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ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604t7-4735
Application Number
Applicatsion pin number
ProperEy Address
ASSESSOR PARCEI] NUMBER:
Application lype description
Subdlvision Name -
ProperLy Use
Property zoning
Application waluatioR
21-00000872 Date
53 4 976
1520 !t 12TH ST
o6 - 30 - 00 -0 - 3 - 6522 - 0000 -
ELECTRICAI ONLY
7/20/2L
RS7 RESDNTIJ SINGLE EAI4II'Y
0
Applicatsiorl deac
DHP
ANDREA WRIGHT
1520 W 12TI{ ST
PORT ANGELES
1360) 4't7-2173
CASCADE ELECTRIC 5u VAC INC
po Box 159
PORT HADLOCK WA 9833 9
{36a) 3'19-s347
ltA 983635518
PermiE
Additional desc
Permit Fee .
Iaaue Datse .
Expiration Dale
EI,ECTRICAI ATTER RESIDENTIAI
1-4 CIRCUITS
?5-oo Plan check Fee
't /20/2r valuaLion
!/L6/22
00
0
Oty Unit Charge Per
BASE FEE
Extension
75 .00
Fee summary charged Pa id credited Due
Permit Aee Total
PIa. Check Total
GraDd rotsa1
75 .00
.00
?5 .00
75.00
,00
75.00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature ofowner or Electdcal Contractor X
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:h
G:\EXCHANCRBUILDTNC
PECTIO\
Date
I
I
ELECTRICAL PERM IT APPLICATION
Public \\'orks and Utilities Department
321 E. sth Strcet, Po* Angeles, WA 98362
360..1 I 7".1715 | wrnv.cityolpa.us I eleerricalpennits@cityofpa.us
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Project Address 1 520 W 12th St
Project Description ducltess heat pump
Name Joseph Esteves Email
Mailing Address. '1520 W l2th St P hon e.509-637-5008
Name Cascade Electric & Vac LiCenSe cascaev934dm
Exp iration Date: 01 101 12021
Ph6ns 360 531 0385
Mailing Address. PO Box 369
Email biacktailelite@yahoo.ocm
Item
Service/Feeder 200 Amp-.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1 -600 Arip.
ServiceiFeeder 601-1 0OO Amp.
Service/Feeder over 1OO0 Amp.
Branch Circuit W Servic€ Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -'1 000 Amp.
Portalto Portal Hourly
Slgnal C rcuiulimited Energy - 1&2
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System orless
Themostat (Note: $5 for each additional)
ntity 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
$102.00
$56.00
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 lic€nsed 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 PortAngeles Municipal Code, and Utility Specifications and PAlvlC '14.05.050 regarding Electrical Permit Applications.
711912021 RobertNordberg
Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
E Single-Family Residential ! Duplex / ARU Building Square footage:
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