HomeMy WebLinkAbout1912 W 18th St (5)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-411-4135
ApplicaEion Nu ber
Applicatslon pin nuflrber
Property Address
ASSESSOR PARCEL NUMBER:
Application ts).pe description
subdiwision Nane
Property Use
Proper:ty zoning
Appficatsion valuation
20 - 0000 0056 Date
100096
1912 W 18111 ST
06- 30 - o0 - 1- 1- 1900 - 1000 -
EIEC?RfCAL ONLY
PUBLIC BUILDINGS & PARKS
0
REPORT STATE SA'-ES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
t /2r /20
Applicatsion desc
Load bank
LEGACY TELECOMMUNICATIONS INC
PO BOX 350
BURLEY WA 983 22/.253l' A5A 02L4
Permit
Additsional desc
Permit Fee
Issue Date
Explration Daie
102.00
t/21/ 20
1/a9/20
ELECTRICA], ALTER COMMERCIAI
Valuation
00
0
Qty Unit Cha.ge Per
1.OO 1O2.OOOO BCH EL- COMM O.2OO TEMP SRV / FDR
Extension
102. 00
Charged Paid CrediLed Due
Permits Eee Total
Plan Check Tota]
Grand Total
102
!02
ta2
742
oo
o0
00
00
00
00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST 1NSPECTION
INSPECTION T\?E DATE RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN t)ulm &\}}
FINAL t/zt )a )N **gfi
COMMENTS:
Signature of owner or Electrical Contractor X Date
PORT OF PORT ANGELES
PO BOX 1350
PORT ANGEj-ES WA 9a3520251
MULTI-FAIVIILY / COMMERCIAL
ELECTRICAL PERM IT APPLI CATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.411.4735 I www.cityofta.us I electricalpermits@cityofpa.us
if?v*', o l0?0
!o
3i
N:\,
\n
s'-
Project Address - J -, .. . " "\"
&.J\-e<-\t\L .-J. \Prr*
Project Description J
! Multi-Family Residential B/Commercial / lndustrial / Public Building Square footage
Name Email
€, h-Phone
Name License
IL <)
Mailing Add
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 Lighting
Signal CircuiULimited Energy - Multi-Family
Signal CircuiULimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable EIec. Energy; sKVA System or less
Thermostat (Note: $5 for each additional)
Expiration Date
Phone:
Quantitv lgtrl(Quantity x Unit Charge)
\o 2.-
Unit Charoe
$132.00
$160.00
$225.O0
$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
t
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
$ FY. e roral
Owner as defined by RCW19.28.261 (1)Owner will occupy the structure fortwo years afterthis electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sate, rent or lease. 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-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applacations.
\A )"- ?o?O -[..-.^"--s Dlu.""*.
Date Print Name Sign"trr" 1a-**i@"tri"at C /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
l\ilailing Address: