HomeMy WebLinkAbout1229 W Lauridsen Blvd - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 12/18/97 LC Permit No: 784
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT-------------------_____PROPERTY LOCATION---------_______________
HANKINS 1229 LAURIDSEN BLVD W
Lot: 13 ____
Port Angeles,WA98363 Block: 458 Long Legal: ~
360/000-0000 Sub: ~
PROJECT INFO---------___________________________________________________________~
Work is N/A traveled road Value Work: $O.OO~
~ ~o.oo t
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform: INSTALL * Watermain
Sanitary Sewer
Storm Drain
Underground Tele/Ele
Misc
NOTES---------__________________~_______________________________________
PROJECT
ttup0v- ~
PROJECT FEES ASSESSMENT------___________________________________________________
R/W Excav:
Sidewalk:
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut:
Other R/W:
Fire Hydrant:
Res Water Serv: *
* 5/8"
3/4"
1"
Corom Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
Receipt No: 3707
Inspection Fee:
R/W
SANITARY
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$125.00
San Sewer SFR:
San Sewer MFR:
Add Unit: 0
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer:
Storm Drain Tap:
Catch Basin per ea:
Sewer System Dev:
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A. :
Admin Costs (D.R.A):
Misc:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$125.00
$125 00
BAL DUE:
-----------------------
$0.00
Separate Permits are required for electrical work, 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 doesfot 'osume to gNe authority to '""late., cancel..e.
p'_on, of any state 0' local low regulating construction", the perto'maje of co~ .on~ 1)( fig}
- - /iu~-V\ ~ ~2 A~ I(
SiQnature of Contractor or Authorized AQent Date / Sianature of Owner (if owner is builder) Date
$0.00
TOTAL FEE:
AMT PAID:
$0.00
WATER
DWY
STORM
DRA
OTHER