HomeMy WebLinkAbout717 Georgiana ST - Building N
ELE `R.tCAL PERMIT
CITY OF PORT ANGELES
3-6"17-4735
Application Number . . . . . 21-00000284 Date 3/09/21
Application pin number 406252
Property Address . . . . . . 717 GEORGIANA ST
ASSESSOR: PARCEL NUMBER: 06-30-00-5-1-3660-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Living room circuits
Owner Contractor
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REED;NATHALIE A ANGELES ELECTRIC
PO BOX 2802 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELS WA 98362
(360) 452-9264
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional deae 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . 3/09/21 Valuation . . 0 -
Expiration Date 9/05/21
Oty Unit Charge Per Extension
BASE FEE 75.00
-------------- --------------- ---- -- -
Fee>summa-- Charged Paid Credited Due
----------- --- ---- - _
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE sa(6)MONTHS FRoM LAST INSPECTIoN
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEMUILDING
,,ALL
1 - 2 SINGLE-FAMILYCD
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Pest Angeles, WA 98362
360.417.4735 1 WWW.CityoFha.tts I CICctricalpermits(i,cityol`pams �
cc
Project Address:
Project Description: a dt gD VI 7�
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: N Email:
Mailing Address: 717 t�r 1at. 4 Phone: L247
ELECTRICAL CONTRACTOR INFORMATION
Name: Angeles Electric, Inc. License:ANGELE1460RS
Mailing Address:524 E. First Street Expiration Date:3/31122
Email:ksimpson@olympus'.net Phone:360-452-9264
PROJECT
Item e 01 " (Quantity is Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-460 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $37300 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 14 $75.00 _ $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401°-600 Amp. $149.00, $
Temp.Service/Feeder 601-1000 Amp.
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 DU: $64 00 $`
Manufactured Home Connection $120.00
Renewable Elec. Energy:5KVA System or less
Thermostat(Note:$5 for each additional); $56.00, $
w
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-
46B,The City of Port Angeles Municipal Code, and Utility Specifica' ns anj PAMC 14.05.050 regarding Electrical Permit Applications.
Ken Simpson
Date Print Name Signature(ID 04er V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical permits@a cityofpa.us or faxed to 360.417.4711]