HomeMy WebLinkAbout511 E 1st St HseELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
I]NKNOWN
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Applicatsion Number
Application pin nudcer
Property Address
ASSESSOR PARCEI NUI'1BER :
ApplicaLion tsype descriptsion
Subdivision Name
Propertsy Use
Property Zoning
ApplicaEion valuation
2r. - oooooo4I Datse t/19/2L
409055
511 E 1ST ST HSE
05 - 30- 00-5 - 1-2035 - 0000 -
ELECTRICAL ONI,Y
ApplicaLion desc
of f ice space/Stsorage shell
DON NIVENS
PO BOX 212
SEQUlM
l36Al 460-2626
JPE CORP
156 HARMONY LANE
PORT ANGELES
(350) ?31-8994
wA 98382 wA 98362
Additional
Issue DaLe
t92.OO
a/19/21
'7 /\8 / 21
ELECTRICAL ALTER COMMERCIAL
PIan Check Fee
Valuatsion
00
0
Expiration Date
Qtsy UniE Charge Per
12 .00 5 . 0000 EcE
1.00 132.0000 ECH
EL-ECE ADDNT BBANCH CIRCU]?
EL-COM O-2OO SRV FEEDER
charged Paid crediEed Due
PermiE Eee Total
Plan Check ToEal
Grand Totsal
!92
192
!92
L92
00
00
00
.00
.00
.00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SD( (6) MONTHS FROM LAST INSPECTION
INSPECTION ryPE DATE:RESULTS:INSPECTOR:
DITCH
ROUGH.IN g)-6 /zr +{>
FINAL 6)*ln-p 36\;
Signature of orrrer or Electrical Contractor X
G:\EXCHANCE\BUILDING
Date
ExEension
60.00
132.00
SERYICE
l@
COMMENTS:
MULTI.FAMILY / COMMER CIAL
ELEC TRICAL PERMIT AP PLICATION
Puhlic Works util Uiilrrics l)cparrntcnl
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lr',i i -1 i7,l.7l-s,,ii',.ircitrr',fltr,rit:ele(tficitJperitrrtsircilrolDaLis
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Projecl Address
Project Description OFtr (E PAC€ /<4.DRAA
D Multi-Family Residential E Commerciat / tndustrial / Public Building Square footage 2nvz
Name:Email
Mailing Address g" \.a,Phone
.,,h a"'y
Name:
Mailin1j
Email:
Address
Itom
Service/Feeder 2OO Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401-m Amp.
ServicdFeeder 601 -1 000 Amp.
Service/Feeder over I 000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits'l-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Servic€/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuiulimited Energy - Multi-Famity
Signal Circuiulimited Energy/FiBt 1500 sf - Commercial
(Note: $5.00 for each additional '1500 s0
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
/OZL
-Ll Ja,?"1^
License:JPtr'D(Y,PIDIAc
ration Date: P-3'2222
Phone 3l-rr1it -H?r'
Unit Chargg
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$1 .00
$185.00
$96.00
$88.00
$88.00
$96.00
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$113.00
$56.00 $_
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Owner as defined by RCW.19.28.261: (l) Ownerwilloccupy lhe structure for two years atter this electricat permit is finatized. (2) owner is
required to hire an eleclrical contractor if above said property is for sale, renl or lease. Permil expires ater six months of last inspection.
Afler reading the above statement, I hereby certiry that I am the oMer of the above named property or a ticensed electric€l contractor. I
$_
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C.,
468, The City of Porl Angeles Municipal Code, and Utitity Specifications and PAMC 14.OS.OSO
RCW Chapter 19.28, WAC. Chapler 296-
regarding Eleclrical Permit Applications.
I
Date Print ame rg nature (I Owner E Electrical Contractor / Administrator)
.".U
lElectrical Permit Applications may be submitted to City Ha or or faxed to 360.412.47111
OWNER INFORMATION
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