HomeMy WebLinkAbout124 E 1st St - Engineering CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00001052 Date 10/28/03
Property Address ...... 124 E 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3115-0000-
Application description . . . pUBLIC WORKS UTILITES
Subdivision Name ......
Property Zoning .......
Application valuation .... 0
Owner Contractor
MC CRORIE ROBERT M AN DEN CONSTRUCTION
Additional desc . .
Qty Unit Charge Per Extension ---~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
aws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
)resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
;onstruction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
F:~PLANNING\FORMS\ 1102.15 [4/2002]