HomeMy WebLinkAbout3501 Bldg J W 18th St (3)Applicatsion NuIIIber
Applicalion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application tl.'pe description
subdivision Name
Property Use
Property zoning
ApplicaEion valuatlon
19- 0O0O 1214 Dare 8/14/L9
476656
3501 BIDG J W 18TH ST
a7-30-01-2-2 0000 0000-
EITECTRICAL ONIY
PUBT,fC BU]LDINGS & PARKS
0
REPORT STATE SATES TAX
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
ApplicaEion desc
GENER.qTOR LOAD BANK
Contractor
CI?Y OF PORT ANGELES
PO BOX 1150
PORT ANGEIES
LEGACY TELECOMMUNICATIONS INC
PO BOX 350
BIIRLEY WA 94322
(253 ) 85 8- 0214
wA 983520217
Perrnit
Additional desc
Permit Eee
lssue Date
Expilatsion Date
ELECTRICAI, AI.TER COMMERCIAI
GENERATOR LOAD BANK
185.00 Plan check Fee
a/74/19 valuaEion
2/ro/20
0
oty Unit Charqe Per
1.00 185.0000 ECt{ EL- coMM 501-up TEMP sRv/FDR
Extension
185. 00
Charged Paid Creditsed Due
Permlc Iee 1oLa1
PIan Check Total
crand Total
185
185
o0
00
00
185
185
00
00
00
00
00
o0
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
eh ln dP \F
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I-A.ST INSPECTION
Signature ofowner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
.00
ROUGH.IN
Date:
ilN U LTI-FAIVI I LY I COM|\/'I E RC IAL
TAPP
Public Works and Utilities Deparbnont
321 E. 5th Street, Port Angeles, WA 98362
360.411.4735 | www.cifyofta.us I electricalPernits@cityofpa'us
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466'6"". PAWTP Effil*1gth st Port Anqeles, wA 98363 5Proiect
Load bank 1 qenerator for Annual MaintenanceProject Descriptjon:
D uiulti-F;,rnrily Resid€ntlal El Commercial 1 lndustrial / Public Building Square footag€:
OWNER INFORIVI/I.IICI\
Name o itv of Port Email hBhumaad|,ofo3.us
i e.racrr Telecommun ications Ucense:LEGACTLS2lLL
Item
Service/Feeder 200 Arnp.
Serv,celF€eder 201-400 Amp.
Serviee/F€edor 401 -600 Amp.
Selvice/Feeder 601-1000 Amp.
Servlce/Feeder over '1000 Amp.
Branch circuit W Servics Feod6r
Branch Circuit W/O SeMee Feeder
Each Additional Brarch Circuit
Branch Clrcuits 1-4
Temp. Servicg/Feede. 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Sorvice/Foeder 401-600 Amp.
Temp. Service/Feeder 6011000 Arnp-
Portal to Poftal Flourly
Sign / Outline Lightiog
Signal Circuivlimited Energy - Multi-Family
Signa{ Circliulimited EneEylnlst 1500 si - Commercial
(Not6i $5.00 for eadl additional 1500 s0
Renewabae Elec. Enorgy: sKVA System or less
Thermostai (Nots: $5 for each additional)
Unlt Chatoe
$132.00
$160.00
$22s.00
$288.00
$410.00
$5.00
$74.00
$5,00
$86.00
$'102.00
$121.00
$164,00
$185.00
$96.00
$68,00
$88.00
$96.00
Orantitv Total x Unlt
$_
$_-$_
$_$_
$_
$_$_s_s_s_s_
s 185.00
$_$-'*,$_
$_
$-=--
$'--$113.00
$56.00
$ 1BS-00 rorAl
Owner as delinEd by RCW.19.28.261: (1) Ov/ner will occupy the slruclure for h^ro years after this slectrical pemit i3 flnallzsd. (2) Olvfier ls
requirod to hir-. an electfical contractor if sbove said property is for sale, aent or lease. Petmit expkes afler six months ol last inspecdon.
After roadinq ihe above statement, I hereby certii/that I am th€ owner of the abova nsmed prcperty or a $censed electrical contractor. I
an making the electrical installation oralterallon ln compllanc€wllh th6 el€ctdcal laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
464, The City of PortAngeles l\runi6ipal Code, and Utility Speclfcations 14.05,o50 rcgarding Elgckical Parmit Appllcauons.
s,t,t1s Rich Hen
Date Pdnt Name ([ Owner ! Electrical Cont'actor / Administralor)
[Electricat permit Applications may be submitted to City Hall or epermits@cityorpa.us or faxed to 360.4'17.4711]
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Nlaiting Address: POBox115o Port Angeles, WA 98362-0217 Fhone: Wi99L*.-
Namg:
Maillng Address: PO Box 360 Burl6v. WA 98322 Expiration Dat6: --*....-
Emait: rhenry@legacypower.com Phone: 2!t$9*3ll-_-
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