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HomeMy WebLinkAbout1629 W 15th St - Engineering ~f'ORT "'v. $.J.O~<?~ ~ 'L ~ ~ "4li:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 CZ) ;!- , Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subd~vision Name Property Use Property Zoning . . . Application valuation 04-00000224 Date .659616 1629 W 15TH ST 06-30-00-0-4-0770-0000- PUBLIC WORKS UTILITES 3/19/04 j RS7 RESDNTL SINGLE FAMILY o ~ ~ Owner Contractor OLSEN CHARLES E/K E 1629 W 15TH ST PORT ANGELES WA 983636846 OWNER Permit Additional Permit Fee Issue Date Exp~rat~on desc RIGHT OF WAY FENCE 6' NO. 115.00 3/19/04 9/15/04 OF CURB RUP#04-07 plan Check Fee Valuation .00 o Date Qty Unit Charge Per BASE FEE Extension 115.00 --- ~ <:),:) ......a Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .00 .00 ~ . - trr ~ ~ Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and public improvements. ThiS permit becomes 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 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 compiled With whether specified herein or not. The granting of a permit does not presume to give authonty 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 \PLANNING\FORMS\II02 15 [11/14/2003]