HomeMy WebLinkAbout2019 W 4th St - Engineering
PUBILlC WORKS & R/W PERMIT
1 Attached Notes
OWNER/APPLICANT
GARY SMELTZER
2019 W. 4TH ST
Port Angeles, W A 98363
000/604-7876
PROJECT INFO u__u______
Work is:
Plans Required: Start Date:
Contractor: DOUBLE 5 CON::> I RUe liON ,;IJ1_JYl
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform:
~ Install
[] Repair
o Watermain
Issued:
8/27/2001
1197
o
Permit No:
Work Order:
- PROPERTY LOCATION
2019 4TH ST W
Lot: 26
Subdivision:
, Parcel No:
Block:
SEABREEZE ADD I
063000940006
~ Long Legal
Value Work:
$0.00
1 1
Finish Date:
360/454-0824
1 1
LJ Sanitary Sewer
[J Storm Drain
Underground Tele/Elec
[Xl Misc
DWY
PROJECT NOTES ._uu_____________ ---
INSTALL 6" DEPTH CONCRETE TO P/L NO EXPOSED AGGREGATE IN CITY RIGHT
OF WAY
FEES ASSESSMENT---
1 .) R/W Excav:
2.) Sidewalk:
3.) Curb/Gutter:
4.) Driveway:
5.) Dwy Culvert:
6.) Street Cut:
7.) Other R/W:
8.) Fire Hydrant:
9.) Res Water Serv:
10.) Comm Water Serv:
11.) Other Water Service:
12.)Water System Dev:
13.) San Sewer SFR:
14.) San Sewer MFR:
add unit 0
Receipt No:
Inspection Fee
7312
$0.00
$0.00
$0.00
$0.00
$45.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
15.) Other San Sewer: $0.00
16.) Sew Tap Wye/Man Tap: $0.00
17.) Sew Capl W/M Removal: $0.00
18.) Alter Repair Sewer: $0.00
19.) Storm Drain: $0.00
20.) Catch Basin per ea: $0.00
21.) Sewer System Dev: $0.00
22.) Milwaukee Dr. Sew Ass: $0.00
23.) R/W Use Perm: $0.00
24.) Admin Cost (D.R.A) $0.00
25.) ORA. $0.00
26.) Misc: $0.00
TOTAL FEE:
$45.00
$45.00
Amount Paid:
Balance Due:
$0.00