HomeMy WebLinkAbout2138 W 10th St - Engineering
PUBILlC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
Barbara Brinkland
P. O. Box 285
Port Angeles, W A 98363
000/600-0000
PROJECT INFO
Work is:
Plans Required: Start Date:
Contractor: QWEST COMMUNICATIONS
Performance Bond Required: Amount:
Proof of Insurance:
Work to Perform:
Issued: 10102/2003
Permit No:
Work Order:
1388
o
PROPERTY LOCATION
2138 10TH STREETW
Lot:
Subdivision:
Parcel No:
Block:
Sea breeze
o Long Legal
Value Work:
$0.00
1 1
Finish Date:
360/000-0000
1 1
$0.00
~ Install
o Repair
o Watermain
o Sanitary Sewer
o Storm Drain
[S<J Underground T ele/Elec
o Mise
PROJECT NOTES
Placement of buried service line for customer at 2138 W 10th Street
to including 400' feet of city right of way
FEES ASSESSMENT
1.) RfW 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/M 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 RfW: $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.) RfW Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (DRA) $0.00
11.) Other Water Service: $0.00 25.) D.RA $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
'PlEA5E:.. 5e..e. A\'\ ACtfE b -5JC..ETj'" WFt W00305698/4'5Z~~.;',:::(;j
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Placement of bu'ried service wire for our customer at 2138 . .::.}i\m
w 10th St. to include 400 feet on the right-of-way. . ,,:.,,;',
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The estlmmd time forcomp!etion of the above wO~ke:7o D~~fflIt~;~:;;:te~:~E I ~. q'J;*\~
OCT 01 2003 13:55 FR TRRFTON B
2534711324 TO 13604174709
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PLIaJc WOIlKS
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A:PPUCA TlON is h~reby made to the municipality of PORI' ANGELEs
. to perForm .alork as'
nOTed hereon and a' ,~hown on anached draWing:
Isty
Pet'"VvlIT*
Approved;
Water Department - Sltperintendent
Date
Oct. 1. 2003
By Ryan Fuqua
X
Contractor OWnllr
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THE ABOVE APPLfCATlON IS HEREBY GRANTED SUBJECT TO APPI.1CAN1"S:
Ph:253-473-0788
Fx: 2'53-471-1324
Complying wilh all Municipal Ordinances;
NotifYing rhe Street Superintendent of the time the work will stllr:, and when iT wilt finish;
Prosecuting the work with diligence and with due re.pect to an property, contracts, penons'
rights and the interests and convenience of the public;
Saving Ihe Munic.ipality harmles. from any and all clamage. which may accrue to any person
or propen~ beclluse of this installaTion or The mailltenance thereof:
Complying wilh following special conditions:
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P.02/03
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OCT 01 2003 13:55 FR TRAFTON B
253 471 1324 TO 13504174709
78S0B S. Trafton
T~Qmn, W A 98409
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To' City of Port Angeles Fax' 360-417-4709
From; Qwest Communiearions Date: 10/01/03
Re: Pages: 3
cc: Ryan Fuqua
o Urgent o For Rwtew o P'- Comment o PI_ Reply o PIaaae Recyc:Ie
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. Perini! applications:
W00305698/452M
1'harik you,
-Ryan
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P.01/03
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OCT 01 2003 13:55 FR TRRFTON B
253 471 1324 TO 13604174709
P.03/03
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Qwest Job # WO<;Z>S05to '''''6 - 45210
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TYllic~' Crossing Detail
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This request for permit is for the placement of underground telephone service wir'e fet
our- customer at the following address:
This work will require:
Trenching in the R/W (total footage)
Push or bore 2 inch PVC or SIP under- roadway (total footage)
213f1'
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10TH
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'100 I
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Push or bore 2 inch PVC or SIP under- driveway (total footage)
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Push or bore 2 inch PVC or BIP under multiple driveways (total footage) 42-
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*All crossings and ROW wOTk at 36 inches.
. All pits and trenching requires select fill.
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** TOTRL PRGE.03 **