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'F ELE �I' c�
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Application number 20=00000763 DaR
Application pin number i�sfoo
Pr }'. #dreas �3 'if FH�IY kO1.b19T�t 3 0n • `
ns s s R=PARCEL r R- -'06, �-��-5-�-a��a�=rro�0- t4 ff�e City t3r�Port Angales
Application type deacriptiA* . CTR.#CAL oNLY
Subdivision Name .COd@ t�302)
Property Use
Property 7,cuiing .; R4STDRNTIAL MUSK .PARIC
Application valuatit a 0
-------------- - - -- - ------ -- ------ - --- ------
plitation daze
ApRepair septic system
------_--. _:_ _-- .>--•------------ --------------------------
Owner Contractar:
-- - - ----------------
Rom: FIXERS INC "a ELECTRIC
C/o lam S46 B$MON RD.
19027 ATS AVE NW PORT ANGSL$S qiA 98-163
S96RRT+FNS NA 981772555 (360) 452-5753
Pelt- - --- -M'=MRTC 2: ALTER-COMMBRCIAI,-- ---- ---- - - -
Addi tonal ileac 1-4 CYkttITS
Permit`:Hae 86:,bo Plan-Check Fee .00.
3s'a ;pete Z/1420; valuation 0
i on Date . . 1/16141
S2tY Unit Charges Per Extension
EASE'P61�S 86.00
> - »- - --
- - - ___
Fee summiry Charged, paid Credited Due ,
Permit Fee Total 86-00 86.00 .00 .06
Plan Cheek total 00 .00 .00 00
Grand Total.. 86.,00 86.00 00 .00
INS1?`E MON TYPE DATE: "RESULTS. PEG" OR;
nrr�HLan
SVI
FINAL
COMMENTS:
PERMQ"wILL ExpwE six(6)Mo)1+F w FROM LAST 1N5
Signatob£owner or Electrical Contractor X > Date:
MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E, 5th Street. Port Angeles, WA 983162 C9
360.41T4735 :; Ak--A-w.cityofpa.us electricalpermits@cit.,ofpa.us
Project Address: Tli' rad- S\ n M# 4 Lr C l c -fir L n n
Project Description: Rc O-t'
0 Multi-Family Residential Commercial I Industrial I Public Stdiding Square footage:
r OWNE-k--Ril�---
Name: LA 11 r\ 3,1,ts Email:
Mailing Address: Phone:
INFORMATION
ELECTRICAL CONTRACTOR
Name: -A License: L Z IT Mailing Address: I& &n-4,o n Kc&A 0 7�3&3 Expiration Date: G-Q-
Email: !�M i c F ci rq ----P e: L4
P 6 R JEC 1 1 1
#AM Unit Charge Quantitt JgW(0tantIty x Unk 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 $
SeNkz/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74,00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $ &
Temp SerAce/Feeder 200 Amp. $10Z00 $
Temp Service/Feeder 201-400 Amp. $121.00 $
Temp Sentice/Feeder401-60OAmp. $164.00 $
Temp Service/Feeder601-1000Amp. $185-00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/timfted Energy-Mub-Family $88-00 $
Signal CircuiVLimftd Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 1500 sf)
Renewable Elec.Energy:5KVA System or less $11100 $
Thermostat(Note:$5 for each additional) $56-00 $
$ A- TOTAL
Owner as defined by RCW.19.28.261:(1)Owner wifl 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 is",N.E.C.,RCW,Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Ang'*8 Municipal Code,and Utility Specifications and PAW 14 05.050 regarding Ek�ptricpl Permit Applications-
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Date Print Na meJ Signature(r, Owner C] #1ical Contractor I Administrator)
:Z�4�-,'C MA
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[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711