HomeMy WebLinkAbout1602 W Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Applica!ion Nunber
Application pin number
Property Address
ASSESSOR PARCEL NUUBER:
Application type descripLion
subdivision Name
Propertsy (]se
Property zoning
Application valuation
19- ooooo852 Date 6/06/19
684800
1602 W I.AURIDSEN BIJ!trD
05- 30 - 08 -2 - 1- 0000 - 0000 -
EIECIRICAI, ONNY
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REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Application desc
septic pump
BOB'S ELECTRIC INC
22 93 DEER PARK RD,
PORT ANGEIES
(360) 4s7-588?
wA 983 52
Addi t ional
Permit lee
Issue Date
desc
E'ECTRICAL A']TER COMI4ERCTA],
1.4 CTRCUTTS
86.00 Pl-an Check Fee
6/O6/t9 valuat.ion
1-2/03/1-9ExpiratloD Date
oty Units Charge
00
0
Per ExEenslon
86.00
Charged Paid Creditsed Due
86.00
.00
85. 00
86 .00
.00
s6 .00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
ROUGH-IN
FINAI
c+ica; NFf ti, LrTy c.t t^tf ) .
PERMIT WILL EXPIRE SIx (6) MONTHS FROM I.A.ST TNSPECTION
Signature ofowner or Electrical Contractor X Date
LTNDA CHARLTON
218 06 MERTD]AN A1,E S
BOTHETL WA 980218220
BASE EEE
Permit Fee Total
Plan Check Total
Grand Total
SERVICE
COMMENTS:
MULTI.FA MILY /COTVITUFRCIAL
PERIUITAPPLIC
Public Works and {.ltiiitics Dcpartmenl
321 l'.. 5t}r Street, Port Angeles. \\A 98362
160.4 I 7..17i5 urvlv.cityoflpa.us i electricalpermits@cityofpa-us
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Project Address 6guu loq,
J t4- -.
License:
Project Descdpton
E Muhi-FamilyResidential mercial/ lndustial / Public Building Square foobge
Name ,7'ail
Mailing Address Phone:/-t
Name:
Mailing
Email:
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It6m
SeNice/Feeder 200 Amp.
Service/Fe€dar 20 1-400 A/fl p.
Servica/Feeder ilo1€00 Amp.
Servlc€/Feeder m 1-1 O0O Amp.
Service/Feeder over 1 000 Arnp.
Branch Ci.cuit W Service F€eder
Brandr Ci.cuit w1O SsrvicE Feede.
Each A&iilional Branch eircuit
Brandr Circirits 1-4
Temp. Seryice/Feedor 200 A.np.
Temp Sorvice/Feede. 201-400 Amp.
Temp. Servlce/Feeder 40140O Amp.
Temp. Service/Feeder 601-1000 Arnp.
Ponal to Port8l Hourly
Signal Circuivlimited Energy - Muff+smily
Signal Orariyli..ited Energy/Fi.sl 1 500 st - Commorcial
(NqE: $5.00 ior eactr edditbnal 15(D 80
Renewable Ebc. Energy: 5KVA Systcn or lrss
Thermostat (Note: $5 tur eadr additional)
Exoilation Date:
enon -?{7tnlr'-?lP,.
Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
ss.00
s74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$r 85.00
995.00
s88-00
096.00
Quantitv IoEl(Qu.ntity x Unit Charge)
$
$
It
$
$
$
N
s
$
$
$
$
$
$
$
$
$
5
5113.00
$56.00
ffl,a TOTAL
Owner as defined by RCW19.28.261: (1)Owncr wi[ ocelpy the structure for i,vo years after this electrical permil is tinalized. (2) Owner is
requircd to hire an eleclrical contraclor if above seid propedy ls for sale, rent or leas€. Permit sxpires afl€ r six months of last inspection.
After .eading the above staEment, I hereby cediry that I am the olvner ot lhe above named property or a licensed electricel contracior. I
am making the eleclrical ins&ll.tion or alteration in compliaoce with the eleclrical lae/s, N.E.C., RCW. Chrpts.19.28, WAC Chapta.296-
t)
T City of PortAngeles MunicipalCode, and Wlity Specincations and PAMC 14.0 050 rding Eledrical Permit Applications
hszq I
Date Signatu tr ElecFical Contractor / AdministratooP
RECETi rInLU
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[Electrical Permil Applications may be submitted to City Hall or electricalpermits@cityofpa.us or taxed to 360.417 .4711]