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HomeMy WebLinkAbout7th Ave Eklund Sub Lot 7 - Building't 4V MAO Application Number 07 00001442 Date 12/06/07 Application pin number 454532 Property Address UNASSIGNED ASSESSOR PARCEL NUMBER T6 30 12 6 2 0830 0007 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 Qty Unit Charge Per 1 00- 120 0000 EA EUGA SAN SEWER HOOKUP Fee summary T•\Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Charged Paid Credited WA 98324 Permit EUGA SAN SEWER HOOKUP Additional desc EKLUND SUB 7TH AVE LOT 7 Permit pin number 117127 Permit Fee 120 00 Plan Check Fee 00 Issue Date 12/06/07 Valuation 0 Expiration Date 6/03/08 Due Permit Fee Total 120 00 120 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4000 00 4000 00 00 00 Grand Total 4120 00 4120 00 00 00 Extension 120 00 Other Fees EUGA COUNTY SEWER'_DEV FEE 3000 00 EUGA CITY SEWER DEV TEE 1000 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 3 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 -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 I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING