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HomeMy WebLinkAbout1248 W Hwy 101 - Buildingo° °o rW Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc WUGA water service /connection fee Owner TRIGGS PATSY A /STEVEN K PO BOX 1738 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary Charged T' \Policies \1 102 15 10/08] Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 98363 00 3/15/10 9/11/10 00 00 5000 00 5000 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00000199 072260 1248 W HWY 101 06 30 08 4 3 0000 0000 PUBLIC WORKS UTILITES UNKNOWN 0 Contractor OWNER PUBLIC WORKS RES WATER SERV WUGA WATER CONNECTION 162347 Plan Check Fee Valuation WUGA WATER CONNECTION Paid Credited 00 00 5000 00 5000 00 00 00 00 00 Date 3/15/10 5000 00 Due 00 00 00 00 00 0 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 -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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITAR Y STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RE SID ENT IAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T' \Policies \1 102 15 [10/08] PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING