HomeMy WebLinkAbout105 W 1st StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
CENTRAL BUSINESS DISTRICT
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
ApplicaEion pin nu ber
PloperEy Address
ASSESSOR PARCEIJ NUIVIBER :
Application E)?e description
Sulcdivision Name
Property Use
Property Zoning
Appli.cationvaluation .
19- 00000L2? Date t/23 /1-9
313{ 18
10s w rs? sT
06 - 30 - 00 - 0 - 0- 1s66- 0000 -
ELECTRICAI ONIJY
Appl.ication desc
ourside lighr and GFCI
Ol,t]er ConEractor
BRANDO S BLORE
PO BOX 3029
PORT ANGEIJES
(350) 808-09?0
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGEIES
(360) 452-9254
wA 983 62 wA 983 52
Permit
Addi.t ional
Permi! Fee
IEEUe Date
ETECTRICI\'] AI,TER COMMERCIAI
1-4 CTRCUITS
85,00 Plan Check Fee
L/23/79 valuarion
7 /22 /7eExpj-rat.j.on Date
oty Unit ClBrge
00
0
BASE FEE
Extension
86.00
Fee summary Charged CrediEed Due
Permit Fee Tolal
Plan check ?6tal
Grand Total
85,00
.00
86. O0
85. 00
.00
85.00
.00
.00
.00
.00
.00
.00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN E)nln 4 :EP
FINAI *
COMMENTS:
Signature of or*rrer or Electrical Contraclor X Date:
i)i/rq 4?
0l/21/2019 16:21 FAI 360 452 9265 AnSeles Electric
MULTI.MILY / COMME RCIAL
ELECTRI CAL P ERMIT APP ICATION
Public Works and Utilities Department
321 E. 5th Sueet, PonAngeles, WA 98362
3 6A.4 1 7 .47 3 5 | www.cityofo a.us I electricalpermits@cityofpa.us
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ProjectAddress:
Projsct Desq'iption:
EI Multi-Family Residential Commercial / lndustrial /Public Building Square footage:
Name Email:
Mailing Address:Phone
Anqeles Electric, I
Mailing Address:524 E. First Port Anoelos. WA 98362
Email:ksi
License:ANGELEI46ORS
Expiraton Date:ail2020
Phone:360-4
OWNER INFORMATION
PROJECT DETAILS
[eo
Servic€/Feeder 200 Amp.
Servic€/FBeder 201-400 Amp.
service/Feeder 401 -600 Amp.
Servicey'Feeder 60'l -1000 Amp.
Service/Feeder ovor 1000 Amp.
Branch Circrrit w/ Service Fesder
Branch Circuit WO SeMce Feeder
Each Additional Branch Gircuit
Branch Circui6 14
Temp. S€rvice/Feeder 200 tunp.
Temp. Service/Feeder 201-40o AmP
Tomp. Servic6/Fsed9r4o1$Oo emp.
Temp. Service/Fsadet'lq1-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiuLimited Energy :,Mttifanity
Signal CircuiuLimited Energy/First i5O0 sf - Comme.dal,
(Not6: 55.00 for each additi.onal 1500 s0
Renewable Elec. En€rgy; sK/A Sysrem.or less
Thermostat (Note: E5 for ea.fi additional)
t nlt Charoe
01s2.00
s160.00
$22s.00
$288.00
E410.00
s5.00
$2r.00
t5.00
s86.00
sr02.00
$12'1.@
,$1949.9. ,'., -.=-
t$1. -"$0, , -;:-
'$$:q0; . -----
$8.a00'
$98.,90
$ee00
.$,113:.0O
s56.00.
qUilIg Ielel (Ouentlty x Unlt Chargo)
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$
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Owner as delined by RCW.1928.261: (1 ) Owner will occupy tho Etuclur€ for two yeals aftsr thb ebdtical p€rmit b flnalized' (2) Orvnsr i8
required to hire an eloctricat contracb;itauovs galo propeity is for sale, r6nt or liase. Pemit axpiros aftEr six months of last inspsclion.
AJter reading the above statement, I hereby certry that I am th€ owner of the above narned pmporty or a licensod otoctical cfilractor' I
am making ire elecfical installation or altaration in compliance wlth tho el€clrical laws, N.E.C., RCW. Chapler 19.28, WAC. ChaPtor 296'
eee, ftr" 6lty ot eortAngelEs Municipal Code, and Wltil Speclticaliom and PAMC'14.05.050 regardlng Ehcrical Psimlt &Dllcatom.
3 TOTAL
Print Name Signature (fl Owner / Ad ministrator)
[Etectrical Permit Applications may be submitt6d to City Hall or electricelpermits@cityofpa.us or faxed to 360.4.l7.471'11
ELECTRICAL CON TRACTOR INFORIVATION
Name:
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