HomeMy WebLinkAbout832 Georgiana StELECTRICAL PERMI-I
CITY OF PORT ANGELES
360-417 -473s
1? - 000 00241 Date 3/A3/r7
885333
832 GEORGIANA ST
06-30-00-s-1 380s-0000-
EIJECTRICAL ONLY
COMMERCIAIJ OFFICE
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
f,
\NJApplicatiorl Number .
applicat.ior pin nufiirer
Prope!ly Address
ASSESSOR PARCEIJ NI'MSER:
Applicat.j-on t}?e description
subdivisioa Name ,
Prope!ty Use
Ploperty zo.ing
Appl j.cation vaf uation
Application desc
FurDace and T-stat
O!r'ner
ROSECRANTS ANN M
832 GEORGIANA ST
PORT ANGELES
BI,ACK DIAMOND EI,ECTR]CAI. CONTR
502 BI,ACK DIAMOND RD
PORT ANGEI,ES WA 983 53
(360) s5s - 103 5
wA 98 3 523 512
Permi L
AddiEional desc
Permit Eee
I ssue Date .
Expiracion Date
130.00
3 / 03 /t'l
8/30/71
EIECTRICAL ALTER COMMERCIAI,
Plan Check Fee
valuation
QEy Unit Charge Per
1.00 74.0000 ECII
1.00 56.0000 ECE
EI,- COI"IM BRANCH CIR WO/ S/F
EL . L\II - TH ERMO STAT
00
0
Extension
'74.OA
56.00
Eee summary charged Paid Credited Due
Permir Fee ToEal
Plan Check Total
1l0
130
.00
.00
.00
130
130
00
00
00
00
o0
00
.00
.00
.00
INSPECTION TYPE RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS 4 I
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
DATE;
9-t- L
ftirr
Crry or Ponr ANcrr,rs PsRMrr AppLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - Port Argeles Washington, 98362
Phz (360\ 417-4735 Fax: (360) 417-4711
Date ?-t-l7
fltcf,
NAR r) .,: l0
f
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_ Multi-Family or Commercial*
* Plan Review May Be Required, Please
_ Commercial Addition / Alteration / Remodel / Repair.ICAL
fnNl
Com lete Electrical Plan Review lnformation Sheetp
Job Addrqssl
Building Square Footage
Description of work _
Owner ln
Namel
fornationf(oue -+l^tr Contractor
Name:
,^,ry#y
Mailing Address:Mailino Address:
City State: _ Zip
Phone AX:
License # /
Total {Qtv M
City:State: _ Zip:
Phone ax:
License #/ Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401 $00 Amp
Service/Feeder 601 -1 000 Amp.
Seryice/Feeder over 1000 Amp.
Branch Circuits 14
Branch Circuit W Seryice Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Seryice/Feeder 401{00 Amp.
Temp. ServicdFeeder 60'1J000 Amp .
Poftalto Portal Hourly
SigniOutline Lighting
Signal Circuiu Limited Energy / First 1500 sf- Commercial
Note: $5.00 for each additional 1500sf
Renewable Electrical Energy - sKVA System or Less
Theanostat
Unit Charoe
$ 132.00
$ 160.00
$ 22s.00
$ 288.00
$ 4'10.00
$ 86.00$ s.00
$ 74.00
$ 5.oo
$ 102.00
$ r21.00
$ 164.00
$'185.00
$ 96.00
$ 88.00
$ 96.00
bv unit Charoe)
$
$
$
$
s
$
7't
5L'!-
s
t20
s
s
q
$ 113.00
$ 56.00
,'-^d'Total I >Q
-Owner as defined 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 readjng the above statement, I hereby certify that I am tl're owner of the above named prope(y 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 port
Angeles lvlunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Pemit Applications.
Signature of electrical contractor or electrical administrator:tr Cash E Check
E CreditCad #7'1-/7 011011m12
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