HomeMy WebLinkAbout1227 Georgiana StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417473s
RS? RESDNTL SINGI-E FAI',IILY
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Application Nunber .
Application pin number
Propertsy Address
ASSESSOR PARCEL N('MBER:
ApplicaEion type descripEion
Subdivision Name
ProperEy Use
Property Zoning
Applicatior]vaLuation .
21- 00000477 Date 4/28/2L
5374 77
122? GEORGIANA ST
05 - 30- 00 -5- 3 -1080 -0000 -
ELECTRICAL ONLY
Application desc
SecuriEy syslem
SARA OLSEN
PO BOX 5 715 94
CHUGlAK
(850) 339-7467
ADT LLC
11824 N CREEK PARKIIAY, N
sTE 10sBOTttELr, WA 98011
l2O5) 7t9 -0347
AK 99557
PermiE
Additsional desc
Pennit Fee
Issue DaEe
ExpiraEion Date
54.00
4 /28 /21
to /2s /2r
ELECTRICAL ALTER RESlDENTIAL
Plan check Fee
Valuat.ion
.00
0
Oty unit charge
1. 00 54 .0000
Per
ECH EI,-SINGI,E ClR I,IM]TED RES
ExEension
54 .00
Charged Paid Credited Due
Plan check ToLal
64.00
.00
5!t -oo
54 .00
.00
54 .00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:i-*
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
I
I DATE:
I
Signature ofowner or Electrical Contractor X_ Date:_
CIEXCHANGE\BUILDINC
ELECTRICAL P ER TVIIT APPLICATION
Pubiic Works and Utilities llepaltment
3:i C. 5th Street. Porl Angeles. \\A 98162
-160.4 I 7.4715 | rvrvt"cit-vofpa.us j electricalpermits(g)cilyofpa-us
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Project Address 1227 GEORGIANA ST
INSTALL ALL IN ONE WIRLESS SECURITY SYSTEMProject Description
tr Single-Family Residential E Duplex / ARU Building Square footage
[rl2rng SARA OLSEN Email
N4ailing 466r6ss. '1227 GEORGIANA ST Phone 850-339-7467
Name ADT LLC License ADTLLL-881DO
Total (Quantity x Unit Charge)
$._
$
Item
Servic€i Feeder 200Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 OOO Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits '1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp Service/Feeder 401-600 Amp.
Temp. Service/Feeder-601-1 OOO Amp.
Poftalto Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each addilional)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$1'10.00
$149.00'
$168.00
$120.00
$102.00
$56.00
$64
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 readjng 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 PortAng eles Municipal Code, and Utility Specifications and PAN4C 14.05.050 regarding Elec'trical Permit Applications
O4I2OI2O21 JENN I FER COVELLO &"e,Ur
Date Print Name Signature (E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us ot faxed lo 360.4'17.47111
1 - 2 SINGLE-FAIUILY
. ,}NIIIER'NFORMATION
I :'
Mailing Address: 11824 N CREEK PKWY N, SUITE #105 Expiration Date 3/20'19
trm,ir JENNIFER@NWPERMIT coM Phone. 206-371-2237
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PROJECT DETAILS