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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17-00000574 Date 5/04/17
887786
817 W 12TH ST
06 -30 -00 -0 -3 -5182 -0000 -
ELECTRICAL ONLY
RS7 RESDNTL.SINGLE FAMILY
0
Owner
Contractor
MICHAEL AND JEAN RICE
----- ------------------
CASCADE ELECTRIC
817 W 12TH ST
PO BOX369
PORT ANGELES
WA 98363
PORT HADLOCK
WA 98339
(360) 912-2652
----------------------------------
(360) 531-0385
Permit . . . . .
I-----------------------------------------
. ELECTRICAL ALTER RESIDENTIAL
Additional desc .
. DHP
Permit Fee . . .
. 75.00
Plan Check Fee .
.00
Issue Date . . .
. 5/04/17
Valuation . . .
. 0
Expiration Date
10/31/17
Qty Unit Charge
Per
Extension
BASE
FEE
75.00
Fee summary
Charged
- --- ---------------------------------
Paid Credited
Due
Permit Fee Total
-----
75:00
--- ---------- ----------
75.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
75.00
75.00 .00
.00
REPORT SALES TAX
on your excise fax form
to the City of Pari Angeles
("Location Coate 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE I j
ROUGH -IN t 1
FINAL
COMMENT'S:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GiEXCHANGEWILDING
May 0417 06:23a Cascade Electric 360 379 5347 p.1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical inspections
321 East Fifth Street — P_Q. Box 11501 Port Angeles Washington, 98362
Ph: (360)) 41/7-4735 Fax: (360) 417-4711
Date: 5H,
7 1 & 2 Single Family Dwelling
II �
* Plan Review May Be -Re uired, Please Complete Electrical Plan Review Information Sheet
Job Address: if l 7 Lir !y 'r`? S t'
Building Square Footage:
bescri*n of above Wit, CA I
Owner Information
Contractor Informatin
Name: /W i ll -e P'r C
Name: CTe { %�L. �e c,
Mailing Address: ,? ;, i?- -t 14 S t-
7 �
MailingAddye� f ` U 6C7,. 9 �.
IM
City: � State: �� Zip:
ity Pi i �!L State: t.i /, 4 Zip: `l9
City.
Phone: i rrS L Fax:
�
Phone: S3 i 11 S S- > Fax: 'ZZ-� 37ca Go -V3
License # 1 Exp.
License #1 Fxp. Z-45<,VO cIS Y d iv!
Item
Unit Charge
Qtv Total (Qtv Multiplied by Unit Chame)
Service/Feeder 200 Amp.
$120.00
$
ServicelFeeder 201-400 Amp.
$146.00
$
ServicelFeeder 401-600 Amp
$ 205.00
$
ServicelFeeder 601-1000 Amp.
$ 262.00
$
ServicelFeeder over 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 63.03
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
$ 7.-t
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. ServicelFeeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401.600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp.
$168.00
$
Portal to Portal Houdy
$ 96.00
$
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
S
Manufactured Home Connection
$12D.03
$
Renewade Electrical Energy - SKVA System or Less
$102.OD
$
Thermostat
$ 56.03
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
S
Each Additional 50D Square Ft. or Portion of
$ 40.00
S
Each Outbuilding or Detached Garage
$ 74.00
S
Each Swimming Pool or Hot Tub
$110.00
S
$ 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. Perr it 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 eiecirical laws, N.E.C., RCW. Chapter 19.28, iNAC. Chapter 296-468, The City of Port
Angeles Municipal Code, and utility Specificationsecand PAMC 14.05.050 regarding Electrical Permit Applications.
Sigrratu of owner, electri con tra 14 r or eteGtrical administrator: ❑ Cash ❑chk
c 1 Credit card # `