HomeMy WebLinkAbout901 E Front StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'/-4135
COMMERCIAL ARTERIAL
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
-s
a
-$NApplication Number
Application plIl numlcer
Property Address
ASSESSOR PARCEI, NUMBER:
Application E]'pe description
Subdivision Name
Property Use
Property Zoni[g
ApplicaEion valuatsioo
19 - 000014 92 Date 9/25/L9
2A28AO
901 E FROMT ST
06- 30- 00 - 5-1-0315- 0000 -
ETECTRfCAL ONLY
ApplicaEion desc
Emerqency siqns retrofit
OlJner Contractor
WELLS FARGO BANK, NA
525 MARKET ST 18TH FLOOR
CHICAGO IL OOOO5
CB RIC}IARD ELI-IS INC
1420 5TH A\E STE 1700
SEATTLE WA 98101(42si 705-4135
Per-mit
Additional desc
Permit Fee
Issue Datse
Expiration Date
74.40
9/25/t9
3/23/20
ELECTRICAL ALTER COMMERCTA]-
00
0
Qty UniE Charge Per
1-00 74.0000 ECH EL-CoMM BRANCH cIR wo/ s/E
Extension
'74.OO
Fee summary Charged Paid Credited Due
Permits Fee ToEal
Plan Check Totsal
Grand Tot.al
74.00
.00
'74.04
74.04
.00
74 .00
00
00
00
00
00
00
PERMM WILL EXPIRI SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION Tl?E DATE:RESULTS:INSPECTOR;
DITCH
SERVICE
ROUGH.IN p)tu)fr M :BP
FINAL n0 )b)n dx-$
COMMENTS
Date
PlaD. Check Fee
valuation .
Signature of or.ner or Electdcal Contractor X
MULTI-FAIVI LY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 | www-citvofpa.us I electricalpermits@cityofpa.us
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Project Address
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Project Description +,1 4 ,1 6me en Srm ,? /o L€D n4 {,n
! Multi-FamilyResidential Commercial / lndustrial / Public Building Square footage
a"\K Email
Mailing Address fol E. f,"nf Sf.
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Name:
Mailing
Email:
Address rE
Phone 3bO-5oll_ o2 sq
License:
Expiration Date 5-t1.- zz
Phone bo'50 5iDhec.b
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Servjce/Feeder 401€00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'l-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal Circuiylimited Energy - Multi-Family
Signal CircuiUlimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional '1500 s0
Renewable EIec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Quantitv IglE! (Quantity x Unit Cha.ge)
74e
LJnit Charoe
$132.00
$'160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$12'l .00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
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$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
9113.00
$56.00
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two yeals after this electrical pemit is finalized. (2) Owner is
required to hjre 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 certiry that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in complianc€ with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name S nature (! Owner Administrator)Electrical Contractor
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
ELconi
OWNER INFORMATI.ON
Name:
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PROJECT DETAILS
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