HomeMy WebLinkAbout1525 W 13th St - Engineering
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PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
5DO
PUBLIC WORKS CONSTRUCTION Issued: 5/20/96 TP Permit No: 50(
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION--------~---------------
WEATHERBEE CONSTRUCTION 1525 13TH ST W
411 GUY KELLY RD Lot: 14
Port Angeles, WA 98362 Block: -365 Long Legal:
360/452-3710 Sub: TPA
PROJECT INFO--------------------------------------------------------------------
Work is OUTSIDE traveled Road Value Work: $0.00
Plans Required: NO
Contractor: WEATHERBEE CONSTRUCTION
Start:
Finish:
Performance Bond Required: YES
Amount:
Proof of
Insurance: Work over $2000: 200K PI/500K Per Inc/l00K Prop
Work to be
Performed:
INSTALL
* Watermain
* Sanitary Sewer
/ /
/ /
$0.00
* Storm Drain
Underground Tele/Ele
* Misc
PROJECT NOTES-------------------------------------------------------------------
PROJECT FEES ASSESSMENT---------------------------------------------------------
$40.00
$0.00
$0.00
$0.00
$0.00
$200.00
$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:
Driv~way:
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: 1931
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:
$2,395.00
$2,395.00
$0.00
Separate Permits are required for electrical work, utilities, private and public improvements. This perm~ becomes null and void ~ work or
construction authorized is not commenced ~hin 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after
the woc1<. as commenced, or ~ required inspections have nol been requested ~hin 180 days from Ihe lasl inspection. I hereby certify thaI I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work
will be complied wilh whether specified herein or no\. The granting of a perm~ does nol presume 10 give aUlhority 10 violate or cancel the
provisions of any state or local law regulating construction or the performance of construction.
BAL DUE:
$0.00
Si nature of Contractor or Authorized A ent
Date
:I; i
Si nature of Owner ~ owner is builder
s ~c(
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