HomeMy WebLinkAbout218 W 11th 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
05-00000128 Date
.591424
218 W 11TH ST
06-30-00-0-3-4515-0000-
PUBLIC WORKS UTILITES
2/24/05
RS7 RESDNTL SINGLE FAMILY
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Owner
Contractor
BonannO
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BONANNO, MARK
PO BOX 2378
PORT ANGELES
(360) 452-0242
& ANGIE
OWNER
WA 98362
Permit RIGHT OF WAY
Additional desc REPLACE DRIVEWAY
Permit Fee 50.00 plan Check Fee .00
Issue Date 2/24/05 valuation 0
Expiration Date 8/23/05
Qty Unit Charge Per Extension
1. 00 50.0000 ECH RIGHT OF WAY PERMIT 50.00
Fee swrunary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50'.00 50.00 .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 Contractor or Authorized Agent
Date
Date
Signature of Owner (if owner is builder)
T:\Policies\II02.1 SR [1/05]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: I J A
Date if / S / IJ 1 Time Received by 1;::: (phone. person)
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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
Phone No.
Permit No.
Plumbing Final Sewer Excav. Other
INSPECTION NOTESy I /,s
Inspected: Date +/-l!f-,/ t/ Time
Remarks: O. /<C..
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RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE