HomeMy WebLinkAbout110 E 3rd St (6)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMI]NITY SHOPPING DISTR
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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N\,\o
Application Nr.rniber
AppficaEion pin number
Propertsy Address
ASSESSOR PARCEL IiIUMBER :
ApplicaEion t!?e description
Subdivision Name
ProperEy Use
ProPerty Zoning
Application valuation
19- 0000023 0 Date 2/2o/t9
870960
110 E 3RD ST
06- 30- 99 - 0 - 0- 6910 - 0000 -
ETECTRICAL ONtY
Applicat.ion desc
LighCing retrofit
SAFEWAY STORES INC
C/O CPTS
1371 OAKTAND BLI'D, STE 200
WALNUT CREEK CA 94596
l.425) 2Oa 642a
WEI,L DONE EI,ECTRIC CO
17045 SE ROYER RD
PORTLAND OP. 9'1223
(so3 ) 209-4005
Permit
Additional desc
Permit Fee
Issue Date
Expiralion DaEe
94.40
2/20/te
I / 1-e / te
Plan Check Fee
Valuation
00
0
oty Uni! Charge Per
1.00 74 .0000 ECH EL
4 .00 5.0000 ECH EL
coMM BRANCH ClR wo/ s/F
ECH ADDNT BITANCH CIRCUIT
Extension
74 .00
20.00
Charged Paid Credited Due
Periiit Fee Total
PIan Check Total.
Grand Total
94.00
.00
94.00
00
00
00
o0
o0
00
PERMTT WILL EXPIRE StX (6) MONTHS FROM tLST INSPECTTON
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN n L)n &rs>
FINAI rc')22)n #%
COMMENTS:
Signature ofowner or Electrical Contractor X Date
ELECTRICAI, ALTER COMMERCIA],
94 .00
.00
94 .00
MULT MILY / COM ER IA
E ECT RICAL P ERM ITAPPL ICATION
Public Works and Utilities Depaftment
321 E. 5rh Street, port Angeles, WA 98362
364.417.47 3 5 | u"w,rv.cityofpa.us I electricalpermits@cityofpa.us
Project Address 110 E. Srd St. port An eles, WA
Pro.ject Description Retrofit clrc u its without service
D Mufti-Family Residental E Comm ercial / lndustrial/ public
5
: 3000Building Square footage
Name: Salewav
Mailing Address:'I '10 E. srd 51. p ort Anqe wA 98362les,
Email:
Phone:
Name: Timoth Paul 95_License: WELLDECST4 DQ
Exp iration Date: Ogl2?12019
Phone: 503-209-4006
x Uni t Charge)
Mailing Address:
Email. well-.done *construction@ com
1 7045 SE Rover Bd Damascus ,OR 97089
llem
aa18/2019
Date
IElectri
CuantitvServic€r'Feeder Z0O Amp.
Servicer'Feeder 201-4(E Amp.
Service/Feeder 40 1 600 Amp.
S arvice/Feeder 601 - 1 O0O Amp.
Service/Feeder over 1O00 Amp.
Branch Circuit w/ Servioe Feeder
Branch Circu;l W/O Service Feeder
Each Additionat Branqi Circuit
Branch Circufis 1-4
Te&p. ServiceFeeder 2OO Amp.
Temp. Seryice/Feeder ZO1-400 AmD
Temp. Service/Feeder 401-600 Amo
Temp. Service/Feeder BOl _1000 Amp.
Porta, to PortEl Hourjy
Sign / Oufline Lighlin;
Signat CircuiuLim;ted Enargy _ Mutti_Family
srgnal CircuiUlimited Energy/First 1S00 si. Commerciat_ (Note: $s.00 for each additionar isrito- id*R€newable Elec. Energy: SKVA Syslem or less '
I nermostat (Note. $S for each additionat)
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.@
$5.00
$86.00
9102,00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
owner as oefined by RCW19.28.261: $ 94.00 161a1
required to hire ani,"o-l*iLr"r[l'i (1) owner will oc4!py the structure lor two years after this electricat permit is finarized. (2) owner isAter reading ths above staternent. I
rr fi above said propertv is
'or
sale' rent or lease. p"rrii
"*pii* ,?illr'rllontns or tast inspectioo.
nl+rxe[rF#l;;J#Htil,"'#ffi tilu+fl?[*isvxilm"fiiffi i"t'-H]*':g,fl ilffi,?it
Timoth I),.print N
cal Permil Applications
ame Signature (@.ner p lCo ntractor / Administrator)
may be submitted to City Hall or electricalpermits@cityofpa,us or faxed to 36 0.417.47111
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$113.00
9s6.00
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