HomeMy WebLinkAbout1038 W 5th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000080 Date
.050480
1038 W 5TH ST
06-30-00-0-1-0842-0000-
PUBLIC WORKS UTILITES
2/03/05
Owner
Contractor
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RS7 RESDNTL SINGLE FAMILY
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WOODWARD, CAROL D
1189 D AND RG DR
DURANGO
CO 81301
HORIZON EXCAVATING
PO BOX 3248
PORT ANGELES WA 98362
(360) -452-9976
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
35.00
2/03/05
8/02/05
plan Check Fee
Valuation
.00
o
Fee summary
Credited
ExtenBi~
c-35.~~
Due
7
Qty
1. 00
Unit Charge Per r;;;:N RF.W 1 ----.."
35.0000 EA ~REPAIR :::>
Charged Paid
.0
Permit Fee Total
Plan Check Total
Grand Total
35.00
.00
35.00
35.00 .00 .00
.00 .00 .00
35.00 .00 .00
Separate Permits are requiredfDrelectrical 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. AIi provisions of
laws and ordinances governing this type of work wili be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or locai law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is buiider)
Date
T:\Policies\1102.15R [1/05]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application descript10n
Subdiv1s1on Name
Property Use
Property Zoning . . .
Application valuation
05-00000080 Date
.050480
1038 W 5TH ST
06-30-00-0-1-0842-0000-
PUBLIC WORKS UTILITES
2/03/05
RS7 RESDNTL SINGLE FAMILY
o
,
Owner
Contractor
WOODWARD, CAROL D
1189 D AND RG DR
DURANGO
CO 81301
HORIZON EXCAVATING
PO BOX 3248
PORT ANGELES WA 98362
(360) 452-9976
Perm1t SANITARY SEWER HOOK UP
Additional desc
permi t Fee 35.00 Plan Check Fee .00
Issue Date 2/03/05 Valuation 0
Expiration Date 8/02/05
Qty Unit Charge Per Extension
1. 00 35.0000 EA SAN SEW REPAIR 35.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 35.00 35.00 .00 .00
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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
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
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Signature of Contractor or Authorized Agent
Date
Signature of Owner (If owner is builder)
Date \
T \Pohcles\1102.15R (1/05]
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