HomeMy WebLinkAbout626 1/2 E 9th St - Engineering
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
, Subd~vision Name
Property Use
Property Zoning . . .
Application valuat~on
05-00000764 Date
639656
626 1/2 E 9TH ST
06-30-00-0-2-8610-0000-
PUBLIC WORKS UTILITES
8/24/05
RS7 RESDNTL SINGLE FAMILY
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Owner
Contractor
KUPSTAS, ALBERT/E. M.
P. O. BOX 511
ctrSTER' SD 57730
(605) 440-0700
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
"Iss;l.le Date
Expiration Date
PUBLIC WORKS RES WATER SERV
W/M FOR APT IN REAR
58271
715.00 Plan Check Fee
8/24/05 Valuation
2/20/06
.00
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Qty Unit Charge Per
1. 00 715.0000 EA PW W/M 1 II SERV 5/8 II METER
Extension
715.00
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-----------~---------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 715.00 715.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 715.00 715.00 .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 after the work as commenced, or if required inspections have not been requested wlthm 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 ordmances governing thiS type of work will be complied with whether specified herein or not The grantmg 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 IPohclesll102 15R [1/05]