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Home My WebLink About626 GEORGIANA ST - Building (2)ELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 Application Number . . . . . 18-00001052 Date 7/12/18 Application pin number . . . 004968 Property Address . . . . . . 626 GEORGIANA ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -4010 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RE_SDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Garage feeder ---------------------------------------------------------------------------- Owner Contractor ------------------------ ANTHONY AND CYNTHIA INGERSOLL ------------------------ ELECTRIC SERVICE 1601 E ST 503 RHODES RD LINCOLN NB 68508 PORT ANGELES WA 98362 (360) 452-6424 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee .00 Issue Date . . . . 7/12/18 Valuation 0 Expiration Date 1/08/19 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL DATE: RESULTS: �1 rz p a COMMENTS: PERMIT WILL EXPO SIX (6) MONTHS FROM LAST INSPECTION Signatum- ofawner or Electrical Contractor X REPoRr STATE SALES TAX on your excise tax form to the city of Port Angeles (Location Code 0502) Date: I' i jUlL 0 211 CITY I - 2 SINGLE-FAiUIILY Corm!,UNITY&ECorON11co�1,r1cF�;irlF mLECTRICAL PERMIT APPLICATION. Public Works and utilities Department 321 E. 5th Street, Port Angeles, %SIA 98362 360.417.4735 ; www.eityofpa.us I e1ectrical.permits@6tyofpa.us Project Address' (011Ao rg�cmr�a iAr»�e Project Description: h t7, �,f Q P, ��! Y `�- %7 r — iia 7'�iA i✓ 0 Single -Family Residential 0 Duplex / ARU Binding Square footage; Name: 1J h Mailing Address, f4 - V Wq i a Me.;,RJ Name: ► �' 1 &,t Mailing Address: Email: • Servke/Feeder 200 Amp. $120.00 Serviow'Feeder2M 400Arnp. $146-00 5erviWFeeder 401-M Amp, $206.00 Service/Feeder 6014 000 Amp. $282.00 Senrire/Peeder over 1000 Amos. $373.06 Bmgnch Circuit VW Service Feeder $5.00 Branch Cimult WWO service Feeder $6100 Each Additional Branch Circuit $5.00 Branch Circult81-4 $75.00 Temp. Service/Feeder 200 Arnp, $93.00 Temp, Service/Feeder 201-400 Arnp. $110.00 Temp.. Senn wFeeder 401.800 Papp. $149.00 Temp. Service/Feeder 1301-1000 Amp_ $1'68.00 Portal to Portal Hourly ftnai Circuftimhed Energy -182 Ott- $64.00 Manufactured Nonce Conner fan $120100 Renewable BeC. Energy: SKWA System or.lesg $102 00: �< r IUL ELITTRii'.j$.i 1N,�PErT;Ol' Z Phone, ,�1- -7..!5 mi License, E. LE CT S r L 5 Z o M Expiration ©ate: l to -Xi— t 41 Phone: -360 4 tp 0 1-57 i�-q Owner as defined by RCW 19.28.261: (1) Ownerwill occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor 0 above said property is for sale, rent or tease. Permit Bxpir3s after six months of last inspection. After reading the above statement, I hereby cerEify that l am Ow owner of the above named property or a licensed electrical oorfractvr. l 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 Munieipat Code, and Utility Specifications and PAMC 14.05.OW regarding Electrical Permit Applications. r-1' puadt hA e" Date Print Name Sign$hue (❑ Owner Cg Electrical Contractor /Adminis''tmtor) [Electrical Permit Applications may be submitted to City Ball or electricaipermitsQcityofpams or faxed to 360;417.47111 ; 6"