HomeMy WebLinkAbout116 E Ahlvers Rd (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDNTL SINGI]E FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatj.on Nunrber . . .
Appl icaEi.on pin nulnber
ProperEy Address
ASSESSOR PARCEL NUMBER:
Applicat.ion type description
Su.bdivisioa Name ....
Properly Use
Prope!ty zoning
AppLicat.ion valuation . . .
18 - 000016?6 DaEe 70/29/lA
at4756
116 E }HI,VERS RD
06 -30- 15 - 3 - 2 - 0000 - 0000-
ELECTRICAI ON],Y
Applicatsion desc
RCPT for TV monitor
Owller Con!racior
INDEPENDEIJT BIBLE CHURCH OF PA
112 N I,INCOI,N S?
POR? ANGELES WA 9A352291.9
A}IGEI,ES EI,ECTRIC
524 E. 1ST ST.
PORT ANGELES
1350t 4s2-9264
wA 983 52
Permi, t
Additioflaf desc
Permi! Fee
Iasue Date
Expiratj.on Date
EI,ECTRICAL ALTER COMMERCIA!
1'4 CIRCUITS
85.00 Plan Check Fee
I0 /29 /te valuat ion
4/21/Le
00
0
Qty Unil Charge Per
BASE FEE
Exteusion
86.00
Charged Paid Credited Due
Permit Eee Total
Plan Check Total
Grand Total
86 .00
.00
86 .00
85. 00
.00
86.00
.00
.00
.00
.00
.00
,00
INSPECTION TYPE DATE:RESTILTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI-
COMMENTS L-*
PERMTT WILL EXPIRE SIX (6) MONTHS FROM IAST TNSPECTION
Signature ofowner or Electrical Contractor X Date:
70/26,/2018 07:53 FAX 360 452 9265
Mailing Address
Name:
Mailing Addressl
Email:
Angeles Electrlc
ocT 2 0 20]8
EE0rnsn
tNsPECfl0[S
e**r.fatti 4lirtnr fr I - l7 fl
Lic€n8e:
Expiration Date;
Phonc:
M ULTI.FAMILY / COMMERCIAL REGEIUED
ELECTRI CAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa,us I elechicalpermi@cityoga.us
Project Addrcss:i/b E.
Project Descriplion:I
n Multi-FamilyResidential ommccial / lndustial / tublc Bullding square lboEge: _
to
1
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Email:
ELcoM
OWNER INFORMATION
4S
PROJECT DETAILS
Itcm
S€rvice/Feeder 20O tup-
SeMce/F€€(br 201{00 Amp.
SerrirFEe&r tml€00 &rp.
Servi.o/F€s&r 601-1000 Amp.
Sarvic€r'Fee@r oler 1000 Arnp.
Srsnch qturit W S€wbe F€edgr
Baandl Clrqrt trrio S€rvlc6 Fsader
Each Addfi{on8l Brardr Cin tlt
Brandr Ci.EuiB 1{
TBmp. Seryice/F.sdcr 200Amp.
Temp. SE lrice/Fe€dcr 201-100 &np.
Tsmp, Sen lcerFs€@r 4(11{00 Amp.
Temp. San ia.i/Fceder 60t -1000 turp.
Portal !o Portrl Hou y
Signal OcritAimiEd En€{gy - Muli+8m y
Signal CiGrittimlEd En rgyrFi !l 1 500 sf - Cornmerchl
(Nob: S.o0 tur esclr ddltond I 5oo sl)
Reneu.abb Elcc. EncEy: SKVASydsIr slrr!
Thermosht (tlob: $5 br €qch addiliona0
!lECE!!r
ti3a(,0
916Gm
e25.00
't286.00
$4r0.00
35.m
f,.1.@
$5.00
s86.00
8102.d)
t t21.00
3 tB4.00
$r85.@
$s6.m
$8.m
ts8-00
gtlllIll'
-'T'
&ts!(tll.ndty x Unh Cft.rfpl
3-s_s-
l-t_
$_t-
$
s ,72.'t-E-t_t-t-3-3--
ifl 3.00
$56-00
I Yld IOTAL
Onner as defined by RC1,\l 19.2E.261; ('l) Orvnarwil occ1lpy lh€ !frudsrE fortwo lcala #r tii! cleddcal p€rmit b fnslizrd. (2) Omat b
requirBd to hil! an ele(triql cootrador it above said properly b br salc, lEnt or bass. ftnnit spirsE afur lix montll3 of lr{ inlpadior!.
AtEr Gading ths abova rtstrment, I hereby 6rtly that I am tp dvrner ofllre abovc named ,lopcrty or 8 llcanaad eEcti€al contrador. I
am maHng the el€cticalh5lEllatbo ordtErltbo io €omplianc tyi& thc clrcficalhr,t6, N.E.C., RO r. Ch.plr 19-28,l,{AC. Chlpt!r296.
468, The City of Port Angelr! Municjpal Code, Bnd Uiihy SFrdicatloE Eleckicd P.mit AtFliostlons.
Oate signatur. (E Oflnar cont'acbr / Adminisiraio4
lElectrical PermitApplicatioB may be submltEd !o City Hafl or eEcficalpemiB@cityo&a.us or faxed b 36A.417.47111
Name:
@0001/0001
$-t-
ELECTRICAL CONTRACTOR INFORMATION
Print Name