HomeMy WebLinkAbout1032 Columbia St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDJNG DIVISION
32] EAST 5TH STREET, PORT ANGELES, W A 98362
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Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
property Zoning .
Application valuation
04-00000746 Date
.622796
1032 COLUMBIA ST
06-30-00-5-3-0400-0000-
PUBLIC WORKS UTILITES
8/26/04
COMMERCIAL OFFICE
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Owner
Contractor
CLALLAM CO PUB HOSPITAL DIST 2
DBA OLYMPIC MEDICAL CNTR
PORT ANGELES WA 983623909
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452-1110
45.00
B/26/04
2/23/05
Plan Check Fee
valuation
,00
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Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
Qty Unit Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
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45. 0;:>
Due
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 45.00 45.00 ,00
Plan Check Total ,00 ,00 ,00
Grand Total 45.00 45.00 ,00
,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
crstruction,
Signature of Owner (if owner is builder)
Date
T:\PLANNfNG\FORMS\1102.15 [11/14/2003J
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdl.vision Name
Property Use
Property Zonl.ng . . .
Applicatl.on valuation
04-00000746 Date
.622796
1032 COLUMBIA ST
06-30-00-5-3-0400-0000-
PUBLIC WORKS UTILITES
COMMERCIAL OFFICE
o
Owner
Contractor
CLALLAM CO PUB HOSPITAL DIST 2
DBA OLYMPIC MEDICAL CNTR
PORT ANGELES WA 983623909
8/26/04
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452-1110
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
45.00
8/26/04
2/23/05
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 45.0000 ECH RIGHT OF WAY PERMIT
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Perml.t Fee Total 45.00 45.00 .00
Plan Check Total .00 .00 .00
Grand Total 45.00 45.00 .00
.00
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Extension
45.\00
Due
.00
.00
.00
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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 penod 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 ordmances governing thiS type of work will be complied with whether specified herem or not The granting of a permit does not
presume to give authonty to violate or cancel the provIsions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authonzed Agent
Date
Signature of Owner (if owner IS bUilder)
T.\PLANNING\FORMS\1102 15 [11114/2003]