HomeMy WebLinkAbout1804 E 4th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SINGLE FAI'IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\
c\
NAppfica'tion Number
Application pin nuniber
Property Address
ASSESSOR PARCEL NLTMBER:
Application t),pe descripEion
Subdivision Name
Property Use
Pr:operty Zoni[g
Application vafuation
19- 0000093I Date 6 /2O /a9
289214
1804 E 4TH ST
06- 3 0- 11- 5-3'012 0- 0000-
ELECTRICAI ONIJY
Applicatsion desc
Ductless heat pump
Concractsor
SCOTT E AND MARY K BUCK
1804 E 4TH ST
PORT ANGELES TiA 98362
(360 ) 775 086?
CASCADE ELECTRIC & VAC INC
PO BOX 359
PORT HADLOCK WA 98339
1360) 379-5347
Permit
Additional desc
PermlE !ee
Issue Date
ExpiraEion Datse
ELECTRICA1 AL'IER RESIDENTIA],
1-4 CIRCUITS'?5.OO PIan Check Fee
6/20 /t9 val uaLion
a2 /!7 /re
QEy UniE Charge Per
BASE EEE
.00
0
Extension
75. 00
Charged Paid Credited Due
Permit Fee Totsal
Plan Check Total
Grand TotaI
75. 00
.00
75.00
75 .00
.00
75 .00
00
00
o0
00
00
00
PERMTT WILL EXpTRE SIx (6) MONTHS FROM I-A.ST tNSpECTtON
INSPECTION TYPE DATE:RESTJLTS INSPECTOR:
DTTCH
SERVICE
ROUGH.IN 14 )n dp 4u- ar<*"f,
FINAL 1z"r /Ft *
COMMENTS:I
Signature of owner or Electxical Contractor X Date:
\
Ar- or-+/
Jun 17 19 09:57p Cascade Electric 360 379 5347
1 - 2 STNGLE-FAMILY
E E CTRICA L PERIVI ITAPPLIC toN
Public Wbrks and Utiliries Deparrment
121 li.5rh Slreer, Part Angeles, rlA 98j62
360.41 7 -473 5 | wwu..cityofpa.us I clcctricalpcrmits@ci.tyofpa.us
p.1
L
4Fn,.
,ri,,
aio,
To
++t*l..9Iri^,
I u.l
looProjecl Address:116 VBIl Jr" g d-
Projec{ Description:ci e {.
Singlefamily Residental fl Duptex IARU Building Square footage:
Emait:
Mailing Address:o Phone 7 {o
Naffie:
Mailing
Email:
<L
6\C' -74
License:
Expira{io
Phofle:
Address:
hanr
Servicey'Feeder 200 Amp.
Servic€/Fseder 201 ,10 0 Am p.
Servicer'Feeder 401 600 AmF,
Service/FeedEr 601 -1 0@ tunp.
Service/Feeder over 10OO Amp.
Branch Circuit w/ Sawice Feeder
Brancfr Circuit lrl#O Service Feeder
Each Additional Branct Circuit
BEnch Ci.qrib ,-4
Temp, ServEdFeeder 200 Amp.
Temp. Sen iirer'F€eder 201 400 Amp.
Temp. Servi(U Feeds 4016[E Arnp.
Temp. Ser,,,icdFeedef 5:0 1 -.. 000 Arnp-
Portal to Portal Houdy
Signal Circuitll-imiEd Energy - t&2 DU.
Man L iactured Hqrne Connecbon
Renewable Bec. Ene.gy: 5t$/A System o. less
Tbermostat (NotE: $5 br ea6t addfional)
FEBI 13OO Square Feel
Eact Additonal. Cro s8a*! Eat:'
Ouantfu
n Date:
o-3t
lohl tQraDtity x irnit ChargE)
$_-
Unll Chr.q6
s120.oo
$f45.00
s20s 00
$262.00
E373.OO
$s.0c
w.00
E5.00
s75.00
$93.00
$110.00
s14S-00
sr68-00
s96.00
s64.00
5120.00
$102.00
$56.00
$120.00
$.10.00
$i4oo
$110.00
t?-o o
s
$
u
$
$
s
$
$
$
i
I
$
s
$
$
$
$
3
Each Ou$uldiEg, DeHl€d Gsrage
: eaci Swimmiirg,Pool , Hot Tuh: .,
O^'ne. as defired by Rcw.19.28.261: (1) ownerwill qccupy the strudure fort o years afle. this dectricat penflit is linalized. (Z) cltuner isrequired to hrre an elecfical contrador if abovs sa*, property is fur sale, r€nt or lease. Permit expires aftei six monihs of lasi insFeci,{l-
After rffidinq the abore slatemenl, I hereby certi& that I arn the ouner of the &ove named ppperty or a licensEd electrical conkacror, Iam makiftg the elecfical iBstallation oralteralion in compaiaoce wi&l the elact.ical laws, N.E.c., Rcw- chapter 19.28, VrtAC- Chapbr2gS-
468, TIe civ PortAngeles Code an.i and pAMC 14.05.050 regarding Elecfical Permit Appticatiors4err0
Prio Name Signatu (n Owner cal ContEctor / Administrabr)
10f
lElectricsl Permit Appli catioos may be submited to city Ha[ or electricatpermits@ciayofpa.us or faxed to 360,417.47111
Name:
t
TOTAL
i