HomeMy WebLinkAbout907 Georgiana St (8)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
COMMERCIAL OFFICE
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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t
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Appllcation Nunber .
Application pin nufiiber
Propertsy Address
ASSESSOR PARCEI NUMBER:
Application !)?e description
Subdivision Name
Propelty use
Property Zoning
Application valuatior:!
19- 00001104 Date 1/24 /L9
938880
907 GEORGIANA ST
06-30- 00 - 5 - 8 - 0145 - 0000 -
ELECTRICAI ONIY
ApplicaEion desc
EterneE wiring X-ray
ConEractor
CLALI,AM CO HOSPITAI- DTST +2
939 CAROLINE ST
PORT ANGELES WA 983 523 909
ANGELES COMMUNICATIONS INC.
102 ROSS !N.
POR" ANGE'JES, WA
?ORT ANGELES WA 9A362
{350) 457-43 75
Permit
Additional desc
PermrE l'ee
Issue Date
E:?iration Dat.e
95_00
1/24/re
L/20/2a
Plan Check Eee
Valuat.ion
00
0
Qty Unit Charge Per
1.00 96.0000 EcH EL-LIMIrED 1ST 1s00 SQ F"
Extension
96.00
Fee summary Charged Creditsed Due
95.00
.00
95 .00
.00
.00
- 00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM I-A.ST INSPECTTON
INSPECTION TYPE INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN la t9"l I t p w
FINAL rc)p)fr ,dp #
COMMENTS:
II
T
Signa ture ofowner or Electrical Contractor X Date:
EIECTRICAL AI,TER COMMERCIAL
Pemit Fee Total
PIan Check Total
Grand ToLal
95.00
.00
96.00
. o0
. o0
. o0
DATE:RESULTS:
MULTI-TVIILY / CO MMERCIAL
ELE CTRICAL PERh/I T APPLICATION
Fu'olic \{t;r'ks and Utilities Depadrnrnt
-l: I ii. -ith Strcer" porr Angel:s. \\A 98362
ia()./117.,17--tirx\1\\.citleili")a.rsielccti.icalper"rnilsiri)cirvoiia.u.
RECEIVED
JUL 2Z 2OI9
Proj ectAddress: 907 Georgiana St. Port Angeles, WA
Project Description Ethernet Wiring to X-Ray area
n Multi-Family Residential 0 Commercial / lndustrial / public Building Square footage Project Area <1500sf
Name:Olympic Medic€l Ce ntea Email l.org
Name Anaeles Cornmuni cations License: 60'1386512
Expiration Date 20 Ap 2O2O
Phone: 360457€75
Mailing Address 102 Ross Lane Port Anqeles , wA 98363
Email don@an elescommunications.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400Amp.
Service/Feeder 401-600 Amp.
ServicdFeeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit Wl Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Crrcuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-4OO Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Servic€/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Oulline Lighting
Signal Circuiylimited Energy - MultlFamily
Signal Circuivlimited Energy/First lSOO sf- Commercial
(Note: $5.00 for each additional 1S0O s0
Renewable EIec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Unit Charo.
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$'121.00
$ 164.00
$185.00
$96.00
$88.00
$88.00
996.00
(Quantity x Unit charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
$ 96 roml
owner as deiined by RcW 19.28.261: (1) owner will occupy the struclure for two years after this etec{ricat permit is finalized. (2) owner isrequired to hire an electrical contractor if above said property is for sale, rent or lease. pemit expires aftei six ;ontns or Est inspection.
After reading the above statement, I hereby ce rtify that I am lhe owner of the above named property or a licensed electrical contractor. Iam makng the electrical installation or alteratio n in compliance fith the electrical lavrs, N.E , RCW Cha pter 19.28, WAC. Chapter 29&468, The City of PodAngetes Municipal Code,and Utllity Specitications and pAMC 14.0s Electrical Permit Applications
19 Jul2019 Donald L Sim pson
Date Print Name lectrical C m n stra
lElectrical Permit Applications may be submitted to City Hall or eiact.icalpemits@cityofpa.us or faxed to 360.417.47.111
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Mailing Address: 939 Caroline St. Port Angeles, WA 98362 p16n6. 3604177000
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