HomeMy WebLinkAbout1703 S B StApplication Nunrber
Application pin number
Proper!y Address
ASSESSOR PARCEL NUMBER:
Application Lrpe descripEion
subdiwision Name
Property Use
Property zoning
ApplicaEion valuation
18 00001069 Dare 8/3!/18
9 919'14
1703 B ST
06 30 00 0'4-4850 0000
E!ECTRICAI] ONLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4135
INDUSTRIAL LIGHT
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
ceneralor load bank
Contrac!or
CITY OF PORT ANGELES
PO BOX 115 0
PORT ANGELES WA 9A352A2A'7
ITEGACY TELECOMMUN]CAT]ONS INC
po Box 350
BURIEY WA 9A322
(253) 8s8 0214
Permit
AddiEional desc
Permits Fee
Issue Date
Expiratsion Date
427 . AO
I / 31/a8
2/27 /19
ELECTRICAL ALTER COM].{ERCIA],
00
0
Qty Unit Charge Per
3.00 102.0000 ECH
1.00 121.0000 EcH
Extension
106.00
121.00
EL COMM
EL. COMM
O-2OO TEMP SRV / FDR
201 4OO TEMP SRV/FDR
Charged Paid Credi- E ed Due
Permlt !'ee 10ta1
Plan Check Total
Grand aotal
.00
.00
.00
00
00
00
00
00
00
00
00
00421
42 7
4 2',7
PERMM WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DIICH
SERVICE
ROUGH-IN 1)e Je dv -$F
FINAL t-l<l,a dP
COMMENTS:
Signature of ouaer or Electrical Contractor X Date:
Plan Check Eee
valuation
-sF
N/l U LTI.FAIU I LY i COM t\4 ERCIAL
ELECTRIC AL PERTVIITAPPLI CATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, Sr'A 98362
360.417 .4735 | www.cityofpa.us I electricalpermits@cityofpa.us
Tq
1ft-
ITl'--I r-\I \-/
t(t:.:l)Project Address Corp Yard 1703 S B St Port Anqeles, WA 98363
n [,,]ulti-Family Residential B Commercial / lndustrial I Public Building Square footage:
OWNER INFORN/ATION
Name: CitV of Port Anqeles
Mailjng Address PO Box '1150 Port Anqeles, WA 98362-0217
Email:bcoburn@cityofpa. us
Phone 360-565-3860
ELECTRICAL CONTRACTOR INFORIVIATION
Nanr e: LecracV Telecommunicalions License LEGACTLS2l LJ
Itom
ServicelFeeder 200 Amp.
ServicelFeeder 201-400 Amp.
ServicelFeeder 401-600 Amp.
ServicelFeeCer 601-1000 Anrp.
ServicelFeeoer over 1000 Amp.
Branch Circuit Wl Service Feeder
granch Ckcuit W/O Service Feeder
Each Additional Branch Chcuit
Branch Circuitg 1-4
Temp. Senice/Feeder 200 Amp.
Temp. Setuice/Feeder 201-400 Amp-
-remp. Sen,icelFeeder 401-600 Amp.
Temp. ServicelFeeder 601-1 000 Amp-
Podral lo Pc.al Hourly
Sign / Outline Lighting
Signal Circuiulimited Energy - irulti-Family
Signal CircuiUlimited Energy/First '1500 si- Commercial
(Note: $5-00lor each additionai 1500 si)
Renewable Etec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
427.00 rorAL
Owner as deiined by RCUI1S.2S.261: (1) Owner will occupy the structure for two years after this electrical permit is linalized. (2) Owner is
required to hire an electrical conlractor if above said property is for sale, rent or lease. Permit explres after six months of last inspeclion.
After reading the 6bove stalernent. I hereby certify that I am the owner ofthe above named propeaty or a licensed electrical contractor. I
am making ihe electrical installation or alteralion in compliaflce with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PotAngeles l\i1$nicipal Code, and Utility s and PAMc 14.05.050 regarding Elechical Permit A?plications
7n2t2arc Rieh Hen
Signature (n Owner p Electrical Contractor / Administrator)
unit Charos
$132.00
$160.00
$225.00
s288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
Ouantltv
3
,|
$_
$_
306.00
121.4O
Islel (Quantity x Unit charge)
$_
$_
$_
$_
$_
$_
s
$113.00
$56,00
$
$
$
$
$
$
$
$
$
$
$
lEtectricat Permit Applications may be submitted to City Hallor eperrnits@cityofpa-us or faxed to360.417-47111
Proiect Description: Load bank 4 generator for Annual Maintenance
rr,itihd arr.l.a<< PO Box 360 Budev. WA 98322 Exoiration Date:
Email rf'er.n, @legacypower.cort Phone: 253-858-0214
I
Date Print Name