HomeMy WebLinkAbout1212 Georgiana StApplication Nudbet
Application pin number
Property Address
ASSESSOR PAXCEL NUMBER:
Application t)?e deacription
Sulcdivision Name
Prope!Ey Use
Prope!ty Zotring
Applicatlon val.uat'ion
18 - 00001807 DaEe 1-L/29/1-8
6 015 08
1212 GEORGIANA ST
06 -3 0 - 00- s- 3 - 1328 - 0000 -
ELEC'IRICAI, ONI,Y
ELECTRICAL PERMTT
CITY OF PORT ANGELES
360417-4735
RS7 RESDNTL SINGLE FAMILY
o
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
Application desc
Service repair
SARGENT, DONAIJD W &
12}2 GEORGIANA ST
PORT A,ISGEIJES
KAREN E
vtA 943624274
APS ELECTRIC
546 BENSON RD-
PORT ANGEITES
1360j 452-6'7s3
wA 98353
PelmiE
Addi Eional
Permit Fee
Issue Date
desc
120.00
tt/29/L8
s/2a/\9
Plan Check Eee
Val.uatlolr
ELECTRICAL AITER RESIDENTTAI
00
0
Expiration Date
Qly UniE Charge
1.00 120.0000 ECH EL. O.2OO SRV FEEDER
Extens ion
120.00
charged Pa rd Creditsed Due
Permit Fee ToEal
Plan Check Totaf
Grand Tot.al
t20
120
00
00
00
t2a
L20
00
00
00
.00
.00
.00
00
00
00
PERMTT WILL DTPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE ille':,lB CM ^'aJ.-
ROUGH.IN
I
FINAL il l$)B .#r#
COMMENTS:
I
Signature of owner or Electrical Contractor X Date:
32t
36|.4fi.47_15 i
,&
Mailing Address ata
Name:
Mailing Address
Email:
Itam
Ssrvi6/Fecdq. 2OO tunp.
Ssrvi{:e/Feed€r 20 J -1OO Amp.
Servb8iFesder 40.l {OO Arnp
S€rriceFs€dsr 60 1 - 1 OOO &np.
Scrvice/Feeder over 10OO Amp.
BEnch Cirg,it W S€ryic. Fecdcr
Brandl Cirera WO S€F/be Feeder
Each Additionat Branch Clrcuit
Brandr Cirurib 1-4
TelTp. Service/Feods t ZOO NtF..
Temp. 96.ry;saFe€d. r 20 1 4N Arrp.
Temp. SeNics/Feeds ,{O1 j00 A{rp.
Temp. Seryi€e/Feeder BO1-1OOO Amp.
Portal to Po.tst l"lol,Iiy
SEnal Cir.uit/ti ted Enorgy - t&2 Du.
Menufsc{u€d Hgrne Conncction
RenerryabE Eiec. Energ!4 SKVA Sycbm or bss
TlDemoltat (Not!: SS br eacfi addttioml)
FirA 1A00 S$rr,B Fest
. Eadr iqdditdel OO0 r+&lr td,,
Eech Oirtbu* ir€ / Beta.fied
Eact Sy,f,ffrdng pod , Hd Tub
Orner as .jefined by RC\M 1 9.28 261 (1) O!+ncr wiltrequi..d t6 hi.e .n .lsclric.t oo
ING
Publi &brks and Utii ities Department
5th Street. Port Angeles, \tA 9gj62
rr.r.c it_vo fpa. us j electricalpermitl@cityofpa.us
REOEIUE !o
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Co
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E
Nov 2s 20
EI.ECIN[AI.
titsftcfl0ils
1Project Address:a.
c'69--
tiingie-Family Residentia I D Duptex /U Buitding Square Footage:
Name
Emril:
Phone:ib
L
cense:
Expiration Date:4r a o
Phone:.J '{5''6r 5l
Quandte IcbI {Ar.ndty
5
r thft Chlrg€)o,'
$-----E-9---.-
$--
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$-._..-s-"-
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$t20.@
t1{6.@
020s.00
e02.@
s373.00
s5.00
s63.00
s5,@
$7s,00
$93.00
$110.00
9149.00
9166.m
$96.@
$64 00
$120.@
$102.00
s56.00
$120.00
t40.00
E74.m
3110.@
o
$
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5
$
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Ja6,t-I
Arl€r .Bading the abqvs staternant, I he.Bby cert yam makin€ lhe stectri'al instalatjon or afterAion i;
c.!py the st'ucturr tor two y€a.6 .fter this cliectrical permit is nnarizcd. (2) Owntt i6b for sate, r.nt or tqalo. permit exF,lreo aier six m onfis 0f tast insp€clion
I 8m the own€r ol{te lbove named property gr I licensed eierirical comr"acto.. Iliance wi& lhe et€ctrical hws. N_E c.. RCW.Chapter 19.28, WAC. Chegt r 2S6-
TOTAL
4
468, The City of icipat Code
I
Date
rega rding^Ehc&ical PBrmit Applicalions
Y 1t.\
Signature (E E Ele€tricat C onhactor / Administrator)
t
cr/1
tl
lElectricai Permit Applicstions may b. sub
ci
to city Hali or eteclricatpermirs@cityofpa. us or fax6d to 360 .417.17111
Project Description:
I
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