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HomeMy WebLinkAbout2307 W 12th St - Engineering f ~ORT "''''' cf4.0~~~ ~ ~-- "v8i.T~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000484 Date 416936 2307 W 12TH ST 06-30-00-1-0-5515-0000- PUBLIC WORKS UTILITES 6/17/05 RS9 RESDNTL SINGLE FAMILY o Owner Contractor KEDISH, STEWART AND MARGIE , 'P'. O. BOX 507 PORT ANGELES WA 98362 (360) 457-5005 OWNER PermJ. t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP SEWER/WATER TO PROPERTY 52118 118.00 Plan Check Fee 6/17/05 Valuation 12/14/05 .00 o ~ ~ I' J:s I. Qty ,1.00 1. 00 Unit Charge Per 110.0000 EA SAN SEWER HOOKUP 8.0000 EA SAN SEW HOOKUP ADD/UT Extension 110.00 8.00 ~ *- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 118.00 118.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 118.00 118.00 .00 .00 Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements. ThiS permit beco~es null and void If work or construction authonzed IS not commenced Within 180 days, If construction or work is suspended or abandoned for a penod 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 provlslon~ of laws and ordinances governing thiS type of work Will be compiled With whether specified herein or not. The granting of a permit doestnot presume to give authonty to Violate or cancel the proVIsions of any state or local law regulating construction or the performanc of cons ction. ~ 7 Signature of Contractor or Authonzed Agent Signature of Owner (If owner IS bUilder) Da I T \Pohcles\1102 15R [1/05] \