HomeMy WebLinkAbout3515 Old Mill Rd - BuildingO PORT 4
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
35 bore across Ahlvers
Owner
MAZARIEGO TERESA M /SAUL A
3515 OLD MILL RD
PORT ANGELES
Permit RIGHT OF WAY
Additional desc 35 BORE 50
Permit pin number 138784
Permit Fee 70 00
Issue Date 12/15/08
Expiration Date 6/13/09
T \Policies\ i 102 15 10/08)
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983623727
70 00
00
70 00
08 00001508
127644
3515 OLD MILL RD
06 30 15 6 1 0203 0000
WAVE BROADBAND
PUBLIC WORKS UTILITES
UNKNOWN
0
50 dig along Ahlvers Rd
BASE FEE
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
Contractor
BURIED CABLE
Plan Check Fee
Valuation
Paid Credited
70 00 00
00 00
70 00 00
Date 12/15/08
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES
(360) 452 1110
WA 98362
Due
00
00
00
00
0
Extension
70 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
INSPECTION TYPE DATE
RESIDENTIAL
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 [10/081
PERMIT INSPECTION RECORD
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
ACCEPTED
YES 1 NO
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I