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HomeMy WebLinkAbout1716 W 5th St - Engineering * pORT ~ $'~O~~~ hiii "- -=- ~ "t.iii.~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000585 Date 127815 1716 W 5TH ST 06-30-00-0-1-4215-0000- PUBLIC WORKS UTILITES 7/11/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor STINE RODNEY D ~716 W 5TH ST PORT ANGELES WA 983631710 KEVIN GROFF CONSTRUCTION PO BOX 957 PORT ANGELES WA 98362 (360) 460-1514 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY DRIVE WAY 54171 50.00 7/11/05 1/07/06 Plan Check Fee Valuation .00 o Qty Un~t 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 - ~ ...- ~ ~ ~ ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate 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 v' te or ancel the provisions of any state or local law regulating construction or the performance of constructi Signature of Owner (If owner is builder) Slg T \Pollcles\ 11 02 15R [1105] Date