HomeMy WebLinkAbout1829 1/2 W 12th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
Application Number
ApplicaEion pin number
Propertsy Address
ASSESSOR PARCEL NUI'4BER:
Application type description
Subdivision Name
Property Use
Pioperty zoning
Application valuation
19 - 00001218 Date
771472
1A29 1/2 W L2Tt1 S"I
R5-30-00-0-0-0000-0000-
EIJECTRICAL ONLY
Qty Unit Charge Per
1-00 102.0000 EcH EL- coMM 0-2oo TEMP sRV / EDR
Extension
102.00
REPORT STATE SAIES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
I /14 /19
UNKNOI,,iN
0
Appli.caEion desc
CEMRATOR LOAD BANK
Owner
I,EGACY TEI,ECOMMUNICATIONS INC
PO BOX 350
BURLEY WA 9A322
{2s3 ) 858 - 0214
Permits .
Additional desc
Permit Fee
Issue DaEe
Expiralion Date
ELECTRICAI AITER COMMERCIAIT
GENERATOR LOAD BAIiI(
102.00 Pfan Check Fee
8/L4/r9 valuaEion
2 /1a /20
00
0
Fee summary Charged Paid credited Due
Permlt !'ee'10ta1
PIan Check ?otsa1
Grand ToLal
702
ra2
00
00
00
00
00
00
PERMTT WILL EXPIRE Stx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN eltale N @
FINAL 1nz)az &w
COMMENTS
Signature of owner or Elecaical Contractor X Date
CITY OF PORT ANGELES
PO BOX 11.50
PORT ANGELES !{A 983 52 0217
102.00
.00
102. 00
.00
.00
.00
iU U LTI-FAM ILY / CONNMERC IAL
ELECTRICAL PERM IT APPLI CATION
Public Works and Utilities Department
321 E. 5th Sheet, Port Algeles, WA 98362
3 60.411 .41 35 | www.cityoSa.us I eleckicalpermits@cityofpa.us
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ProjectAddres s. PS#10 1Q29 1l2w 12th st Port Angeles, WA 98363
Project Description:Load bank 1 generator for Annual Maintenance
fl Mulfl-Family Residenoal A Commercial/ Industial / Publlc Building Square footags:
Name: Citu of Port Anoelos Email: bcobur.@olt-voba-us
Name; Leqacv Telecommunications f-iqsnss; LEGACTLS2'1 LL
Item
S€rvice/Feeder 200 Amp.
Service/Feede. 201 -400 Amp.
Sorvice/Fesder 401 -600 Amp.
Service/Feeder 60 1-1 000 Amp.
ServicelFeeder ov6r 1000 Amp.
Branch Circuil W/ Servicg Feeder
Branch Circuit w/O Service Feeder
Each Additional Branctl Clrcuit
Branch Circuits 1-4
Temp. Service/FBeder 200 Amp.
Ternp. Service/Feeder 201-400 Amp.
Temp. Servicey'Feeder 4.01$00 Amp.
Temp. ServiceFeeder 601.1000 tunp.
Portal to Portal Hourly
Sign /Outline Lighting
Slgnal Circuiylimit€d Energy - Multi-Famlly
Slgnal Circuilllmited EnergyrFl6t 1500 d - Commerdal
(Note: $5.00 for each additlorBl 1500 s0
Ronowable Elec. Energy: SKVA System or le$s
Themostat (Nots: $5 for each additiona,)
lJnlt Cherda
$132.00
$160.00
s22s.00
$2S8.00
$410.00
55.00
$74.00
$5.00
$86.00
s102.00
$121.00
$164.00
s185.00
$96.00
988.00
s88.00
s96.00
Oua11titv xU Charg6)
'I 102.00
$
$
$
$
$
s
t
$
$
$
5
s
s
$
$
$
$
s
$113.00
$56.00
102.00 rorAL
Owner as defined by RCW.19.2E.261: (1) Owner witl ocrupy lhe structure for two years a(or lhig eleckical permit is llnaliz6d. (2) Own€r i8
requireC to hire sn elsctricai contractor il above said property i6 br sale, rsnt or leas€. Permit expires aier six months oflast inspectlon-
After reading the abov6 statement, I hereby certify tiat I am ths owngr of the abov€ nam€d proporty or a trc€n36d electical contaclor. I
am making the el6ctrical installalion or altsratlon h compllance with ft€ slcctdcallaws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The Cily ol PonAngel€s MLrnicipal Code, and Utlllty S PAMC 14.05-050 regardlng Elec&ical Permit Appllcatlons
'te,t1s Rich l-len
Date P..int Name SIgnature (f| Owner ! Eleotrlcal Contractor / Adminiskator)
[Electrical Permit Applications may be submltted to City Hall or epermits@cityofpa.us or faxsd to 360.417.4711]
i
OWNER INFORMAIION
MailingAddress: POBoxI150 Port Angeles, WA 98362-0217 Phone 360-565-3860
Mailing Address: Expiration Oata:
-
Email: Phone:3!t9!@--
Tala
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