HomeMy WebLinkAbout2143 E 3rd Ave - Buildingof ?M N
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA.98362
Application Number 07 00000542 Date 12/27/07
Application pin number 328866
Property Address 2143 E 3RD AVE
ASSESSOR PARCEL NUMBER 06 30 12 5 2 1300 0000
Application type description EUGA PUBLIC WORKS UTILITIES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Owner Contractor
KAULAKIS MICHAEL /SHARON PRIMO CONSTRUCTION INC
P 0 BOX 3545 PO BOX 296
SEQUIM WA 98382 CARLSBORG WA
SEQUIM WA 98382
(360) 683 5447
Permit
Additional. desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
EUGA SAN SEWER HOOKUP
101873
120 00 Plan Check Fee 00
12/27/07 Valuation 0
6/24/08
Qty. Unit Charge Per Extension
1 00 120 0000' EA EUGA SAN SEWER HOOKUP 120 00
Other Feed EUGA COUNTY SEWER:DEV FEE 3000. 0.0
EUGA SEWER LATERAL CHARGE 3273 81
EUGA CITY SEWER,DEV FEE 1000 00
Fee summary Charged Paid Credited' Due
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
120 00 120 00 00 00
00 00 00 00
7273 81 7273 81 00 00
7393 81 7393 81 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private andpublic 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
fora period of 1 days after work as commenced, or if'required inspections have not been requested within 180 days from the last
inspection. I herebycertify 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]
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
FIRE
I PLANNING DEPT
BUILDING
T•\Policies \1102.15R [1/05]
RESIDENTIAL
CONSTRUCTION RW PW/
ENGINEERING
417 -4807
417 -4653 I
417 -4750 I
417 -4815
PERMIT INSPECTION RECORD
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING