HomeMy WebLinkAbout2301 S Francis StApplication Nudber
Application pin number
Property Address
ASSESSOR PA.RCEL NLWBER:
Applicai:ion t)'pe descrlptsion
Subdivision Name
Property Use
Property Zoning
Appfication valuatsion
19 - oo0o13 03 Date a/27 /t9
3r6X4A
2301 S FRANCTS ST
06-30 - 10- 5- 1- 0250 - 0000-
ELECTRICA], ONI,Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4r7-473s
RESIDENTIAL MEDIUM DENSTY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Appfication desc
Temp po\rer
Contraclor
HOUSING AUTHORITY OE CI,A],LAM
2503 S FRANCIS ST
PORT ANGEIES WA 983 62 5710
ANGELES ELECIRIC
PORT ANGELES
l360) 4s2-9264
wA 983 62
Pernit
Addltional desc
Permit Fee
Issue Date
Expiration Date
102.00
I /2't / 1-9
2 /23 /20
ELECTRICAL ALTER COMMERCIAL
Plan Check Eee
Valuation 0
Qty Unit Charge Per
1.00 102.0000 ECH EL- coMM 0-200 TEMP sRV / FDR
Extension
102. 00
Charged Paid Credlled Due
Permit Fee Total
Plan Check Total
L02
to2
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST TNSPECTTON
INSPECTION TYPE INSPECTOR:
DITCH
SERVICE elzz )D @ -F
ROUGH-IN
FINAL e)n)P .tr w
Signature of owner or Electrical Contractor X Date
.00
102 . O0
.00
102.00
DATE:RESULTS:
COMMENTS:
An8eles Electric
MU I.FAMILY /COMME CIAL
ELE CTRICAL P ERMIT PPLIC toN
Public Works and Utilities Departrnent
321 E. 5th Sueet, PonAngeles, WA 98362
360.417.47 35 | www.cityofpa.us I electricalpermits@cityofpa.us
01 ? ffl"''a'r'*- l*t*a,*at fWD
s
@0001/0001
RECE/YED
AUE z 6 tits
!
t
lf
L..
h"F-,
Nt
K)
\N
Project Address:
Project Descripti .l
E Multi-Family Residential E Commeroial I lndustrial/ Publlc BuiHing Squars footage:
Name:
Mailing Address:Phone:3bo - val-r tv7
on:
Name:Anq eles Electric, Inc
Mailing Address : 524 E. FilEt Streel Port Angales . wA 98362
Email:
Licens€:ANG Etq t460RS
Elqiration Date:a'l t2020
Phon€i 360-4
Item
SeMce/Feeder 200 AmP.
Service/Feeder 20:t400 AmP.
Serviee/Feeder 4P1-6@ AmP.
servicey'Feeder 601-1000 Amp.
Serviceffeeder over 1000 AmP.
Branch Circuit W Service Feeder
Branch Circuit WO Seryica Feeder
Each Additional Bmnch Circult
Brandr Circuits 1-4
T6mp. Servics/Faeder 200 AmP'
Temp. Service/Foeder 201400 AmP
Tsmp. ServicelFeedF&ldol SOO emP,
Temp. Service/Feedsrq"6!1 {0O0Amp.
Portalto Portal Hourly .
Sign / Outline Lighting
Stgnal CltcuiULimitsd
Siqnal CirfliuLimitsd- (Note: $5.00 for eactt
Renewable Elec. Energy:' 5K\r'A
lrrilclarer
$r32.00
e160.00
f,22s.00
8288.00
$410.00
t5.00
E74,00
s5.00
886.00
1102.00
8121.00
ClJlrlilt Idd (Quantlty x Unlt Charge)
T/r2 a--T-
$
3
$
$
E
$
$
0
$
E
$
Thermostat (Note: $5 for each additionat)
TOTAL
Print Name Signature 1[ Orvner , Administtator)
Date
:ir::
$I
t
owner a6 detinsd by Rcw.19.2E26i: (1) owner will occupy th. strudurs for two y6ars ettet lhis d€cfical pcmit is flnalEad' (2) Orner lc
required to hire an elsctrical contractoi'riaUovE eatO poporty ts for safe, rc-m ;-6;. Pinnit cxpina enei th monht o' lrd h'Prdlon'
Afier reading the above slatement, I hercby csrffy thst I am tha own€r oflho abov3 namcd Pfge'fiy of ' tlca'B'd 'l'€tla'l
cohfadot' I
am maktng rhe etectdcat instauation oi-alta[ion ii co.pritn* witn gtc erfriiii' r'i'E C" Ccv'i' Cnod"t 1928' wAc' ch'Pbr 290-
468, Tha.cly of porr Angetes MuntdpJ-Irot, ""0 uulitv sp""ino6o* "J iinuC'ii.osrso t"e"'dtng Elsc6lcal Patmlt App[c'0qr'
lEtectrical PermitApplications may be submitted to City Hall or eleatricalpsrmits@cttyo&a'us or faxed to 36O'417'47111
08/26/2019 12: 29 FA-f, 360 452 9265
OWNER INFORIUATION
ELECTRICAL CONTRACTOR INFORMATION'1:r: ': j
ttrrcto
