HomeMy WebLinkAbout104 W 1st St - Engineering.... CITY OF PORT ANGELES
'~% DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Nu~Der ..... 03-00000224 Date 11/20/03
Property Address ...... 104 WlST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3200-0000-
Tenant nbr, name ...... MAD'RICES
Application description . . . PUBLIC WORKS UTILITES
Subdivision Name ......
Property Zoning .......
Application valuation .... 0
owner Contractor
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 i 80 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 Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\] ]02.15 [11/14/2003]