HomeMy WebLinkAbout815 Seamount Dr - Engineering
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
DEAN KAUMANS
815 SEAMOUNT DRIVE
Port Angeles, W A 98362
000/604-7112
PROJECT INFO
Work is:
Plans Required: Start Date:
Contractor: QWEST COMMUNICATIONS
Performance Bond Required: Amount:
Proof of Insurance:
Work to Perform:
Issued:
5/16/2003
Permit No:
Work Order:
1380
o
PROPERTY LOCATION
815 SEAMOUNT DRIVE
Lot: 8
Subdivision:
Parcel No:
Block:
SEAMOUNT ESTATES
063000950060000 0 Long Legal
Value Work:
$0.00
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Finish Date:
360/000-0000
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$0.00
r:><J Install
o Repair
o Watermain
o Sanitary Sewer
o Storm Drain
r:><J Underground Tele/Elec
o Mise
PROJECT NOTES
placement of buried service wire for customer at 815 Seamount Drive to
include 50' road push
FEES ASSESSMEN"f
1.) RIW Excav: $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 W 1M 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.) DRA $0.00
12.)Water System Dev: $0.00 26.) Mise: $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:
Inspection Fee: $0.00 Balance Due: $0.00
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PUlUCI WOI*.S
P~rmi[ To Perfonn Work In Str~et Ril:ht-af.Way
APPLICATION is her~by rnijde to the municipality of PORI' ANGELES
nOTed hereon and ijS .hown on ijlTuched drawing:
. to perform work as
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Water Department - Superint4lnaent
P.02/03
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Tile estimated time for'completion of the above work Is ID "))A~S AF-relL n prE'I~': '::, ,
Contractor)( Owner
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THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPI.ICANT'S: ',' '.'
Datc I") Ar 15
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Complying with all Municipal Ordinanccs;
Notifying the Street Superintcndent of thll time the work will !tllr:, and when !t will finish;,
PrOK"utlnl;. the work with ailig~nce Bnd With due resp~c:t to .11 prol'~rty. contracts. pene>n9'
rights llnd the interests and convllnience of the P\1blic;
Saving the Municipality harmless ffgm any and aU demBRc, which rnay accrue TO any penon
or propertY because of thl! installation or the mallltenance thercof;
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MAY 15 2003 12:37 FR TRAFTON B
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This request for permit is for the placement of underground telephone service wire to,
our customer at the following address:
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This work will require:
Trenching in the R/W (total footage)
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Push or bore 2 inch PVC or BIP under roadway (total footage)
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Push or bore 2 inch pvC or BIP under multiple driveways (total footage)
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Push or bore 2 inch PVC or SIP under driveway (total footage)
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"All crossings and ROW work at 36 inches.
"All pits and trenching requires select fill.
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PAGE. 03",:;;/-