HomeMy WebLinkAbout1912 W 18th St (4)Application Nun cer
Application pin number
Property Address
ASSESSOR PARCEI NUMBER:
Applicalion tsype description
subdivlsion Name -
Property Use
Property Zoaing
Applicatioa valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
PUBLIC BUIIDINGS & PARKS
0
19 - 00000255 DaEe 2/26/t9
91253 5
1912 W t 8T!{ ST
05 -30 - 00 - 1- 1- 1900- 1000 -
ELECTRICAI ONIJY
REPART STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application desc
Replace VAV valves
PORA OF PORT ANGELES
PO BOX 1350
PORT ANGEIES WA 983 52 02 51
ANGEIES ELECTRTC
524 E. 1ST ST.
PORT ANGELES
136AJ 452-9264
wa 98352
PermiE
Additional desc
Permits Eee
Issue Dale
ELECTRICA], AI,TER COMMERCIAL
1-4 CIRCUITS
85. o0 ?Ian Check Fee
2/26/L9 valuat ion .
s/28/t9Expiration Date
QEy UniE
00
0
Charge Per
BASE EEE
Ex!ension
86-00
Fee summary charg:ed Paid Credited Due
PermiC Fee Totsa1
Plan Check Totsa1
Grand Totsal
86 .00
.00
85. 00
86 .00
.00
86 .00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN tlqln ffi w
FINAI-v)q l$+Y '($s
COMMENTS:
Signa ture ofowner or Electrical Contractor X Date
Contractor
ELcoM
O2/25/2Ots 12:49 FAI 360 452 9265 AnSeles Electric
MULTI-FAMI LY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. sth Strcet, Port Angeles, \ A 98362
360.41?.4735 | www.cityofpaus I electrica lpermis@ityo$a.us
Projld Addrcss:
Poect Descriplion:
E Muli-Family Residenfral Commcrcial / ktdustial / Psblic Bullding SquaG tuoteg€;
Name Email:
Mailing Address:Phom:
Name:Licensa:
Mailing Address Expiration Oate:
Email:Phono:
@ 00 01/ 0 001
to
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Item
Servics/Fca&r 2OO &np
S€wior/F6e&r 20r4X, Anp.
S. irFeeder,o1€oo A.np-
SeryiacrFlad.r 601-r 00O Anp.
Sarvioe/Feeder orrer t OO0 Arnp.
Brandr cirqJit W ScrYic. Fe€dar
Brrna$ Cirqrt W'O S.rYlcG Fs.der
Eash Addifonal BEnch Cirurit
Brandr Cirajib 14
Temp. SeNice/Fe.&f 200 Anp.
Tsmp. Sarvicc/Fs€dor 2014O0 Amp.
Temp. ServicalF..d.r /!01600 A!np.
Temp. Ssrher'Fceder 601-1 000 Arip.
Porbl to Po(al Houdy
Signal Ciftuit/Limibd Ersgy - Mrrltifemiy
Signal OraritllimiH Enqgy/FiBt 1500 af - Coim.rdal
(Nob:$.mto eecn dditonrl 1500 O
Ren€urable El6c, Ensrgy: sKVA SylEn or bEE
Thermostrt (Nob: 05 bt eadr additbn60
Ourrffi, nQbl (Qurnrlv x Charge)l,rnh Cbam.
3132.00
1180.fl)
$225.00
s288.@
8410.@
s6.m
's,,r.00
3100
s{It OO
s102.00
$'12'1.00
81a4.00
tr85.00
096.00
188.00
s96.00
$
3
$It
$t
g
Ei
$
3
$
I
3t
@
$ll3,00
956.00 I
t TOTAL
468,ol Port Angeles icipal and Utility Specifications and 11.Ehctricrl P!rm( Aoplicltlon3.
Print Namo signaturc (Ovvner I Con&eclor
'
Adminbtrabr)
a()
Owner as dcfined by Rcl,,t.19.28.26r: (l) Ownrr nrtr ocqJpy $a ruudure brttvo ras,3 afierrhb clecfiictlprytril k finslilEd' {2) Omer b
requirBd b hire an slactical contracio. if &orre sakl plepe y lB for !ale, t€nt or b8sa. Ps,mit orpilt! arbr t& months of hst impcotion.
AfEr r€ading tho abovc staErn€nl, I hcalb, cartfy that I arn tha ovrner of lhe abov€ namad pn petty or a Igln*d alcdrical cootractor. I
am mddng thc clect ical lnstallatbn or afierati.rn in co.nplLancq wi0i thc Glscirlc.l h!8. N.E.C., RC1/v. Chaptar 102E, ti.rAC. ChTt.r2gS
ELECTRICAL CONTRACTOR INFOR[4ATION
I
OWNER INFORMATION
PROJECT DETAILS
lElectrical Permit Applk:ations may be submitEd to City Ha[ or elecficalp€rmitr@cityotpa.us ot laxed to 350 .117 '17111