HomeMy WebLinkAbout2334 E 6th Ave - BuildingOwner Contractor
SIMON TAMMY L
2324 E 6TH AVE
PORT ANGELES
TAPolicies\ 1102.15R 1/05]
WA 983629015
LEI Y Uk ?UK I AN UELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00001233 Date 9/29/08
Application pin number 025892
Property Address 2334 E 6TH AVE
ASSESSOR PARCEL NUMBER 06 30 12 5 3 2000 0000
Application type description EUGA PUBLIC WORKS UTILITIES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
OWNER
Permit EUGA SAN SEWER HOOKUP
Additional desc
Permit pin number 135418
Permit Fee 120 00 Plan Check Fee 00
Issue Date 9/29/08 Valuation 0
Expiration Date 3/28/09
Qty Unit Charge Per Extension
1 00 120 0000 EA EUGA SAN SEWER HOOKUP 120 00
Other Fees EUGA COUNTY SEWER DEV FEE 3093 00
EUGA CITY SEWER DEV FEE 1125 00
Fee summary Charged Paid Credited Due
Permit Fee Total 120 00 120 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4218 00 4218 00 00 00
Grand Total 4338 00 4338 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
CALL 417-4807 FOR UTILITY INSPECTION5. P-LBASE1 A.MINJMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYE,
INSULATE OR CONCEAL ANY WORK BEFOREINSPECTEI) AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT AND APPROVED PLANS AT JOB SITE
PW UTILITIES (EngineeringDivision)
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STORM
SITE DRAMGE
SITE,...EROSION'COINITROL
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INSPECTION TYPE DATE ACCEPTED
YES 1 NO
PERMIT INSPECTION RECORD
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COMMENTS
i s_. 3„L. 4i qt 1
.FINAL:Jill.SpECTIONSREQUIRED,p121,012, TO:(19,CUpjecNcy/USE 2, A,,..
3s,..r. REsID p40....i ;4:. YES 'Fie 1 1. 7 '..eolVilViiitdig: —DATE -'A-6.iitEli.'i''':
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4 11 t 7 9A 44%, 4. i i I-4 ,t 4
%CONSTRUCTION■RAW1,4 4- .dCiNSTRVICTIOi4 •ILW
,ENGINEERIN,G 417,4807 PW 7 ENGINEERING'
417....$1653 1 1 -I 1 •Fi i. 4 ;I. 1.
I
ilq,:414NING DEPT. 417-4750 1 I. 1 1 PLANNING DEPT 1 I. 1
BUILDING 417-4815 :1- 1
BUILDING
1, 1 1: 5 i .t. 1 1
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