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Home My WebLink About200 N Washington St - BuildingApplication desc install fiber cable RUP #09 51 Owner CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES T' \Policies \1102 15 [10/08] Qty Unit Charge Per WA 983620217 BASE FEE Fee summary Charged Paid Credited CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 32] EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00001210 Date 12/01/09 Application pin number 602760 Property Address 200 N WASHINGTON ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name CAPACITY PROVISIONING Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Contractor OWNER Permit RIGHT OF WAY Additional desc RUP #09 51 Permit pin number 156919 Permit Fee 75 00 Plan Check Fee 00 Issue Date 12/01/09 Valuation 0 Expiration Date 5/30/10 Special Notes and Comments Must meet all requirements of your Right of Way License dated August 8 2007 Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Grand Total 75 00 75 00 00 00 Extension 75 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 al law regulating constr ction or the performance of construction Signature of Contractor or Authorized Agent Date nature or6wner9Kowner 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 INSPECTION TYPE DATE ACCEPTED PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies\1 102 15 [10 /08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 I FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE YES NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I I I I I 1 I