HomeMy WebLinkAbout2374 E 3rd Ave - BuildingApplication Number 09 00000988 Date 9/30/09
Application pin number 237620
Property Address 2374 E 3RD AVE
ASSESSOR PARCEL NUMBER 06 30 12 5 8 2000 0000
Application type description EUGA PUBLIC WORKS UTILITIES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Application desc
Connect to City EUGA sewer
Owner Contractor
SELLERS DAVID /MARDI
2374 E 3RD AVE
PORT ANGELES
Other Fees
Fee summary
T \Policies \1102 15 [10/08]
WA 98362
Qty Unit Charge Per
1 00 135 0000 EA EUGA SAN SEWER HOOKUP
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
Charged Paid Credited Due
KEN REANDEAU INC
73 PAULINE RD
PORT ANGELES
(360) 452 2054
Special Notes and Comments
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Signature of Contractor or Authorized Agent Date
WA 98362
Permit EUGA SAN SEWER HOOKUP
Additional desc
Permit pin number 154187
Permit Fee 135 00 Plan Check Fee 00
Issue Date 9/30/09 Valuation 0
Expiration Date 3/29/10
EUGA COUNTY SEWER DEV FEE 3229 00
EUGA CITY SEWER DEV FEE 1510• 00
Permit Fee Total 135 00 135 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4739 00 4739 00 00 00
Grand Total 4874 00 4874 00 00 00
Extension
135 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
Si n atur of Owner
QT so9
g (if owner is builder) Date
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
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PERMIT INSPECTION RECORD
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
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 1 NO
I I
I I
I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING