HomeMy WebLinkAbout1331 E Front StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
COMMERCfAL ARTERIAI
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\toJJ
Applicatsion Nuflber
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application E!'pe descri.ption
Subdiwision Name
Property Use
Property zoning
Appficatsion vafuaEloo
19- Oo 0OOO?? DaEe l/t4/1-9
0418 7 8
1331 E FROIr? Sr
o6 - 3 0 -oo- 5 -3 -14 75- 0000 -
ELECTRICAI ONLY
Appfica!ion desc
X-ray circuit
Contractor
OLI'}IPIC VETERINAXY CLTN]C
PROPERTIES LLC
13]1 E FRONT ST
PORT ANGELES WA 983 52
ANGELES ELEC]RIC
524 E. tST ST.
PORT ANGEIES
.360J 452-9254
wA 983 62
Permit
Additional desc
PermiE Fee
fssue DaLe
Expiration Date
74.00
r/14/19
'7/a3/a9
ELECTRICAL ALTER COMMERCIAI
Plan Check Fee
valuaEion
Permit. Fee ToEaf
Pfan Check ToEal
Grand Total
74.00
.00
14.40
?4.00
. o0
74_OA
00
00
o0
00
0
oty Unit Charge Per1.OO ?4.OOOO ECH EL-COMM BRANCH C]R WO/ S/F
Extension
74.04
Charged Paid Creditsed Due
00
00
00
PERMIT WILL E'(PIRE SIX (6) MONTHS FROM LAST INSPECTTON
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN tlz-ohq ap >#
FINAL z)zo)P JD Hr
COMMENTS:
u
Signature of owner or Electrical Contractor X Date:
0l/L7/2019 13:19 FA.{ 360 452 9265 Anaeles Electric
MULTI-FAMILY /COMMERCIAL
Public Works and Utilities Department
321 E. 5tb Strcet, Port Angeles, WA 98362
360.417.4735 | www.cityo$a.us I electncalpermits@oityofpa.us
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ProjectAddress:9
Project Description:O,L
E Multi-Family Residential E Commorcial / lndustrial / Publlc Building Square footage:
Name:
Mailing
Email:
Add ress:Phone:
Name : Anq eles Electric, lnc Liconse:ANG ELEI46ORS
Mailing Address:524 E. First Street, Port wA 98362 Expiration Date:2t112020
Email : ksim Phone:-9264
OWNER INFORMATION
PROJECT DETAILS
Item
Servic€y'Feeder 200 AmP.
Servic€y'Feeder 201-400 Amp.
SeMce/F eeder 401{00 AmP.
SerYic€/Feedar 601 J 000 AmP.
Servic€/Feedet over 1 000 AmP.
Branch circuit w/ Servics Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 AmP.
Temp. Service/Feeder 201-4O0 Amp.
Temp. SeMce/Feeder 401€00 AmP.
Temp. Service/Feedar._60'l-:l0o0,Amp'
Portal to Porlal Houdy
Sign / Outline Lighting
Thermostat (Note: $.5 for eadi additional)
UnilCnarcr
$132.00
$ 160.00
t22s.00
$288.00
$410.00
35.00
$74.00
s5.00
$86.00
$102.00
E'l21.00
qnroli!IOEI (Ouantlty x Unlt charge)s-
I _-____--__-_--i-
$-0-
$
$---*a-ud
3-_-_
$-s-
$-
:$;...'-.;t, 'Signal CircuiULlmited Energy-MultlFatnl!V
Sional CircuiULimited Energy/Flrst 15OO sf - Commerdal- (Note: $5,0O for each additional 15@ sf)
Renewable Elec. Energy: stO/A System,o[ lsss II
3 7/Dror^,
Oviner as defined by RCW.19.26.261: (1) Owner wifl occupy th€ strudure fortwo yoars afts. this ol€ctllcsl pcrmit b linalizod' (2) Owner l3
required to hire an eleclrical contractoi iiabove said property is for sale, rent or l&se. Permit e)Pit€3 8f,.r oB rnonth3 of last inspe'{ion'
Afier raading the above statament, I hsreby c€rtiry that I am the ownel of the abovs namod Prop6rty or a llcsns€d el€ctrical eontractor' I
am making the olectical instalation or aiteiation in comptiance wiur tre eteclricat laws, N.E.i.' Rcl i. chapter 19'28, WAC' Chapter 296-
458, The City of Port Angales Municipal tuE, and t tility spedncations end pAMc 14'05.0{,0 rcgarding El€cficat Petmit ApdlcationE'
l1
Contractor /nisfator)Print Name Signaturo (E Owner
lEleclricat Permit Applications may be submit€d to City Hall or oleclticalp€rmits@cityoha'us or faxed to 360 '417 '47111
ELECTRICAL CONTRACTOR INFORIVIATION
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