HomeMy WebLinkAbout2002 W 8th St - Engineering
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PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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PUBLIC WORKS CONSTRUCTION Issued: / / Permit No: 50
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
STEVE BURY 2002 8TH ST W
315 W. 10TH ST Lot: 7
Port Angeles, WA 98362 Block: 1 Long Legal:
360/452-8281 Sub: WESTVIEW
PROJECT INFO--------------------------------------------------------------------
Work is INSIDE traveled Road Value Work: $0.00
Plans Required: NO Start: / /
Contractor: MILL CREEK CONSTRUCTION Finish: / /
Performance Bond Required: YES Amount: $0.00
Proof of
Insurance: Work over $2000: 200K PI/500K Per Inc/100K Prop
Work to be
Performed:
INSTALL
* Watermain
* Sanitary Sewer
* Storm Drain
Underground Tele/Ele
Misc
PROJECT NOTES-------------------------------------------------------------------
PROJECT FEES ASSESSMENT---------------------------------------------------------
$40.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$550.00
San Sewer SFR: *
San Sewer MFR:
Add unit: 0
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer:
Storm Drain Tap:
Catch Basin per ea:
Sewer System Dev: *
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A. :
Admin Costs (D.R.A):
Misc.:
R/W Excav: *
Sidewalk:
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut:
Other R/W:
Fire Hydrant:
Res Water Serv: *
* 5/8"
3/4"
1"
Comm Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
Receipt No:
Inspection Fee:
$0.00
$80.00
$0.00
$0.00
$0.00
$0.00
$0:00
$0.00
$0.00
$642.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$0.00
$883.00
TOTAL FEE:
AMT PAID:
$2,195.00
$0.00
$2,195.00
BAL DUE:
$0.00
Separate Permits are required for electrical work, utilities, private and pUblic improvements. This perm~ becomes null and void ~ work or
construction autihorized is not commenced ~hin 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after
the work as commenced, or ff required inspections have not been requested ~hin 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. Ail provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a perm~ does not presume to give authOrity to violate or cancel the
provisions of any state or local law regulating construction or the performance of construction.
Date
Signature of Owner Iff owner is builder)
Date
Sianature of Contractor or Authorized Agent