HomeMy WebLinkAbout1209 W 10th St - Engineering
PUBILle WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
AL TA MC DONNELL/PENNEY PICK
1209 W. 10TH ST
Port Angeles, W A 98362
000/606-3826
PROJECT INFO
Work is:
Issued: 1/09/2004
Permit No:
Work Order:
1423
o
PROPERTY LOCATION
1209 10TH ST W
Lot: 18 EXC EAS Block: 303
Subdivision: TPA
Parcel No: 063000030385000 D Long Legal
Value Work:
$0.00
Plans Required: Start Date: 1 1 Finish Date: 1 1
Contractor: QWEST COMMUNICATIONS 360/000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: 12<] Install D Sanitary Sewer D Mise
D Repair D Storm Drain
o Watermain L8J Underground Tele/Elec
PROJECT NOTES
place Ssw 200' in R/W on W 10th St
FEES ASSESSMENT
1.) R/W 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 R/W: $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.) R/W 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
","
. ; r<~I(!\~:.
Sewer DeparaMrlt - Super1nt8~u\t . "}';ifl.{~"
rlh~abDv~Workls ID 7:JAVS ~FT'elL 'n::'f'~~:i~:!:_, ,
, ,'':' h'l < ,.J; ,,~
,'" :;"'."(~I;{'
\i\l." J
. .~" ,~h ,{:'V
, ,I,I,::,.;:!tI.'.;',t
:~, ~ \',~:')1 ,'t!o 'I'
. ~ f<. " "I
'. '.~:~:}~'~~~ -~1
',"': ;\;~;
. . .. ,:~'"
'::\~R1.rt~:
DEe 08 2004 12:06 FR TRRFTON B
2534711324 TO 13604174709
~~,t(?}M g)~,
~-
Permit To p,errom\ Work In Streel Rillht-<lf-Way
':-;..
APPLICATION is her.by m.de to" he mUrVicipality or PORI' AP'=~..!I . to perform worle ..
nOTed he~on and a5 ~/'iOW" on ~Ilac ed dr,awing;
?LE.A'f:E:. A\'C F\ctte!:::> ...51'.ETc~ ~#' w0040686l/452C
Place BSW 200'in ROW to rovide. telephone at 1209 W 10th
P~)/4d-5
Approved;
Water Dep&Jnllent - Superintetulent
The estimated time (or'eomplet;on
Date
04
By Dona TU<:lyt
Contraclor x O~ner
~ST/A.TTN: SSW ROOM 109
785GB S. Trafton, Tacoma WA 98409
c
r-A'.<.
~3-471-1324. ,- .
THE ABOVE APPLICATION IS HE EB.v GRANTED SUBJEcr TO APn,ICANT'S;
Complyl"'l with all Municipl 9rdinancc';
Notifying the Sueet Sllperin nclent ,of the time the work wll1.stBr:. and ",lie.n It wiUtlniah; .
Prosc~"tlnr; the worl< ...itn di i.enc~ and with due res peer to.1I prol'tlrry, contracts._pe"'"!.' '
righU and the jnterens and nvenlef'lce of the l7Ublic; .
SavinI: the Munj~iJl8J1ty har
Or proPC'rty bCelIuse of this i
Complyinl wilh t"ollowinll sp
len from any anI! a\l darnel". whioh r~ay accrue rD any penon
lullariDn or the maintenance thereor;
clal conclitlc:ms:
Due
I;? Cf-61
\g
City ~tPOR~~J!a
DJ;;J/1;U1~
_r
~-
- ....,
P.02
, ,L:/'
'f:
""1.1,,j,.. .
,l,.
""';i".:I;il.-%.
, .~.'~ ,I":' '.~, \ I""~~
:<'\f,'\\'~" .
.::f:':i:i~~;~i,:'