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Home My WebLink About1100 E Park Ave - Buildingc bnstruction. eg Application Number 07 00000729 Date 7/31/07 Application pin number 089966 Property Address 1100 E PARK AVE ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name WESTERN TELCOM INC Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Owner Contractor CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES Permit RIGHT OF WAY Additional desc RUP 07 30 Permit pin number 105155 Permit Fee 70 00 Issue Date 7/31/07 Expiration Date 1/27/08 Qty Unit Charge Per Fee summary Charged Paid Credited Permit Fee Total 70 00 70 00 00 00 Plan Check Total 00 00 00 00 Grand Total 70 00 70 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. 1 hereby certify that 1 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 giv authority to violate or cancel the provisions of any state or local law regulating construction or the performance of T\Policies \1102.15R [1/05] WA 983620217 BASE FEE OWNER re of Contractor or Authorized Agent CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Plan Check Fee Valuation Date Due 00 0 Extension 70 00 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 T-\Policies\ I IO2.15R 1 /05j RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO PERMIT INSPECTION RECORD YES 1 NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING NAME OF APPLICANT NES E Z.K e ftliDA 1EL DATE JUN I 07 MAILING ADDRESS 14 101 PIQNExR WK G' STE D 1 WP' 4 05312. PHONE NUMBER 251 k 6 401 STREET ADDRESS OF PROPOSED STREET USE 2 1 S' DESCRIPTION OF REQUEST (Include drawings required for clarity): lif street closure is requested please site the name of the street and limits of closure, together with the duration of closure.] _jo s u.3 r' 0-M0t3 i Al•tb w rr tt,. t1 f A7 v61E I%oL3 v J izaitAr—S,5 W tr tom. Tt4. ettU IS THE USE TEMPORARY OR PERMANENT? rig ir4440StOr HOW LONG WILL THE OBSTRUCTION BE IN PLACE? 1 WHAT ARE THE HOURS OF OPERATION? 2 r HOW IT WILL. BE LIGHTED? NlA UJ4LHT EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD BE USE(? •r14 o rr�� 1� frt r¢m-kiv .rut.tri ow a oulakkozzicriP N 'w t nJr. iMaTimati.3 v a lt-rz bj w. tL --v.S,g iu,q EN,1 ST 4dir V) Q B,tx6 R 3 b Tr.4x1+I toluV IPA 44 L R11K C HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipei Code, and In consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement (Idle above described stet use or obstruction, the undersigned for himself and for hts successors In Interest, hereby agrees to Indemnify, hold harmless, and defend the City of Port Angeles a any dims or lawsuits for persona! injury or property damage arising out of, or in any way connected with, U T� rye use or obstrtadfon on the City street, sIdewalk, la strip, or ht t way T 4 DATED t ay ofi�n 2DC� 7 14oTARy Ft g1, C r NOTARY P BLJC for Washington, y► 7a!1.1._ D residing at r �a Mycommissio expires: -i 477tis psimi if epprove4 may be tanntna(er by the City of Poe withal cause and at any thnn) fOFRRCE USE ONLYJ Date application received 6- /Z- Ufj Fee paid Date Cert1Etcete of Insurance per PAMC 11 12.140(8) received Agreement to Remove Encroachment Signed and on and recorded on ApplicatIon re L�at�i and recommendation by City Engineer is to deny or ro and with the foll conditions: kit t �nQvY1 CC 4f r .-Ed U V) ry A A 1 r "�f �J t^ e l L per v veLb c c� wrs•-l- to aS c&rrc".41„ '<A u 1 rd by the Director of Public Works Application co y IGHT OF WAY USE PERMIT Applicant Appwed COOP in: Appgraid. 0 Fire 0 Police 0 Street 0 Other 0 Address Pis 0 NVW1(319t4O NEER\Urlaan Standards kovisecti2O38 VersianlChttROW Uoe Ptientlicloc Oa d '7 Receipt 07 !!!!1 NIA N/A A) Dale ut.tremeLtts 0 Date 7/9 RUP# 01 —L 6€( dr1140 MAI „od,JECI ay aw T �r„1r1E� i MAI.i1? rskt, 3V alt_1504 EX PHONE CAD EX POWEF. SIDEWALK STREET r 0,14 FtjSF_"1?_ 0, To (Prrr,v -tEtA rm 3 4-013,4 4