HomeMy WebLinkAbout712 S N St - Engineering
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
property Address
ASSESSOR PARCEL NUMBER
Application description
Property Zoning
Application valuation
Owner
Date
3/12/03
()3-z6Q
03-00000259
712 S N ST
0630004801100000
PUBLIC WORKS UTILITES
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Contractor
STEWARD LAND CO/RICK ANDERSON
618 S PEABODY ST STE H
PORT ANGELES WA 983626244
OWNER
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Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit Fee 150 00 Plan Check Fee 00
Issue Date 3/12/03 Valuation 0
Expiration Date 9/08/03
Qty Unit Charge Per Exte~'
BASE FEE C 150 00
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Permit RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per E .
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Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per C~
BASE FEE__.~:~
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Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per Ex .
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Additional desc
Permit Fee
Issue Date
Expiration Date
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45 00
3/12/03
9/08/03
Plan Check Fee
Valuation
00
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745 00
3/12/03
9/08/03
Plan Check Fee
Valuation
00
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95 00
3/12/03
9/08/03
Plan Check Fee
valuation
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1025 00
3/12/03
9/08/03
Plan Check Fee
Valuation
00
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Qty Unit Charge Per
BASE FEE
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Fee summary
Charged
Paid
Credited
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 gover' this type of work will be complied with whether specified herein or not. The granting of a permit does not
presu give aut i to iolate or cancel the provisions of any state or local law regulating construction or the performance of
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T-\PLANNING\FORMS\ I] 02.1 'i [4/2002]
Signature of Owner (if owner is builder)
Date
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
03-00000259
Page 2
Date 3/12/03
Permit Fee Total
Plan Check Total
Grand Total
2060 00
00
2060 00
2060 00
00
2060 00
00
00
00
00
00
00
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
construction.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T-\PLANNING\FORMS\1102.15 [4/2002]
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
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Received by
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(phone, person)
REQUEST
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
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Phone No
Permit No 6;1, ~
Plumbing Final Sewer Excav Other
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Remarks
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RESTORATION REQUIRED
YES
NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TEl
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . .
REQUEST
Date 7- 1- o-:s
Time
Received by
Rl/
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
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Phone No
Permit NO~Z6/
PIUmbing~SeWer Excav Other
Sewer Foundation Framing
Chimney
INSPECTION NOTES
Inspected Date -; -.- 0 I
Remarks
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Time
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By
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RESTORATION REQUIRED
YES
NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
[] Repaired by City
[] Repaired by Permittee
CI No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)