HomeMy WebLinkAbout1639 W 9th St - Engineering
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNERlAPPLlCANT
City of Port Angeles
Issued: 7/23/2004
Permit No: 140B
Work Order: 0
PROPERTY LOCATION
1639 9TH S1' W
Lot:
Subdivision:
Parcel No:
Block:
Port Angeles, W A 9B360
000/600-0000
PROJECT INFO
Work is:
o Long Legal
Value Work:
$0.00
Plans Required: Start Date: / / Finish Date: 1 1
Contractor: OWEST COMMUNICATIONS 360/000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: [:><'] Install 0 Sanitary Sewer 0 Misc
o Repair 0 Storm Drain
o Watermain [:><'] Underground Tele/Elec
PROJECT NOTES
palacement of burried service wire for customer in alley r/w 100' +/-
FEES ASSESSMENT
1.) R1W 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 Cap/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 R1W: $0.00 21.) Sewer System Dev: $0.00
8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00
9.) Res Water Serve $0.00 23.) R1W Use Perm: $0.00
10.) Comm Water Serve $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.) 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
JUL 20 2004 09:53 FR TRRFTON B 253 471 1324 TO 13604174709
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'"-8.JC WORes
APPLlCA TION is hereby mijde to the municipality of PORI' ANGE:LES
nOTed hereon and os .hown on "tuched drawing:
PLEASE. ::E:e..€:. Ait' ~CttE b ..s~:.l+# 1-/W040 1690/4520,1.,1';;;'
Placement of buried service wire for our customer at w 9th
to include 100 teet on the right-ot-way,
Approved:
Water Depanment - SUperintenda~t ' ''''''''''''''~'I,
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Sewer Department - Superintendent , , :!',',,~,li;J::l
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The estimated time forcomllletion of the above work is ID 1:>A.YS AFT'erL fl Fc..E ~<'J:::g3S~~~1
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By F UQU4
Contractor x Owner
DWE..ST /A1W~ ;~\IJ flOO~.
78S0B Trafton St, TacOtnil, WA 9840.9'1:6"~~1~}
TIiE ABOVE APPLICATION IS IiEREBY GRANTED SUBJEcr TO APPl.ICA2IrI"S;
Date July 10th 2004
Phone:253-473-0788
l'A'x. l... S3 - 1171-!S2'{
Cemplying with all Municipal Ordinances;
Notifying the Street Superint~ndent of tho time tho work will star:, and when it will finish;
t>reseeuting the worl< with diligence and with due respeer te all property, centracts, penon"
rights and the interests and convenianc-c: of the public; . '"i:',;;';~::~':~
Saving the Municipality ha~mlau from any and up damagu Whiah rnay accrue to any pel'llon'" <:;;<:':j
or property because of thiS InstallatIOn Or the maintenance thereof; ','" '/'il
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JUL 20 2004 09:52 FR TRAFTON B
253 471
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Tai;:oma., WA 98409
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TO: City of Port Angeles Fax; 360-417-4709
From: Qwest Communications Dalll: 07/20/04
Re: Pages: 5
cc: Ryan Fuqua
o Urgent D For ReIIiew o PI8a8& Comrnant o PI..... Reply D PIBaM R8qcIe
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Notas:
T. Funston,
Permit applications:
WW0401690/452C
Thank you,
-Ryan
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PAGE.03 **
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qTH
ST RE ET
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Section:
ownshi
Ran e:
-=-L,
2'V Jr)lll
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This request for permit is for the placement of underground telephone service wire to
our customer- at the following address:
I & ~ 1
'^' HT
HH
5Tt ~ Er
This work will require: ,-
Trenching in the R/W (total footage) 100
Push or bo.e 2 inch pve o. BIP under roadway (total footage)
Push or bore 2 inch pve or BIP under driveway (total footage)'
Push or bore 2 inch pve or BIP under multiple driveways (total footage)
Applicant Signature/Date ~......-7 - 7-.z.0-o't
Road Number
~CI ~/}
** TOTAL