HomeMy WebLinkAbout202 N Cedar St HsELECTRICAL PERMIT
CITY OF PORT ANCELES
360-4t'7 -4735
IN]DUSTRIAL HEA\'Y
0
REPORT STATE SAI-ES IAX
on your excise tax farm
to the City of Port Angeles
(Location Code 0502)
Appfication Number
Applicatio[ pin aumber
Property Address
ASSESSOR PARCEL NUMBER I
Applicalion t)'pe description
subdivision Name
Property Use
Property zoning
Application valuation
2 O - 00000078 Dalre L/22/20
944570
202 N CEDAR ST HS
06- 30 - 99 - O- 0 - 3710 - 0000 -
ELECTRICAIJ ONIY
Application desc
Fire aLarm communicator
PORT OF PORT ANGEIES
PO BOX 1350
PORT ANGELES WA 983 6202 51
INTELL]SYSTEMS
PO BOX 592
PORT ORCIIARD
(360) 895-7995
INC
I^rA 983 66
Additional desc
Permit Fee
Tssue Date
Expiration Datse
95. O0
r/22 /2a
t /20 /2a
ELECTRICAL AI,TER COMMERC]AL
Plan Check Fee
valuat iorl
00
0
oty Unit Charge Per1.00 95.0000 ECti EL-LfMITED lST 1500 S0 Ell 96. 00
Fee summary charged Paid Credited Due
96.00
.00
95.00
96 .00
.00
96 .00
o0
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON
DATE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN vlzz /zo d *"
FINAL z)zE/o ##
COMMENTS:
Signature of owner or Elecaical Contractor X
N
$
$
Pfan Check Total
Grand Totsa1
INSPECTION T\?E
Date:_
tM U LTI-FAIU I LY / CON/ IU ERCIAL
ELECTRICAL PERTV IT APPLI CATI ON
RECE,t/ED
JAN 2 nn
Project Address '1n7 os c-F*p.e. >.T- , P h- wh-1936a-
n Multi-Family Residential $=Commercial / lndustrial / Public Building Square footage
Name ?orr--1 oF FDp--f ft{\xeF-&€-g qgbGL Emait:
l\,4ailing Address 33y w €'rc.s-t sr. pk wD
s Y2.PR. C.o
Phone:
Name N
l\4ailing Address 0
>t I Nc-
z
License: INTFzL | *q?'Lrv\ (?
Oeq+ArzO \ .J+ q Expiralion Date:l lzoz:z-bu
X-.*-\ - S'tSTtr;r{AS-oot4a\Phone ?bo 9q g--1qc!g-Emai t: \r'lFo @ tFsT
Item
Service/Feeder 200Amp.
Service/Feedar 201-400 Amp.
Service/Feedar 401€00 Arnp.
Service/Feeder 601-1 00O Amp.
Service/Feeder ol/er 1 000 Amp.
Branch Circuit wl Service Feede.
Branch Circuit WrO Service Fe€der
Each Additional B.anch Circuil
Branch Circuits 14
Temp. ServicdFo€der 200Amp.
Temp. ServicdFeeder 201-400 Amp.
Temp. Service/Faeder 401600 Amp
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Srgn / Outline L€hting
Signal CircuiULimited Energy - l!fir&i-Family
Signal Circuiuumited Energy/FirBt 1500 d - Comnercial
(Note $5 00 tor each addtiorEl 1500 s0
Renewable Elec. Energy: SKVA System or l€ss
Thermostat (Note: 55 for each additional)
Quanlitv Total (Quantity x Unit Charge)
$
$
It
I
$
$
$
s
$
o
$
$
D
$
$
$
Unit CharlE
$132_00
$160.00
$288.00
$410.00
$5.00
$74.00
ss.00
$86.00
$102_00
$12 ! .00
$154.00
$185-00
$96-00
$88.00
$88.00
$96.m
$113.00
$56.00
s
@
s TOIAL
Owner as defined by RCW.19.28.261; (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale. rent or lease. Permit expires after six months of last inspection.
After reading the above statement. I hereby ce.tify that I am the owner of the above named property or a licensed electncal contractor. I
am making the electrical installation or alteration n compliance with the electrical laws. N.E.C.. RCW. Chapter 19.28. WAC. Chapter 296-
468. The City oI Port Angeies lVunicipal Code. and Utility Specifications and PAI\4C 14.05.050 regarding Electrical Permit Applications.
2D 2-r> JEf\N\ ?yR- VO|aO?L_
Date Print Name Signa ! Own al Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47 j1)
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Project Description: l$^J VO u-T pr6rF Fl eE ArL PrP-{v\ COrnn,\uN \ crar-"o r.-
I ELECTRICAL CONTRACTOR I NFORIvtATION