HomeMy WebLinkAbout2111 W 11th St - Engineering
PUBILle WORKS & R/W PERMIT
o Attached Notes
OWNERlAPPLlCANT
city of PA
Issued: 3/28/2005
Permit No: 1432
Work Order: 0
PROPERTY LOCATION
2111 11TH STW
Lot:
Subdivision:
Parcel No:
Block:
000/000-0000
PROJECT INFO
Work is:
o Long Legal
Value Work:
$0.00
Plans Required: Start Date: / / Finish Date: / /
Contractor: 000/000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: 0 Install 0 Sanitary Sewer 0 Mise
o Repair 0 Storm Drain
o Watermain 0 Underground Tele/Elec
PROJECT NOTES
Place buried service wire to provide telephone service at 2111 W 11th
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 Serv: $0.00 23.) R1W 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.) ORA. $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
MAR 17 2005 14:15 FR TRAFTON B
253 471
1324 TO 13604174709
'&'? <@f~ 9)~
F'UlUC wOI'ICS
W00501337-928C
Permil To Perfo"" Work In Street Ri,lht~f.Way
APPLICATION is hereby made 10 Ihe municipality of PORT ANGELES
_ to perform \lIork' as
nOTed hereon and as .,ho"'n on allached drawing:
? LEA'5f:.
A"T(ACife b
see.
..5KET.: ~.
Place Buried Service Wire to provide telephone
11th Work will require crossing an alley.
service
at V11 w.
p~ -B- 1432-
Approved:
Water Department - Superintendent
Dat,e ()1_17_0r:;
~
By
Dona Thaut
rAX 253/.471-1324
Contractor )( Owner
D~E.5T /AT'r1(;E6w
7850B S. Trafton, Tacoma
THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPl;ICMIT'S;
Complying with all Municipal Ordinance,;
Pro.ecuting Ihe worle: ....ith diligence and with due re.peer to all prOI,ercy. COntracts, penon"
lights and rhe interesu and convenillnc:e of the public;
Dale
Savinlllhe MunicipalllY harmless from any and all damage. Which may accrue to any penon,
or property because of thi, instaJlatlon or the maintenance thereaf;
COJnplying wilh fallawing special' conditlans:
'3 hi / 2-0(J,S
I r
.............-
BY
f/; City ,at ~Rr ANGE:!.ES .
,_ /1Mu4 dl01//UYFh .
......u.
P.02
MAR 17 2005 14:15 FR TRAFTON B
2534711324 TO 13604174709
P.03
Qwest Job #
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This request for permit is for the placement of underground telephone service wire 'to :;;;;it;~i,:
.._,..';........',
our customer at the following address: '\'~",}:'<i;
~/ / / W ! (p +"-i',l';,:;,f~}'!
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This work will require:
Plowing in the R/W (total footage)
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** TOTAL PAGE.03 ~* '
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Push or bore 2 inch ?VC or EIP under roadway {total footagel
D
Push or bore 2 inch PVC or BIP under driveway (total footage)
o
Push or bore 2 inch PVC or BIP under multiple driveways (total footage)
t9
.AlI crossings and ROW work at 36 inches. 'All pits and trenching require select fiJl.