HomeMy WebLinkAbout1400 - 1600 E Front St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBILle WORKS & R/W PERMIT
D Attached Notes
OWNERlAPPLlCANT
City of Port Angeles
321 East 5th Street
Port Angeles, W A 98362
000/604-7406
PROJECT INFO
Work is
Plans Required Start Date
Contractor' PRIMO CONSTRUCTION
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
10/02/2002
Permit No
Work Order'
1339
o
PROPERTY LOCATION
FRONT STREET E
I Lot:
Subdivision
Larcel No
Value Work.
Block.
D Long Legal
$000
I I
Finish Date.
360/683-5447
I /
$000
['g] Install
o -Repair
o Watermain
D Sanitary Sewer
D Storm Brain--
D Underground Tele/Elec
['g] Misc
c&g - sidewalk
PROJECT NOTES
city sidewalk project 20-31 Eastern Corridor Entryway
sidewalk, curb and gutter installation on Front Street - Penn Street
west to Ennis Street.
Project to include pavement markings as various locations
FEES ASSESSMENT
1 ) R/W 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 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 Serv- $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 $000 TOTAL FEE. $0.00
14) San Sewer MFR. $000
add unit 0 Amount Paid $000
Receipt No --~------
Inspection Fee $000 Balance Due $0.00
RW SANITARY WATER DWY STORM DRA OTHER
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 does not presume to give authority to violate or cancel the
provisions of any state or local law regulating construction or the performance of construction.
Signature of OWner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date