HomeMy WebLinkAbout626 Georgiana St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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ApplicaEion Nunlcer
Application pin number
Properly Address
ASSESSOR PARCEL }.IUMBER:
Application ctrpe description
Subdiwision Name , -.
Property use
Property zoni.ng
Applicatsion valua!ion
22 - 0OOOOO5S Datse 2/A2/22
562235
626 GEORGIANA ST
05 30- 00-5 -1-4010 - 0000-
EI,ECTRICA], ONLY
RS7 RESDIUL SINGLE FAMIIY
0
Applicaiion desc
garage remodel
BETSY I.1'lJN AIBERTY
625 GEORG]ANA ST
PORT ANCE]-ES wA 98362
Permit
Addilional desc
Permit Fee
Issue Date
ELECTRICAL AITER RESlDEMT]AI,
1.4 CIRCUITS
75.00 Plan Check Aee
2 / 02 / 22 ValuaL ion
B / oL/22Expiration Datse
Qty Unit Charge
00
0
BASE FEE 75.00
Permit Eee Tota]
Plan Check Total
Grand Total
15.44
.00
75.00
- 00
.00
.00
00
00
00
75 .00
.00
75 .00
REPORT SALESTfi(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN
FINAT
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature of owner or Electrical Contractor X
G:\EXCHANCE\BUILDINC
BI.ACK D]AMOND EIJECTRICAL CONTR
502 BIACK DIAI4OND RD
PORT ANGEIES WA 98353
(360) 555-103s
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INSPECTOR:
Date:
- 2 SINGLE-FAMILY
E TRI LP RMIT APPLI AT
Public \\blks and tJLiljties Dcpartnrenr
321 E. 5Llr Street. Polt AngeJus. $,,\ 981(rl
360.1l7.4'735 Irvlr,w'.cityofpa.us Ielecrricirlpcrruitsr?z,oityotpa.us
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00LzLffi Georgiana StProject Address
Project Description
OL2 9D - cD -€'- I -"o
E Single-Family Residential E Duptex / ARU Building Square foota ge:
-----
Name Strinqer Services Email:
Mailing Address Phone 360-
Name: Black Diamond Electrical LLC License. BLACKDE79509
Expiraton Date:
Phone:360-461-3957
l\railing
Email:
Address: PO BOX 2335
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feede. over 1000 Amp.
Branch Circu t W/ Service Feeder
Branch C;rcuit W/O Service Feeder
Each Addilional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Ternp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
[,lanufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Noter $5 for each additional)
First 1300 Square Feet
Eacfi Additional 500 square feel.'
Each Outbuilding / O6tached Garaga
Eadr Swimming Pool,/ Hot Tub
unit Che.ge
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$s.00
$7s.00
$9s.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
sl20.00
$40.00
$74.00
$110.00
Ouaqtitly lolaj (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
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Owner as defined by RCW.'19.28.26 1: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner js
required to hire an eleclrical contractor if above said property is tor 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., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1-19-22 Benjamin Shamp
75
Print Name Signature 1[ Owner ! Eleclrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
OWNER INFORMATION
ELECTRICAL CONTMCTOR INFORMATION
PROJECT DETAILS
I
Date