HomeMy WebLinkAbout215 W Forest Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property zoning . . .
Application valuation .
03-00000506
215 W FOREST AVE
0630095800100000
RE-ROOF
Date
5/27/03
4080
Owner
Contractor
LYCKSELL GORDON W
215 FORREST AVE
PORT ANGELES
WA 983622517
RAINMASTER ROOFING
1205 S. 0 ST.
PORT ANGELES WA 98362
(360) 452-3213
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
TEAR OFF, FELT,
134.75
5/27/03
11/23/03
- NO PR FEE
COMP
Plan Check
valuation
Fee
.00
4080
Qty Unit Charge Per
Extension
92.75
42.00
Other Fees
STATE SURCHARGE
4.50
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0-(
BASE FEE
3.00 14.0000 THOU BL-2001-25K (14 PER Kl
Fee swmnary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 134.75 134.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 139.25 139.25 .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 period of 180 days aflerthe 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.
5', 27 63
ctor or Authorized Agent Date
Signature of Owner (if owner is builder)
Date
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