HomeMy WebLinkAbout801 Georgiana StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
18-00000332 Date 3/14/78
767500
801 GEORGIANA ST
05 30 00 5 1 3?50 0000
ELECTRICAI, ONLY
RS7 RESDNTI, SINGLE FA.IVIILY
0
REPORT STATE SALES TAX
on your excise tax form
b the Crty of Port Angeles
(Location Code 0502)
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\\Applicatsion Nunler
Application pin number
Property Address
ASSESSOR PARCEL $UMBER:
Applicatsion type description
subdivasion Name
Property Use
Property zoning
Applicat.i.on valuaEion
Applicabion desc
Ductless / I,lasher
LINDA MERTH
801 GEORGIANA ST
PORT ANCE],ES
BITACK DIAMOND EI'ECTRICAI] CONTR
502 BLACK D]A]'IOND RD
PORT ANGEI]ES WA 9836 3
(350) s5s 1o3s
wA 983623511
PermiE
AddiEional desc
Permit Fee
Issue Date
Expir:ation Date
EIECTB]CAL AITER RESIDENTIAL
1-4 CIRCUITS
75.00 Plan Check Fee
3/14/tg valuatjon
9/7a/18
00
0
Qty Unlt Charge Per
BASE FEE
Extension
75. 00
Fee summary Charged Paid Credi t.ed Due
Permit Fee Total
Plan Cheek ToEal
Grand Total
75.00
.00
75.00
,5.00
.00
r-5.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR
DTTCH
SERVICE
ROUGH-IN
FINAI
COMMENTS:,\<
PERMIT WILL EXPIRI SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
1-2S INGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Email
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Project Description t{p tv+S rt dtac.t,T
Single-Family Residential n Duplex / ARU Building Square footage
Name L,^rDA ,l.l
Mailing Address 8ot Le-oa-c-|+*t ,t--Phone: ZOb f I 1668
Name:
[/ailing
Email:
RDr4
AAo^JO Expiration Date
Phone: ?60
cfr o z._
-%t-r
License
Address o
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -'1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp Servic€/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Terp Servrce/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Noter $5 for each additional)
First 1300 Square Feet
Each Additional 5O0 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Quantitv IgEl (Quantity x Unit Charge)lJnit Charoe
$120.00
$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
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
$
$
$
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$
$
$
$
$
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$
$
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TOTAL t--zr --
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) O,vner 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 certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in complianc€ with the e , N.E.C., RCW Chapter'19.28, WAC. Chapter296-
46B, The City of PortAngeles Muni cip ode, and Utility Spe C'14.05.050 regarding Electrical PemitApplicationsS-8-lL A^l t+*
Date Print Name Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to C all or electri lpermits@cityofpa. us or faxed to 360.417.47111
Public Works and Utilities Department
321 E. sth Street, PortAngeles. WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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OWNER INFORMATION
1-2
PROJECT DETAILS