HomeMy WebLinkAbout405 S Ennis StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS? RESDNTL SINGLE FAI,I]LY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application Number
ApplicaEion pin number
Propertsy Address
ASSESSOR PARCEL NUMBER:
Applicatsion El,'pe description
subdivision Name
Property Use
Property zoning
Applicatron valuation
2 0 - 00000104 Date r/24/20
619120
40s s ENNIS ST
05- 30- 99 - 0- 1- 812 0 - 000 0 -
ELECTRICAL ONIY
Application desc
DHP
BRTAN KEI,LYISUSAN WEATHERBEE
512 EAST 11TH STREET
PORT ANGELES WA 98362
CASCADE E],ECTRIC & VAC INC
PO BOX 359
PORT IIADIOCK WA 98339
l350) 379-s347
Additional desc
Permit Fee
lssue Dat.e
Expiration Date
00
0
oEy Unit Charge Per
BASE FEE
Extension
75. 00
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Graod Total
?5.00
.00
75 .00
75 .00
.00
75 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST TNSPECTTON
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
ROUGH-IN r Jr-q lx v "BF
FINAI itnlru d,P -rS
COMMENTS
Signa ture ofowner or Electrical Contractor X Date:
\-ls
\
ELECTRICAI AL'IER RES fDE}ITIA],
1.4 CIRCUITS
75.00 Pfan Check Eee .
1/ 24 /20 Vatudtion
'7/22/20
SERVICE
ELECTRICAL PER MIT APPLICATION P6,-ttL
Public \\brks and t irilities Depaltmcnt
3l I h. 5th Stl'eer. Port Aneeles. \!',4. 98.1(12
360.4 1 7..17"1-< l wrvu,.citvotpa.us l electricalpennits,!r)cityofira.us
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405 S Ennis StProject Address
Project Descript ;on. d uctless heat pump
Name Brian Kelly Email:
Mailing Address 405 S Ennis St Phone 360-417-3577
Name Cascade Electric & Vac License cascaev934dm
l\4a iling Address. po bo x369 Expi ration Dale. 111122
Phone' 360 531 0385Emailblacktailelit@yahoo.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp
Servicei Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Serv ce/Feeder over 1000 Amp.
Branch C rcuit W Service Feeder
Branch C rcuit WO Service Feeder
Each Addrt onal Branch C rcuit
Branch Circurts 1-4
Temp Service/Feeder 200 Amp
Temp Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Signal CircuiUlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec Energy 5KVA System or less
Thermostat (Note. $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Ouantitv fglal (Quantity x Unit Charge)
0075
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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-
468, The City of PortAngeles lvlunicipal Code, and Utility Specifications and PAMC l4.05.05O regarding Electricat permit Applications.
112312020 Robert Nordberg robert nordberg
Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
[Eleckical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
ELl.2 1 - 2 SINGLE-FAMILY
.-_9LLta4
!
! Single-Famaly Residential d Duplex i ARU Building Square footage: _
o \&INER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373 00
$5 00
$63.00
$s 00
$75.00
$93.00
$110 00
$149.00
$168.00
$96 00
$64 00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
$_
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