HomeMy WebLinkAbout908 W 11th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MICHAEL /MELINDA SZATLOCKY
32 SOUTHRIDGE RD
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
T•\Policies11102.15R [1/05]
WA 983639439
Qty Unit Charge Per
1 00 715 0000 EA PW
Charged
Permit Fee Total 715 00
Plan Check Total 00
Grand Total 715 00
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST3THSTREET PORT ANGELES, WA 98362
06 00000314
765226
908 W 11TH ST
06 30 00 0 3 -5205 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
PUBLIC WORKS RES WATER SERV
SEPERATE 2 ON 1 DUPLEX
73924
715 00
4/05/06
10/02/06
Plan Check Fee
Valuation
W/M 1 SERV 5/8 METER
Paid Credited
715 00 00
00 00
715 00 00
Date 4/05/06
Due
00
00
00
00
0
Extension
715 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 specified herein or not. The granting 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
CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\Policies\ 1102.15R (I/05]
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
PERMIT INSPECTION RECORD
INSPECTION TYPE DATE ACCEPTED
YES I NO
RESIDENTIAL
CONSTRUCTION R.W PW/ 417 -4807
ENGINEERING
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
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COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
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