HomeMy WebLinkAbout114 S Washington St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Repair sewer lateral
Owner
SLEHOFER OTTO J
2884 MONROE RD
PORT ANGELES
Permit SANITARY SEWER HOOK UP
Additional desc REPAIR SEWER LATERAL
Permit pin number 163253
Permit Fee 40 00
Issue Date 4/02/10
Expiration Date 9/29/10
Fee summary
T•\Policies \1102 15 [10 /08]
WA 983629357
Qty Unit Charge Per
1 00 40 0000 EA SAN SEW REPAIR
Permit Fee Total 40 00 40 00 00
Plan Check Total 00 00 00
Grand Total 40 00 40 00 00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00000322
543996
114 S WASHINGTON ST
06 30 00 7 2 0385 0000
PUBLIC WORKS UTILITES
RESIDENTIAL HIGH DENSITY
0
Contractor
R J SERVICES INC
514 IRVING JACOBS RD
PORT ANGELES WA 98362
(360) 457 1420
Plan Check Fee
Valuation
Charged Paid Credited
Date 4/02/10
Due
0 0
0
Extension
40 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
con uc
gnature 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
INSPECTION TYPE DATE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T \Policies \1102.15 [10/08]
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
ACCEPTED
YES NO
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
COMMENTS