HomeMy WebLinkAbout2833 E Myrtle St - BuildingApplication Number 07 00001372 Date 11/30/07
Application pin number 428600
Property Address 2833 E MYRTLE' ST
ASSESSOR PARCEL NUMBER 05 30 07 3 2 9030 0000
Application type description EUGA PUBLIC WORKS UTILITIES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Owner Contractor
STROHM LARRY LEO
2833 E MYRTLE ST
PORT ANGELES
Fee summary
WA 983629095
Permit EUGA SAN SEWER HOOKUP
Additional desc
Permit pin number 116152
Permit Fee 120 00 Plan Check Fee 00
Issue Date 11/30/07 Valuation 0
Expiration Date 5/28/08
Qty Unit Charge Per Extension
1 00 120 0000 EA EUGA SAN SEWER HOOKUP 120 00
Other Fees EUGA COUNTY SEWER DEV FEE 3000 00
EUGA CITY SEWER DEV FEE 1000 00
Permit Fee Total 120 00 120 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4000 00 4000 00 00 00
Grand Total 4120 00 4120 00 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private arid 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
fora 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
constru on.
/14 4
Signat "e of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T•\Policies \1102.15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
OWNER
Charged Paid Credited
Due
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R 1/05]
RESIDENTIAL
PERMIT INSPECTION RECORD
CALL 417 -4807 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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I I
I I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING