HomeMy WebLinkAbout150 Del Guzzi Dr Hydr - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Fire Hydrant meter
Owner
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES
Permit PUBLIC WORKS
Additional desc FIRE HYDRANT
Permit pin number 172429
Permit Fee 1 300 00
Issue Date 8/31/10
Expiration Date 2/27/11
Qty Unit Charge Per
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T \Policies \I 102 15 [10/08)
WA 983620217
BASE FEE
%C -ice mil' 3l 2 0 2
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00000939
581201
150 DEL GUZZI DR HYDR
R6 30 00 0 0 0000 0000
PUBLIC WORKS UTILITES
UNKNOWN
0
1 SQ..Y\ L -G
Contractor
OWNER
COMM WATER SERV
METER
Plan Check Fee
Valuation
Charged Paid Credited
3)0 00 300 00 00
00 00 00
3)0 00 300 00 00
Date 8/31/10
Due
00
00
00
00
0
Extension
300 00
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 reby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordi nces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to ive authority to vi to or cancel the provisions of any state or local law regulating construction or the performance of
constructi
Signature of ContractorAu#K1'ized 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
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T'\Policies \1102 15 [10/08]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
I FIRE 417 -4653
I PLANNING DEPT 417 -4750
BUILDING 417 -4815
YES I NO
PERMIT INSPECTION RECORD
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING