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Home My WebLink About1330 W Hwy 101 - Building CITY OF PORT ANGELES I PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00000702 Date 9/29/10 Application pin number 153680 Property Address 1330 W HWY 101 REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 08 -4 -3- 0070 -0000- on your state excise tax form Application type description PUBLIC WORKS UTILITES y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning UNKNOWN Application valuation 0 Application desc WUGA water service /connection Owner Contractor SPENCER KENNETH /DENA OWNER 1330 W HWY 101 PORT ANGELES WA 98363 Permit PUBLIC WORKS RES WATER SERV Additional desc WUGA WATER SERVICE /CONNECTION Permit pin number 168898 Permit Fee .00 Plan Check Fee .00 Issue Date 9/29/10 Valuation 0 Expiration Date 3/28/11 Other Fees WUGA WATER CONNECTION 5000.00 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 r q V Plan Check Total .00 .00 .00 .00 l/ Other Fee Total 5000.00 5000.00 .00 .00 Grand Total 5000.00 5000.00 .00 .00 G.� O 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 constr ction. ignature of Co -tor or Authorized Agent ate Signature of Owner (if owner is builder) Date T: \Policies \I 102.15 [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 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T:\Policies\1102.15 [10/08]