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ELECTRICAL PERMIT `�I
CITY OF PORT ANGELESch
360-4174735
Application Number 17-00000833 Date 6/20/17
Application pin number . . 491392
Property Address 101 W 1ST ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1569-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation . . . 0
Application deac
Ductless heat pump
Owner Contractor
DIANE MARKLEY EXTRA MILE TECH & ELECT., LLC
PO BOX 2835 418 N. RACE ST.
PORT ANGELES WA 983620333 PORT ANGELES WA 98362
(360) 457-5678 ` ` , (360) 457-5222
Permit ELECTRICAL ALTER COMMERCIAL
Additional deac .
Permit Fee . . . 74.00 Plan Check Fee . . .00
Issue Date . . . 6/20/17 Valuation . . . . 0
Expiration Date . 12/17/17
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 /
Fee summary Charged Paid Credited Due
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Permit Fee Total 74.00 74.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 74.00 74.00 .00 .00
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INSPECTION TYPE ; DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 4. r7 ,ate``'
FINAL l.•-
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COMMENTS: �'
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION _ _Ares.--__
Baikli gD. . . Inspections JUN P E` ni l l ,t
321 East Filth Street—P.O Box 1150/Port Angeles Washington,98362
Pb:(360)417-4735 Fax:(360)417-4711 uc-IR
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C 4-/y Multi-Family or Commercial*-/7 1 spEc�tro�
*Plan Review May Be Required Please Complete Electrical Plan Re Lew Information Sheet
Job Address: 1/2/ j/�-c S(- F-r rc.c - S
Building Square Footage:
Desaiptior of above /-f-/f-c4 f=x is o-,,I, C.14--c-c-' A i lb r SS /-1--e A# 91
Owner
Nana j�N.e tV mak./ _ 1 _ .L..
Mang Address: j r)i W I sr- �Adore q t 13 - s �T
Cay: Pr Stats it-/11--Zlp 9$3 4 2. t ' 4- Alyn ec S►atec Z p: 91'3¢�
Phone:46 0-5'6 3 9 Fax: Phone i'f7-4S'�,�s. Fax 4( 7-S'S-6 SSSS""""
License#/Epp. License#/Etp. IrfLif /73 R(.
Item Unit Charlie Qty Total(stn Multiplied by Unit Charge).
Service/Feeder 200 Amp. $132.00 $
Service/Feeder201.400 Amp. $160.00 $
Service/Feeder401-600 Amp $225.00 $ .
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feederover 1000Amp. $410.00 $
Branch Circuit WI Service Feeder $ 5.00 $
Bra ch Caved W/O Service Feeder $ 74.00 —it__ $ 74-i.
Each Additional Branch Circuit S 5.00 $
Branch Circuits 1-4 $ 86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder401-600 Amp. $164.00 $ 1
Temp.SenricelFeeder601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 96.00 $
Sign/Outine Lighting $ 88.00 $
Signal Circuit/Limited Energy-Multi-Family $ 64.00 $
Sigi Circuit/Limited Energy!First 1500 sf-Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or less $113.00 $
Thermostat $ 56.00 $
Note:$5.00 for each addlional T-Stat
$ i -r, Total
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Owner as defined by RCW.1928261:(1)Owner will occupy the structure for two yes after this elechical permit is*raked.(2)Owner is required j
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 electrtal contractor.lam making
the electrical installation or aeon in compgawe with the electrical laws,N.EC.,RCM.Chapter 19.28,WAC.Chapter 296.4613,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 ehctsical administrator: O cash 0 Chad(
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