HomeMy WebLinkAbout106 W 11th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
04-;;>,5h
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
subdivision Name
Property Use
Property zoning .
Application valuation
04~00000256 Date
.915584
106 W 11TH ST
06-30-00-0-3-4412-0000-
PUBLIC WORKS UTILITES
3/29/04
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UNKNOWN
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Owner
Contractor
cox WILLIAM E
106 W 11TH ST
PORT ANGELES
WA 983627710
KUCHAN CONST. CO. INC.
3049 E HICKORY STREET
PORT ANGELES WA 98362
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 95.00 Plan Check Fee .00
Issue Date 3/29/04 Valuation 0
Expiration Date 9/25/04
Qty Unit Charge Per
1.00 95.0000 EA SAN SEWER HOOKUP
("~'~
95.00
Due
Fee summary Charged Paid Credi ted
----------------- ---------- ---------- ----------
Permit Fee Total 95.00 95.00 .00
Plan Check Total .00 .00 .00
Grand Total 95.00 95.00 .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 a!terthe work as commenced, or ifrequired 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 y_ ocal la regulating construction or the performance of
construction. (
~
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 [11/1412003}
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: ,/ J
Date 3~~!J /01 Time Received by (phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
6Foundation Framing Chimney
Sef' z. D Y) I
INSPECTION NOTES'
Inspected: Date 31~~/04
Remarks: ~ t-JtflL.( '. - AI!>A?Joc>JJI ~Lp
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Phone No.
Permit No. 0 <1 ~~
Plumbing Final Sewer Excav. Other
Time Z p~
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By & I L
RESTORATION REQUIRED . . . . .. YES
WilT:!. 0
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt ~CC
o Other
o Repaired by City
~epaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Applicatlon Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdlvislon Name
Property Use
Property Zoning . . .
Application valuation
04-00000256 Date
.915584
106 W 11TH ST
06-30-00-0-3-4412-0000-
PUBLIC WORKS UTILITES
3/29/04
UNKNOWN
o
Owner
Contractor
COX WILLIAM E
106 W 11TH ST
PORT ANGELES
WA 983627710
KUCHAN CONST. CO. INC.
3049 E HICKORY STREET
PORT ANGELES WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
95.00
3/29/04
9/25/04
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 95.0000 EA SAN SEWER HOOKUP
Extenslon
95.00
--
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.00 95.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.00 95.00 .00 .00
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-
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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 govermng 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 Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T \PLANNING\FORMS\1102 15 [11/14/2003]