HomeMy WebLinkAbout223 E 4th St (11)Applicatsion Nunber
Application pin nuldcer
ProperEy Address
ASSESSOR PARCEI, NWBER:
Application t]?e descripEion
Subdivision Name
Property zoning
Application vafuatsion
20 O00OOO55 Datse l/2a/2o
025880
223 E 4TI{ ST
06 3 0 - 00- 6-4 - 5700 - 000 0 -
EI,ECTRTCA'- 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 Porl Angeles
(Location Code 0502)
Applicatsion desc
Load bank
CLALI,AM COUNTY
223 E 4TH ST
PORT ANGELES
(36a) 4!7 2429
I,EGACY TELECOMMUNICATIONS INC
PO BOX 360
BURLEY WA 94322
(253) 858- a214
wA 98352
PeTMit ELECTRICAL AITER COMMERCIAL
Additional desc
Permit Fee 121-oo Plan Check Fee
Tssue Date - l/2t/2o valuation
Expiration Date 7/19/20
Qty unit charge Per
1.00 121.0000 ECB EL- COMM 201-400 TEMP SRV/FDR
00
0
ExEension
121.00
Charged Paid Credited Due
Permits Fee Totaf
Plan Check ToEal
crand Total
121. 00
.00
121. 00
00
00
00
00
00
00
12L
12l
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
SERVICE
ROUGH-IN tlzt )zp {P ?ft
FINAL i)"t Ir-o ^"e ',etr
COMMENTS
Signature ofowncr or Electrical Contractor X Date:
DITCH
ELcoM MULTI-FA E CI L
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles. WA 98362
360 "417.4735 *'ww.cityofpa.us I electricalpermits@cityofpa.us
no
f
=
Project Address Cra,. AVl,s. rso A eNJzra\or-
Project Description I r',,,n\ i4".*t L
Name \J Email
t_L\Mailing Address ??7 Phone
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name: Leaa c-{S-r =, le ,.-.. r License: eC L Z\
Mailing Address Expiration Date
Email
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -'1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Sign / Outline Ljghting
Signal CircuiULimited Energy - lvlulti-Family
Signal CircuiULimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Phone: Z .O
Quantitv fgE!(Quantity x Unit Charge)
\-L\
iJ
Unit Charoe
$132.00
$160.00
$225.00
$288.00
$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
-_r_-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
.00 TOTAL
Owner as defined by RCW 1 9.28.261 : (1 ) Owner will occupy the structure for two years after this electrical permit is finalized (2)Owneris
required to hire an electrical contractor if above said property is for sale, rent or iease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N. E.C., RCW Chapter 19.28, WAC Chapter 296-
46B, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications.
.r^L.l'-
Date Print Name Signature (E Owner Ef Electrical Contractor / Administrator)
PROJECT DETAILS
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
t
n Multi-Family Residential K-Commercial / lndustrial / Public Building Square footage:
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