HomeMy WebLinkAbout1403 E 1st St A (4)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application Number
Applicatsion pin nulfter
P.operty Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
ApplicaEion valuation
19 - 00000818 Date 5/30/1-9
45t995
1403 E 1ST ST A
05 - 3 0 - 99- 1- 0 - 1040- 0000 -
ELECTRICAL ONLY
Application desc
Co lractor
WAEL AIAWAVIDEH
14 09 E EIRST ST
PORT ANGELES
(350) 808 - ss57
OWNER
wa 983 62
Permits
AddiEional desc
Permit Fee
Issue Datse
Expiration Date
96.00
5/3a/)-9
1L / 26 /!9
ELECTRICAL ALTER COMMERCIAL
Valuation 0
oly Unit Charge Per
1.00 96.0000 ECH E!-trMrTED 1ST 1500 S0 FT
Fee summary Charged Paid Credlted Due
Permit Fee Total
Plan Check Total
G:and ToEal
95.00
.00
96.00
95.00
.00
95. 00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE Slx (6) MONTHS FROM I-A.ST TNSPESIION
INSPECTION TYPE DATE:RESI,]LTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ulz In F r#
a/n ln &*
COMMENTS
Signature of orTler or Electrical Contractor X Date
.sts
Os
COMMERCIAL ARTERIAL
0
. o0
Extension
96.04
FINAL
El cotiLL MULTI-FAM I LY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utiiities Department
321 E. 5th Slreet, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@cityofpa.us
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Project Address
Project Description
C MultlFamily Residential (?----Commercial I lndustrial / Public Building Square footage:
Name Email
Mailing Address o Phone
OV1/NER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name
Email
[/ailing Address Expiration Date
License:
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40'1 $00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branct Circuit W Service Feeder
Branch Circuit WO Seryice Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal CircuiyLimited Energy - lrulti-Family
Signal Circuiulimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy; 5KVA System or less
Thermostat (Note: $5 for each additional)
Quantitv fob! (Quantity x Unit Charge)Unit Charqe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$'185.00
$96.00
$88.00
$88.00
$96.00
-964-
l^
$
$
$
$
$
$
$
$
$
$
$
$
$
$
!
$
$
$
$113.00
$56.00
,trt (a./c TOTAL
Owner as defrned by RCW 19.28.261. (1) Owner will occupy the struc{ure for two years afler this electncal permit is flnalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires 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 electrical 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-
46B, The City of PorlAngeles l\runicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Print Name nature (E Owner fl Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa us or faxed to 360.417 .47111
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