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HomeMy WebLinkAbout415 S Chambers St - Building ~PO!lT~ t~~.. L~ ~ "'<;;;<<' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING P~RMIT OWNER/APPLICANT LARRY SMITHSON 220 SOUTH PINE Port Angeles, WA 98362 360/452-4361 T: S: ISSUED: 10/23/2002 PERMIT NO: 13799 PROPERTY LOCATION 415 CHAMBERS S Lot: N1/20F10&11 Block: 178 D Long Legal Subdivision: RPA Parcel No: 063000017860000 CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Value: $2,000.00 Project Type: RE-ROOF Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD SO FT: 0 MFD Units: 0 MFD SO FT: 0 Commercial: Industrial: Garage: --L o o o =-- IT\ PROJECT NOTES TEAR OFF, FELT, COMP RECEIPT#9837 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $69.25 $0.00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (h \) ~ .....J '0.. r" -' r-O Mise Fee 1: Mise Fee 2: Mise Fee 3: $0.00 $0.00 $0.00 i7" ~ """ () TOTAL FEE: AMOUNT PAID: BALANCE DUE: $73.75 $73.75 $0.00 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 SiPCifil d herein or not. The granting of a permit does not presume to give authority to vioiate or cancel the provisions of any state or local aw regulating construction or the performance of construction. / / / ~ tv ~ L f1~~ I?J~/o~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) f Date T:\PLANNfNG\FORMS\1102.15 (4/2002]