HomeMy WebLinkAbout901 S Lincoln StApplication NunLer
Application pin nuiber
Property Address
ASSESSOR PARCEL NOIIBER:
Application t),?e description
Subdivision Name
Prope.ty use
Property Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMUNIIY SHOPPING DISTR
0
19- 00000877 Date 6 /a0 /a9
4178 0 8
901 S LINCOLN ST
05 - 3 0 - 00 - 0 -2 - 9040- 0000-
EI,ECTRICAI, ONI,Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ss
-_l
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Application desc
l,ighting retrofit
OwI]er ConEractor
ELECIRIC SERVICE
503 RIIODES RD
PORT ANGEI,ES
\360) 452-6421
wA 983527848 wA 983 62
PeIrnit
Additional desc
Permit Fee
Issue DaEe .
Expiration Datse
ELECTRICAL AITER COMI4ERCIAL
1-4 CIRCUITS
86.00 Pfan Check Fee
6/to/19 valuar.ion
00
Qty uniE charge Per Ixtension
85.00
Charged Paid Credited
Permit. Fee Totsal
Pfan Check 1ota1
Grand Totsa1
86 .00
.00
85. O0
o0
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM T.A.ST INSPECTION
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH.IN 'l-fi-tc rt:AI "{{"JFINAL\-n. A *=,k>
COMMENTS
Signature of owner or Electrical Contmctor X Date
AAAB CIIARI,ES F
901 S IINCOLN ST
PORT ANGELES
0
Due
86_00
.00
86 .00
RESULTS:
f,f,li;;;U I.FAIUILY /Mtu R
ELECTRICAL PERMITAPPLICATION
Public \Ibrks and Utilities l)epartment
321 l-..5th Slreet, Port Angeles. \&A 98362
360.417.4735 | www.ciryofpa.us I electricalpermits@)cityofpa.us
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-+lProject Address L
Project Description i ..'
''t D I J. Lr nr r>,)
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E Multi-Family Residential
Name Email
Maiiing Address 5 /
Name
Mailing Address
Lrcense
Expiration Dale
Phone:Email
ibln
Service/Feeder 200 lfi p.
Service/Feedsr 20r-400 Amp
Servic€/Feeder 4O1 $00 Amp
ServicelFeeder 601 -1 000 Arnp
ServicelFeeder over 1000 Amp.
Brandr Crrujit w/ S€rvica Feede.
Brancfi Cirqrit w/O S€rvice Feeder
Each Additional Branch CiroJit
Branch CircuiE 1-4
Temp. Service/Feed€r 200 Amp.
Temp Servi€/Feeder 201{00 Amp.
Temp ServicslFeeder 401{00 Amp
Temp. SeNice/Feeder 60 1- 1 000 Amp.
Portal to Porlal Hourly
Signal Cirqriulimited ErErgy - Multi-Family
Signal Cirariulimited Ene.gy/Firsl 1500 sl - Comm€rcisl
(Nob: 65.00 tor each sdditbnel 1500 s0
Retlewable Elec. Energy: sKVA Systom or lsss
Thermostat (Note: $5 for each additional)
lt^
lrr$-Ctilcr
s132 00
sl60.00
s225 00
s288.00
s410.00
$5.00
574 00
s5.00
$86.00
$102.00
$121.00
8164.00
8185.00
996.00
0E8.00
s96.00
Ouantltv &lhl (Qutntlty r Unit Cha.ge)
s
$
$
$t
$
$
$
$
s
$
$
$
$
$
$
$
s
$113.00
$56 00
rOIAL
Owner as defin€d by RCW.19.28.261r (1) Owner will occllpy the struclure for two years afterthis electncal pemil is finali2ed. {2) Owner is
required to hire ah electrical cont actor if above said prope,ty is for sale, rent or lease Permil expires aner six months of last inspection
After reading lhe above statement, I hereby cani{y that I am the owner of lhe above nam6d property or a ticensed electrical contrac{or. I
am making lhe electncal installalion or sltsralion in complianco with the electical l6ws, N. E C , RCW. Chapter 19.28, WAC Chapter 296,
468, The City of Port nicipal Code and Utility Specifications and PAMC 1 4.05.050 regardang Eleclrical Permit Applications.-)
f
Dale Print Name Signature (fl Owner El Electncal Contractor /Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47'11]
Commercial i lndustrial / Public Building Square tootage:
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