HomeMy WebLinkAbout1706 W Hwy 101 - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
WUGA water \service connection
Owner
BRUCH LYNN R
2446 E HIDDEN WAY RD
PORT ANGELES WA 983629033
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Other Fees
Fee summary Due
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T \Policies \1102 15 [10/08]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00000280
784400
1706 W HWY 101
06 30 08 3 3 9010 0000
PUBLIC WORKS UTILITES
UNKNOWN
0
fee
Contractor
OWNER
PUBLIC WORKS COMM WATER SERV
WUGA WATER CONNECTION
162693
00 Plan Check Fee 00
3/23/10 Valuation 0
9/19/10
WUGA WATER CONNECTION 7500 00
Charged Paid Credited
00 00 00
00 00 00
7500 00 7500 00 00
7500 00 7500 00 00
Date 3/23/10
00
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 -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
RESIDENTIAL
CONSTRUCTION R. W PW/
ENGINEERING 417 -4831
I FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T\Policies \1102 15 [10/08]
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
1 PLANNING DEPT
I BUILDING
I