HomeMy WebLinkAbout115-121 Railroad Ave - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 tJ4 - //q1
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER;
Application description
Subdivision Name
Property Use
property zoning . . .
Application valuation
04-00001199 Date
.895000
115 -121 E RAILROAD AVE
06-30-00-5-0-0065-0000-
PUBLIC WORKS UTILITES
12/28/04
I/?j-/Z/ d/2ADe-
CENTRAL BUSINESS DISTRICT
1000
Owner
Contractor
PORT OF PORT ANGELES
PO BOX 1350
PORT ANGELES WA 983620251
OWNER
Permit RIGHT OF WAY
Additional desc
Permit Fee 45.00 Plan Check Fee
Issue Date 12/28/04 Valuation
Expi~ation Date 6/27/05
Qty unit Charge Per
1. 00 45.0000 ECH RIGHT OF WAY PERMIT
.00
1000
Fee surrunary Charged Paid Credi ted
-------- - - ---------- ---------- ----------
Permit Fee Total 45.00 45.00 .00
plan Check Total .00 .00 .00
Grand Total 45.00 45.00 .00
Exte~
C 45.00
Due
.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 aulhorized is not commenced within 180 days, if construclion or work is suspended or abandoned
for a period of 180 days after Ihe 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 10 be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whelher specified herein or not. The granting of a permil does not
presume to give aulhorily to violate or cancel the provisions of any state or local iaw regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [11/1412003]