HomeMy WebLinkAbout112 E 8th St A (3)ELECTRICAL PERMIT
CITY OF PORTANGELES
360417-4735
COMMUNITY SHOPPING DISTR
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appfication Number . ..
ApplicaE j.on pin nuniber
Property Address
ASSESSOR PARCEI, TUMBER:
Applicatsior! type descripti.o[
Subdivision Name . .
Ploperty Use
Ploperty Zoning
AppLicaE j.on valuatsion
18 -00001703 DaEe rt/ o2/ta
912490
112 E STII ST A
05 -30-00- 0- 2 -6831- 0000-
ETECTRICAL ONIJY
Appfication desc
T-stats
ContlacEor
PENINSUIA COMMUNITY METiIIAI
HEALTH CENTER
118 E 8TH ST
PORT ANGELES WA 983625].29(350) 45?-0431
PENINSULA HEAT INC
782 KITCHEN.DTC( R.D
SEqUIM
(350) 581- 3 3 33
wa 983 82
Permit.
AddiEional desc
Permit Fee
Issue Date
Expiracion Dale
51.00
11/ 02 /tas/ot/t9
EI]ECTRICAI ALTER COMMERCIAI
Plan Check Fee
Valuation
00
0
Qtsy UniE Charge Per
1_ O0 55.0000 ECH
1.00 5.0000 ECH
EL. LVT- THERMOSTA?
EL- LlrI-ADDIAIONL THERMOSTAT
Extension
56.00
5.00
Fee summary Charged Paid Creditsed Due
Permrt lee'l'otaI
Plan Check Total
crand Total
6L. 00
.00
61.00
61.00
. o0
51.00
.00
.00
- 00
.00
.00
.00
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
RoucH-IN > lo</lZ t?-28 4A k
FINAL ;lal9 -#-ff
COMMENTS:
Signature of owner or Electrical Contractor X Date:
P
Public Works and Utilitics Department
t12-
ProFct Address
Projecl Description
tr Multi-Family Residential Commercial / Industrial/ pubticE
321 E. 5th Srree! portAngeles, WA 98362
360 -4 I 7.473 5 I www,cityofpa.us I elc-"t.icutpermltsp,cityofpa.us
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Building Square footage:
Name:
EmailMailing Address:
Phone:
Name:
Mailing Address:
Email:
hem
License:
Expiration Date:
Phone:
Quantitv Total r Unit Ch.rge)
$_-
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Servic€/Feeder 200 A,np.
Service/Feeder 20i-4OO Amp.
Service/Feeder 40 1 {00 Amp.
Servic€/Feeder 601_t OO0 Amp.
Service/Feeder over l OOO Amp.
Eranch CirGrtt w/ ServicE FeedEr
Branch Circuit wlo SeMce Feeder
Each Additional Branch Ctrcuit
Branah Circuits 14
Temp. Service/Feeder 2OO Amp.
Temp SeNroe/Feeder 20 j 4OO Amp.
Temp. Servrce/Feeder 401€m Amp.
Temp. Servicey'Feeder 601_l OOO Amp.
Ponat lo Portat Houny
Signal Circ{.,iulimited Ercrgy - Mutd-Famity
Sbnal Circuivlimrted Enargy/Firsl .t 5OO sr - ComnErcjst_ (Nob: 95.00 tor each aaditional i5@ sf)----Renewabte Etec. Eneryy: sl(VA Systern or bss
lhermostat (Note: $5 br each additional)
$132.00
s160.00
$225.00
$288.00
$410.00
$s.00
s74.00
$5-00
$86.00
$102.@
$121.00
t164.00
$18s.00
$96.00
888.00
$96.00
$
$
$
$
$
'1
$
$
s
!
$
$
$
I
s113.00
$s6.00
$
I
$
t-t,
CI,TOTALOwher as defined by R CW.1g.28.26,1 1) OMter will ocoJpy the srudure tor two years after this ebctrical permit is finalized (2)Ownerisrequjred to hire an elec*ricrl contrador it above said p.ope.ty is lor sale, rent or lease. Pemil after six months of last insp€c1ionexpiresAfte. reading the above gtatemeot, I hereby certify that I am the owne. of the above n am€d property or a licensed electrical contraclor. Iam making lhe ete.ilncat installation oralteration in cornpliance with the electrieal lalvs,N.E.C.. RCW. Chaprer 19 28. WAC-Chapter296,468, The City of portAngeles Mu niclpal Code, and Utifty Specificalions and PAMC 14 .05.050 Electncal Permat Appljcatjons.rB tro-Date Print Name Sigoature (E Owner fi Electrical / Administrator)
[Eleclrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
ELcoilr
INFORMATION
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