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HomeMy WebLinkAbout31 Benson Rd - BuildingApplication 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 Owner PATTERSON KENNETH 31 BENSON RD PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees WUGA WATER CONNECTION Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T \Policies \1102 15 [10/08] WA 983639490 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00000703 236520 31 BENSON RD 06 30 08 4 3 0080 0000 PUBLIC WORKS UTILITES UNKNOWN 0 Contractor OWNER PUBLIC WORKS RES WATER SERV WUGA WATER CONNECTION 168948 00 7/08/10 1/04/11 Charged 00 00 5000 00 5000 00 Plan Check Fee 00 Valuation Paid Credited 00 00 5000 00 5000 00 00 00 00 00 Date 7/08/10 5000 00 Due 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 fora 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 P4/-1,- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 5 9 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 FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies` 1102 I [10/08] 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO I I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I I