HomeMy WebLinkAbout411 N Ennis St (3)Applica!ion Number
Application pill nunber
P.operty Address
ASSESSOR PARCEL NUMBER:
ApplicaElon t,?e description
Subdivision Name
Property Use
Property zoni-ng
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PUBIIC BUILDINGS & PARKS
0
L9- 00001216 Datse 8 /t4 /t9
624064
411 N ENNIS ST
06-3 0 - 00 - 5 - 7 - 0160- 0000 -
ELECTRICAI OIILY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
GENERATOR I.oAD BANK
Owner ConEractor
CITY OF PORT ANGEI]ES
PO BOX 1150
PORT ANGELES WA 983 62 02 T7
LEGACY TELECOMMUNICATIONS lNC
PO BOX 360
BI]RLEY WA 98322
(253 ) 8s8 - 0214
Permit
AddiEional desc
Permit Fee
Issue DaEe
Expiratsion Date
ELECTRICAL AITER COWERCIAIJ
GENERATOR LOAD BANK
154.00 PLan Check Fee
8/14/t9 valuaLion
2 / 1-o /20
Permlt Fee To!a1
PIan Check Total
Grand Totsal
164
).54
00
00
00
764
164
oo
00
00
00
00
00
o0
o0
00
00
0
Oty Unit Charge Per
1.00 164.0000 EcH EL- coMM 401-600 TEMP sRv/FDR
Extenaion
164 .00
Charged Pa id credi.ted Due
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMII WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEC'TION
Signature of owner or Electrical Conkactor X Date:
q/aln =Iz
3
1*
1,5lt
INl-:.\\
P PPLIC
Public Works &nd Utilities Department
321 E. 5th Streel Port Augel€s, WA 98362
360.417 .4735 | www.cityofpa.us I electricalpermits@cityofua us
ll ,"r N'
f,;'li;f
WW CSO Ange les, WA 98362Prolect Address
Load bank 1 qe nerator for Annual Maintenan6e
n Muftii'amily Residential B Commerclal / lndu3trial / Public Building Square footage:
Name: cirygll?9rt Anseles Emall:
Mailing Address:PO Box 1'150 Port Anqeles,wA 98362-0217 Phons:360-565-38 60
gr.ir.TR.rC,IL CONTRACTOR INF()Ri\4ATION
Name:Lel,acv Tgiecomnrunications License: L EGACTLS2l LL
Exprratlon Date: ..-.--=.--
Phone:253-858-0214
t\,4ailing Address:PO Box 360 B , wA 98322
Ema{: rtlen !.'com
Untt Charso
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.$
$5.00
$86.00
$102.oo
$121.00
$164,00
$185,00
$96.00
$88.00
$88.00
, $gq.fi)
xU Chargo)Item
Se ice/Feeder 20O AmP,
ServiceiFeeder 201-400 AmP-
Service/Foodsr 401-600 AmP.
Se rvice/F -^e d,"r 601-1000 AmP.
SorvlcelFeedsr over 1 000 AmP
Branch Cirouit W Service Feeder
Sranch Circu r.ry/O Service Feeder
Each AddilionEl Branch Circuit
Branch Circuits 1-4
Temp. Service/Feedo. 200 AmP.
Temp. Service/Feeder 201-400 AmP-
T6mp. Sewice/Feoder 401-600 AmP.
Temp- SeflJice/Feeder 601-1o00 Amp.
Portalto Portal Hourly
SIgn / Outline Lighting
Signal CkcuiUlimited Energy - tululti-Fanily
Siq.al Cr.cur.rlimiled EnorgyrFirst 1500 sf - Commsrcial
(rlote: $5.00 for each addllonal 1500 8f)
Renewabls El€c. Energy: sKVA System or less
Thermosial (Nots: $5 for each addltlonal)
$
$
$
$
s
$
$
$
o
U
G4
164.0
,|
s
)
$
$
$
$
$
$
$
s
$113,00
$56,00
owner as cloiinEd by RCW,19.28.26i: (1) Owner wiI occupy tho st ucture lor two years after this et€ctrical permit s flnal,zed (2) Ownsr is
lqri rJio rri|." ,n 6f""trical contractoi tf above said prope;y is for sale, rent or lease Parmit expires after slx months of last inspeclion'
0 TOTAL
After readihg the abovo statement, I her€by certify that I am the owner oithe above named prop€ily or a licenssd eleclrical conkactor. I
am making the electricai installation or alteration in ccmpliance with the electrlcellaws, N.E.C., RCw chapter 19.28, WAC. ChaPter 296-
468, The City of Pod AngelEs Municipat Code, and Utility PAMC 14.05.050 regardi ng Electrical Perrnit ApplicatjonB.
8/8/1e RiCh l'{en
Date Prlnl Name Signature (D Owner p Electrlcal Contractor / Ad rninistrator)
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpe'us or faxed b 360'417 '4711'l
lrll ULTI.FAtVlILY / COMI\IERC IAL l
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Projecl DescriPtion: