HomeMy WebLinkAbout4327 Old Mill Rd - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 51HSTREET, PORT ANGELES, WA 98362
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00001162 Date 10/23/06
208582
4327 OLD MILL RD
06-30-22-2-1-9050-0000-
PUBLIC WORKS UTILITES
Owner
Contractor
BECKER LAURENCE M
309 S VINE ST
PORT ANGELES
OWNER
WA 983623214
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
BURIED PHONE CABLE IN R/W
89425
.00 Plan Check Fee
10/23/06 valuation
4/21/07
.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- -------- ---------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, 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 day$ 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 constructlo.n or the performance of
construction. .
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder) .
Date
T:\Policies\1102.ISR (lIDS)
OCT 11 2006 12:45 FR TRAFTON B
2534711324 TO 13604174709
P.Ol/03
Fax
Cover sheet
October 11. 2006
Sender info
Local Network
7850,B S. Trafton. Tacoma, WA 98409. Office: (253) 471-1324. Fax: (253) 597-5136
TO:
City of Port Angeles
FROM,
Dona Thaut
COMPANY:
ATTN: TRENIA
cc:
aWEST
FAX NUMBER: 360-417-4709
RE:
PHONE NUMBER 360-457-4807
TOTAL NO. OF PAGES INCLUDING~OVER:
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Comments:
Permit Application
WP0602003-452C
4327 S Old Mill Road
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OCT 11 2006 12:45 FR TRAFTON B
2534711324 TO 13604174709
P.02/03
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P~rmi[ To Perform WorK In Street RiI/tt-af,Way
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APPLICATION is iler~by made 10 th,e municipality of PORI' ~:~.~ . to perform work as
nOTed hereon and as ,lholNn 011 allached drawing;
:PLe"A5E. :5e.E:. AI(' Actte 'b
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Place Buried Service Wire in ROW, to provide telephone service at
4327 S. Old Mill Road work.will require a road crossing.
Approved:
"
Water Departznent - Superintendent
Sewer Departmen~ - Supenntendent
The estimated time for completion of the above worle lJ ID 1)AYS AF11::lL n F(,~
Dale.'
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By_
Excel- BSW~QWEST- Dona Thaut
PH'v~ 253/597'--513.6_
r-A'x. 253/471-1324
ContraClor Owner
DWE.5T /1(lTi~ ;BSw
7850-B s. Trafton\ TAcoma.WA
THE ABOVE APPLICATION IS HEREBY GRANTED SUBJEcr TO APPUCANr"S:
Complying Wilh all MuniCipal Ordinances;
Notifyin, lhe Slreet Superintendent of the time tho work Will sUir:, and when il will finish;
Prosecuting lhe work ....ith cliliscncc and wilh du.. rIO'P"c110 "n prol'orry, contracts. persons'
rishts and lhe inlere5ls and convenience of Ille public;
Saving the Municipality harmless f"!m any and aU dllmase, which may accrue to any penon
Or prOperty because of this inslallarion or rho mai"lenance thereof;
Complying Wilh followins special cond/nons:
Dale
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Cltyot PaRl' ANGEI.ES
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OCT 11 2006 12:45 FR TRRFTON B
2534711324 TO 13604174709
P.03/03
Qwest Job #
W f'/ Dfd):;{)03- '162L
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This request for permit is for the placement of underground telephone service wire to
our customer at the following address:
432-1
S. OLD ~ IL-L Qot
This work: will require:
Plowing in the R/W (total footage)
fr
Push or bore 2 inch PVC or BIP under roadway (total footage) .10 I
Push or bore 2 inch PVC or BIP under driveway (total footage) ()
Push or bore 2 inch PVC or BIP under multiple driveways (total footage) 0
"All crossings and ROW work at 36 inches, "All pits and trenching reqUire select fill.
** TOTRL PRGE.03 **