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Home My WebLink About2309 E 3rd Ave - BuildingApplication Number 08 00001289 Date 2/09/09 Application pin number 668259 Property Address 2309 E 3RD AVE ASSESSOR PARCEL NUMBER 06 30 12 6 6 0100 0000 Application type description EUGA PUBLIC WORKS UTILITIES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Owner SAMPONT GERALD /VELMA 2309 E 3RD AVE PORT ANGELES WA 983629011 Permit EUGA SAN SEWER HOOKUP Additional desc Permit pin number 136085 Permit Fee 135 00 Plan Check Fee 00 Issue Date 2/09/09 Valuation 0 Expiration Date 8/08/09 Qty Unit Charge Per Extension BASE FEE 15 00 1 00 120 0000 EA EUGA SAN SEWER HOOKUP 120 00 Other Fees EUGA COUNTY SEWER DEV FEE 3188 90 EUGA SEWER LATERAL CHARGE 5752 37 EUGA CITY SEWER DEV FEE 1510 00 Fee summary Charged Paid Credited Permit Fee Total 135 00 135 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 10451 27 10451 27 00 00 Grand Total 10586 27 10586 27 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 constructio T \Policies \1102 15 [10/08] 17 „.4 Signature of Contractor or Aut f ized gent CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor OWNER Due Date Signature of Owner (if owner is builder) Date CALL 417 -4831 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies\110 1 [10/08] KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE PERMIT INSPECTION RECORD YES NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING I I I I I I I I I 1