HomeMy WebLinkAbout240 N Larch Ave - Buildingof PORT.. N.
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SUKERT GORDON R
1204 W 16TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date'
Expiration Date
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 98363
Qty Unit Charge Per
1 00 120 0000 EA
118190
120 00
12/27/07
6/24/08
CITY OF PORT ANGELES
PUBLIC WORKS. UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00001533
270065
240 N LARCH AVE
05 30 07 5 4 0700 0000
EUGA PUBLIC WORKS UTILITIES
UNKNOWN
0
EUGA SAN SEWER HOOKUP
Contractor
PRIMO CONSTRUCTION INC
PO BOX 296
CARLSBORG WA
SEQUIM
(360) 683 5447
Plan Check Fee
Valuation
EUGA SAN SEWER HOOKUP
EUGA COUNTY SEWER DEV FEE 31/00,;00
EUGA SEWER LATERAL CHARGE 1270 00
EUGA CITY SEWER. DEV FEE 1000 00
Charged Paid C:r'edited' Due
120 00 120 00 00
00 00 00
5270 00 5270 00 00
5390 00 5390 00 00
Date 12/27/07
WA 98382
Extension
120 00
00
00
00
00
00
0
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 I 80 days after the work as commenced or if required inspections have n 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
T•\Policies \1102.15R (1/05)
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
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \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
NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING