HomeMy WebLinkAbout1137 W 5th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
00 ..-z So
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
4/06/05
/13 / LV 5-th
RS7 RESDNTL SINGLE FAMILY
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Owner
Contractor
CAVANAUGH, PATRICK/SUSAN
1702 DOE RUN
SEQUIM WA 983829526
DAN BLOOD'S CREATIVE LNDSP INC
P. O. BOX 3475
SEQUIM WA 98382
(360) 683-5007
R-uE-1 c.,U T
ReSloeA-P 01\\
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Permit
Additional
Permit Fee
Issue Date
Expiration
desc
RIGHT OF WAY
ALLEY CUT FOR
50.00
4/06/05
10/03/05
UNDERGOUND POWER
Plan Check Fee
valuation
.00
o
Date
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
Fee surrunary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
-V~~
- 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
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.1SR [1/05]
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: .J I I I ./
Date 'fLf-Lt D~ Time Received by 1F (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
U-3l w 5~ ,. f)d.n-~/~
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Phone No.
Permit No. OS -G~
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: - 2. - 05
Remarks:
RESTORATION REQUIRED. . . . .. YES
NO x...
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
,....__..,_.._ __ __..____ -,...1- ,... _______ .
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
App11cation Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zon1ng . . .
Application valuation
05-00000250 Date
.333000
1137 W 5TH ST
06-30-00-0-1-1235-0000-
PUBLIC WORKS UTILITES
4/06/05
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
CAVANAUGH, PATRICK/SUSAN
1702 DOE RUN
SEQUIM WA 983829526
DAN BLOOD'S CREATIVE LNDSP INC
P. O. BOX 3475
SEQUIM WA 98382
(360) 683-5007
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
ALLEY CUT FOR UNDERGOUND POWER
50.00 Plan Check Fee
4/06/05 Valuation
10/03/05
.00
o
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
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Separate Permits are required forelectrfcal 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 prov.' 0 s of any state or local law regulating construction or the performance of
construction.
ure of Contractor or Authorized Ag
Signature of Owner (if owner is builder)
T.\Pohcles\1102 15R [1/05]