HomeMy WebLinkAbout836 E 10th St - Engineering
PUBILle WORKS & R/W PERMIT
Attached Notes
Issued
5/09/2002
1277
o
OWNER/APPLICANT
Janice Martel
836 East 10th St
Port Angeles, WA 98362
000/604-2679
PROJECT INFO
Work is
Plans Required
Contractor' KUCHAN CONST
Performance Bond Required
Proof of Insurance
Work to Perform
Permit No
Work Order'
-____PROPERTY LOCATION--------
836 10TH ST E
Lot: 1 & 2
Subdivision TPA
Parcel No 063000033500000 I ! Long Legal
Block. 335
Value Work.
$000
Start Date
I I
Finish Date
360/457 -7142
I I
Amount:
$000
Install ~
Repair D
Watermain D
PROJECT NOTES- - ----------
this permit was orginally issued under permit # 1269 permit system
lost numerous listings of permits re-issued under this number TF
5/29/02
Sanitary Sewer
Storm Drain
Underground Tele/Elec
Misc
FEES ASSESSMENT- "_~__n.______._ ___________
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' $74500
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 ) Misc' $000
13 ) San Sewer SFR $95 00 -------------
TOTAL FEE $885.00
14 ) San Sewer MFR $000 ------------
add unit 0 Amount Paid $885 00
-
Receipt No 7425 ---..-.
Inspection Fee $000 Balance Due $000
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST ~ /
Date .> / z/j/ tI ~ime
Received by
(phone, person)
<13& 6/0'+J1
kL-Lc...hg.y'\
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Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
~~= ~himneY Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date ~ - ;L '9 -0 2-- Time
Remarks C-o.~ lR~
Phone No
Permit No
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PWI
By ~--(A d
RESTORATION REQUIRED
YES
NO X
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SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Other
Work Order #
D COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
(DATE)
STREET SUPERINTENDENT