HomeMy WebLinkAbout118 N Liberty St AELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Appfication Number
Appficatiofl pin nun]cer
Property Address
ASSESSOR PARCEI NUMBER:
Applicatio tlpe descripeion
Sxbdivlsion Name
Property use
Property zoninq
Appfication valuation
19- 00001461 Date 9 /20/1-9
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118 N LTBERTY ST A
06- 3 0- 0 0 - 7- s - 0100 - 0000-
EIEC?RICAIJ ON}Y
T]NKNOWN
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Appfication desc
Remodel
Owner Contsractor
CHRIST]NA }IYHUS
PO BOX 1212
PORT ANGEIES
ANGELES EIECTRIC
PORT ANGELES
(360) 452-9264
wA 943620225 wA 98352
Permit
Addltional desc
vermrt !'ee
Issue Date
Expira!ion Datse
ELECTRICAI ALTER COMMERCIAI
1-4 CIRCUITS
85.00 Plan Check Fee
9/2o/ 19 valuat.ion
3/rB/20
00
0
Qty UniE Charge Per
BASE FEE
Extension
85.00
Fee summary Charged Credited Due
Permit Eee Total
Plan Check TotaI
Grand Totsal
85.00
.00
85 .00
00
00
00
o0
o0
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESUI-TS:
SERVICE
ROUGH-IN e lzo lfi ,a d2
lo)rE"ln -E?w
COMMENTS xo 7>ralZt-
Signature ofowner or Electrical Contractor X Date:
85.00
.00
86 .00
INSPECTOR:
DITCH
FINAL
09/20/2079 08:28 FAX 360 452 9265 Angeles Electric
LTI-
ELEC TRICAL PERMI T APPLI roN
Fublic Works and Utilities Departmeut
321 E. 5th Street, PortAngeles, WA 98362
360.417.4715 | wwwcityofi:a.us I electricalpermits@cityofoa.us
Project Address:
Project Description:
E Multi-Family Residential E Commercial / lndusUial / Public Building Square footage:
Name:Email:
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*tu c7DMailing Address:Phone:
Name Anqeles Elecfic, lnc License:AN GELEI46ORS
Mailing Address: 524 E First Streot, Port Anseles, WA 98362 Expiration Date:2t1t2020
ELECTRICAL CONTRACTOR INFORMATION
Email:ksim
lrelD
ServicdFeedEr 200 Amp.
Service/Feeder201-400 Amp.
Service/Feeder 401 €00 Amp.
Service/Feeder 601 -I 000 Amp.
Servic.B/Feeder over 1 000 AmP.
Branc*l Circuit w/ Service Feeder
Branch Circuit WO SeMce Fseder
Each Additional Branch Circuit
Branc$ Circuits 1-4
Temp. Servica/FBeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Foedg401€00 Amp.
Temp. S€rvice/Feeder,60-1:1000 Arnp.
Portal to Portal Hourly
Sign / Outline Lighting i'
Signal CircuiuLimited
Sional CircuitAimitEd E
(Note: $5.00 for 6ach
Renewable Elec. Energla st(/A Syste m.
Thermostat (Nota: $5 for Each additional)
Phone:
Ouantitv Iolrl (Quantlty x unlt c harge)llltt-Ctffss
$132.00
$160.00
$25.00
t28{r.00
$410.00
t5.00
$74.0o
$5.00
s86.00
$102.00
s121.00
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$
$
$
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$
$
$
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6
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$o
3 TOTAL
o,vner as defined by Rcw.19zE.z61: ( 1) olynsr will ocepy the sfucture for two years afier thie dearical Pemit is finalized' (2) O'vnsr 13
required to hire an eledricat conrraaoi if above said property is for salo, rent or l;as€. PBrmit €NQires afrar sL moflths of laet lBpe6{on'
Afler reading the above statemeot, I hereby certify that I am the owner of the above named ProPerty or a llcsnsod sle'{dcal edfactor' I
am making the electricat insta ation or atteration in compliance wifi lh€ abctical laws, N.E.i., icw. chaptor 19.28, WAC' chapter 296-
468, The City of portAngeles Municipat Code, and Wiiy Sp€dlicatlons and PAMC 14.05.050 Bgarding ELctical Patmh Appllcations'
I N
Print Name Signature (EJ O,vner Contactor / Adminisirato0
PROJECT DETAILS
[Electrical Permit Applicatons may be submifi€d to Ctty Hall or electricalpermits@cityotsa.us or faxed to 3ffi'4'l.7 '47'111
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OWNER INFORMATION
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