HomeMy WebLinkAbout2007 S O St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362D4 -&45
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property zoning . .
Application valuation
04-00000645 Date
.713850
2007 S 0 ST E
06-30-00-1-1-1900-1000-
HARBOR ACTION INC
PUBLIC WORKS UTILITES
7/21/04
INDUSTRIAL LIGHT
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Owner
Contractor
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PORT OF PORT ANGELES
PO BOX 1350
PORT ANGELES WA 983620251
OWNER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS COMM WATER SERV
I" ON 1,1 WATER METER
1000.00 Plan Check Fee
7/21/04 Valuation
1/18/05
ikt~ U;,-r ~)
.00
o
Qty Unit Charge Per
Fee sununary
Charged
Paid
Credi ted
Exte~
cooo.oo
Due
BASE FEE
Permit Fee Total
Plan Check Total
Grand Total
1000.00
.00
1000.00
1000.00
.00
1000.00
.00
.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
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [11/1412003]
APPLICATION FOR WATER
City Water Deportment
PorI Angeles, Wosh.
1IN/Oj19_
I hereby apply for water to be furni shed in accordance w;th rates and rules of the City
for lhe following premises: , Vi> Iih.IfjRII. U~
Nome of Appliconl ~ Ac.Itn-.....) t-ht!.. ~I (!#-?nn?~.J:,
, ///) // . . // # 4/;0- qq..,S
Address :700"7 ~ V ~<. tf-. I4-tl-.e tJ~Arf!ty~~ ~
C)86:3-0
Renewal
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New Service ca-- Blk_ Lol_ Add
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o Service Left Off ~ Si'gned
Si ze of Service
MeIer Number O'f3c,"^,g c..tv 7'1.5 /..d ~
/
Inslolled by
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&--0& 4IJ
Servi ce Left On
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT.
. . .
. . .
REQUEST:
Date .5>6-0 <:)
Time 7 c/?/ IrV\.. Received by
7/7
e, person)
Location of Work to be inspected ;}.c)D 7 .5 0 sT
Name of person requesting inspection (A../..... f~ f jJ,./
Address of person requesting inspection /703 5 j5~/ Phone No. '117- '1'6' '/7
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. eG<-/C< Ie r
INSPECTION NOTES:
Inspected: Date 5"-6-0<)
Remarks:
Time /o:?~ #~ By
,
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RESTORATION REQUiRED...... YES Y NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved ~ravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt
OPCC
o Other
5'031;2 -Orb
.
Work Order #
o COMPLETE
y;(INCOMPLETE