HomeMy WebLinkAbout1403 E 1st St A (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-473s
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
=.s\s
Application Nunber
Application pin number
Property Address
ASSESSOR PARCEL NI'MBER:
Application type description
subdivision Nane
Propertsy Use
Propertsy Zouing
AppLication valuation . .
19- 00000?91 Date 5/29 /!9
509303
1403 E 1ST ST A
05 -30 - 99- 1- 0 -1040- 0000-
ELECTRICAIJ ONtY
Applicatsion desc
Alarm syst.em
}IAEIJ AIJAWAI4DEH
1409 E FIRST ST
PORT ANGEI,ES
(350) 808-S55?
VIKING SECURITY SERVICES INC
10063 NW KLAHOWYA TRAIL
BREMERTON WA 98312
(360) 373 81.95
wa 9a352
Permi E
Additional desc
Permlt lee -
Issue Date
101.00
s /2e /19u/25/L9
EI,ECTRICAL AI,TER COMMERCIAL
Plan Check Fee
Va luation
00
0
ExpiraEion Date
Qtv
1.00
1.00
UniE Charge Per
95.0000 ECH
5.0000 ECH
EL-LIMITED IST 15OO SQ FT
EL-ADDNT LIMITED 15OO Sq FT
Extension
95. O0
5 .00
charged Paid Credited Due
PermiE Eee ToEal
Plan Che.k Total
Grand Total
101. O0
.00
101.00
101. 00
.00
101. 00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRI STX (6) MONTHS FROM t"\ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE o
ROUGH-IN cls lt9 d?!*
FINAL tirc )n s B
COMMENTS:
v
Sig nature ofowner or Electrical Contractor X
COMMTRCIAL ARTERIAL
0
Date:
;fii;ff
MULTI-FAMILY /COMMERCIAL
ELECTRICAL PER MIT APPLICATION
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{SrrtAq Q8-{{,:,r-Project Address
n MultiFamilyResidential Comme / lndustrial /
(^u
Mailing Address
Name: V,,r',JG
Mailing
Email:
Addressqvtins
Item
Service/Fe6der 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601- l 000 Amp.
Service/Feeder over 1000 Amp-
Branch Circuit W Service Feeder
Branch Circuit w/O Service Feeder
Each Additioflal Branch Circuil
Branch Circuit6 1-4
Temp. SerYicefeeder 200 Amp.
Temp. ServicsFeeder 201{00 Amp.
Temp. Service/Feeder 40'1-600 Amp.
Temp. Seryice/Feeder 601-1O00 Amp.
Portal to Portal Hourly
Sign / Oulljne Lighting
Signal Circuiulimited Energy - Multi-Family
Signal CircuiULimited Ene.gylFirsl 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec, Energy: SKVA System or less
Thermostat (Note: $5 tor each additional)
lic Building Square footage /g€0
Email icl,:
Phone:
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$
$
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$
$
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$--
$--
56- sr
5.db -4-1L @
--\--rr-J(--License Surro A tL1
Exp iration Date: I O
Phone:
Quantity Igbl {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
$s6.00
$88.00
$88.00
$96.00
--T--
$'113.00
$56.00
TOTAL
owner as defined by Rcw,19.28-261: (1) own€r will occupy the otructure ,er two years after this electrical pe.mit is finalized. (2) Owner is
required to hire an elecirical contractor if above said property is for sale, rent or lease. Permit expires afler six monlhs ol last inspection.
After reading the above statement, I hereby certily thal I am the owner of the above named propeny or a licensed eleclrical mntractor. I
am making lhe electrical installation or alteration in compliance with the elecirjcal laws, N.E.C.. RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Po.t Angeles Municipal Code, and Utility Specificalions and PAMC 14.05.050 regarding Etectrical permit Apptications.
5 ,)',J*
Print Name Signature (D Owner Electrical Contractor / Administrator)
or faxed to 360.417 _47jtj
t4
D
[Elsctrical Permit Applications may be submitted to City Hall or
Project Description:
Name: