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HomeMy WebLinkAbout2374 E 3rd Ave - BuildingApplication Number 09 00000988 Date 9/30/09 Application pin number 237620 Property Address 2374 E 3RD AVE ASSESSOR PARCEL NUMBER 06 30 12 5 8 2000 0000 Application type description EUGA PUBLIC WORKS UTILITIES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Connect to City EUGA sewer Owner Contractor SELLERS DAVID /MARDI 2374 E 3RD AVE PORT ANGELES Other Fees Fee summary T \Policies \1102 15 [10/08] WA 98362 Qty Unit Charge Per 1 00 135 0000 EA EUGA SAN SEWER HOOKUP CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Charged Paid Credited Due KEN REANDEAU INC 73 PAULINE RD PORT ANGELES (360) 452 2054 Special Notes and Comments Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Signature of Contractor or Authorized Agent Date WA 98362 Permit EUGA SAN SEWER HOOKUP Additional desc Permit pin number 154187 Permit Fee 135 00 Plan Check Fee 00 Issue Date 9/30/09 Valuation 0 Expiration Date 3/29/10 EUGA COUNTY SEWER DEV FEE 3229 00 EUGA CITY SEWER DEV FEE 1510• 00 Permit Fee Total 135 00 135 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4739 00 4739 00 00 00 Grand Total 4874 00 4874 00 00 00 Extension 135 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 Si n atur of Owner QT so9 g (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102 15 [10 /08] PERMIT INSPECTION RECORD CALL 417-4831 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 YES 1 NO I I I I I I I I 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 I BUILDING