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HomeMy WebLinkAbout403 S Lincoln St 5 (3)ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417 -473s tr I c...lJ vApplication Number Application pin nurlber Property Address ASSESSOR PARCEL NUMBER: Applicatsion E,?e descriptsion subdi.vision Name Property Use Property zoning Application valuation l9-oooo!1'tz Date 224972 403 S IINCOIN ST 5 06-30 00-0-1-5920-0000- EI,ECTRICAL ONIY COMMUNITY SHOPPING DTSTR 0 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) tt/12 / L9 applicatsioo desc Replace freeezer KEN W PRICE 5418 S OLD MILI] RD PORT ANGEI,ES 1360) 4 5o - 8310 APS EIECTRIC 5.15 BENSON RD, PORT ANGELES l36O) 452-6753 wA 94352L972 wA 98363 Permit Additional desc Permit Fee Issue Date EI,ECIRf CAL AITER COMMERCIAL 1-4 CIRCUITS 86.00 Plan Check Fee )L/1-2/t9 valuaL ion 5 / 1-o /2oExpiration Dat.e Qty Units Charge 00 0 BASE FEE Extsension 85.00 Charged Paid Credited Due Permits Eee Totaf PIan Check Total Grand Total" 86 .00 .00 86.00 86-00 .00 85.00 00 00 00 00 00 00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION INSPECTION T\?E DATE:RESULTS:INSPECTOR: DITCH SERVICE E lz )rt Jtf/--Btr FINAL .1^)t) fr AP .BJ) COMMENTS Signature ofowner or Electrical Contractor X ROUGH-IN Date:_ MU ITI1FAMI LY I CO&-{M ERCIAL ELECTRICAL PERM IT APPLICATIOT\I Putrljc Works and Utiijties D€pa*ment 321 E. 5th Street. Porl Angeles, W.4 98362 364.41 7.47 : 5 ; nrrv.cityc,fu a.us i eleclricalger"its@ci.3*ofu a.us if,f,#,:f o =*l'.-ifl'!-l{INIr$t' P.oiect Address .-t'C.3 Soll,*h Li ncrl o Projecl Des.ription S.r 6,,-q lcr te".(, MultiFamily R*idential q cornmefciatr / tndustrbl / Public BuiEing square footage; Email te* -- rg r. e.r rd56 ti Maiiing Address: l,lame Mailing Addr8s3 €mail ir- L ,lC Phone :3b)'177'i6Lla LicerEe =xpiretion Da€:or ttem Se&rcelke{ 2@ Am. Se*i{slFe€der 201 -{0O Artp. Sawic€/Fe€der 401 €OO Amp. SeryidFe€dar 501-1 0O0 A.np. Serl1:cslFeeder over t 0@ Anp. Brandl Cirqlit w/ Seryi€e teed€r Bt-3rlch Cilurii WrO Selvics Fesda. €a6h Additional Eranch Ci.cuit Brar€h Ororits l-4 fenp. SerYice/Feeder 200 A,rp. Temp S€n ice/Feeder 20'1-?.00 AnlP. Tenlp. SetrvbrFeeder 401{90 Arnp. Temp. Se{yice,treeder 601- i OrO Aftp. Po.tal io Port t Hourb Sign8l Cirqiit{-imiEd Erugy - lrutti-famay Signal Cirqjitilimitsd EnergyFi'st 1500 si - Coflylalrial (Nob: .S5.00 br eaclr sddi[onat t56O st) Rgn€$rab'E Eb€. Energy: 5l$A Sy$e& or k'iherm6d (Not6; E5 br eech rddtional) Qsa.lt?tr IgBl {Ouant}t} r lrntt Ch,rrgs} $132.m $160.00 ws.00 $268.00 $4r0.00 $5.00 $74.00 $5.00 s36.00 s102.00 s1?1.00 $1e{.00 9185.00 s95.88 s8.00 s $ s $ $ ! I s t ! $ > -T-- $_ s s113.00 $to.L{J I 1)t- oMr€r as &fi.ed by RC$r.1s.29.261: (1) Or.ref !*i{ occl&y the EtrudurE torlwo }€arE aier thh elacticalpermit is fgtdized. (2) Od.er iireqqited to hit€ En stsd$€, cort aqls{ if abo}e said p{sp€rly is fur sab, rar|1 sr lease. Perm;! expir€€ siBr six manths sf last i,3reclios. Aier Eadin8 ttle above siatsroent, I hereby clriit thal I sm the o\Mne. oithe Nbo!€ .asEd 9roFerty cr E licansed electrioel contractsi. I am tiaking f€ elecfical inslallation or aiteration i. aompliahce with the eleq,iicat lae,s, fi.E .c., Rc'!,v chaptar 19.28. WAC. Cl"apl€'29+ 458, Ths O? at Port s and Eledricai Pethit ApDIicaiiens. )17 r\ Print Signature (fl O,vner Conlractor I AdmiRistrator) t,{...- ffwnq 3er'{ f pA5.t{'€ r . aIld Utility Sp€cjication K 4!a'k raoa.dirro:- ,JF.tSi-w.u- IElectica] Permit ApplicatonE may be submited b Cily Ha$ 6r eleclricrtpernirs@cityotpa.us $ flred to 36g.4t7.4Ijtl l",lame: