HomeMy WebLinkAbout1023 W 5th St - Engineering
PUBILle WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
Cher Merrill
1023 W 5th St
Port Angeles, W A 98362
000/604-2340
PROJECT INFO
Wark is
Plans Required Start Date
Contractor' CHAPMAN HOME & YARD
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
5/30/2002
Permit No
Work Order'
1279
o
PROPERTY LOCATION
1023 5TH ST W
Lot:
Subdivision
Parcel No
Block, 109
TPA
D Long Legal
Value Work.
$000
I I
Finish Date
3601417 -9531
I I
$000
~ Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
~ Mise
gravel in R/W
PROJECT NOTES
FEES ASSESSMENT
1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000
2 ) Sidewalk $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17 ) Sew Capl W 1M Removal $000
4) Driveway' $000 18 ) Alter Repair Sewer' $000
5 ) Dwy Culvert: $000 19 ) Storm Drain $000
6 ) Street Cut: $000 20 ) Catch Basin per ea. $000
7 ) Other R/W $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $000 22) Milwaukee Dr Sew Ass $000
9 ) Res Water Servo $000 23 ) R/W Use Perm $000
10 ) Comm Water Servo $000 24 ) Admin Cost (D RA) $000
11 ) Other Water Service $000 25 ) D RA. $000
12 )Water System Dev' $000 26 ) Mise: $000
13 ) San Sewer SFR $000 TOTAL FEE. $45.00
14 ) San Sewer MFR $000
add unit 0 Amount Paid $45 00
Receipt No 7417
Inspection Fee $000 Balance Due $0.00