HomeMy WebLinkAbout223 E 4TH ST - Building (15) j a
ELEII T'RICAL PERMTf t
CITY op FORT ANGELES r, 4
360-417-4735 --
Application Number . . . . 21-00000004 Date 1/05/21
Application pin number . . . 528156
Property Address . . . . . 223 E 4TH 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
-- - -Application deac
Elevator modernization
Owner Contractor
------------------------ ------------------------
CLALLAM COUNTY 16D LLC
223 E 4TH ST PO BOX 804
PORT ANGELES WA 98362 vASHON WA 98070
-----(360) 417-2429 (206)-354-0876--- qq �t l
----------------------------- _C�_,74---
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Pee . . . . 228.00 Plan Check Fee .00
Issue Date . . . 1/05/21 valuation . 0
Expiration Date 7/04/21
Qty Unit Charge Per Extension
BASE FEE 86.00
2.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 10.00
1.00 132.0000 ECK EL-COM 0-200 SRv FEEDER 132.00
Fee summary Charged - Paid Credited Due
- ---------- ---------- ---------- ---------- ----------
Permit Fee Total 228.00 228.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 228.00 228.00 .00 .00
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IMPORT SALES TAX �
on your excise tax form
to the City of Port Angeles
(Locaftn Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
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COMMENTS.
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Signature of owner or Elecwcal Contractor X Date:
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MULTI-FAMILY 1 COMMERCIALCD
ELECTRICAL PERMIT API'LICATIC�N
Public Works and.Utilities Department
32'1 Ei, Sth Street, Port Angeles, XVA 9 362
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i0. 17. 735 j �vwiv.cityarpa.us electricalpermits ci;�i?cityorpa.us
Project Address: 223 E 4th St, Fort An eles, WA 98362
Project Description. Electrical for Elevator Modernization for Clallum Courthouse
600
0 Multi-Family Residential El Commercial t Industrial!Public Building Square footage:
.Name: CLALLUM COUNTY COURTHOUSE Email: rue
Mailing Address: NIA Phone: NIA
Name: 18dilc License. 16dlll*882it
Mailing Address; PO BQx 804 Vashon.WA 98070 Expiration Date: 05/1512022
Email. danie#Q16dllO-Com< phone: '253-2 9-8825
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