HomeMy WebLinkAbout700 E 7th St - Building CITY OF PORT ANGELES
7 PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES WA 98362
Application Number 11- 00001350 Date 11/30/11
Application
pin 7 700 1 E 0 7TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: R6- 30- 00 -0 -0 -0000 -0000- on your state excise tax form
Tenant nbr., name WAVE BROADBAND
Application type description PUBLIC WORKS UTILITES to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning UNKNOWN
Application valuation 0
Application desc
Remove cable attachments RUP #11 -30
Owner Contractor
CITY OF PORT ANGELES MLS ENTERPRISE INC
PO BOX 1150 PO BOX 1028
PORT ANGELES WA 983620217 SEABECK WA 98380
(360) 830 -2170
Permit RIGHT OF WAY
Additional desc RUP #11 -30
Permit Fee 75.00 Plan Check Fee .00
Issue Date 11/30/11 Valuation 0
Expiration Date 5/28/12
Qty Unit Charge Per Extension
BASE FEE 75.00
Special Notes and Comments
Applicant responsible for temporary traffic control.
Fee summary Charged Paid Credited 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
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
constructio
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:Forms /Building Division /Public Works Permit
PERMIT INSPECTION RECORD
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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEI'TED COMMENTS �n
YES NO
PW UTILITIES (Engineering Division)
WATERLINE./ METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION'CONTROL
PARKING
SIDEWALK. Y
CURB GUTTER s....
DRIVEWAY' APPROACH
BACK FLOW: DEVICE h
1 1 k V d ti 1 .r S
v FINAL'INSPECTIONS.REQUIRED PRIOR TO OCCUPANCl /USE
RESIDENTIAL DATE" IES'' NO COMMERCIAL DATE'' ACCEPTED.
CON R W /.•PW 'CONSTRU
ENGINEERIN••; 417 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT..
PLANNING DEPT. -417 -4750 PLANNING DEPT.
BUILDING 41,7- BUILDING
4815
T Forms /BuildmgDtvision /Public Works Pemut