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Application Number 19-00001054 Date 7/15/19
Application gin number . . 622010 REPORT STATE SALES TAX
Property Address . . . . 1707 C ST OUI'$XCIS@ tax form
PARCEL. NUMBER: 06-30-00-0-4-4940-0000- ony
Application type description ELECTRICAL ONLY tO tfl9 City of Pott Angel8S
Subdivision Name . . .
Property Use . (Location Code 0502)
. _
Property Zoning . . . INDUSTRIAL HEAVY
Application valuation . . . 0
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Application desa
New salt shed power
Owner Contractor
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STATE OF WASH11,1GTON OWNER'
GEN ADMIN
OLYMPIA WA'985041000
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Permit ELECTRICAL ALTER COMMERCIAL `
Additional dose
Permit Fee 74.00 Plan Check Fee . .00
Issue Date 7/15/19 Valuation 0
Expiration Date 1/11/20
Qty Unit Charge Per Extension
1.00 74.0000 BCH EL-COMM BRANCH GIR WO/'SIF 74.00
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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 .DO .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN l
FINAL
COMMENTS -
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INWC ION
Signature of owner or Electrical Contractor X Date:
MULTI-FAMILY / COMMERCIAL CD
• ELECTRICAL PERMIT APPLICATION ✓��•����
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address:
Project Description: f
❑ Multi-Family Residential ')O Commercial Industri Public Building Square footage:
OWNER INFORMATION
Name: Email
Mailing Address: Y"e-, Phone: _ 36a1- c7 Qn-C)
y CONTRACTOR
INFORMATION y .
Name: License:
Mailing Address: a Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charae Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 _ $ ? i
Each Additional Branch Circuit $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/Feeder 401-600 Amp. $164.00 $
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note: $5.00 for each additional 1500 so
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$ 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-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Oil q
Date Print Name I Signature(F-1 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]