HomeMy WebLinkAbout220 N Ennis StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Number
application pin number
ProperEy Addless
ASSESSOR PARCEI, I.ruMBER I
Applicatsion type descriptsion
subdivision Name
ProperEy Use
ProperEy Zoning
Application valuation
21-OOOOO234 DaEe 2 /25/ 21
2205!4
220 N ENNIS ST
o5 -3 0- 00-5 -3 -1400- 0000-
ELECIRICAI ONI,Y
RS7 RESDNTL SINGIE FAMILY
0
O$ner
STEILA ROSE
PO BOX 305
PORT ANGEIES
l.350) 452-7A52
CASCADE EI,ECTRIC & VAC INC
PO BOX 369
PORT IIADLOCK WA 98339
(360) 379-5347
wA 983524310
Permit
Additional desc
PerniE Fee
Issue Datse
ExpiraEion Datse
oty units Charge
EIEqTRICAI AITER RESIDEMIIAL
1-4 CTRCOTTS
?5. oO Plan check Fee
2 /2s/2I VaIuaLion
B/24/2L
Per
BASE FEE
00
0
Extension
75.00
charged Pald Credited
PermiE Fee ToEaf
Plan Check ToEal
Grand Totsa1
75.00
.00
?5.00
75.00
.00
75.00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS r-k-
PERMIT WILL EXPIRT Slx (6) MONTHS FROM LAST
Signature ofowner or Electrical Contractor X
G:iEXCHANCE\BUILDING
N
Date
Applicatsion desc
DHP
Due
DATE:
1-2StN GLE-FAMILY
ELECTRI CA L PERIVIITAPPLICATION
Public Works and Utilities Depaftment
321 E. 5th Strcet, Port Angeles. WA 98362
360.41 7.47 35 I r.r,rvw.cityofpa.us I electlicalpermits(icityofpa.us
Proje ct Address: 220 N Ennis St
N
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Project Descript ;on Ductless Heat Pump
E Single-Family Resadential E Duplex / ARU Building Square footage
Name Stella Rose Email
lilailing n661sss 200 N Ennis St ph6ns. 360 452 7062
Mailing Address po box 369 hadlock wa 98339 Expi ration Date 1/1/23
Email. blacktailelite@yahoo.com phone. 360 531 0385
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40'1-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits'1-4
Temp Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp Service/Feeder 40'1-600 Amp.
Temp Servrce/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
l\4anufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
Ouantitv fghl (Quantity x Unit Charge)
1
U
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
00-7 t,
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afrer this electrical permit is tinalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires afrer six months of last inspection.
After reading the above statement, I hereby c€rtify 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-
468, The City of Port Angeles Municipal Code, and Utility Specilications and PAMC 14.05.050 regarding Electrical permit Applications.
2123121 robert nordberg
Date Signature (E] Owner p Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.471,11
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OWNER INFORTVIATION
Name cascade electric & Vac I icense. cascaevg34dm
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Thermostat (Note:$5 for each additional)
First 1300 Square Feet
ontu
Print Name