HomeMy WebLinkAbout1025 Georgiana St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00001152 Date 11/18/05
814016
1025 GEORGIANA ST
06-30-00-8-1-0235-0000-
PUBLIC WORKS UTILITES
PUBLIC BUILDINGS & PARKS
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CJ
Owner
Contractor
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OLYMPIC MEMORIAL HOSPITAL
939 CAROLINE ST
PORT ANGELES WA 983623909
OWNER
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Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
65755
290.00
11/18/05
5/17/06
Plan Check Fee
Valuation
.00
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Qty unit Charge Per
1.00 290.0000 EA SAN SEW CAP/PULL W/M
Extension
290.00
Fee surrunary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 290.00 290.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 290.00 290.00 .00 .00
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ctrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
uthorized is not commenced within 180 days, if construction orwork is suspended or abandoned
rk as commenced, or if required inspections have not been requested within 180 days from the last
have read and examined this application and know the same to be true and correct. All provisions of
is type of work will be complied with whether specified herein or not. The granting of a permit does not
lolate or cancel the pr visions of any state or local law regulating construction or the performance of
Date
Signature of Owner (if owner is builder)
Date
T:IPoliciesllI02.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE 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
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPoliciesl11 02.15R [1/05]