HomeMy WebLinkAbout110 Golf Course Rd (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
COMMERCIAI, ARTERIAJ,
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicalion Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER.
Applicat j.on lype description
Subdivision Name .
Property use
Property Zoning
ApplicaEion valuation .
18 - 000 014 00 Date g/at/La
558600
110 GOIJF COURSE RD
05,3 0 - 11- 1- 1- 9020 - 0000 -
EIESIRICAI, ONLY
Application desc
Move wiring for l,reu door
Owner Contracto!
RUDDETL PROPER?Y I'IGT RPM I,I]C
135 ri 12th st
PORT ANGEI]ES WA 98362
ANGEIES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
1360) 452 9264
wA 98352
Permi.E .
Addilional desc
Permi! Fee
Issue Date
Expiration Date
ELECTRICAI AITTER COMMERCIAIJ
1-4 CfRCUTTS
85.00 Plan Check Pee
9/].1/18 valuation
3 /L0 /7s
00
0
Qty unit Charge Per
BASE FEE
Extensi on
85.00
Fee summary Charged Paid credi t ed Due
Perm.It !'ee l'ota1
Plan Check Totaf
Grand Total
85. 00
.00
86.00
85 .00
.00
86.00
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
=l'q ln @ SP
FINAI zii4 lit P
COMMENTS
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECIION
Signature ofowner or Eleckical Contractor X Date:
09/06/2078 13:47 FAX 360 452 9265 Anaeles Electric
MULTI-FAMI LY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Dopartrnent
-121 E. ,5th Street, Pon Angeles. \1A 98162
3 64.4 17.11 3 5 | *-wlr,.cityoiira.us I electricalpermits(@cityofpa.us
Pmject Addrcss:
Project Oescription:
n Mufti-Family Residential E Commercial / lndustrial / Public Building Squaro footage:
Email:
Mailing Address:Phone y:<2_-
@ 00o1/0001
io
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t'136e ANGELES ELECTRIC, INC License: ANGELEI460RS
Expiration Date. 0210112019
Phone:360.!52-9264
Mailing Address: 524 STREET
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Service/Feede.200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder ov-er 1000 Amp.
Branch Circuit W Service Feeder
Eranch Circuit w/O SeMce Feeder
Each Additional Bran€h CirclJit
Branch Circuits 1-4
Tamp. SeMcey'Feeder 20O Amp.
Temp. Se ice/Feeder 201-400 Amp
Temp, Service/F
Temp, Service/F
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiULimited
Signal CircuiuLimited
(Nol€: $5.
Renewsble Eloc. Ene
Energy/
00 for each
rgy: 5KVA
Thermostat (Note: $5 for each additional)
Charge)
s16O.ci(i
$22s.00
$i88.oo
$+!olo
$5,00
s74.00
$s,00
$86.00
$1o2.0q
$121,00
T"
$
$
$
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$
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$
$
$
$
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O/vner as defned by Rcw.19.28.261: (1) Owner will ocqrpy the struclure for two yoars aller this electrical permit is finalized- (2) ollvner is
required to hire an electrical contractor if above said propeny is ior sale, renl or leaae. Permit expires after six months of la3t inspectjon.
Afrer reading the above statement, I hersby certify that I am the own6r of the above named property or a licansed electdc€l contrsctor. I
am making the eleckical installation or alteration in compliance witi the electdcal laws, N-E.C., RCW. Chapter 19.28, WAC. Chaptor 296-
468, The City of PottAngelas Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding El€ctrical Pemit Applicatons-
rint Name Signature (E Owner / Adminlstrator)
lElectical Permit Applications may be submi$ed to Clty Hall or elect calpermits@cityoFa.us or faxed to 360.417,47111
Name:
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