HomeMy WebLinkAbout1411 Georgiana StApplication Number . .
Application pin number
Proper!y Address
ASSESSOR PARCEL NUI,IBER:
Appf lcation tl,pe description
Subdivision Name .
Propeity Use
Property zonlng
Application vaLua!ion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17 - 00 0oo25r Dale 3/03/11
348853
1411 GEORGIANA ST
06 - 30 -00-5- 3- 0845-0000 -
ELECTRICA], ONI,Y
RS? RESDNTL SINGI,E FA}'II,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
J
)Nt
Applica!ion desc
Panel. and circuiEs
Owner Contrac!or
DAVID C HERRIDGE AND STEPHANIE
1411 GEORG]ANA
PORT ANGELES IIA 98362
(350) 461-6848
BOTFJRO 6. SON ELECTRICAL
940 TAMARAC( WAY
PORT ANGELES WA 983 52
.360J 452-4756
Permi!
Addil ional
I ssue Dale
desc
140.00
3/03/11
B/30 /t'7
ELECTRICAT AI,TER RESIDENTIA',
Plan Check Fee
Valuation
00
0
Expiration Date
Qty Unj.t charge Per4.00 s.0000 Ectt
1. 00 120 .0000 ECH
EI, - BRA.}ICH clRcuIT W/PEEDER
EL-O-2OO SRV FEEDER
Extsension
20.00
120.00
Fee summary Charged Pa id Credited Due
Permrt !'ee '10ta1
Plan Check To!a]
Grand Tolal
140.00
.00
140.00
140
140
00
00
00
00
00
00
.00
.00
.00
PERMIT WILL E)(PIRE SIX (6) MONTHS FROM IAST INSPECTION
INSPECTION Tl?E INSPECTOR:
DITCH
SERVICE
ROUGH-IN 3l aln ,a -r*p
FINAL
COMMENTS
Signature ofowner or Electrical Contractor X Date:
DATE:RESULTS:
Y^
RECE'UED
1,,
Crrv or Ponr Axcnlrs PERMTT AppLrcATroN
Building Divisioo/Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
oa" 3/V t I
-
1 & 2 Single Family Dwelling,l
t Plan Review May Be
tUCIR,CAI
ll\lsPtCInil,
f,
1
NI
red Please Com Electrical P an Review lnformation Sheet
Job Address
Building Square Foolage:a.o d 9zl t
Description of above
owner lntor mation
N
M
C
lnformation
Name:
[4ailing
J.€'(qtr G.,.
AIT]E:
aillng Address.t
oi c
AX
LCC+'L
City:
Phone
L cense # /Exp
Item
itv
Ph
License # / Exp
@Unit CharEe
$ 120.00
s 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
$ M.00
$ 120.00
$ 102.00
$ 56.00
$ 40.00
$ 74.00
$ 110.00
s_1
sta"@zD 482.7
ax.
Stateii:yL Zip 19,t 3 Z
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 600 Amp
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit W0 Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4 0nly
Temp, Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401{00 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Porlal Houdy
Signal Circuiu Limited Energy - 1 & 2 Family Dwelling
Manuf actured Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostat
Note: $5.00 for each additional Tstat
t{EYI' COt{STRUCTIOX OI{LY:
First 1300 Square Ft.
Each Addirional 500 Square Ft. or Portron ol
Each Oulbuilding or Detached Garage
Each Swimming Pooi or Hot Tub
Total
Owner as defrned 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 reading the above statement, I hereby certfy that I am the owner ot the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the eleckical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29e468, The City of port
Angeles Municipal Code, and Utjlity Specifications and PAI/C 14.05.050 regarding Eleckical Permit Appljcations.
Signature of owner, eleclrical contractor or eleclrical adminiskator: E cash E check
$
$
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$
$
$
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$
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$
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$
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$
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