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HomeMy WebLinkAbout1017 E Front St - Engineering o'~ ~ORT """'G'~ I....~~('~ ~rGiii ~ "- ~ ~ "t,j[-;;--~ 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 Owner 7/20/05 05-00000643 Date 969363 1017 E FRONT ST 06-30-00-1-0-3125-0000- PUBLIC WORKS UTILITES COMMERCIAL ARTERIAL o Contractor GERALD/GRACE JENSEN TRUST 1351 E BOULEVARD PORT ANGELES WA 983626617 GARY'S PLUMBING INC PO BOX 255 PORT ANGELES WA 98362 (360) 457-8249 ~ U\ 1 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 55038 50.00 7/20/05 1/16/06 .00 o Plan Check Fee Valuation €" ~. \)oJ Qty 1. 00 Unit Charge Per 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date STREET ALLEY RESTORATION 55053 270.00 7/20/05 1/16/06 ,. ~ .......... ~ Plan Check Fee Valuation .00 o Extension 270.00 Qty 1. 00 Unit Charge Per 270.0000 ECH STREET ALLEY RESTORATION 1,,\ ---------------------------------------------------------------------------- Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP o ~ " <:;: "'1 \/. ""\ 55046 40.00 7/20/05 1/16/06 plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 40.0000 EA SAN SEW REPAIR Extension 40.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 360.00 360.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 360.00 360.00 .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 constructiorv. Ie. . / 7/ l< . ....~ /\. l(({L~ 7 - 2 (, - 05- ,-. 7 -2 C, Signafu~e of Contra~t r or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [liDS] 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 CONSPICUOl.;S LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO L~~lI: PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER = DRlVEW A Y APPROACH I BACK-FLOW DEVICE 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:\Policiesl l102.15R [1/05]