HomeMy WebLinkAbout726 Georgiana St - ElectricalELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Apptication Number
Application pin number
Property Address
ASSESSOR PARCEL NUUBER:
Application Eype description
subdiwision Name
Property Use
Pioperty zoning
Application valuaEion .
21- ooooo338 Date 3/ts/21
836 0 98
726 GEOROIANA ST
05-30-00-5-1-3920-0000-
EIJECTRICA.L ONIJY
RS7 RESDNTI, SINGLE FAMII,Y
0
Applicatsion desc
Propane ll2o circuit
DOTLE G HALI,I4AR( AND TAMARA L
725 GEORGIANA ST
PORT ANGELES WA 983523510
ANGEI,ES ELE TRIC
524 E. 1ST ST.
PORT ANGEI,ES
13601 452-9264
r,tA 98362
Permit -
Additional desc
Issue Dale
Expira!ion DaLe
ELECTRICAL AI,TER RESIDEMI]AT
t -4 CIRCUITS
75.00 Plan Check Fee
3/rB/2r valuat.ion
9 /t4/2r
BASE EEE
00
0
Eb(tensioo
75.00
oty Unit Cbarge Per
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST
Permits Fee Total
Plad check Total
Grand Total
75.00
00
75.00
75.00
00
75.00
o0
00
00
00
00
00
Charged credited Due
REPORTSALES IAX
on your excise tax form
to the City of Port Angeles
Location Code 0502)
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:YX
Signature ofowner or Electrical Contractor X
CIEXCHANGE\BUILDINC
N
Date
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ELECTRICA LPE RMIT APPLICATION
Public 'frrorks and Utilitics Dcpar.truenr
l2l E. 5th Sh'cct. [)or.t Angclcs, WA q8362
l6().4 l T.4Ti5 l rvwu,.cityolpa.us l clecrricalpcr.rnits(i;ciryotpa.Lrs
Email
Project Address;.,
Pro Description
Single-Family Residential E Duplex /ARU Building Square footage
Name: Angeles Electric, lnc
Mailing fl!flrgss. 524 E. First Street
Email. ksimpson@olympus.net
Phone ,sy/-2q?-la?.r'
1_16snsg. ANGELE1460RS
Exp i121isn gs1s. 3131122
Phone. 360-452-9264
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1 -600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp
Branch Circult W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuils 1-4
Temp. Servicei Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewablo El6c. Energy: sKVA System or l6ss
Thermostat (Note: $5 for each additional)
First Feet
Each
ding / D
ing Pool
Unlt Chtroa Ouar*1ry
t20.00
Total (Quantity x Unit Charge)
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
s102.00
56.00
120.00
v,<r6-
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rorAl s 7 <>tL
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owner as defined by RCW 19.28.26'1 : (1) owner will occupy the structure for two years after this electrical permit rs finatized. (2) ownerisrequiredlohireanelaclricalcontractorifabovesaidpropertyisforsale, rent or lease. Permit expires aftei six months of tast inspection.
After reading the above statement, I hereby certify that t am the ownsr of the above named pr
am making the electrical installation or alteration in complianca with the electrical laws, N.E.C.,
468, The City of Porl Angeles lVunicipal Code, and Utilil y Specifications an PAM 14.05.0
Ken Sim son
Print Name Signature (E Own E Electrical Contractor / Administrator)
operty or a licensed electrical contractor. I
RCW Chapter 19.28, WAC. Chapter296-
regarding Electrical PermitApptications.
1 - 2 SINGLE.FAN/ILY .
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Name:
Mailing Address:
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]