HomeMy WebLinkAbout1711 W 14th St - Engineering
OWNER/APPLICANT D Attached Notes
THOMAS
1711 W.14TH ST
Port Angeles, WA 98363
000/604-2393
PROJECT INFO
Work is:
Plans Required: Start Date:
Contractor: QWEST COMMUNICATIONS
Performance Bond Required: Amount:
Proof of Insurance:
Work to Perform:
PUBILle WORKS & R/W PERMIT
Issued: 12106/2000
Permit No:
Work Order:
1130
o
PROPERTY LOCA nON
1711 14TH STW
Lot: 17,19
Subdivision: TPA
Parcel No:
Block: 403
~ Long Legal
~ Install
o Repair
o Watermain
Value Work:
$0.00
I I
II
Finish Date:
3601000-0000
$0.00
o Sanitary Sewer
o Storm Drain
~ Underground Tele/Elec
o Misc
PROJECT NOTES
PUSH UNDER ALLEY BETWEEN 13TH & 14TH ST APPROX 55'
FEES ASSESSMENt
1.) RIWExcav: $0.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00
3.) Curb/Gutter: $0.00 17.) Sew Capl WIM Removal: $0.00
4.) Driveway: . $0.00 18.) Alter Repair Sewer: $0.00
5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00
6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00
7.) Other RIW: $0.00 21.) Sewer System Dev: $0.00
8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00
9.) Res Water Serv: $0.00 23.) RIW Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $0.00
11.) Other Water Service: $0.00 25.) D.R.A. $0.00
12.)Water System Dev: $0.00 26.) Misc: $0.00
13.) San Sewer SFR: $0.00 TOTAL FEE: $0.00
14.) San Sewer MFR: $0.00
add unit: 0 Amount Paid: $0.00
Receipt No:
I nspection Fee: $0.00 Balance Due: $0.00
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SSW Order FormlSlwtch Number WO()Oo 332-/ PI9D \~
Wire Cen1e~ ~!J-02 DalIl8ubmmld .II 00 EfleDtlvo Date 7-1-87
TlieHN1CIAN PAGi: COMPLETE oNI BOX ONLY (A, B or
A.INSTALLATlON" REPAIR f B. ENGINEERING Co PRSPROVISIONING
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1. CPed for SSW IJ C TN a. Report Pl8bury hlUi baen
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s. Repair DOS 0 1. Over SIKf (Rural) Q '1W>> lIf prebll'ry:
4. CPed for F1-F2. lllell ned BSW 0 2. Rluht of way Dr permilli Q PloW Q Open Trenc:h
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D Ind E ALWAYS REQUIRED
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PUBUC WORKS
Permit To Perform Work In Street Right-of-Way
APPLICATION is hereby made to the municipality of PORT ANGE.lES to perform work as
noted hereon and as shown on attached drawing:
LJ rJ 'D t7{1.
I ~ -"\,Jt- ~ J Lf-r;l
YLi::,A56 SEE AT\. Ac\1E.b
! ~/L-~& 1130
Approved:
st.
Pr LL-~ BEjWuE tJ
fr-P~X 55' RJ GJ
sr-ETC Ii 00- ~q2 lJ
fLJ ~n
Water Department - Superintendent
Sewer Department - Superintendent
10 JY1 ys of IZECE I f'i
By (l\~~ (~ '/0
3&0 - '178 -'f4ZZ-
Contractof Owner
US WEST /ATTN: MISTY
(.,.1 \ -G,>::\l:. STREET .'5A'S6m6\lT
BREMERTON. Wf\SH1NGIDN <1B3s
THE ABOVE APPLICATION IS HEREB Y GRANTED SUB] ECT TO APPLICANTS:
The estimated time fOf completion of the above work is vJ IT t-\ I rJ
Date
Jov.
~) p}. 2--000
Complying with all Municipal Ordinances;
Notifying the Street Superintendent of the time the work will start, and when it will finish:
Prosecuting the work with diligence and with due respect to all property, contracts, persons'
rights and the interests and convenience of the public:
Saving the Municipality harmless from any and all damages which may accrue to any person
or property because of this installation or the maintenance thereof: .
Complying with following special conditions:
Date
/2--0- ZOUv
19
City of 'Po R:l ANG EL ES
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