HomeMy WebLinkAbout100 N Peabody St Sgnal - Building1
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
RCP #10 28 Fiber Optic drop wire to Olympic Printer
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total 75 00
Plan Check Total 00
Grand Total 75 00
Signature 7^ "ontri or Authorized Agent
T' \Policies \1 102.15 [10/08]
Qty Unit Charge Per
1 00 75 0000 ECH
WA 983620217
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00001007
417817
100 N PEABODY ST SGNAL
R6 30 00 0 0 0000 0000
EXCEL UTILITIES
PUBLIC WORKS UTILITES
UNKNOWN
0
Contractor
RIGHT OF WAY
RCP 10 28 FIBER OPTIC INSTAL
173229
75 00
9/16/10 Valuation
3/15/11
RIGHT OF WAY PERMIT
Date 9/16/10
EXCEL UTILITIES CONSTRUCTION
54 W MISTY LN
PORT ANGELES
(360) 452 1110
Plan Check Fee
Paid Credited
Charged Due
75 00
00
75 00
i0
Date
00
00
00
WA 98362
Extension
75 00
00
00
00
00
0
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 t e of work will be complied with whether specified herein or not. The granting of a permit does not
pre e o give authority to viol or cancel the provisions of any state or local law regulating construction or the performance of
c• strut
on
Signature of Owner (if owner is builder) Date
0
O
ce
5
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
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
I FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T \Policies \1102 15 [10/08]
RESIDENTIAL
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
PERMIT INSPECTION RECORD
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I I
I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING