HomeMy WebLinkAbout223 E 4th ST - Building (11) r �
ELEC MCAL PERMIT
CITY OF
1'CT ANGELS-41"7�735
Application Number . . . . 20-00000055 Date 1/21/20
Application pin number . . . 026880 REPORT STATE SALES TAX
Property Address 223 E 4TH ST on your excise tax form
PARCEL NUMBER: " 06-30-00-6-4-6700-0000- y
Application type description" ELECTRICAL ONLY to the City"of Port Angeles
Subdivision Name . . . . . . (Lowdon Code 0502)
Property Use . . . . . . .
Property Zoning . . . PUBLIC BUILDINGS & PARKS
Application valuation 0
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Application desc
Load bank
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Owner Contractor
CLALLAM COUNTY LEGACY TELECOMMUNICATIONS INC
223 E 4TH ST PO .BO% 360
PORT ANGELES WA 98362 BURLEY WA`98322
(360) :417-2429 (253) 858-0214
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Permit . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee . . . . 121.00 Plan Check Fee .00
Issue Date . . . . 1/21/20 Valuation °` 0
Expiration Date 7/19/20
Oty Unit Charge Per Extension
1.00 121.0000 ECH EL- COMM 201-400 TEMP SRV/FDR 121.00
Fee summary Charged Paid Credited Due
----------------- - - -------- - ---- -- ----------
Permit Fee Total 121:00 121.00 .00 00
Plan Check Total ` .00 00 .00 00
Grand Total 121.00' 121.00" .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
-COMMENTS:
PERMIT WILL EXPIRE StKj6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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MULTI-FAMILY COMMERCIAL
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ELECTRICAL PERMIT APPLICATI
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Public Works and Utilities Department
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PnojectAddnnon: �
Project Description:
[] Multi-Family Residential %Q Commencie|/|ndustha|/Pub|ic Building Square footage:
OWNER INFORMATION
Name: Email:
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Unit Charcie Quantity JQW(Quantity x Unit Charge)
Service/Feeder 2VVAmp. $132.00 $____-__—_.
Service/Feeder 2O1-0OAmp. $180.00 $______---_
Service/Feeder 4O1'O0OAmp. $225.00 *
Service/Feeder 0O1'1OOOAmp. *288.00 ____--- $_____----'
Service/Feeder over 1800Amp. *410.00 ____--- $—____-----
Branch Circuit wW Service Feeder $5.00 *
Branch Circuit W/O Service Feeder $74.00 $--____--_—
Each Additional Branch Circuit $5.00 $--___-----
Branch Circuits 1-4 08&00 $_____
Temp.Service/Feeder 2OOAmp, $102.00 $
Temp.Service/Feeder 2814OOAmp. *121.00 $
Temp.Service/Feeder 4D1-gOUAmp. $164.00 $________
Temp. Service/Feeder 8O1'1000Amp. $185.00 $_--------_
Portal to Portal Hourly *9000 $_----_-----
Sign/Outline Lighting $88.00 $__________
Signal Circuit/Limited Energy-Multi-Family $08D0 *____----_
Signal Circuit/Limited Energy/First 15OOof'Commercial $90.00 $----__---_
(Note: $5,00 for each additional 1500 eV
Renewable Elec. Energy:5KVA System o,less *113.00 $__________
Thermostat(Nuoe: $5 for each additional) $56.00 $
*_ _TOTAL
Owner as defined by RCW19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is
required to hire on electrical contractor ifabove said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, |hereby certify that|mm the owner cf the above named property uro licensed electrical contractor. |
am making the electrical installation or afteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
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Date Print Name Signature(M Owner OEL'Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]