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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , . . , ,
15- 00000637 Date 6/05/15
Application pin number
005954
Property Address
1703 B ST GARAG
ASSESSOR PARCEL NUMBER:
06-30-00-0-4- 4850 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . . . . , .
UNKNOWN
Application valuation , . . ,
0
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Application desc
Ductless heat pumps
Owner COntraCtOr
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit , . , . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 86.00 Plan Check Fee 00
Issue Date. 6/05/15 valuation , , . , 0
Expiration Date 12/02/15
Qty Unit Charge Per Extension
BASE FEE 86.00
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Foe summary Charged Paid Credited DAip
--- -------- - - - - -- ---- -- - --- -- --- - ---- --- - - ----- ---- --- - --
Permit Fee Total 86.00 86,OQ .00 .00
Plain Check Total .00 .00 00 00
Grand Total 86,00 86,00 .00 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
r�
FINAL
COMMENTS:
PERMJT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEC'T'ION
Signature of owner or Electrical Contractor X Date:
G:IE�CCHANGEIBUII,DING � --
CITY OF PORT ANGELES PERNI1T APPLICATION
Bullclina Division /Electrical Inspections
321 East Fifth Street -- P.Q. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ft
Date:
Multi- Family or Commercial`
' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Jab Address:
Building Square Footage:
Description of above - K
.111,
Owner Information
Name: ! rf ,g
Name:
Mailing Address:
Mailing Address:
City: State: Zip:
City:.
Phone: Fax:
Phone:
License # 1 Exp,
License 41 Exp.
item
gn it Char
Service /Feeder 200 Amp.
$132.00
ServicelFeeder 201 -4.00 Amp.
$160.00
Service /Feeder 401.600 Amp
$ 225.00
ServicelFeeder 601 -1000 Amp.
$ 288.00
Service /Feeder over 1000 Amp,
$ 410.00
Branch Circuit WI Service Feeder
$ 5.00
Branch Circuit W10 Service Feeder
$ 74.00
Each Additional Branch Circuit
$ 5,00
Branch Circuits 14
$ 86.00
Temp, Service/ Feeder 200 Amp.
$102,00
Temp, Service/Feeder 201 400 Amp,
$121.00
Temp. Service/Feeder 401-800 Amp.
$164.00
Temp. Service/Feeder 601.1 C00 Amp ,
$185.00
Portal to Portal Hourly
$ 96.00
Sign/Outline Lighting
$ 88.00
Signal Circuitl Limited Energy - Mulli•Family
$ 64.00
Signal Circuill Limited Energy I First 1500 sf - Commercial
$ 96.00
Note: $5,00 for each additional 1500 s : '
Renewable Electrical Energy - 5KVA System or Less
$ t 13.00
Thermoslat
$ 56.00
Note: $5.00 for each additional T -Stal
Contractor information
Name:
Mailing Address:
City:.
_ State: zip:
Phone:
Fax:
License 41 Exp.
City
Total (Qty Multiplied by tlnitCharaef
$
$
$
$
$
$
$
$
$
$
$
CD
$ Total
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. Permit expires after six months of last inspection.
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 electrical laws, N.E.C., RCW, Chapter 19.28, WAC, Chapter 296.466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash Cl check
0 Credit Card k
r i i