HomeMy WebLinkAbout1403 E 1st St A (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
COMMERCIAL ARTERIAL
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
5
)
-..Js
\Application Number
Application pin number
Property Address
ASSESSOR PARCEL NI]MBER:
Applicalion trce description
Subdivlsion Name
Propert.y Use
ProperEy Zoning
Applj.cation vafuatsion . .
19 - oooooT 8s Dare 5/28/t9
089f55
1403 E 1ST ST A
05 - 30- 99 - 1- 0 - 104 0 - 0000 -
ELECTRICAL ONLY
RICK BUCKER
1409 E FIRST ST
PORT ANGELES
UPPER LEET ELECTRIC LLC
13 06 ROOK DR
PORT ANGELES WA 98352
l36a) 457 7720
r4a 983 62
Permits
AddiEional desc
Issue Date
Expiration DaEe
132.40
5 / 2s / 1-9tt/24/\9
ELECTRICAL ALTER COMMERCIA!
Pfan Check Fee
valuaEion 0
Qty Unit Charge Per
1 . 00 132 . 000 0 ECII EL-COM O-2OO SRV FEEDER
Extensi,on
132 .00
Fee summary Charged Credited Due
.00
.00
.00
732
132
00
00
00
PERMII WILL EXPIRE SIX (6) MONTHS FROM T-A.ST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE q)zo)tt N \r&
ROUGH.IN i trln P "M
FINAL eidn &-EAq/
COMMENTS:
I I
Signature ofo\rrler or Electrical Contractor X Date
Plan Check Total
Grand Total
132.00
.00
132 . O0
.00
.00
.00
.00
EI COMLL MULTI-FAMILY /COMMERCIAL
LECTRICAL P RMIT
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address tqo3 st-
Project Description
E Multi-Family Residential D Commercial / lndustrial / Public Buildang re footage:
RECftVtrD
l,Ay 2{ 2019
!oj
*
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OWNER INFORMATION
Name:
Mailing Address
Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$s.00
$74.00
$5.00
$86.00
$102.00
$ 121 .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
a Email
Phone
Name:
Mailing Address
Email
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Arnp.
Branch Circuit W Service Feeder
Branch Circuit W/O Servace Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. ServicdFeeder 401500 Amp.
Temp. Service/Feeder 60 1-1 000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal CircuiuLimited Energy - Multi-Family
Signal Circuivljmited Energy/First 1500 sf - Commercial
(Note: $5.00 for each addilional 1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Quantitv lqta! (Quantity x Unit Charge)
/3L o:
L License
Expiration Date
Phone zr,rt. cl c t -117-c
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
,ry3 ?TOTAL
Owner as defined by RCW 19.28.261 r (1) Owner will occupy the struclure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expjres after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed eleclrical contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applic€tions.
Z e
Print Name re (Fl Owner fl Electrical Contractor / Administrator)
PROJECT DETAILS
ELECTRICAL CONTRACTOR INFORMATION
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
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