HomeMy WebLinkAbout510 E Park Ave (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatsion Number
Application pin number
Property Address
ASSESSOR PARCE]: NUMBER:
Application tsype description
subdivision Name
Property Use
Property zoninq
Application valuation
19 - oooo1822 DaEe :1L/L9/a9
370994
510 E ?ARK A]/E
05- 30- 15-5 -0- 9170 - 1000 -
ETECIRICAI] ONLY
ApplicaEion desc
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ST ANDREWS PARISH PORT ANGELES
510 E PARK AYE
PORT ANGELES WA 983525938
BI,ACK DIA.!]OND ELECTRICAL CONTR
502 BI.ACK DIAMOND RD
PORT ANGELES WA 98353
(350) s6s - 103 s
Permit
Additional desc
Pernl't !'ee
Issue Dat.e
Expiration Datse
74 -OO
t)-/19/a9
s/17/20
ELECTRICAI ALTER COMMERCf,AL
00
oty Units Charge1.00 ?4. 0000 EcH EL coMM BRANCH cIR wol s/E
Exlension
74 .04
Charged Paid credited Due
Permit Fee Total
Plan Check Total
Grand Total
'/4.O0
.00
74.O0
74.O0
.00
'74 .40
00
00
00
00
00
00
PERMIT WILL EXPIRE StX (6) MONTHS FROM I-A.ST INSPECTION
INSPECTION TYPE INSPECTOR:
DTTCH
SERVICE
ROUGH-IN rublrt 4a -g<+
,tzl1)ir 6F flr
COMMENTS
Signature ofowner or Electrical Contractor X Date :
RS? RESDT,ITL S]NGT,E FAMII,Y
0
Plan Check Fee
valuation .0
DATE:RESULTS:
FINAL
ELcott
RECEIVED
ltlv t i 20nMULTI-FAIVII / COMMERCIAL
ELECTRICAL PERM IT APPLI CATION
Public Works and Utilities Deparrnent
32I E. sth Street, Port Angeles, WA 98362
360.417.4735 w'ww.ciryofpa.us electri c ityo tpa.us
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NProject Address /O E PAAK
Project Description Ducfr{Sf
! Multi-Family Residential Commercial / lndustrial / Public Building Square footage
Name jr X*Xi,,J C_L6trc- 4 Email
Mailing Address Phone
O![NER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address
Email:
License:
Exoiration Date:
Phone )6 o -'{((-39{7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp
Servicei Feeder 40'1-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Servic€ Feeder
Branch Circuit WO ServicE Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 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 Energy/First 1500 sf - Commercial
(Note: $5.00 foreach additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Quantitv Total louantitv x unit CharoelUnit Charqe
$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
$96.00
$88.00
$88 00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$$113.00
$56.00
$a'{TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the struclure for two years after this eleclrical permit is finalized. (2) Owner as
required to hire an electrical contractor if above said property is for sale, rent or lease. Pennit expires after six months of last anspection.
Afte. 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 an compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles MunicipalCode, and Util cations and PAI\,C 14.05.050 regarding Electrical Permit Applications.
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Date Signature Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be subm to Clty Hall or epermits@cityofpa.us or faxed to 360.417.4711)
Ai
Name:
Print Name