HomeMy WebLinkAbout223 E 4th ST - Building (14) E
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ELECIIWAL PERMIT-
MY OF FORT ANGELES
360-417-4735
Application Number . . . . . 21-00000005 Date 1/06/21
Application pin number . . . 369215
Property Address . . . 223 E ATH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-4-6700-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
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 BOX.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 . . . . 1/06/21 Valuation 0
Expiration Date . . 7/05/21
Qty Unit Charge Per Extension
1.00 121.0000 ECH EL- COMM 201-400 TEMP-SRV/FDR 121.00
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Fee summary Charged _ Paid Credited Due
Permit Fee Total 121.00 121.00 .00 .00
Plan Check Total .00 1 .00 .00 00
Grand Total 121.00 121.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN b Z
FINAL fiR
CONIIVIENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGSBUIL DING
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MULTI-FAMILY / COMMERCIAL
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ELECTRICAL PERMIT APPLICATION
Public Works
OOJ Utilities Department
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32i El. 5db Street, Port Ange|cs, WA98382
360'417'4735 | v/*«w.cityofpo.um | c|oot icu|pconitsoo ua
pnojeoAddreoo: Courthouse Generator
Project Description: Load Bank
[] Multi-Family Residential B] Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Clallum County Parks Email:
Mailing Address: 223 E 4th St Phone:
Name: Legacy Power Systems License: ELLEGACTL821 LJ
Mailing Address: 8102 SKANSIE AVE GIG HARBOR,WA 98332 Expiration Date:
Email: RLUNDIN@LEGACYPOWER.COM Phone: 2538580214
PROJECT DETAILS
Unit Charae Quantity JQW(Quantity x Unit Charge)
Branch Circuit W1 Service Feeder $5,00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp.Service/Feeder 01-800Am ' �' �'�
Temp. Service/Feeder
Portal to Portal Hourly
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Sign/Outline Lighting ~���������'���� o � a�������*88.0,
Signal Circuit/Limited Energy $
Signal Circuit/Limited Energy/First 1500 sf,-Commercial -$96,00
(Note: $5.00 for each additional 1500 so
Renewable Elec. Energy: 5KVA System or less $113.00, $
Thermostat(Note:$5 for each additional) $56,00, $
$ 121. TOTAL
Owner as defined by RCW 19.28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is
required to hire an electrical contractor if above said property is for sale, 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., RCVK Chapter 19.28.VVAC.Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature([] Owner ElectricalC�ontuactor/Adm|niotnoto�
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(Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to3G0.417.4711)