HomeMy WebLinkAbout2140 Bldg 1020 W 18th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
INDUSTRIAL LIGHT
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nunber
Application pln nunncer
Property Address
ASSESSOR PARCEL NoMBER r
Application t),pe description
Subdivision Name -
ProperEy Use
ProperEy zoning
Application vafuation
19- 00001s16 Dare 10/01/19
452424
2140 BLDG 1020 W 18TH ST
0 5 - 30 - 00 -1- 1- 2100 - 5001-
ELECTRICAI ONI,Y
Application desc
Exterior freezer
PORT OF PORT ANGEIJS
PO BOX 1350
PORT ANGETES WA 9A3520251
135A) 457 -as21
PermiE
Additional desc
Permit Eee
Issue Date
Expiration Date
Qty Unit Charge
1.00 74 .0000
74.40
lo / ot/19
3 /29 /20
ELECTRICAL ALTER COMMERCIAL
Plan Check Fee
Valuation
00
0
Per
ECH Et-CoMM BR]ANCH cIR Wo/ s/F
Extsension
?4 .00
Fee summary Charged Paid Credited Due
Permit Fee TotaI
Plan Check Total
Grand Totsa1
'74 . AO
.00
74.40
'74 .AO
.00
'74 . AO
00
o0
00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS TROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN tl"tlz,sr BP
FINAL ,)zzlm +r w
COMMENTS:
Signature of owner or Electrical Contractor X Date
OWNER
IMULTI -FAMILY / COMM ERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles, WA 98362
36A.417.4735 ; www.cityofpa.us electricalpermits@cityofpa.us
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rProject Address
Pro.iect Description
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E * 4eri>r'F rt€?<r i.a ' + it,Can ex tna'kd tt <t r- P t3r.t i I *
w ggs 6s
n tululti-Family Residential B Commerciat i lndustrial / Pubtic Building Square footage
Name Email
ar+|-J T Phone:?60 b / /6
ELECTRICAL CONTRACTOR INFORMATION
Name License
Mailing Address
Email:
Expiration Date
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 60'1 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Ci.cuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Servlce/Feeder 601-1000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal Circuiulimited Energy - Multi-Family
Signal Circuiulimited Energy/First 1500 sf - Commercial
(Noter $5.00 for each additional 1500 sfl
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Quantitv fgla! (Quantity x Unit Charge)Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
74s-
$
$
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$113.00
$56.00
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$7',|"9 TOTAL
Owner as defined by RCW 19.28.261 : ('1 ) Owner will occupy the structure for two years after this electrical pefmit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed eleclrical contracto. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles MunicipalCode, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date rint Name Signature (E Owner El Electrical Contractor / Administra
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
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lvlailing Address:
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c IER INFORMATION,\AA