HomeMy WebLinkAbout626 Georgiana StApplication Number
Applicalion pin nuln})er
Pr.operty Address
ASSESSOR PARCEIJ NIJ'T"IBER :
Application E].pe descript.ion
subdiwi"sion Name
Property Use
Property zoninq
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS7 RESDNTI, SINGLE FA}III,Y
0
18-0000138,1 Date 9/a1/!8
592524
626 GEORGIANA ST
06 30 00 5-1-4010 0000
EI,BCTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
Laundry plugs
BETSY L\'NN ALBERTY
626 GEORG]ANA ST
PORT ANGELES
KIRSCH E]TECTRIC INC
P. O. BOX 3396
SEQUIM
(360) 683-6819
wA 98362 wA 98382
PermiE
Additional desc
Permit Fee
fssue Date
Expiralion Date
EIECTRICAI] ALTER RES]DSNTIAL
14 CIRCUITS
?5.00 PIan Check Fee
9/O'/78 Vaiuation
3/06/te
00
0
Qty Unil Charge Pe]:
BASE FEE
Extension
?5.00
Charged Pald Credited Due
Permi! Fee Total
Plan Check Total
Grand Total
75_00
.00
75. 00
75.00
.00
75.04
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I.AST INSPECTION
INSPECTIONTr?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN 1/tr/ts ,4?4*1/qfiila K
COMMENTS:
Signature ofowner or Electrical Contractor X Date
r,$
\\Co
-,.tr
FINAL fu-)
t{
1 .2.SIN9LE;FAMILY
ELECTRICAL PERMIT APPLICATION
Ilublic Works and l-iLiiiiius l)cpafirnrrit
32 i I-.. 5th StrcLt, Porl Angeir:s, \\A 1t83(,?
1(r0.+ 17.47.15 , wuvw.riry olpa.rs i cloclri.raipcr ii$'rt,rt il-t c, l'nrr. i'<
EA 6
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6 b
ProiECt Address
Project Descriptroh:
gle-Family Residential n Duplex / ARU Building Square footage
Mailing AddreEg
Name
MEilin
Email:
Address
r
Email:
Phone
License.
Expiration D?te
Phone
IEIg
Sarvlce/Feedef 200 Amp,
Servicer'Feeder 201 d00 Arnp.
Se.viceiFeedet 401€0oAmp.
Servlc€lFecder 601"100O A.fi p.
ServicdFeeder over 1M0 Amo-
Br-dneh circuit w/ SeMee Fe€der
B[anlh Circt]it lN/O Service Feeder
Eaoh Additronel Branch Circuit
Braflch CircuilE 1-4
Iemp Servic/Fe eder 200 Arnp.
lemp Service/Fecde. 20'1-400 Am p.
T9nrp. Service/Feeder 401600 Amp.
fernp Setuice/Feedar 601-1000 Amp.
Portai to Portal Holrly
Sigxal Circuiltimited Eflergy - 1&2 OU.
i\rsn ufactured Home Connection
Renewable Elec. Energy 5KVA System or la6s
Therrfiostal (Not6: $5 fo. each additionau
$12000
$146.00
$205 00
$262.00
$373.00
s5.00
$63.00
$s.00
$75,00
s93 50
sr10.00
$149.00
si68.00
$s6.00
$64,00
$12C.00
$ 102.00
$96.00
Iqhl {Quantlty x Unit Charge)
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TOTAL
Cv/n€r Es defined by RCW,19.28.261r (1) Ownerwlll occupy the strudture for tuyo years alter Mis eiectrical perFit is finalized. (21 Ownel re
required lo hire ah Elect,ical contracior il above said prop'eiy is for sale. tent ot lease. Permit exprres after six mooths of ;isi inrpeciiolr
After €adlng the abov€ sttstement. I hereby cerlify thal lam th@ owller ofthe above ramed prcperty ora li@nsed electfical contraalcr I
8fi1 flaking lhe electrical installation or dlteration in complia nce wilh thE electrieal laws, N.E.C.,'*CW Chap{€r 19.28, f,/AC thaoter 296-
468. fhe Cilyol Port Aflgeles Municlpal CodE, and Utility Speoificatlons and PAMC 14 05.050 r€-sarding Electricsl Per ;tAppliffitions.
%-Q-t a f-t\
Signature (Owner [ Elecfical Contractor / Adminigtretori
{Electrical Permit Applicetions may be submitted to City Hall or electricalpermits@cityofpa us dr faxed to 364.4"t7 4711l]
Name:
.i?
I
t C
Date P nt Name