HomeMy WebLinkAbout543 Whidby Ave - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
SubdJ.vision Name
Property Use
Property Zoning . . .
Application valuation
04-00000482 Date
.743846
543 -531 1/2 WHIDBY AVE
06-30-10-4-3-0420-0000-
RE-ROOF
6/02/04
Owner
Contractor
EXPIRED
l Vtvllo4
7000
SISNEROS RICHARD W/JOANO
2332 W 5175 S
ROY UT 840671645
TWO BROTHERS ROOFING
1081 RIVER RD
SEQUIM WA 98382
(360) 670-6440
Lasered
CEO
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, SHEET, FELT, COMP
162.75 Plan Check Fee
6/02/04 ValuatJ.on
11/29/04
.00
7000
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Qty Unit Charge Per
Extension
92.75
70.00
BASE FEE
5.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid CredJ.ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.75 162.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 167.25 167.25 .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 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 ~he performance of
construction. \
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Signatu of contracto~ent
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Date
Signature of Owner (if owner is builder)
T \PLANNING\FORMS\1102 15 [11/14/2003]