HomeMy WebLinkAbout204 N Cedar St Elect2ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -473s
INDUSIRIAI HEA\ry
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
o
\
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TD
\LApplication Number
ApplicaEion pin number
Propertsy Address
ASSESSOR PARCEL NUMBER:
Application Eype description
subdivision Name .
Property Use
Property zoning
Application valuaEion
19 - 00001584 DaLe 1-O/31-/a9
511295
204 N CEDAR ST ELEC2
05 -3 0 - 99- 0- 0 -3 ?10 - 0000 -
ELECTRTCAI, ONI,Y
ApplicaEion desc
Shore power east f 1nger
ContracEor
PORT OF PORT ANGELES
PO BOX 1350
PORT ANGELES
ANGEIES ELECTRTC
524 E. 1ST ST.
PORT ANGELES
l36a) 452 9264
wa 983620251 wA 98352
Permit
Additional desc
Permit Fee
Issue Date
Expiration Datse
ELECIRICA], ALTER COMMERCIAI,
1-4 CIRCUITS
218.00 Plan Check Fee
I0 / 31-/1-9 Valuation
4 /28 /20
00
0
Qcy Unit charge Per
1. 00 132 .0000 ECH
BASE FEE
EL-COM 0-200 SRV EEEDER
charged Paid Credited Due
Permit Fee Total
Plan Check Total
Gr:and Total
218. 00
.00
218 .00
218.00
. o0
218.00
.00
.00
.00
00
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o0
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INSPECTION TYPE DATE:RESLILTS:INSPECTOR:
DITCH
SERYICE eliln R :ffi
ROUGH-IN ,zkln N :SP
FINAL tbl+ln -1-1v #
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
Extension
86.00
132.00
COMMENTS:
!oal ELECTRICAL INSPECTION
WIRING REPOHT
4'r7-4735
NOT
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ROUGH IN/COVER . .
SERVICE
FINA.L
coaREcnoNs NEEaEr.. AEotrtJ\) - fq*u-tr ?raaTtsElo,-I
[4€-&o r l-z-s-.r-- Fo'r:-a- *>,'g,<,2
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NOTIFY I'{SPECTOH WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
_DO NOT REMOVE-
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DATE:
,l?jtl/r ll -1 (ets.4
INSPECTOFrup
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AOORESS
D 2
APPROVED
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OWNER INFORIUATION
ELcoM
L0/29/2OL9 15:23 FAX 360 452 9265 Angeles Electric
MULT I.FAMILY /COMME CIAL
ELECT RICAL PERM IT APPLIC loN
Public Works and Utilities Departmeut
32i E. 5th Stu'eet, PortAngeles, WA 98362
3 60.41 7 .47 3 5 | www.cityofpa.us I electricalpermiis@cityofo a.us
Project Addressi o
Project Description:
E Multi-Family Residential Commercial I lndustrial / Public Building Square footage:
@ oool/oo o 1
Name:
Mailing Address:
o?.Email:
iion", dlD- 2z7'6?l?
ELECTRICAL CONTRACTOR INFORIV1ATION
Name:Anoeles Electric. lnc License:AN GELE146ORS
Mailing Address:524E.Port wA 98362 Expiration DatB:2l'1t2020
Email:ksi
lleE
Servic€/Foeder 200 Amp.
seruicslFeedsr.zoil.4oo Amp.
SeMelFeeder 401{@ Arnp.
Servico/Feedar 60'l -1 000 AtnP.
SeMcelFeede. orer I 00o Amp.
Branch Circuit w/ SEM€ Feedor
Branch circ1jit WO seMce Feeder
Ea6h Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. S€Mc€/Feeder 201400 AmP,
Temp, SeMce/Feedgr+*0r.U*'**,
Temp. Service/FeedeG4,g1-l o@Anp.
Podalto Portal Houdy L :
Sign / Odline Ligh$ng :: ' Ii -'' ' l
Phone:
ll[t-Clrsr
$r32.00
$160.00
$225.00
$288.00
$410.00
s5.00
$74.0O
s5.00
38€.00
01o2.oo
0r21.00
Ouantitv Ch.r9.)
$
$t
$
$
$
$
$
$
$
Xlo"
Signal OrcuiuLimited
Signal Cir6Jiulimited
(Not€: $5
En
.00
ergy/Fi
for each
Renewable Elec. Energy: sl(vA
Thermostat (Note: $5 for sach additional)l-t gooTOTAL3
Print Name Sig ature (Owner lectrical / Administrator)
s-.-
Owner as definsd by RCW.19.28261: (1) Owner wifl occupy tre Elruc't]rc for tx,o ysars e{ter tfil8 d€csical Psnr t is finallzed (2) Ovunsr is
,,"qui,"J o nir"
"n
6bdical conrad; if abwe said popeity ie for sab, r€nt or laass. Pomit e)Qlles afier six montha of last lnspociion'
Aier readlng the above statement, I hereby cerlr'fy thbt I arn.lh€ own6r of lhe above natnsd prop€rly or a licens€d electtical @nFactor' I
am making the BleEtrical instaltation or;lt€rertlon in compnance with the doclricat laws, l.e.d., nCtni. chaptsr t 926, wAc' chapbr 296-
aoe', Th.iiry ,f p.rtAngetes Muniif iiJ.,
"nO
Utff'ty specifcations and PAMC 14.05.050 regardlng Elecfflcal PomitApplicatlons'
PROJECT DETAII--S
lElectioaf permit Appficauons may be submited to City Hall or ol€ctrtcalp€rmits@cityoFa.us or faxsd to 360.417'{1111
11i-L.ilvED
ocl ? I 20?9
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