HomeMy WebLinkAbout510-512 Lopez Ave - Engineering
RPR 12 2007 1 1 14 FR TRRFTON B
253 471 1324 TO 13604174709
P.01
78508 S. T",don
T8~oma, VI A 98409
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To: City of Port Angeles Fax; 360-417-4709 (Tel 360457-4807)
From: Qwest Communications Date: 4/12/2007
Re: Pages:
CC: Dona Thau! 253 597 5136
DUrgan! o For Review o PI_ Conmant o Plea5e Reply D Please Reqr;1e
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, ~:'FiliUiwn. 360 417-4807
":F.mri~appiication", for 510 & 512 Lopez Ave
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WP0700622-452C
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RPR 12 2007 11:14 FR TRAFTON B
253 471 1324 TO 13604174709
P.02
'6'11' t@Ved g)~
FUlUC WORlB '.." __
WP0700622-452C
P~rmir To Perform Worle In Street Ri;ht-of-WIlY
APPLICATION is her~by m~de to the municipality of PORI' ~1"C1 _ to perform work as
nored hereon and .5 .,hown on an.ched drawing:
P l..EA5E- :see.. Ai"C AC tfE b .5i<-Eli: ~#'
Place Buried service wire in ROW to provide telephone service at
510 & 512 Lopez Ave
Approved:
Water Department - Superintendent
;
Sewer Department - Superinte.nc1ent
The estimated time fer'completion of the above work Is JD 7:>AYS A"Ple'lL fi Jl:~1i.1.P'I
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By
Excel- BSW~~WEST- Dona Thaut
Date.'
P~~v6 253/S97-S13E_
rAX 253/471-1324
Contractor Owner
OWES, /Aif~ ; "B'SvJ
7850-B s. Trafton( TAcoma,WA
THE ABOVE APPLICATION IS HEREBY GRANTED SUBJEcr TO APPI.lCAl'IT'S;
Complying with all Municipal Ordinances;
NotJryinll the Street Superintenl1ent of the time the work w1llstllr:, and when it will finish:
Proseeutlnc the worle with diligenc~ and with due respect to an property. eOn tract!, penons'
nghts and the intereSts and convenl.n~ of the jNblic;
Saving the M unicipalfty harmless from al'lY and aU damage. which rnay accruo to any penon
or prollerty because of this installation or the mlUlltel'lance thereof;
Complyinc with following slleclll! cOl'lditlons:
Date
19
City.c:i! PCR~ ANGELES
BV
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APR 12 2007 11:14 FR TRAFTON B
2534711324 TO 13604174709
P,03
QwestJob # ~P0700(PXJ.-452
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This request for permit is for the placement of underground telephone service wire to
our customer at the following address:
,J1/D 4J .5/?r Lope-2- au d
This work will require:
Plowing in the R/W (total footage)
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Push or bore 2 inch pve or BIP under roadway (total footage)
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)
*All crossings and ROW work at 36 inches. -All pits and trenching require select fill,
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
07~375
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
subdivision Name
property Use
Property zoning . .
Application valuation
07-00000375 Date
113625
510 LOPEZ AVE
06-30-10-5-0-1108-0000-
PUBLIC WORKS UTILITES
4/16/07
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
CAMPBELL, KEVIN & MARY
506 E. WHIDBY AVE. #5
PORT ANGELES, WA.
PORT ANGELES WA 98362
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452-1110
0/D ~ 5!2-
Permit
Additional desc .
Permit pin number
Permi t Fee
Issue Date
Expiration Date
RIGHT OF WAY
510&512 LOPEZ BURIED PHONE LIN
99291
.00 Plan Check Fee
4/16/07 Valuation
10/13/07
.00
o
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 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.
Date
Signature of Owner (if owner is builder)
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102.15R [1105]