HomeMy WebLinkAbout812 Georgiana StN
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ApplicaEion Nunrber
Application pin number
Property Address
ASSESSOR PARCEI] NUIVIBER:
Applicacion !,,pe description
Subdivision Name
ProperEy Use
ProperEy zoning
Applicatsion valuaLion
21- 00000011 Datse L/ 06 /21
47959A
812 GEORGIANA ST
05-3 0-00 -5 - 1-382 5 - 0000 -
EIECTRICA! ONI,Y
RS7 RESDNTL SINGI,E FAJ{fLY
0
Application desc
Sunroom, Buffet rable
HAMMOND, JOHN C & KELLI D
102 W FRONT ST
PORT ANGEIES WA 98362(360) 775-5379
SYNERGY ELECTRICAL CONTRNG LLC
910 W 10TI{ S?
PORT ANGEIJES WA 98353(360) 451-39s4
Additional
Issue DaEe
desc
EIECTRICAL ALTER RESIDEI{TIA!
1-4 CIROI?S
75.00 Plaa Check Pee
| /06/2r valuaEion
'7 /os/2LExpiraEion DaEe
QEy Unit Charge
00
0
75 .00
PermiE Fee Totsal
Plan Check Total
Grand T'otal
75.00
.00
75.00
00
00
00
00
00
00
{44^^,-r',. o^.c\€ ob f.1a.hcs Ccr\
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
REPORT SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
ROUGH-IN tlnlz I EY =rFINALt)zrlry*H -tdt
COMMENTS:
GlE(CHANCABUILDING
Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
:i::::1 :::: _:::i1:." Due
75 .00
.00
75.00
SERVICE
ELECTRICAL PERM IT APPLICATION
1'o
3
it
N
T
o
Proje ct Address: 81 2 Georgiana
Project Descript ;on. Wired Sunroom and added plug to buffet table
E Single-Family Residential E Duplex / ARU Building Square footage 1600
Name: John Hammond Email
Name Synerqy Electrical Contractin o, LLC License. SYNERECS29QM
Item
Service/Feeder
Service/Feeder
200 Amp.
201-400 Amp.
Service/Feeder 40'1-600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp Service/Feeder.40'1-600 Amp.
Temp. Service/Feedei601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - '1&2DU
Manufactured Home Connection
Renewable Elec. Energy: sKVA System o
Thermostat (Note: $5 for each additional)
Ouantitv Charge)
$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
$
$
$
$
$
$
$
$
$
$
$
75.00
TOTAL
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 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 compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applicauons.
01 tost2o21 Tracy Critchfield
Date Print Name Signature (! Owner p Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAIVIILY
Pubiic Works and Utilities Depaltment
3:1 E. 5th Street, Port Angeles. r&A 98.162
360.41 7.4735 | u.rvw.cityofpa.us j electricalpermits@cityofpa.us
ffiffitlleii&tr,X&K rm$$t*l
E.LSCTRICAL ,i0;l3 ttxti{;;$i
Maiting Address: 812 Georgiana, Port Angeles, WA 98362 p6666 360-775-5379
Mailing Address: PO Box 1544, Port Angeles, 98362 Expiration g21g. 1111412022
Email synergyelectricalcontitrcting@gmail.com phone: 360-461-3954
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