HomeMy WebLinkAbout1200 Highland Ave - Buildingof c."4
Application Number 07 00001240
Application pin number 968480
Property Address 1200 HIGHLAND AVE
ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000
Tenant nbr name QWEST
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
T•\Policies \1102.15R'[ 1/05]
WA 983620217
CITY OF PORT ANGELES'
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
OWNER
Date 10/24/07
Permit RIGHT OF WAY
Additional desc, BURY PHONE CABLE ,IN R'%W
Permit pin number 114017
Permit Fee 00 Plan Check Fee 00
Issue Date 10/24/07 Valuation 0
Expiration Date 4/21/08
Fee summary Charged Paid Credited Due
Permit. Fee Total 00 00 00 00
Plan Check" Total 00 00 0.b A0.4 v
Grand Total 00 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 of180 days after the work :as commenced, or if required inspections have not been requested within 180 days from the Iasi
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 ofwork 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.buildery Date
0
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 -4807
FIRE 417 -465= I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T \1102.15R 1 1/051
RESIDENTIAL
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
YES 1 NO
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R-W
PW ENGINEERING
1 FIRE DEPT
I PLANNING DEPT
BUILDING