HomeMy WebLinkAbout1608 W 16th StELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-4t7-473s
PUBLIC BUIIJDINGS & PARKS
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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N
ry-{
Application Number
Application pin nunber
Property Address
ASSESSOR PARCET NUMBER:
Applicat.ion tsy?e description
subdivlsion Nane
Propertsy Use
Property zoning
Appllcation valuat.ion
19- 00001227 Date A /12 /1-9
184 915
1608 W 15TH ST
05- 3 0- 00 - 1- 1- 0700 - 0000 -
E']ECTRICAI, ONLY
Appfication desc
Carnivaf electrical inspection
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES \IA 9A352O2I7
\360) 411 4532
RAINTER AIVIUS EMEMIS LLC
11954 NE GLISAN ST PMB 431
PORTI.AND AR 97220(971) 703 85 58
Permit
Additional desc
Permit Fee .
Issue Date -
Expiratsion DaEe
871.00
s/12/t9
2/08/20
ELECTRTCAI ALTER COMMERCIAIJ
PIan Check Fee
Valuation
00
0
21. 00
18 .00
1.00
charge
28.0000
9.0000
ECH
ECH
ECH
EL ECH RIDE & GEN TRUCK
EL-ECH REMOTE
],ST EIEID ECH ITAR NOT PART OF
oty UniE Extsenslon
588 .00
a62.OA
121- 00121.0000
Fee summary Charged Paid Credited Due
PermiE Fee Total
Plan Check Total
Grand Total
00
00
00
00
00
00
00
00
00
00
00
00
871
87L
871,
871
PERMIT WILL EXPIRE SIx (6) MONTHS FROM [-A.ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN slN ltz .M w
FINAI,el $,lp @ *
Signa ture of owner or Electrical Contractor X Date:
Contractor
COMMENTS:
'AfrV Z?* t=tAcvt ',bo z6{ 9b€ r
COMMERCIAL -FAIR / EVENT
ELECTRIC AL PERMITAPPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | w"vrrlr.cityofpa.us i electricalpermits@cityofpa.us
tD
;fi?;f:
no
l
thProject Address:
Project Description
<UJ
ELFAIR
q Fairground Activity n Commercial Event D Other:
-
Building Square footage
Mailing Address rQ
C9 TVI
)71t-gsY
Name License
Mailing Address
Email:
Expiration Date
Phone:
ELECTRICAL CONTRACTOR INFORMAT}ON
Item
Field inspection each year or concession / ride
Each camival ride and generator truck
Each remote distribution equipment / game
Subsequent anspeclions if required
U[illtrrrce
$121 .00
$28.00
$9.00
$81.00
A!I3[liE
12-)r*
*JoTirJg"itcharse)
$=BAaz-:--=-T--lllz-$
$
$a TOTAL
t9
1,
Owner as defined by RCW'19.28.261: (1) Owner will occupy the structure for two years after this elec{rical permit is flnalized. (2) Owner is
required to hire an eleclrical contraclor if above said property is for sale, renl or lease Permit expires after six months of last inspection.
After reading the above statement, I hereby certiry 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 Wth the electrical laws, N.E.C., RCW Chapter '19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Pri Name Signature (er E Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
\
Name:
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t-.\-^
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1 SU/rr"-j
Date
PROJECT DETAILS