HomeMy WebLinkAbout314 Fogarty Ave - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 3/05/98 TF Permit No: 816
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION---------------~--------
JOHN ALDER 314 FOGARTY AVE
314 FOGARTY AVE Lot:
Port Angeles,WA98362 Block: 28 Long Legal:
360/457-9514 Sub: FOGARTY & DOLAN
PROJECT INFO--------------------------------------------------------------------
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor:
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
Work to Perform:
Storm Drain
Underground Tele/Ele
Mise
NOTES-------------------------------------------------------------------
NEW 3 PAIR X BLACK TOP ALLEY TO 314 FOGARTY IN REAR WEST CORNER
Watermain
Sanitary Sewer
PROJECT
PLACE
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"
I"
Comm Water Serv:
I"
1 1/2"
2"
oth Water Serv:
Water Sys Dev:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
San Sewer SFR:
San Sewer MFR:
Add unit:
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):
Mise:
$0.00
$0.00
o
$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
TOTAL FEE:
AMT PAID:
$0.00
$0.00
Receipt No:
Inspection Fee:
R1W
SANIT AR Y
$0.00
WATER
BAL DUE:
$0.00
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. AI.I provisions of Jaws 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 Contractor or Authorized Agent
Signature of Owner (if owner is builder)
Date
Date
CONmACTOR'S A/".cJ;PTANCE
RIm
Slc""tIW
TttIB
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Bill tOl USWd~t Communlostlons
Attention;
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City!
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Subdivision
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Conduit Pltlcad P;m1a1 [] Complete 1:1
BSW In Open Tr. Partiel [] Complete Cl
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TEL:360 452 8660
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BURIED Sl:RVICS WIRE #;13 ~O: '-/7 /
WORK ORDER DATE: 0/0/ 'f?
Date:
litH
ReeOMn\anded: Oaw:
ApprovDd by: DllUl:
PERMIT REOUJRED? nA& 0 No
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