HomeMy WebLinkAbout418 S Lincoln St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
04- ~g-7
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
subdivision Name
Property Use
Property Zoning . .
Application valuation
04-00000587 Date
.216824
418 S LINCOLN ST
06-30-00-0-1-6895-0000-
OLYMPIC LAUNDRY
PUBLIC WORKS UTI LITES
7 (07 (04
COMMUNITY SHOPPING DISTR
o
Owner
Contractor
OLYMPIC LAUNDRY & CLEANERS
418 S LINCOLN ST
PORT ANGELES WA 983623006
HORIZON EXCAVATING
PO BOX 3248
PORT ANGELES WA 98362
(360) 452-9976
Permit STREET ALLEY RESTORATION
Additional desc
Permit Fee 230.00 Plan Check Fee .00
Issue Date 7/07/04 valuation 0
Expiration Date 1(04(05
Qty Unit Charge Per ExtenRinn
________=~~~______:=~~~~~~_~:~___:=~~~=_~~~=_~~:=~~=:~~_______~:=~~oo-=:>
Permit SANITARY SEWER HOOK UP
Additional desc REPAIR TO SIDE SEWER
Permit Fee 35.00 Plan Check Fee .00
Issue Date 7/07/04 Valuation 0
Expiration Date 1/04/05
Qty Unit Charge Per Extension
________=~~~_______==~~~~~_~____:~_:~~_~~:~:~___________________~_==~~o~
Permit RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
45.00
7(07(04
1(04(05
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
("O".,~
45.00
Fee surnmary Charged Paid Credi ted
----------------- ---------- ---------- ----------
Permit Fee Total 310.00 310.00 .00
Plan Check Total .00 .00 .00
Grand Total 310.00 310.00 .00
Due
.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 jf 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 ihe 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:\PLANr\ING\FORMS\1I02.15 [I ]/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . .
REQUEST:
Date ,I 0
Time I \ flo/1
Received by
!7w
(phone, person)
Location of Work to be inspected ~ O~Y""''Plc.. {"(#)c!f''1 .. 4(5, <; . L,oJ~'-"-'
Name of person requesting inspection V1lJ/~",/M .' OIYf-'\f': Lvu....dll"\/
Address of person requesting inspection Phon: No.
Type of Inspection (circle appropriate one): Permit No. 04 -f7J>7
Sewer Foundation Framing Chimney Plumbing Final ~r~. Other
INSPECTION NOTES:
Inspected: Date II'} (04 Time 2 f~ By et,.-!
Remarks: g.lrf'Prirz. L,....n::R-I>'L . L,,,,,~ ~"i'-1!:l l!>IJI....D'....() \' ~L.O-...... /l.I.Lii'l sviLl'~
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e-><,,>-r 4" 0.....<-. ~?L.kKD To iL.l)b l:<!>12j..lS'1t
RESTORATION REQUIRED . . . . .. YES Y NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel ~sPhalt
If1Repaired by City
o Repaired by Permittee
o No Damage Found
OPCC
o Other
Work Order #
o COMPLETE
o INCOMPLETE
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