HomeMy WebLinkAbout907 Georgiana St (3)Applicatior! Nuftber
Applica!ion pin number
ProperEy Address
ASSESSOR PARCBL NUMBER:
Appllcation type descrlption
subdivision Name
Proper!y Use
Property zoning
ApplicaEion valuati.on
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4135
18 000 0123 7 Dare 8/0'7/78
392011
907 GEORGIANA ST
06-30 - 00 -5- 8- 014s-0000 -
ELECTRICAI] ONLY
COUMERCIAL OFFICE
0
REPORT STATE SALES TAX
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
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Applj.caLion desc
Access upgrade
Owner
CLA],LAM CO HOSPITAL DIST *2
9] 9 CA!.OL]NE ST
PORT AIiGELSS I/;A 98i521909
EPIC EI,ECTRIC INC
po Box 3s7
SNOHOI'1I Sll
(360) s58 s 98s
Contractor
wA 9829I
Permir
Additional desc
Permri !-ee
Issue Date
Expiratj.on Da!e
95. 00
a/o'7 /L8
2/03/19
ELECTRICAL AI,TER COI4MERCIAL
Plan Check Fee
valuation
.00
0
Qry urlit charge Per
1.OO 96.OOOO ECH EL.TRIP FEE.INSPECT EX, INSTAL
Extension
95.00
Fee sumnary charged Paid Crediled Due
96. 00
.00
96.00
Permit Fee Total
Plan check Total
Grand Totsal
95. 00
.00
95.00
.00
.00
.00
.00
.00
.00
pERMm WIL EXPTRE SIX (6) MONTHS FROM I-AST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
e/r /B {P =€frROUGH.IN
dlllnFINAL
COMMENTS:
7V
ItI
Signahrre ofowner or Electrical Contractor X
s #
Date:
M U LTI-FAIVI I LY / COM M ERCIAL
E TRICAL PERTMITAPPLI ATIO
Public Wbrks and Utilities Department
ECffUED
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3
AUtj 11 1t 00t-
N
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321 E.5th Street, Port Angeles, WA98362
3 60.4 17 .47 3 5 i www.c ityofpa.us I electricalperm its@cityofpa. us fl
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ExiRicft
P cti 0irr
CJProject Address
Project Description:
E [/]ulti-Family Re sidential E C ommercra l/ lndustrial / Public Building Square footage
O\ /t'lER INFORMATION
Name
Mailing Address
Email:
Phone
ELECTRICAL CONTRACTOR INFORMATION
Name: E
lvlailing Address
C-
Emair: f ir i.-eL&ai P-t(, A AoL-.c-ah,r]Phone 3Lo .SC2E. 5<tS
License
Expiration Date
xO
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601-'1 000 Amp.
Service/Feeder over1 000 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 60'1-1 000 Amp.
Portalto Portal Hourly
Sign / Outline Lighting
Signal Circuiylimited Energy - lvlulti-Family
Signal Circuivlimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Ouantitv fgta! (Quantity x Unit Charge)
0t)TOTAL
Owner as defined by RCW 19.28.261. (1) Owner will occupy the structure fo. 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 reading the above statement, I hereby certity 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 PortAngeles Municipal Code, and lJtility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
ltljllxalse
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
--qIEv"\
$113.00
$56.00
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Date Print Name @l contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47'1 1]
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PROJECT DETAILS
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