HomeMy WebLinkAbout1630 W 13th St - Engineering
PUBILIC WORKS & R/W PERMIT
OWNER/APPLICANT D Attached Notes
DOUGLAS BEATTIE
1630 W 13TH ST
Port Angeles, WA 98363
000/604-2325
PROJECT INFO
Work is
Plans Required Start Date
Contractor. LARRY'S EXCAVATING
Performance Bond Required Amount:
Proof of Insurance.
Work to Perform.
Issued: 11/09/2000
Permit No
Work Order.
1111
o
PROPERTY LOCATION
1630 13TH ST W
Lot: 7 & 8
Subdivision. TPA
Parcel No 063000040230000
Block: 402
D Long Legal
Value Work:
$000
1 1
Finish Date.
360/457-7469
1 1
$000
D Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
REO FOR BILLING SENT TO FINANCE 10/4/00
payment made 11/09/2000 per Cheryl Possinger
FEES ASSESSMENT ----.--.---
1 ) RIW Excav. $000 15 ) Other San Sewer. $000
2 ) Sidewalk: $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter. $000 17 ) Sew Capl W/M 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 RIW. $000 21 ) Sewer System Dev. $745 00
8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $000
9 ) Res Water Servo $000 23 ) RIW Use Perm: $000
10 ) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000
11 ) Other Water Service. $000 25 ) 0 R.A. $000
12 )Water System Dev. $000 26 ) Misc: $000
13 ) San Sewer SFR $95 00 TOTAL FEE. $840.00
14) San Sewer MFR $000
add unit: 0 Amount Paid $840 00
Receipt No
Inspection Fee $000 Balance Due $0.00
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. .
REQUEST ./ /
Date !J/-Z4-/ ZiJzn) Time
Received by
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(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
c5Youndation Framing Chimney
/&30 fA.) 13~
dR~El.t'~
Phone No
Permit No
Plumbing Final Sewer Excav Other
/// /
INSPECTION NOTES Ii.
Inspected Date q tIj/Z~110
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Remarks C"" vvt ,) I",-T-<L
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Time
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By (A..A.rJ
RESTORATION REQUIRED
YES
NO )(
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)