HomeMy WebLinkAbout224 E 1st St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
04-)07;;)..,
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001072 Date
.743728
224 E 1ST ST
06-30-00-6-3-3020-0000-
PUBLIC WORKS UTI LITES
11/17/04
COMMERCIAL ARTERIAL
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Owner
Contractor
ITTI, SONTHAYA
1029 W 6TH ST
PORT ANGELES
(360) 460-8740
OWNER
WA 983632109
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS COMM WATER SERV
DROP IN WATER METER 5/8"
150.00 Plan Check Fee
11/17/04 Valuation
5/17/05
.00
o
Qty Unit Charge Per
BASE FEE
Etnoi~
150.00
Fee sununary
Charged
Paid
Credited
Due
Permit Fee Total
Plan Check Total
Grand Total
150.00
.00
150.00
150.00
.00
150.00
.00
.00
.00
.00
.00
.00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utiiities, 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 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 or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FOR..\1S\II02.15 [11/1412003]
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APPLICATION FOR WATER
City Water Division
Port Angeles, Washington 11- /7
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Remarks:
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
11/17/04
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Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zon1ng . . .
Application valuat10n
04-00001072 Date
.743728
224 E 1ST ST
06-30-00-6-3-3020-0000-
PUBLIC WORKS UTILITES
~
COMMERCIAL ARTERIAL
o
Owner
Contractor
ITTI, SONTHAYA
1029 W 6TH ST
PORT ANGELES
(360) 460-8740
OWNER
WA 983632109
Permit
Addit10nal desc
permi t Fee
Issue Date
Expiration Date
PUBLIC WORKS COMM WATER SERV
DROP IN WATER METER 5/8"
150.00 Plan Check Fee
11/17/04 Valuation
5/17/05
.00
o
Qty Unit Charge Per
Extension
150.00
BASE FEE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 150.00 150.00 .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 ordina s governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume give aut rity to violate or cancel the provisions of any state or local law regulating construction or the performance of
constr ction.
u
Signature of Owner (if owner is builder)
Signature of Contractor or Authorized Agent
T'\PLANNING\FORMS\1102.15 [11/14/2003]
Date