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Wave power supply change out
Owner
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 09 00000050
Application pin number 666950
Property Address 1900 W 5 6 ALY
ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Qty Unit Charge Per Extension
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 57 50
CITY OF PORT ANGELES PENINSULA POLE SERVICES INC
PO BOX 1150 P 0 BOX 13
PORT ANGELES WA 983620217 BURLEY WA 98322
(360) 710 3978
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 140319
Permit Fee 57 50 Plan Check Fee 00
Issue Date 1/20/09 Valuation 0
Expiration Date 7/19/09
Fee summary Charged Paid Credited Due
Date 1/20/09
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
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
Contractor
DATE. RESULTS
(2_3169 +A)
Signature of owner or Electrical Contractor X Date
INSPECTOR.
City of Port Angeles Permit Application
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417-4711
Date:
Unit Charge
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
l
Signature of owner electrical contractor or electrical administrator
Date. //c
RECEIVED
JAN 15 2009
1 2 Single Family Dwelling LIGHT DEPT
Multi Family or Commercial*
Commercial Addition Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /900 t) 5- C A 30
Building Square Footage:
Description of above
Total (Qtv Multiplied by Unit Charge)
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp.
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
J S 7 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.
S Portal to Portal Hourly
Sign /Outline 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 5KVA 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
Owner Information Contractor Mormation
Name ZU z Name: /,�J �S' v Zgts
Mailing Address: Mailing Address: O .,D,t'•/
City' State Zip: City erie664- State 4.11 Zip t...
Phone: Phone: 3 G O 9'9 S'.9 /3 7
License Exp License Exp dad 2 "/d
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.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical
installation or alteration in compliance with the electr +cal laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.