HomeMy WebLinkAbout2303 W 12th St - Engineering
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
05-00000482 Date
109428
2303 W 12TH ST
06-30-00-1-0-5515-0000-
PUBLIC WORKS UTILITES
6/17/05
RS9 RESDNTL SINGLE FAMILY
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Owner
Contractor
KEDISH, STEWART AND MARGIE
P.O. BOX 507
PORT ANGELES WA 98362
(360) 457-5005
OWNER
Permit . . . . .
Additlonal desc .
Permlt pln number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
SEWER/WATER LATERAL TO PROP.
52100
50.00 Plan Check Fee
6/17/05 Valuation
12/14/05
.00
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Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
LATERAL TO PROPERTY
52092
110.00 Plan Check Fee
6/17/05 Valuation
12/14/05
.00
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V')
-\-
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
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Fee summary Charged Pald Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 160.00 160.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 160.00 160.00 .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 abandorled
for a period of 180 days after the work as commenced, or If required inspections have not been requested within 180 days from the I~st
inspection I hereby certify that I have read and examined thiS application and know the same to be true and correct. All provlslonJ of
laws and ordinances governing thiS type of work Will be complied with whether speCified herein or not. The granting of a permit does hot
I
presume to give authority to violate or cancel the provIsions of any state or local law regulating construction or the performance of
const uctlon. I
.~~ I
Signature of Owner (If owner IS bUilder)
Signature of Contractor or Authorized Agent
T IPolJclesl1102 15R [1/05J