HomeMy WebLinkAbout626 GEORGIANA ST - Building (3) INt
ELECTRICAL PERMIT
CITY OF PORT ANGELES ,
360-417-4735
Application Number . . . .18-00001384 Date 9/07/18
Applicationpinnumber . . . 592520
{ " Property Address 626 GEORGIANA ST REPORT,STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-4010-0000- On OW'excise tax form
type description ELECTRICAL ONLY y
Subdivision'Name . . . . . to the City of Port Angeles
max:' Property use . . .. . . (Location Code 0$02)
� Property zoningRS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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---- Application desc
i
Laundry plugs
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Owner Contractor
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BETSY
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BETSY LYNN ALBERTY KIRSCH ELECTRIC INC.
626 GEORGIANA ST P. 0. BOX 3396
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 683-6819
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Permit . . ELECTRICAL ALTER RESIDENTIAL `
Additional desc 1-4 CIRCUITS
. Permit Fee- 75.00 Plan Check Fee .00
Issue Date- . . 9/07/18 Valuation 0
EXpiration Date.. 3/06/19
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
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Permit Fee Total 75.00 75.00 .00 .00
Plan''Check Total .00 .00 00 .00
Grand Total 75.00 75.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR: j
DITCH
SERVICE
ROUGH-IN '
f
FINAL
COAMENTS:
PERMIT WILL EXPIRE SIX(6)MONIHS FROM LAST INSPECTION 1
Signature of owner or Electrical Contractor X Date:
i
1 2 SJNQLE-FAMILY ro
..:
ELECTRICAL PERMIT APPLICATION
Public Works, and [_itthues j epartiricr-It
32 i F. 5t.h Streo, Plat r'ittt elk- WA 98302 } �
360,4 (7,x•735 ; u v' w,cii%,dpa,us i cicC".irici}lpr rni'ts:i-6Ci!yofpa.Lis
Project Address: r —'
Project Description_ Y-"NC4 ►'1
Ingle-Family Residential ❑ Duplex/ARU Building Square footage:
Name: Email: _
Mailing Address: YU'
Name: C_ License: O
MailinAddress: 1 n a Expiration pate:
Email: �1� q
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PR
WECT f
ETAJLS
yA[tt rehmit91tanft T2W fouaratlty x Unit charge
Service/Feeder 200 Amp. $120:00 . S --
Service/Feeder 201.400 Amp. $146.00 T $
Service/Feeder 401-600 Amp. $205.00 $___
Service/Feeder 601-1000 Amp. $262.00 $ _
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit WI Service Feeder $5.00 .. $
Branch Circuit W/O Service Feeder $63,00
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75,00 i�. $ 5'Z _
Temp. Service/Feeder 20(3 Amp. $93:00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/f=eeder 401-600 Amp. $149.00 $
hemp. Service/Feeder 601.1000 Amp. $16$.00 $ __--
Pc?rtal to Portal Hourly $96.00 $ .-
Signal Circuit/Limited Energy-1&2 DU. $64.00
Manufactured Dome Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 S
T hermostat(Note:$5 far each additionai) $56.00 $.
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;Fii�sfi.l3Ot1;5.rua A t; 0,00
sasti' iaiiiin ,JtieKaciis' arae �74;ba �.
chQ � gl% i i:tyot• ktp14 00 ;$' ,, :.
TOTAL
Owner as defined by RCW.19,28.261:(1)Ownerwill occupy the structure for two years after this electrical permit is finalized.(2)Owner-sc
required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires atter six months of;ssi En�p2rtipr,.
After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed etectrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC. Chaotw 296-
468,The City of
Port AngelesMunicipalCode,and Utility Specificatlons and AAMC 14 05-060 regarding Electrical Permit Applications.
Date Print Name Signature(A Owner jJ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Mall or eiectricalpermits@cityofpa.us or faxed to 360.417.4711]