - 0 - 0- 0000 - 0000 -
EIECTRICAL ONLY
Application desc
XFR kil for disasEer relief
Contractor
PORT OF PORT ANGEI,ES
PO BOX 1350
PORT ANGELES
524 E. 1ST ST,
PORT ANGELES
(360) 452-9254
!{A 983 62 wA 98362
Permi t.
Additional desc
Permi! Fee
Issue Date
ExpiraEion DaEe
ELECTRICAI ALTER COMMERCIA],
1-4 CIRCUITS
A5-00 Plan Check Fee
tL/o1/ 19 valuaEjon
s/os/20
00
0
oty Unit Charge Per
BASE FEE
Exlension
85.00
Paid Credi.ted Due
PemiE Fee Totaf
Plan Check Tctsal
Grand Total
86.00
.00
86.00
86.00
. o0
85. 00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN zlnhn 4P .SAF
FINAI t'ltb/n g rd
COMMENTS:
Signature ofowner or Eleotdcal Contractor X Date
Charged
ll/05/2019 14:51 FAI 360 452 9265 Anaeles Electric
EL C
Public Works and Utilities Department
321 E. 5th Street, PortAngeles, WA 9E362
360.4 l'1 .47 35 | www.cityoSa.us I electricalpermits@cityofu a.us
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P,O * zsaProjectAddre$s:
Project Description:
fl Multi-Family Residential {Commerciat / lndusldal / Public Building Squara footage:
Name:Email
Mailing Address:Phons:
Name:Anqeles Electric,
Mailing Address:524 E. First SEesL Port Anoeles wA 98362
Licen8o:ANGELE
Expiration Dat :!1t20n
PROJECT DETAII S
Email:ksim
Item
Service/F6eder 200 Amp.
Se'..ico/Feeder20.1 -400 Amp.
Se ice/Fceder 401{00 AmP.
Servica/FeedEr 601 -l 000 Amp.
ServiceJFeeder ovsr 1000 AmP.
Brandr Circult w/ Servica Fseder
Brancfi Circuit w/g Ssrvlce Fesder
Each Addltional Brandt Circuit
Brandr Ciraits l-4
Temp. Servico/Feeder 20O AmP.
Temp. Service/Feeder 201400 AmP.
Temp. Service/FeedQr..(t101-600 AmP.
Temp. servicer'Feedei4p,t't goo emp.
Portalto Portal Hourly '.'.
Sign / Outline Ughting
Signal Circuivlj mited
Signal Circuit/Limited
(Note: $5.00 for each
Renewable Elec. Energu: sn/A
Thermostat (Note: $5 fo. sach additional)
Phornc: 36G452-9264
Iclel (Quantlty x l,ntt Cteryo)In&$asr
$132.00
$100.00
u25.00
8288.00
t410.00
05.00
$74.00
E5.00
f46.00
3r02.00
3121.00
OrtlEfl!
/
E
$
3
st
I
E
$
E
$t
3L-
t
$
t .O
TOTAL
Oyyner as defnsd by RCW.'! 9.2E261: (1) Owner will ocsrpy ha slructli. ftf tvo yegl afist t s qbculeal P*rnlt L ltn'|ts'd' (2) O'Ytl.r b
requir€d to hlrs an stec6cal conhaoi tf-*ove raia proffi i: ror care, ronr ;i-6;. pertrn cndor atui sh motha d hrt lntp'cdoo'
After reading rhs sboys .tatsment, I h€rcby c.fiiry thit I am lhc owne of lho rbova named Prwe,ty or a licon'cd
'looElo'l
o(fif'dot' I
am making tho el€clricat insurrauoo oi aniluon ii q;pri,ance wlth fie d*cat hula N.E.c., ficlli. chsPter 1938. wAC' Ch+t'r 23t-
468, Thectty of portAngsles Muniolpal qodo, and Utllity speancauons md iAl,rc ri.os.osli rtga;uhg aocticel PtrmltApgf,o'lbnt'
Print Namo slgnstufB (E olrvner Contractor /Admlnistr tor)
[Electricat Pormit Applicauons may bc aubmitted !o city Hall of decficdP€ndt@dtyoDa.us or faxad to 360'417'47lll
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ELECTRICAL CONTRACTOR IN FORNIATION