HomeMy WebLinkAbout1014 Georgiana St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-4735
COMMERCIAL OFEICE
0
REPORT STATE SAI.ES IAX
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
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Application Number
Application pin nuirber
Property Address
ASSESSOR PARCEI] NUMBER:
Appl icaEion E)'pe description
Subdivision Nane
Property zoning
ApplicaEion valuation
18- o ooo194 ? Date t/02/1-9
770245
1014 GEORGIANA ST
05- 3 0- 00 - 8 - 1- 0325- 0000-
ELECTRICAL ONLY
ConEractor
DAVID MABREY
1014 GEORCIANA ST
PORT ANGELES
(360) 7?s-?014
RICI]ART FAI4ILY INC
14600 NE 201"H AVE
VANCOIryER
1360) 574-58s9
r,9A 983523918
Permi ts
Additsional desc
Permit Fee
Issue Date
ELECTRICA! ALTBR RTSIDEI.ITTA],
1- 4+1 CIR
80.00 Plan Check Fee
r/O2/1-9 va luati on
'7/ot/19Expiration Date
gLy Unit Charge
00
0
Per
BASE EEE
Extension
80 .00
Charged Paid Credited Due
Permit Eee Total
Plan Check TotaI
Grand Total
80. 00
.00
80. 00
80 .00
.00
80 .00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN t-L- t1 Al
FINAL t-L- t?AP
COMMENTS
Signa ture of owner or Electdcal Conaactor X Date:
wA 98686
INSPECTOR:
,4r,4*b
RECEIUED
2 SING E-FAMILY
ELECTRI CAL PE RMIT APPLICATION
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Email:
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E
ion: /
E\Single-Family Residential D Ouptex / ARU Building Square footage
Name
i\4ailing Address:
Projecl Address
Project Descript
Name:
Mailing
Email:
pnone: Lbq'115-'70/ y'
License
ration Daie
Phon6:aL(f
Service/Foeder 200 Amp.
Service/Feeder 201.400 Amp.
ServicdFeeder 40'l600Amp.
Service/Feed€r 601.1 000 Amp.
Servic€/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Addilional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201*4OO Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 60 j-1 OOO Arnp.
Portal to Portai Hourly
Signal CircuiuLrmrred Energy - 1&2 DU.
Manufactured Home Conn€ction
Renewable Elec. Energy: SKVA System or le6s
Thermostat (Note: $5 for each
ljnll Charqo Ouantltv
$120.00
&iltl (Qu8ntity r Unlt Chargo)
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$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
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Owner as dellned by RCW.19.28 261: (1) Ovrner will occupy the structure for two years alter this electrical permit is finalized. (2) Owner isrequired to hire an electric€l @nlractor if above said property is for sa16, renl or lease. Pormit expires aftei six months of tast inspection
After r€ading lhe above statement, I h ereby certify that I am the owner of the above named property or a licensed elecl.ical contractor. Iam making the electrical installation or alteration in compliance with the electricallaws. N.E.c., Rcw chapter 19.28, WAC. Chapte. 296-468, The City of Pon Angetes Munici pal Code. and Utility Specifica tions PAMC 14.05,050 regarding Etectricat Applicationsw-t
Date Print Name Signatu (E Owno Electrical Contractor / Admrnistralor)
{Eloctrical Permil Applications may be submitted to City Hall or epermirs@cityofpa.us or faxed to 360.417.47111
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$40'00
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