HomeMy WebLinkAbout602 E 1st St - Engineering
PUBILIC WORKS & R/W PERMIT Issued: 7/0812002 Permit No:
o Attached Notes Work Order:
OWNER/APPLICANT ----------PROPERTY LOCATION---------
SWAIN'S I 602 1 ST ST E
602 E. 1 ST STREET 'Lot: 7
Port Angeles, WA 98362 I Subdivision: NR SMITH
PR~~~~~~~o:~o______~_par~el ~~_~~300051262 _
Work is: Value Work: $0.00
Plans Required: Start Date: 1 1 Finish Date:
Contractor: OWNER 206/000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform:
1281
o
Block: 26
[:gJ Long Legal
1 1
Install [:gJ Sanitary Sewer
Repair [J Storm Drain
Watermain D Underground Tele/Elec
[, Misc
~I
-_...._-_..__..._-~-----~_._---._~._-,---_._.__._--_.-..----
ellG) JtI ast 881'halt . ustgp';tti":,,q rn~ll ~&:J, nnno Q}' pr;;;\(?+Q ~,:,n+r~,..tor .....
'98RRSet jnto ~~III. ,;;)'0'",":". ;.. ClI"-..)
water meter location at NE cor lot drop in meter
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: 5/8" $150.00 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.) Misc: $0.00
13.) San Sewer SFR: $0.00 ="--='---=-~.=-=,.=..-----_.-.
TOTAL FEE: $150.00
14.) San Sewer MFR: $0.00 -_._.,_._-._---~---,------.,_._-
add unit 0 Amount Paid: $150.00
-..._-_._._---_.._-----_.._--~_.._--._---.-
Receipt No: 9313 ---...------.
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Inspection Fee: $0.00 Balance Due: $0.00
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APPLICATION FOR WA TER
City Water Department
Port Angeles, Wash.
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I hereby apply for water to be furnished in accordance with rates and rules of the City
for the following premi ses:
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Ra.a",,! kr.N~V~j~P ~!k(,i)!j;,'e. 0 kl1:.,-~~ fnde V
Size of Service. -/1' ?r"~//7. ~er Number .. .. O..~
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.Address
Service- Left On 0
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Installed by.. .
Remarks:~rJ41IT;d:t::- /ZP;1
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