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ELECTRlCAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
09-00000048 Date
520272
1300 I ST
R6-30-00-0-0-0000-0000-
ELECTRICAL ONLY
1/20/09
UNKNOWN
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Application desc
Wave power supply change out
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
PENINSULA POLE SERVICES INC.
P.O. BOX 13
BURLEY WA 98322
(360) 710-3978
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 140293
Permit Fee 57.50 Plan Check Fee
Issue Date 1/20/09 Valuation
Expiration Date 7/19/09
Qty Unit Charge Per
1.00 57.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER
Extension
57.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.50 57.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.50 57.50 .00 .00
INSPECTION TYPE
DATE:
RESULTS:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
Signature of owner or Electrical Contractor X
.00
o
Date:
INSPECTOR:
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JAN 1 5 2009
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City of Port Angeles Permit Application
Building Division/Electricallnspections
321 East Fifth Street - P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417.4735 Fax: (360) 417.4711
Date:
Lll@)WltlOlEPf.
_ 1 & 2 Single Family Dwelling
_ Multi-Family or Commercial'
-)( Commercial Addition / Alteration / Remodel/Repair'
, Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1 ?PO 'I ~ T 300~ -"3-
Building Square Footage:
Description of above
~'-;( !-e~
~r
Owner Information.A'" _ }
Name: ~ve.. C-~ 10 L~
Mailing Address:
City: State: Zip:
Phone:
License # / Exp.
Unit Charqe
$ 93.75
$113.75
$160.00
$205.00
$291.25
$ 2.00
$ 57.50
$ 2.00
$ 72.50
$ 86.25
$116.25
$131.25
$ 75.00
$ 69.00
$ 75.00
$ 50.00
$ 50.00
$ 93.75
$ 80.00
$ 86.25
$ 27.50
$ 57.50
$ 86.25
$ 43.75
"2G>/Q
Q1y
Total (Qtv Multiplied bv Unit Charqe)
$ Service/Feeder 200 Amp.
$ ServicelFeeder 201-400 Amp.
$ ServicelFeeder 401-600 Amp.
$ Service/Feeder 601-1000 Amp.
$ Service/Feeder over 1000 Amp.
$ Branch Circuit W/ Service Feeder
$ .n, rt; Branch Circuit W/O Service Feeder
$ Each Additional Branch Circuit
$ Temp. Service/ Feeder 200 Amp.
$ Temp. Service/Feeder 201-400 Amp.
$ Temp. Service/Feeder 401-600 Amp.
$ Temp. Service/Feeder 601-1000 Amp.
$ Portal to Portal Hourly
$ SignlOutline Lighting
$ Signal Circuit! Limited Energy - Commercial
$ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ Signal Circuit! Limited Energy - Multi-Family Dwelling
$ Manufactured Home Connection
$ Renewable Electrical Energy - 5KV A System or Less
$ First 1300 Square Ft.
$ Each Additional 500 Square Ft. or Portion of
$ Each Outbuilding or Detached Garage
$ Each Swimming Pool or Hot Tub
$ Thermostat
$ Total
I
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.
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After reading the above statement, I ~~~~-C€rtify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical
installation or alteration incompliance with the ~tric~ laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and
Utility Specifications. - -- -----.~
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