HomeMy WebLinkAbout217 S Lincoln StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4715
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Application Numbe!
Appfication pin number
Property Address
ASSESSOR PA.RCEI] NUMBER:
Applicatio[ Lype descriptsion
subdivision Name
Property Use
Propertsy Zoning
Application valuation
19 - 000013 92 Date 9/1,6/)"9
9'72256
217 S LI}ICOIN ST
06 - 30 - 00 -1- 0-2600 - 0000-
EI,ECTRICA], ONLY
LltKNQ',,,r)-
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Owner
0
CITY OF PORT ANGEI]ES
PO BOX 1150
PORT ANGELES WA 983520217
ANGEIES EI]ECTRIC
PORT A.},IGELES
l36O) 4s2-9264
wa 98362
Permi t
Additional desc
Permit. Fee
Issue Date
Expiration Date
EI,ECIRICAIJ AITER COMMBRCIAII
ADD 4 LIGHTS
86.00 Plan Check Fee
9/t6/L9 valuation .
3/t4/20
00
0
Qty Unit Charge Per
BASE PEE
Extension
86. 00
Permits lee Total
Plan Check Total
Grand Total
85. 00
.00
86. O0
86. 00
.00
86.00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.tN qlnln &al9
FINAL qirqlM M .r+p
COMMENTS
Signature ofowner or Electrical Contractor X Date
::i:::i ::11-- :::it::i- -- T:
09/10/2019 11:47 FAI 360 452 9265 Angeles Electric
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, PortAngeies, WA 98362
360.417.4'735 | wwwcityofpa.us I electricalpermits@cityofpa'us
a 0001/0 0 01
RECEIVED
StP I 2 20ts
Llcenge: ANGELEI460RS
Expiration Date:a112020
Phone:
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Stul
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t\ProjectAddress:
Project Description:
E Multi-Family Residential mmercial / lndustrial I Public Buildlng SquarB footage:
Name:Email
Mailing Address:Phone:
Name:Anqel Electric, lnc
Mailing Address:524 E.StreBt,Port Ano€les. WA 98362
Email:ksim
th8,-Cle[lr
t132.00
3160.00
1225.00
128E.00
i410.00
f,s.00
t7.t.00
35.00
$q6.00
$102.00
8121.00
gllloliu
I
$s-
$-$-3--
$-
trqEl (Qu8ntlty r Unlt Charg.)
Temp.
Temp,
Portal
Sign /
Amp
Amp.
Slgnal Ckcuiullmited
E
st
$
--a6
--1lb-
Servi
to Porlal Houdy
Outline Ughtlng
sional Clrcuiul.i mited- (Note: $5 0O for aacfl
Renewabte Elec. Enorgy: st(VA
Thermostat (Note: $5 for sach additional)
Date Print Name
a
$
$
t
owner as defined by Rcw.19.28 261 : (1 ) o\n ner lYill occupy tho slructJr. for tYo y.aB efbr thL el€ctsioal P€rmt 13 nn6[,.d' (2) OYYner L
requircd to hire an encr*a conractoi #"U.* "*a
p-p.,ty Ig tor eate, rerlt ;-6;' ixmit c:qircs anei 3ix monltu of llal knpdlon'
After reading tha above statament, I hereby certify that I
-am
the Ownrf of tha abovo namcd PtoP€rty Or t llcons€d 'lt'tlcrl confactof' I
am making lhe ereclrrcat instattarion oi;rieiuon in compriance witr the er#;t l;ar'r.e.c., icui. chsPt"r l9"2E w c' chaPbr 29&
468. The.City of PofiAngelss Munlcipal Code, and Utiltty Specifioto* "iti FeiiC i+Ot'Oyi rggarding A6o6lcal P"mIt Appltcatlo s'
TOTAL
/ Administrator)Signaturo (E
lElectrtcal permitApplications may be submitted to Cjty Hall or elsctrlcalPermlts@cityotra'ue or faxed to 380'41? '47'l1l
RttDV f oA (NlP.dlloN
Item
ServlceiFeeder 200 AmP,
Servic€y'Feeder 201-400 AmP'
ServicdFseder 491€00 AmP.
ServlcdFeeder 601-1 000 AmP.
SeMcer/Feeder ovar 1000 AmP.
Branch circuit W Sarvica Feeder
Branch Circuit WO Service Feeder
Eacfi Additional Branch Circuit
Bran€h Circuits 1-4
Temp. Service/Faeder 200 AmP.
TEmp. SeMc€/Fseder 201-400 AmP.
$-
60t
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