HomeMy WebLinkAbout1608 W 16TH ST - Building (2) ELECTRICAL PERMIT -
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CITY OF ; LES N
Application Number 19-00001227 Date 8/12/19
Application pin number 184.915 REPORT STATE SALES TAX
Property,Address 1608 W 16Th ST Q(Ji'gXC/SE.'taX form
()/]PARCEL NUMBER: 06-30-00-1-1-0700-0000- y.
Application;type description ELECTRICAL ONLY to the City of Port Angeles'
Subdivision dame . . . .
Property Use (Location Code 0302)
Property Zoning .. : . . . PUBLIC BUILDINGS & PARKS
Application valuation -----0
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Application desc
Carnival electrical inspection
Owner Contractor
CITY OF PORT ANGELES RAINIER AMUSEMENTS-LLC
PO BOX 1150 11954 NE GLISAN ST PMB 431
PORT ANGELES WA 983620217 PORTLAND OR 97220
(360) 417-4532 (971)"703-8558
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Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee 871.00 Plan Check Fee, . .00
IssueDate . 8/12/19 valuation . . 0
Expiration Date 2/08/20
Qty Unit Charge Per . Extension
21.00 28.0000 BCH EL-ECH RIDE' S GEN TRUCK 588.00
18.00 9.0000 BCH EL-ECH REMOTE 162.00
1.00 121.0000 BCH 19T FIELD BCH YEAR NOT PART OF 121.00•
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Fee summary Charged Paid Credited Due
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Permit.Fee Total 871.00 871.00 00 00
Plan Cheek Tota; .00 .00 .00 .00
Grand Total 871.00 871.00 " .00 .00
; .
INSPECTION`TYPE DATE: RESULTS: INSPECTOR:-
DITCH'
SERVIC
ROUGH-IN
FINAL
COMMENTS:
PERMrr wai.EXPIRE six(6)momm PRUM LAST MPWrM
Signature of owner or Electrical Contractor X Date:
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COMMERCIAL - FAIR / EVENT RF(:Fi�
ELECTRICAL PERMIT APPLICATION 410
Public Works and Utilities Departpent 4?4qlc
321 E. 5th Street, Port Angeles, WA 98362
360.417.47351 www.cityofpa.us electricalpermits@cityofpa.us
Project Address: C V
Project Description: Pa i v\ 1,t )0, Or �B �\�(�C` kiln
Fairground Activity ❑ Commercial Event ❑ Otf ; Building Square footage:
OWNER INFORMATION
Name: Emat c �
Mailing Address: AVg5
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charae Quantity IQ.W(Quantityox�nit Charge)
Field inspection each year or concession/ride $121.00 _ $
Each carnival ride and generator truck $28.00 $
Each remote distribution equipment/game $9.00 $
Subsequent inspections if required $81.00 $
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$ OZJ _TOTAL
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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.
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D to Pri Name Signature(KVNner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]