HomeMy WebLinkAbout1810 Nancy LnApplication Nunrber
Application pin number
Property Address
ASSESSOR PA?CEL NT]MBER :
Appf icaEi04 ty?e descriprion
Subdivision Name
Property Use
Property Zoning
ApplicaEion valuation
18 - 00001750 Date 11/14118
401250
1810 NANCY LN
06 - 30 - 11- 5 - 6 - 04 00 - 0000 -
ELECTRICAI ONIJY
ELECTRICAL PERMIT
CTTY OF PORT ANGELES
360417-4735
RS7 RESDNTL SINGIJE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ApplicaLion desc
Furnace heaE pump
Owrrer Contsractor
MATTIIEW R AND (ARI C CHANCE
18tO NANCY I-1,1
PORT ANGELES WA 983 52
{360) 808-3963
CASCADE ELECTRIC & VAC TNC
PO BOX 359
PORT HADLOCK WA 98339
(350) 3?9-S347
PermiE
Additional
Issue Dale
ELECTRICAI ALTER RESIDENTIAI
1-4 CIRCUITS
75.00 PLan Check Fee
71/L4/18 valuaEion
desc
ExpiraEj.on Date
Qty Units Charge
00
0
BASE EEE
Extension
75.00
Charged Paid Credi!ed Due
Permit Eee Total
Plan Check Total
75 .00
.00
75 .00
75.00
,00
75. 00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN n)il1/8 @ €
FINAL ntilt I B M E.Dt'rt
Signature of owner or Electrical Contractor X Date
COMMENTS:
Nov 131804:14p Cascade Electric
Project Adrrress:/8/o
Projecl Description
Name:
Mailing Address
LICATI
Public \Vorks and tJtiliries flepanment
321 ti.5rh Sreet, porr Angeles, WA 9g362
360.4 17.4735 | www.ciryofra.us I clectricalpcrmirs@-tci,,yolpa.us
Lnt
0v I :{ tilii
€ITCIRSAI
Ir'rsffcn0ils
Ucense:.q€tr I
Expiration Date
Phone:
Quanllls Tdtil (Quantity x Untt Cha
360 379 5347 p.1
REGEIUEE
L RIC LP R TAP
c
iy ResidentiaI E Duplex i ARU Euitding Square footage
Email:E //4 L Phone;74o feE s7 cs or-3767
f c4.
'11
o
I
J
Name:
Mailing
Email:
rL
Item
Servi6/Feeder 200 Amp.
Servir:e/Feeder 201-{00 Amp
Se rvr:e/fee{hr 40 l-500 Amp
Servi:€lFeeder 601-i OO Arp-
Servicrr'Feeder ove. 1OOO Airp.
Braoch Circuit 1ry',| Service Feeder
Eranc.h Cirolit lMO Service Feeder
Each Additioiat Branc$ CifcrJit
Srench Circuits 1-4
912().00
$r46.00
$20s.oo
s262.00
t373.@
$5.00
$63.00
$5.00s75.00 I
TOTAL
$
$
$
$
$ -? l-{ aTemp. Service/Feedef ?00 Amr-s93.00
Te,rp. ServicerFeeder aO t <OO e,np $110.00
Temp. Servic€/Feeder 401600 Am p $149.00
Temp- Servic€/Feede.60 1-.t OO0 Am p_
Portalto Portal Hourly $s6.0c
S,gnal Circuiulimiled Energy - l&2 OU.$64-00
ldanu factured Home Connectiotr $r20.00Renew&le Ebc. gneEy: EKVA S!,stem o, bss $192.00
Thermosaat (Note: g5 br each additional)$s6.00
First 1300 Sguare Feet $120.00
€ach lddiuonal 5OO square teet .$40.00
E ch Ou.buil.rn€ f Oebched Gsrage fl4oo
Each Svrl'tunirE: Pool / Hot lub $110.00
$
$
$
$
$5-5-zrOwner as defined by RCW. t 9.28261 1) O$,ine. will oacupy rhe slru€fr.,re for two years
ifaboee sat prope(y is tor sale. rerit oa lease.
afur tiis eledrical pennit is finalized.{2) Ovrnerisr€ouired to hiae an elerlaic5l contractor Permit expiG3 afler six months of last inspecliorLAfter readhg the abqve statenrent, I hereby certit
am making &e etectrical installatbn of atteft ion in ofipliaoce with the etectricat bws. lrt_E
that I am the owner of .lhe above named
C., RCW- Chapter 13.28, \^l,AC. Chapler 296_
ptopelty or a [cersed elecirical contlactor. I
The City of Port M'rnlcipal Code. and Specifications and PAMC 14.05.050 regarding Electieal per.ttitApptcations.
/r r{'tr
Print Name Signafiire (f] Owner Elect.i cal Contraclor / Admjnistratorj
4'nc
lElec.t.ical Permit App rications may be submitted to city Ha, or e ectricalpermits@cityoipa.us or faxed to 360. 417 .47111
1 - 2 SINGLE.FAMILY
$.-__-
$..-.-
$_.--.-
$168.00
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