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HomeMy WebLinkAbout1035 W 12th St - BuildingOF pORT Application Number 06 00000645 Application pin number 756250 Property Address 1035 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 5345 0000 Tenant nbr name QWEST Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor SWENSON MARGARET ANNE 1035 W 12TH ST PORT ANGELES WA 98363 Fee summary Charged Paid Credited T \Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 6/16/06 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452 1110 Permit RIGHT OF WAY Additional desc 205 BURRIED PHONE LINE Permit pin number 80424 Permit Fee 00 Plan Check Fee 00 Issue Date 6/16/06 Valuation 0 Expiration Date 12/13/06 Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 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 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102.15R [1/05] RESIDENTIAL PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING