HomeMy WebLinkAbout223 E 4th StApplication Number
Application pin nunrber
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property use
ProperEy Zoning
Application valuation
19- ooooo183 DaEe l/3o /t9
974455
223 E 4TU ST
06 -3 0 - 00- 6-4 - 6700 - 0000 -
ELECTRICAI. ONI,Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
PUBLIC BUILDINGS & PARKS
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatioa desc
Load bank generatsor
CIALI,AM COUNTY
223 E 4TH ST
PORT ANGELES
l.360) 4a1-2429
wA 983 52
Peflrit
Additional desc
Pen]lit Fee
Issue Date
ExpiraEion DaEe
121.00
t/30 / re
1/2e/re
ELECTRICAL AI,TER COMMERC]AL
Pfan Check Fee
Valuatlon
00
0
Qty Unit Charge Per
1.00 121.0000 ECta EL- coMM 201-4oo TEMP sRv/FDR
Extension
121.00
Fee summary Charged Paid Credited Due
Permits Eee Total
PIan Check Total
Grand Total
12L
!2t
00
00
00
t2t
12l
00
00
00
.00
.00
.00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
lqln &\Atr
FINAL ) taln +R w
COMMENTS
Signature ofowner or Electrical Contactor X Date:
Owner
IEGACY TELECOMMUNICATIONS INC
PO BOX 360
BURLEY WA 983 22
(251) 858 0214
ROUGH-IN
REi.,, ED
JAN 29UB
A
)
C\}$fluI
CITYOF POAT A\IGELES PERNflT APPLICATION
Bdlding DhdiiodEl€ctrical lnspectious
321 Errt Ft&t Sfreet- P.O. Eox 1150 / Port Algelca WsthttgtoE, m36U
Ph: (360) 417-4735 Faxr (36{l} 417{7ll
De: lr,/2ql1q x Xut6.F*n[y or Conrmercid'
' Plan R€vie,,Y Bu*trt€{iPEtrJ!0 A{dr6r
Buildr! SquarE Foo6g€:
Sheet
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Dtldidan ot aiore oa
Owner luhrmdonural l am eounty Parks Te I ecommuni ca t. ions
Sdel aql
plrqle: 253858021.{ F&2534580215
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S€rvice,Fe€d€. fio A,Ip.
Sflbe,Fe€&, 201.400 Anp.
Soryta,F€ader 101 $0 Arrp
S€rdgF€ods. 601-t 00 AEp.
Se{vi:erFo€d€( oi€r 1000 Adp.
Eradt Ctsril W S€{vbe F6€do.
Slgld! Ci.qril r,YO S€{Yi8 Fs6d€(
E&h Additio0d Eradr Cirul
8lar5fi Oraiib 1.1
Tcr} S€{r,id F€.der 200 ArU.
Iars- Son iEFrsdor Al {Ol Artp.
IerT. Ssri:Feed€r Ol-6m AItp.
Isrp. Se{rao,Fo€d€r ml-imo
^Ill9
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Potd b Podd llouty
Siot OJUine Lht{i{
$ignd Ciwiu Ur*bd gEAy-i r$+rnily
Silnd Ciwiu Urilrd En€ily / Frtst 1500 Ef- CoflirEllrjal
Noto: $5.00 lor €€d| addlbnd l5m sf
Reneldl€ Ekaticd Ensly - stflA Sysbfl or Lsss
Tla.rlrctd
t&b: i5.m to. e€dl 6ddili:nd Tslrt
UBit gt$qr
s 132,q)
51S.m
$ 225.m
s 288.00
3410.ms 5.00g 7{.00s 5.m
3 88-m
s r02.m
s 12r,00
318{.00
I r65.m
s 96.00I 88.00
s at.m
s s5.00
g
=
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Olrrn€r 3s deftned by RCW.'19.28.261: (l) OrrleI sillocflpy the stlrctrc tur tvo )eas dB trir el€sftd p€rmilis hci2e.1. (2)Ot{{l€r b requirBd
b hle at elect'icd confador if abo/€ 6r*l yoperty b fu( sde, lBnt or le3se. Permit BrpIB ater six mgl$s of last inspedion.
Afisr rBadirts hB *ovs dahment I hereby ceft'ty fid I am he oun€I ol hs above ngmed pr@rty 6 a liceossd ele{tical cmbackr. I Er maftrE
0e electifd ioridkiion or,hrrix in conplidlce ih he dsdicd tslru, N.E.C,, RCW. Ch&r 19.28, WAC. Ch4ta A6-fi8, Iirc Cfu of port
Angeles Mudrpd Code, ed t l,lity Sp8dficdions and PAMC '14.05.050 regarding €lcdid Pe*nit Appticationr
alctical corrffir o. elsctricel ldlt{nbtrdor:
r/2q/a\
s 113.m
$ s6.c0
L{8rrse # i Erp..'----