HomeMy WebLinkAbout1943 Track W Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
PUBL]C BU]LDINGS & PARKS
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Applicatsion Number
ApplicaEion pin numlcer
Property Address
ASSESSOR PARCEI, T\UMBER:
Application ts}?e descripEion
Subdivision Name
ProperEy Use
Property zoning
applicaLion valuaEion
22 00000038 Datse
45A960
1943 TRACK W I,AURIDSEN BL\,'D
06 -3 0 - 00-1- 1- 5100 - 0000-
ELECTRICAI ONLY
t/L9/22
ApglicaEion desc
Concession Building
CITY OF PORT ANGELES
321 E 5T}I ST
PORT ANGEIES WA 98362A211
O1'NER
Permi L
Additional desc
Permi! Eee
Issue Date
Expiration Date
192 _ 00
t/ L9 /22
'/ /te / 22
EIECTRICAL ALTER COMMERCIAL
Plan Check Fee
VaIuat ion
OEy Uni! Charge Per
12.00 5.0000 ECII
1. 00 132 .0000 EcH
EL.BRANCH CIRCUIT W/FEEDER
EL COM O 2OO SRV FF]IIDT]R
00
0
Extension
60.00
132.00
Charged Paid CrediLed Due
Permir Fee Iota1
PIan Check ToLal
Srand Total
192 . AA
.00
192.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electical Contractor X
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE:
DITCH xltulzz ..'6P od'
SERVTCE
ROI]GH.TN zlz6lzz-N
FINAI LrKbZ
COMMENTS ,l',t,
G:\EXCHANGRBIilI.DlNG
192 .00
- 00
192.00
RESULTS:INSPECTOR:
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Date:
IVIIJIT -FA]MII Y / COMI\'FRCIA I
ELECTRICAL PERMTT APPLtpATtON
Public Works and Utilities Department
i21 E. 5th Street, Port Angeles, WA 98362
360.417.473 5 | www.cityofpa.us I electricdpermits@cityofpa.us
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Project Address L*".'.--r O55N Bz.t >6f^.tLTt"Ac)c-
Project Description:r*€Ll <&eoe-si'l>$r RLp 6^
E Multi-Family Residential U Gommercial / lndustrial / Public Building Square footage:t"frp 9F
6iti*Email:{-l ,'.r C-.2 r.-r',:<i1-*8.^.xq
Mailing Address:Phone qd-r - "-16.r-11 3>-
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Name: License:
Mailing Address:
Email;
Expiration Date
Phone:
lJnlt Charo€
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
x l.rnit Charge)
Service/Feeder 200Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401$00 A,mp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Seryice Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuib 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder401600 Amp.
Temp. Service,/Feeder 601-1 000Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Muti-Family
Signal Circuit/Limited Energy/FirEt 1500 Ef- Commerciat
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: sl(VA Sy*em or less
Thermostat (Note: g5 for each additional)
$
$
u
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
132.00
60.00
$113.00
$56.00
192.00 roral
owner as defined by RCW19.28.261: (1) owner will occupy tre structure for two years after this etectrical permlt is finalized. (2) owner is
required to hire an electrical conkactor if above said property is for sale, rent or lease. Permit expires after six months of last inspec'tion.
After reading the above statement, I hereby certifu thet I am the owner otthe above named property or a licensed elechical contractor. I
am making the electrical installation or alteration in compliance with the elecfical laws, N.E.C., RCW C hapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipat Code, and Lltility Speciitcations and pAMC 1 050 regarding Electrical Permit Applications.
t-A'l:t-4.g'-*,tJ
Date Print Name Signature C0ntra Administrator)
lElectric al Permit Applications may be submitted to City Hall or epermits@cityoDa.us or faxed to 360.417.47111
Name:
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