HomeMy WebLinkAbout1211 E 9th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
04-- IOD!
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001001 Date' 10/29/64
.998846
1211 E 9TH ST
06-30-00-0-2-7955-0000-
JONES STREET RESERVOIR
PUBLIC WORKS UTILITES
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Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
ALDERGROVE CONSTRUCTION
1705 WEST 12TH STREET
PORT ANGELES WA 98363
(360) 457-2067
Permit PUBLIC WORKS COMM WATER SERV
Additional desc FIRE HYDRANT METER
Permit Fee 42.50 Plan Check Fee .00
Issue Date 10/29/04 Valuation 0
Expiration Date 4/28/05
Qty Unit Charge Per
BASE FEE
~~
42.50
Due
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 42.50 42.50 .00
Plan Check Total .00 .00 .00
Grand Total 42.50 42.50 .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 iocal law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\II 02.15 [] 111412003 J
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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:
Tenant nbr. name
Applicat~on description
Subdivis~on Name
Property Use
Property Zoning . . .
Application valuation
04-00001001 Date 10/29/04
.998846
1211 E 9TH ST
06-30-00-0-2-7955-0000-
JONES STREET RESERVOIR
PUBLIC WORKS UTILITES
o
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
ALDERGROVE CONSTRUCTION
1705 WEST 12TH STREET
PORT ANGELES WA 98363
(360) 457-2067
Permit
Additional desc
Permit Fee
~I Issue Date
Expiration Date
PUBLIC WORKS COMM WATER SERV
FIRE HYDRANT METER
42.50 Plan Check Fee
10/29/04 Valuation
4/28/05
rJ
.00
o
--
BASE FEE
Extension
42.50
rrl
Qty Unit Charge Per
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42.50 42.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 42.50 42.50 .00 .00
..D
<1-
/
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 orwork 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 ordln es governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presum 0 v authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constr co.
)\
Date
Signature of Owner (if owner is builder)
Date
T \PLANNINGIFORMS\1102 15 [11/14/2003]