HomeMy WebLinkAbout7th Ave Eklund Sub Lot 8 - BuildingpORT MO
CITY OF PORT ANGELES
PUBLIC WORKS. UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00001443 Date 12/06/07
Application pin number 536678
Property Address UNASSIGNED
ASSESSOR PARCEL NUMBER T6 30 12 6 2 0830 0008
Application type description EUGA PUBLIC WORKS UTILITIES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Owner Contractor
HOUSING AUTHORITY OF CLALLAM C &J EXCAVATING
2603 S FRANCIS ST PO BOX 430
PORT ANGELES WA 983626710 CARLSBORG
(360) 683 7741
WA 98324
Permit EUGA SAN SEWER HOOKUP
Additional desc EKLUND SUB 7TH AVE LOT 8
Permit pin number 117135
Permit Fee 120 00 Plan Check Fee 00
Issue Date 12/06/07 Valuation 0
Expiration Date 6/03/08
Qty Unit Charge Per Extension
1 00 120 0000 EA EUGA SAN SEWER HOOKUP 120 00
Other Fees EUGA COUNTY S -'DEV FEE ,3'000.00
EUGA CITY SEWER DEV FEE 1000
Fee summary Charged Paid Credited Due
Permit Fee Total 120 00 1 2 0 00' 00 00
Y
Plan Check'Total 00 00 00 00
Other Fee Total 4000 00 4000 00 00 00
Grand Total 4120 00 4120 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 1130 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
T•\Policies \1102.15R [1/05]
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 RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R [1/05]
PERMIT INSPECTION RECORD
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
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
1
I I
I I
I
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING