HomeMy WebLinkAbout112 E 8th St A (4)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
COMMUNITY SHOPPING DISTR
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
s$
eo.0
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AppLication Number
Application pin number
ProperEy address
ASSESSOR PARCEL NUMBER :
ApplicaEion type descripEion
Subdivision Name
Property use
Property Zoning
Applicatsion valuation
18-00001895 Date 1,/L0/L9
239044
112 E 8TH ST A
06- 30 - 00 -0 - 2 - 6831- 0000-
E'ECTRICA], ONI,Y
ConEractor
PENINSUI.A COMI4T'NITY !,TEI{IAL
HEALT}i CFNTER
1L8 E 8Tg ST
PORT ANGELES YIA 983626129
(3 60) 4s7 - 043 L
B!,ACK DIAMOND ELECTRICAI- CONTR
502 BI.ACR DIAMOND RD
PORT ANGELES I,IA 983 53(360) s5s-103s
Permi. t
Additio[af desc
Permit Fee ,
lssue Date
Expiration Date
ELEC'I?,ICAI, ALTER COMMERCIAL
20 CIRCUITS
250.00 Plan Check Fee
t2/I8/1e Valuarion
6/7A/a9
. o0
0
qEy Unit Charge Per20.00 5.0000 ECE1.00 150.0000 Ec:{
EL-BRANCI{ CIRCUIT W/FEEDER
EL-COM 2 01-4 OO SRV FEEDER
Extension
100 .00
160 .00
Charged Credi!ed Due
PerniE Fee Tolal
Plan Check T'o!aL
Grand Totaf
260
260
.00
.00
.00
250
264
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
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FINAL
COMMENTS:w*
Signahrre ofowner or Electfical Contractor X Date
SERVICE
ob-3b-6) -o.- 2-671.@
TMIJI -F,AIMII Y / COTMTMFRCIAI
ELECTRICAL PERM IT APPLICATION
t/7
Public Works and Utilities Department
321 E,.5th Street. Port Angeles, WA98362
360.4 17.4735 I ww,z.cityofpa.us I electricalpermits@cityofpa.us
Project Address E-,ru, 5,7
Project Description , vC-
n Multi-Family Residential Commercial / lnduskial / Public Building Square footage
Email
Mailing Address Phone
ffiEGEIUEE
ETECIffi{J.
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O\ANER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
lvlailing Address
Email:
License
Expiration Date
Phone 3Go-t6l-?dz
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601-'l 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Servic€/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuiulimited Energy - Multi-Family
Signal Circuiulimited EnergyiFirst '1500 sf - Commercial
(Notei $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Quantitv Total (Ouantitv x Ljnit Charoel
/oa
-
Unit Charoe
$132.00
$160.00
$225.O0
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121 .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
I
s
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00 €-/6024o Toral
Owner as defined by RCW 19.28.26'l: (1) Owner will occupy the structure for two years after this eleclrical permit is final (2)
requrred to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Cha pter 296-
468, The City of PortAngeles Municipal Code, and Utility Specificati nsa '1 4.05.050 regarding Electrical Permit Applications
(
/.1{
Date rint Name re(Owner ! Electdcal Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 36 0.417 .47'l1l
Name:
Name:
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