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ation Numbar Applic :: 2b=b0000753 a
APplicattion pin numt�er' 1s2998 grlEP�ff4TA�Sr4�ES Frf
Pr�sgerty Address 704 sEaMouNT DR - on your excise fax fam
ASSESSOR PARCEL NUMBER: 06-30-00-9-e-0090-0000- t0 tl7@ Cfty of PDlt Angeles
Application type description ELECTRICAL ONLY
$ubx3 v�sion Name . {Location bode 0 02)
Pxo"ity use .
Pz'i7�es' y Zoning ._ _
App 3 ticsri valuation A
-Application desc -- -----
Furnace'/ Heat pups
-Owner Contractor
---r - -_---- - -- - ---Y-�
.TORN .ANDERSON FAWLY TRUST CASCADE ELECTRIC it VAC INC
7Q,a,'E DR po sox 369
PORT AN3ELES WA, 991611634:. VORT HADLOCK 48339
379-5347'
----'Permit-- --- -.--^'Wxcwc*L ALTER+RESIDENTIAL--------------
- -- -- -----
Additional 'desc 1-4 CIRCUITS
Permit ;Fee 7S.40 "Elan Check Fee _ .00
Iii" Data 7%13/26 valuation 0.
-Expiration Date v0s)41
Qty Unit Charge Pei' Extension
&. 75.00
--- -Feee-summaryy Charged - Paid} Credited Due
---- - ----- -- -
Eexa tPee Total '75.00 75.00 00 00
Plan Check Total .00 .00 .00, .00
Grand Total 7*s00 -75.00 .00 00
INSPECTION'TYPE DATE. t1LTS: IN§PECTOR:
WCH
SERVICE
FWAI.
£DINTS:
PERK+ r Oiiii SIRE*tit MLflN'I`FIS FROM LAST OMPSCMN
Signature of owner'or Electrical Victor R Date:
/
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3 .
ELECTRICAL PERMIT APPLICATION
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PuMiC \V'orku and Uli|ffle5 [)epar1nneni
]21 |' �ch Socei Port /\n�c|cy' Y,/\ 98,02
300417,47i5 v`oxui/!o' uxI C{ccrricu|permi/su cinufom.us '
Project Address- 704 Seannmunt Or ' \N
Project Description: altered� �r�d circuitsrn fuaoe and heat pump@2 Single-Family Residential [] Duplex/ARU Building Square footage: �
OWNER INFORMATION
Name: Betty Anderson Email:
Mailing Address: 704 SeamountCt Phone: 300 457 7996
ELECTRICAL CONTRACTOR INFORMATION
Name: Cascade Electric&Vac License: mancewgm934
Mailing Address: PO box 369 Expiration Date: 1/1/22
Email: ulaomao |ma Phone: 3605310385
PROJECT DETAILS
112in Unit Charae Quantity IQUI(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $_____'
Service/Feeder 3V1-4OU Amp. $146.00 ---___' $--------__'
Service/Feeder 401'g0UAmp. *205.00 m____-----'
Service/Feeder 8U1-1OOOAmp. $262.00 *
Service/Feeder over 1OUOAmp. $373.00 --__--- $_____---_
Branch Circuit my Service Feeder $5.00 $_____
Branch Circuit W/O Service Feeder $83.00 $_____-----
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $ 75.00___
Temp.Service/Feeder 2OVAmp. $93.00 $_____---_
Temp,Service/Feeder 2O1-400Amp. $110.00 $______-----
Temp. Service/Feeder 4U1-60OAmp. $149.00 $______-___
Temp.Service/Feeder 601'1OD0Amp. $168.00 $_____-_-_
Portal to Portal Hourly $96.00 $________'
Signal Circuit/Limited Energy-1&2DU. *64.00 $
Manufactured Home Connection %120.00 --_-_-_ $______-_-'
Renewable Elec.Energy:5KVA System orless $102.00 *---____---
Thermostat(Nota:$5 for each additional) $58.00 $_----------
First 130V Square Feet $120.00 $________'
Each Additional S00 square Met" u40.00 $________
Each Outbuilding/Detached Garage *74.00 $_________
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $ 75.00
Owner as defined by RCW.1 9.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is
required,o hire on electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection.
After reading fheabove 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-
46B,TheQtyofPort Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
7/9/202 robert nordberg
Date Print Name Signature(F1 Owner E] Electrical Contractor/Administrator)
[E|ecthna|PennitAppiicetionmmaybaoubmittedboC8yHaUore|ecthca|pannho@oityofpa.uaortmxedbu3GO.417.4711]