HomeMy WebLinkAbout717 Georgiana StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
RS7 RESDNTI SING!E FAMILY
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Applica!ion Number
Appfication pin nunber
Property Address
ASSESSOR PARCEI, NUMBER:
Applicat.ion tt?e descripl ion
Subdivision Name . .
Properly use
Property zoning
Application vafuation
21-OOOOO34 8 Datse 3/22/21
114612
71? GEORGIANA ST
06 -3 0- 00-5 - 1-3660 -0000 -
EI,ECTRICAL ONtY
Applicalron desc
Living room circuits
NATIIALIE A REED ESTATE
PO BOX 2624
PORT ANGEI,ES WA 98362
\350J 77s-t2l't
CWNER
Permi L
AddiLional desc
Perni! Fee
Issue Date
Expiralion DaEe
58_00
3/22/2L
9/ta/21
ELECTRI CAL AITER RES IDE!{f IAI,
PIan Check Fee
valuabion
00
0
Qty Units Charge Per
1 . 00 5. 0000 ECl{
1.00 63.0000 EcH
EI,-BRTNCH CIRCUI? W/FEEDER
EI,-R- BRANCI{ C]R WOl SER FEED
ExEension
5. 00
53 .00
charged Paid crediEed Due
Permi! Fee Tobal
Plan check ToEal
crand Total
68 .00
.00
68 .00
68.00
.00
58.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN >Jzs/zt .AB "@v
FINAL
COMMENTS vF-
PERMM WILT. EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
C:,EXCHANCE\BUILDINC
Date:
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ELECTRICAL INSPECTION
WIRING REPORT
4174736
DATE
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2CONIFACTOF
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APPROVED
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED wlTHIN 15 DAYS
_ DO NOT REMOVE _
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1 -2SIN G LE-FAIUILY
ELECTRI CA L PERMIT APPLICATION
Public Works and Lltilities Depaftment
3ll E. 5th Street, Port Angeles. \\A 98.162
360.4 I 7.47-1-S I wrvr.,i,.cit_vofpa.us j electricalpermits@)cityofpa.us
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0o.Proj ectAddress: 717 Georgiana str., Port An geles, WA 98362
Project Descriptaon rewire living room s pace, 1@ 20 amp line for outlets , '1@'15 amp line for li ghts
E Single-Family Residential E Duplex / ARU Building Square footage
Name: William Wayne Keys Email: koys w@yahoo.com
Name William Wayne K eys License
Mailing Address: P.O. Box 2624, Port An geles, WA 98362 Expiration Date
phone.360-775-1207keyshoo.com
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l-400 Amp.
Servicei Feeder 401-600 Amp
Service/Feeder 601-1 000 Amp.
SeMce/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch C,rcuit
Branch Circuits '1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp
Temp. Service/Feeder 40't -600 Amp.
Temp. Service/Feeder 601 -'1000 Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 DU
Manufactured Home Connectton
Renewable Elec Energy. sKVA System or less
Thermostat (Note: $5 for each additional)
/ Hot Tub
Ljnit Charoo Attanliu,
$120.00
1
1
f-elhl (Quantity x Unit Charse)
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168_00
$96.00
$64.00
$120.00
$102.00
$56.00
63.00
5.00
$
$
b
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
03119t2021 William Wayne Keys
Date Print Name Signature 1! Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or eleckicalpermits@cityofpa. us or faxed lo 960.417.47111
OWNER INFORMATION
Mailing Address: P.O. Box 2624, Port Angeles, WA 98362 _ ph one. 360-775-1207
ELECTRICAL CONTRACTOR I NFORMATION
Email:
$_
$
$_
s 69.00
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 js
required to hire an electrical 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 ceftfy that I am the owner ofthe 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.