HomeMy WebLinkAbout1921 W 18th StApplica!ioi Number
AppficaLion pin number
Property Address
ASSESSOR PARCEL NUMBER I
Application cype description
Subdivision Name
ProperEy zoning
ApplicaLion valuatsion
22-OOAAAL56 Date 2/ts/22
2!6494
1921 W 181'H ST
05-30-99-1-1-0620 0000-
ELECTRICAI ONtY
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RESIDENT]AL MEDIUM DENSTY
0
Applicalion desc
DHP
ROWI,AND M]CHAEI, A
1921 W 18TH ST
PORT ANGEIES
CASCADE ELECTR]C & VAC INC
PO BOX 369
PORT TIADLOCK WA 98339
/.360) 3 79-s347
wA 983535109
Additional
Issue DaEe
ELECTRICAI AI?ER RES]DENTIAI,
1-4 CIRCUITS
?5.00 Plan Check Fee
2/t5/22 valuat ion
a /14/22
00
0
Expiration Date
Qty Unil Charge
BASE FEE
ExEension
75.00
charged Credited Due
PermiL Fee Total
Plan check Total
Grand 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
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESI,ILTS:
DITCH
SERVICE
ROUGH-IN zlp,)zz .P w
FINAL z)Elz*\--=.Lr @7
COMMENTS:
,f- |
Signature ofowner or Electrical Conkactor X
Gi\EXCHANGRBUILDTNG
Date
I
INSPECTOR:
ELECTRICAL PERM IT APPLICATION
l'ublic Works and tltilities l)epartment
lll E.sth Stfcet, Pofi Angcles, WA98362
,lt)0,+ i 7.47-r5 | rlrvw.citvofpa.tls j electricalpermits@e iti,ofpa.us
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Project Address 1921 W 18th St
Project Descrip 1i66. ductless heat pump
tr Single-Family Residential tr Duplex / ARU Building Square footage
Name Sally Email
Mailing Address 1921 W 18th St 360 670 2112
Name Cascade Electric & Vac LiCenSe cascaevg34dm
Exp iration Date: 0110112023
Phone 360 531 0385
fqEl(Quantity x Unit Charge)
lilailing Address PO Box 369
Email blacktailelite@yahoo.ocm
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
ServiceiFeeder 601-1 000 Amp.
Service/Feeder over 1000 Amp
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Servic€/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 CircuiuLrmited Energy -'1&2 DU.
Manufactured Home Connection
Renewable Elec Energy: sKVA System or less
Thermostat (Note $5 for each additional)
$120.00 $
$
$
$
$
$
$
$
$
$
$
$
$
$146 00
$205 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
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 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 PodAngeles lvlunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
710712021 Robert Nordberg
Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
K&MfiEETNEBE&AEEN
unit Charoe Quantitv
q
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