HomeMy WebLinkAbout939 Caroline St (21)Application Nudber
Application pin nunber
Property Address
ASSESSOR PARCEL NUMBER:
Application ts)?e description
Subdivision Name
Property Use
Property Zoning
Applicaliorl valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604t7-4735
2 0 - 00000041 Date !/a3/2O
774'704
939 CAROLINE ST
06 - 3 0 -00 - 1- 0 - 33 2s- 0000 -
ELECTRTCAL ONLY
PI'BLIC BUILDINGS & PARKS
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicati.on desc
New x ray
Contsractor
PUBTTC HOSPITA], DISTRfCT #2
939 CAROLINE S.r
PORT ANGEIES WA 98362
1360) 417 -7t70
OIYMPIC ELECTRIC CO INC
423 O T'TIMWATER
PORT ANGELES WA 98353
(360 ) 457 - s3 03
Permi.t
Additional desc
Permit Fee
Issue Date .
Expiration Date
74 .00
! /13 /201/tL/20
Plan Check Fee
Valuation
SIECTRICAI, AITER COMI4ERCIAI
00
0
Qty Unit Charge Per
1-00 74.0000 EcH EL-coMM BRANCH crR wol s/F
Extension
?4 .00
Charged Paid Credited Due
Permit Fee ToraL
Plan Check Totsal
Grand Total
74 .00
.00
'74 . OO
14 .04
.00
'74 . OA
00
00
00
00
00
00
PERMM WILL EXPIRE S IX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN r /n Jzo e.3r
FINAL r/zz/zo AP
COMMENTS:
Date:
lET
Signature ofowaer or Electrical Contractor X
Jan 10 2O2a 02:36PM HP Fax page 1
MULTI-FAMILY /IAL
LECTRICAL PER PLI
Public Works and Utilities Departmert
.121 E 5itr Streel, Port Angeles, WA 98162
360.4 i 7.473 5 : wwrv cityofpa..us I eleerricalperrr, its@citvofpa.us
q4 E (6.*a/rn?, Pr|, ?8362=
;f,;;ff 1lq
1fNo
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ProjeclAddess:
Projcc{ De6oription -u 2 eh
E Multi-Family Residential E Commercial I lndustial/ic Eluilding Square footage
Name:Email:
Mailing Address:Phone:
a
Name:Olympic Ebotric Co., lnc.Lidense:EC2A5D1
Mailing Address:
Emeil:maure€n
&!!
S6Mc€/Fe.dar
Truck Route ralion Date: 0341/2019
Phone 3tiGiST€3O3
Charge)
SeMioe/Feeder 40_l €90 Amp.
Service/Feeder 60,1 :1000,Amp.
Service/F eeder g\,iirtlQ00 Amp.
Branch Circuit Vt,'.E€&tice Feeder
Brgnch Circlit W(i Sbrvice Feeder
$13230
$160.00
$225.00
$28&00
$410.O0
$5.00
$74.00
$5-00
$E6.00
$10?.00
$121.00
$164.qq,
,:..$r85,00j:
i $96.0Q r'r':
: ' s88 oG,ii l
-=r"--
Each Addfional
Branch Cirarits
Cirarit
Temp. Servbs/F AmP.
Tenp.
Terp.
Teflp,
Portal
Sign /
Signal CircuiuLimited Energ).i M
Signal CircuiUlimited Energy/First
(Note: $5.0Ofor eac*t
Renrw$lc Bec. E nergy: 5KVA S)ste
26t4il0 Amp.
Olt,n€r as defin€d by RCW.19.28.261 | ('l ] Owner wll occupy the s*uctlrre for two ygar6 after thi€ Blectricsl perm,t is fina zed. (2) owner ts
requlred to hirs an slecfical contractor i{ above sdd propedy iE for sale, rent or leaE6. Permit expires afE{ six monthB o{ last inspection.
Ater reading the above siatement, I hereby certiv that I am tha o\yner oflhe above named property or a licen$d electical contractor I
am making th6 slectical installatim or alteration in compliance with the electical lawS, N-E.C-, RCW. Chapter 19.28, WAC. Chapter2gS
468, The City ot Pod Angeles Municipal Code, and t tility Specficaliona and PAIiC 14.05.050 regarding Electrica] Pgrhit Applacalions.
0 24ZO Michael L. Rutten #ffiHi*&s*.-
Print Name Signature (Q Ovner g Electrical Contractor / Administretor)
lElestical Permit Applications may be submitted to Clty Hall or epermits@cityo$a.us or faxed to
.t. ..!1 :..i: ., ! . I tri:-- ,'.
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Thermostat (Note: $5 tor each additional)
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