HomeMy WebLinkAbout16 & "O" 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- - 4:;;z
1. . \
App lcatlon Number
pin number \. . .
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
subdivision Name
property Use
Property Zoning . . .
Application valuation
04-00000427 Date
.326734
NO PARCEL NUMBER
99-
16TH & 0 ST
PUBLIC WORKS UTILITES
5/19/04
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CENTRAL BUSINESS DISTRICT
o
Owner
Contractor
PORT ANGELES
WA 98362
C&J EXCAVATING
PO BOX 430
CARLS BORG
(360) 683-7741
WA 98324
* UNKNOWN
Permit PUBLIC WORKS RES WATER SERV
Additional desc FIRE HYDRANT METER
Permit Fee 42.50 plan Check Fee .00
Issue Date 5/19/04 Valuation 0
Expiration Date 11/15/04
Qty Unit Charge Per ?x pn.R4.~_
BASE FEE 42.~ ~
------------------------------~----------~--------------------- ----
Permi t RIGHT OF WAY
Additional desc CLALLAM CO HOUSING
Permit Fee 45.00
Issue Date 5/19/04.
Expiration Date 11/15/04
AUTHORITY
Plan Check
Valuation
Fee
.00
o
Qty
1. 00
Unit Charge Per
45.0000 ECH RIGHT OF WAY PERMIT
Extension
C -45.00
Due
;---:::,
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 87.50 87.50 .00
Plan Check Total .00 .00 .00
Grand Total 87.50 87.50 .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 local law regulating construction or the performance of
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I .,
Sigjture of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
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