HomeMy WebLinkAbout3501 Bldg F W 18th StELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
PUBLIC BUILDINGS & PARKS
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ASSESSOR PARCEL NUMBER:
21- 00000555 DaEe
16 8 210
3501 BLDG F W 18TH ST
07- 30 - 01-2 - 2 -0000-0000 -
EI,ECTRICA', ONLYApplicaEionl).pe descripEion
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Properry Use
Property zoning
AppLicacion valuation
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Application deac
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CITY OF PORT AI]GELES
PO BOX 1150
PORT ANGE],ES WA 983620217
OWNER
Permit
Addit ional
Permi! Fee
Issue DaEe
Expira!ion
152. 00
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ELECTRICA! ALTER COMMERCIAI,
Date
00
0
Qly Unit Charge Per
4 .00 5.0000 EcH
1.00 132.0000 EcH
EL.BRANCH CIRCT]IT X/FEEDER
EI,.COM 0.2 OO SRV EEEDER
Ex!ension
20.00
132.00
charged Paid CrediEed Due
PermiB Fee aoEaf
Plan check Total
Grand Total
152.00
00
152.00
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PERMTT WILL EXPIRE SIX (6} MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
Location Code 0502)
INSPECTION T1?E DATE:RESULTS:INSPECTOR:
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SERVICE
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COMMENTS:
Signature of owner or Elgctrical Contractor X
CTiEXCHANGE,BUILDINC
Date:
Plan check Eee
valuatsion
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ELECTRICAL INSPECTION
WIRING REPORT
4174735
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SERVICE
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CORRECTIONS NEEDED:
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NOT]FY INSPECTOR WHEN CORRECTIOT{S
ARE COMPLETED WTHIT{ 15 DAYS
DO NOT REMOVE -
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MULTI-FAMILY /COMMERCIAL
ELECTRICAL PE RM IT APPLICATION
Public Works and Utilities Departrnent
321 E.5th Street, Port Angeles, WA98362
3 60.4 17 .47 3 5 I www.cityofpa" us j electricalperm its@cityofpa. us
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Project Address 3Siat t^) t 6
Project Description:Po,.,a q.4 6oA s, a +Cr2.
E Multi-Family Residential n Commercial / lndustrial / Public Building Square footage
Name:Email
Mailing Address frz-r Phone
Name ;;""n"",
Mailing Address
Email:
Expiration Date
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401400 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
BEnch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feede{ 401500 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiuLimited Energy - Multi-Famity
Signal Circuivlimited Energy/First 1S0O sf - Commercial
Note: $5.00 for each additional i50O s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: g5 for each additionat)
Ouantitv Total (Quantity x Unit Charge)
7-Dl?
6 c.L,
Unit Charoe
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
96.0{)
88.00
88.00
96.00
20-"e
U
D
s
113.00
56.00
TOTAL
owner as defined by RcW'19.28.26'1: (1) ownerwill occupy the structure fortwo years after this electrical pemit is finalized. (2) owner js
required to hire an eleclrical contractor if above said property is for sale, rent or l;ase. permit expires afte; six months of last inspection.
After reading the above statement, I hereby certiry that I am the owner ofthe above named property or a licensed etectrical contractor. Iammakingtheelectricalinstallationoralterationincompliancewiththeelectricaltaws, r.r.E.i., icri{. crrapter t s.is, wnc. cnapter 296-46B, The city of PortAngeles Municipalcode, and Utility Specifications and PAMC '14.05.050 regaroing itearicatiermit Apptjcations.
510-z-r Cu*F
Date Print Name Signature (E Owner ! Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or eiectr!calperrnits@citycfpa.rs or faxed to 36 0.417.47,t11
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ELECTRICAL CONTRACTOR INFORMATION
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