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MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department �
32,1 E. 5th Street, Port Angeles, WA.98362
360.4:17.4735 I wvwcv.cityofpa.us I clectricatpermits(r)cityofl)a.us
Project Address: ;V1 - (' )~
Project Description:--7pd Wu;m Ua- Me.4A&Z
❑ Multi-Family Residential El Commercial/Ind lal;public Building Square footage:
Name. Email: - Zzaimi
Mailing Address: Phone:
Name: Angeles Electric, Inc. License: ANGELE146ORS
Mailing Address: 524 E.First Street, Port Ancieles WA 96362 Expiration Date: 2/1/2020
Email: ksmpson@olympus.net Phone: 360452-9264
Lgtn Unit Charge Quantity JgW(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 $
Each Additional Branch Circuit $5.00 $_
Branch Circuits 1-4 .$86.00 �_ $ Y
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-MuitkFamily $88.00 $
Signal Circuit/Limited EnergylFtrst 1500 sf-Commercial $9600 $
(Note:$5.00 for each additional 1500 sf)
Renewable Elec.Energy:SKVA 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.
Ken Simpson
ate Print Name Signature(E] Owner to Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111