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Application Number 07 00000651 Date 6/05/07
Application pin number 720253
Property Address 2305 E 6TH AVE
ASSESSOR PARCEL NUMBER 06 30 12 5 3 1140 0000
Application type description EUGA PUBLIC WORKS UTILITIES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Owner
DORAN WILLIAM ROBERT
2305 E 6TH AVE
PORT ANGELES
WA 983629015
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Contractor
PRIMO CONSTRUCTION INC
PO BOX 296
CARLSBORG WA
SEQUIM WA 98382
(360) 683 5447
Permit EUGA SAN SEWER HOOKUP
Additional desc
Permit pin number 103820
Permit Fee 120 00 Plan Check Fee 00
Issue Date 6/05/07 Valuation 0
Expiration Date 12/02/07
Qty Unit Charge Per
1 00 120 0000 EA EUGA SAN SEWER HOOKUP
Other Fees
Fee summary
Extension
120 00
EUGA COUNTY SEWER DEV FEE 3000 00
EUGA SEWER LATERAL CHARGE 1000 00
EUGA CITY SEWER DEV FEE 1000 00
Charged Paid Credited
Due
Permit Fee Total 120 00 120 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 5000 00 5000 00 00 00
Grand Total 5120 00 5120 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 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•\Policies \1102.15R [1/05]
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CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\Pol icies \1102.15R 1 /051
RESIDENTIAL
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT. 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
1 1 I
1 1 I
I I