HomeMy WebLinkAbout403 S Ennis StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -413s
Ng
\
x
ApplicaEion Number
Application pin number
Property Address
ASSESSOR PARCEL NUI,4BER :
ApplicaEion type descripEion
suLdivision Name
Property Use
Property zoni$g
Applisation vafuatsion
20 00000105 Dare 1-/24 /2o
810550
403 S ENNIS ST
06 - 3 0 - 99- 0- 1- 8120- 0000-
ELECTRICAI, ONI,Y
BRIAN KE],IY/ SUSAN }IEATI]ERBEE
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CASCADE ELECTRIC
PO BOX 3 69
PORT I1ADI,OCri
(360) 379-5347
& VAC INC
wA 9833 9
I]NIG{O!{N
0
Application desc
DHP
512 EAST lITH STREET
PORT ANGELES !{A 98352
Permit
AddiEional desc
Pennit Pee
Issue Date
Expiration Date
ELECTRICAI ALTER RESIDENTIAI
1-4 CIRCUITS
75.00 Plan Check Fee
r/2a/2a val da!-,on
7/22/2a
00
0
Qty Unit Charge Per
BASE FEE
ExLension
75 .00
Fee summary Charged Paid Credited Due
Permit Fee Totsal
Plan Check Total
Grand ToEal
75. O0
.00
75. O0
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
DATE:RESULTS:lNSPECTOR:
DITCH
ROUGH.IN t/n ha #-sa>
FINAL it-ei )r-+rP .#
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
75 .00
.00
75 .00
INSPECTION T\?E
SERVICE
ELE CTRICAL PERTUITA PPLICATION
l)ublic Works and iltilitiL:s l-)ep*rlmcnl
.ll I I:. 5lir Slrr:et. l)r:r'l Angck's. \\.A, 98-162
160.417..1715 vr rv.a.c ilvtipa. us I clcctric*l;xrn.ritsriic it-votiu. us
if,i;;;;;
To
3
$
N\5
\
O\\
P roject Address 403 S Ennis St
Project Description:ductless heat pump
E Single-Family Residential E Duplex / ARU Buitding Square footage:
Mailing Address. 403 S Ennis St Phone:417 -3577
Name:Cascade Electric & Vac License:cascaev934dm
Mailing Address po bo x369 Expiration Date 111/22
Phone.360-53'1-0385Emailblacktaillelite@yahoo.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servic€/Feeder 401 -600 Amp
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Addational 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
Signal CircuiyLimited Energy - 'l&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional
!!,ll.c[af!e
$120.00
$ 146.00
$20s.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
Ouantitv Total Charge)
$
$
$
$
$
$
$
!
$
$
$
$
$
s
$
)
$
75.o02
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 licensed electrical contractor. I
am making the electricai 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 lVunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications.
1 12312020 Robert Nordbe rg robert nordberg
Date Print Name Signature (E Owner F Electrical Contractor /Administratoo
[Eleckical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47'11]
1-2
1 - 2 SINGLE-FAMILY
O$^IER INFORMATION
Name Erarn Kelly Email: _
-CONTRACTOR IN
PROJECT DETAILS
s 75.00