HomeMy WebLinkAbout1502 W 15th St - Engineering CITY' OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application N%~ber ..... 04-00000011 Date 1/09/04
Proper~¥ Address ...... 1502 W IST~ ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3500-0000-
Application description . . . CLEARING & GRADINO
Subdivision Name ......
Property Use ........
Property Zoning ....... RS7 RESDNTL SINGLE FAMILY
Application valuatioN .... 0
Owner Contractor
LEE, DENNIS OWNER
830 W LAS LOMIT~-S RD
~JCSON AR 85710
...... Structure Information CLEARING & GPJ~DING FOR FUTURE DEVELOPMEN .....
Construction Type ..... TYPE V NON-RATED
Occupancy Type ...... SINGLE FAM & CONGREGATES
Permit ...... CLEAR & GRADE
Additional desc . . C & G PERMIT#03-21
Permit Fee .... 50.00 Plan Check Fee . . .00
Issue Date .... 1/09/04 Valuation .... 0
Ex!oiration Date . , 7/07/04
Qty unit charge Per Extension
BASE FEE 50.00
Fee sun~ary Charged Paid Credited Due
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total ,00 .00 .00 .00
Grand Total 50.00 50.00 .00 ,00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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. 1 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\ 1102.15 [11/14/2003]