HomeMy WebLinkAbout315 W 5th St - Engineering
PUBLIC \IORKS CONSTRUCTION Issued: 12/10/96 lC Permit No: ~/
& R/W PERM I T cand: Work Order:-O-
O~NER/APPlICANT....................... .PROPERr~AT10N........................
MICHAElE RICHARDSON ~1_~.~1~. 5TH ST ~ ~~
315 ~ 5TH I lot: .13~1,.~15.,.16-
Port Angctcs,WA98362 I Block: 86 Long legal:
206/,17.0115 I Sub: TPA
PROJECT INFO....................................................................
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor: DAUGAARD PLUMBING
Start:
Finish:
Performance Bond Required: N/A
Proof [nsurance:
Amount:
Work to Perform:
Watermain
Sanitary Sewer
Storm Drain
Underground Tete/Ele
Mise
PROJECT NOTES--------- -~-----~------------------------------.---------....-----
tJ~ ~t) JY;{... %UJ-f-i/V.>.../
/ /
/ /
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PROJECT FEES ASSESSMENT.........................................................
R/W Excav: SO.OO San Sewer SFR: SO.OO
Sidewalk: SO.OO San Sewer MFR: SO.OO
Curb/Gutter: SO.OO Add Unit: 0
Driveway: SO.OO Other San Sewer:
Dwy Culvert: SO.OO Sew Tap Wye/Man Tap:
Street Cut: SO.OO Sew Cap/ W/M Removal:
Other R/U: $0.00 ALter/Repair Sewer: *
Fire Hydrant: $0.00 Storm ora;n Tap:
Res Water Serv: SO.OO Catch Basin per ea:
S/B" Sewer System oev:
3/411 Milwaukee Dr. Sew Assess:
1 II RIW Use Perm:
Comm Water Serv:
sO.OO
D.R.A. :
Adm;n Costs (O.R.A):
Mise:
1"
1 11211
2"
Oth Water Serv:
Water Sys Dev:
so.oo
SO.OO
SO.OO
S30.00
SO.OO
SO.OO
SO.OO
SO.OO
SO.OO
SO.OO
SO.OO
SO.OO
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SO.OO
SO.OO
lOl AL FEE:
AMT PAID:
Receipt No:
Inspection Fee:
SO.OO
BAl DUE:
S30.DO
S30.00
SO.OO
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