HomeMy WebLinkAbout2301 W 18th St - Building
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~'Ff:Final O.K.
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
St)R~
S-/S/?.5
. .
DATE
ELECTRICAL PERMIT
Site Address:
Sq. Ft.
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
.;z
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D1~ D3~
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
--: ~
-;-, t-L
c.~
~A)
I
.
I'd-
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
Permit/Receipt No.
Installer:
New Meters
5
-
Notify Port Angeles City Ugh by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on eitherthe Wiring Report
or on the Building Per.!Dit. PHONE 457-0411, EXT. 224. -.17
. 1 ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ 3 ~
Electrical Ins eclor Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
r-
.' ~
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. se-5C:::,
DATE r j/o/-zr
Site Address:
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
OwnerfBusiness Address:
Sq. Ft.
ELECTRIC HEAT
D BASEBOARD KW _
D FURNACE KW _
D HEAT PUMP KW
D FAN/WALL KW _
D RESIDENTIAL
D COMMERCIAL
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
~ TEMPORARY SERVICE
D RISER
D OVERHEAD SERVICE
;% UNDERGROUND SERVICE
VOLTAGE:
D1!11 D3!11
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
/H~
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
AJyvi.rp.O.K. to connect service
, D Final O.K.
Installer:
tV.
Permit/Receipt No,
SlJfb
Site Address:
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given. by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
r NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ / .;;;fD
EleClricallns~
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC_
.
Site Address:
\\ I(
a.30 \"
$-(",
Installed By:
Owner/Business:
~iR-
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW_
o FAN/WALL KW
Details/Description:
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO 5/'1 f' (,
/ hz /9S""
,
DATE
ELECTRICAL PERMIT
w,
IcY
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq.Ft.
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
~ TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
)<l' UNDERGROUND SERVICE
VOLTAGE:
019\ 039\
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~ 'jQ O.K. to connect service
o Final O.K.
Site Address:
Notify Port Angeles City l!ight by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writin;1O either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PEAMIT $ J-D
,
Electrical Inspector Permit Fee
Installer:
.
WHITE --'- File by address
OLYMPIC PAINTERS INC.
I~
s
PINK - Top: Eng, Bottom. Customer
GREEN - Top: Meter Dept., Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Owner/Business:
6'5
,-,-- \
ELECTRICAL PERMIT
-#'/I(
PERMIT NO. 1 ~
DATE /<><- z z t/
.
Site Address: ~()
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW
~ RESIDENTIAL 0 RISER
o COMMERCIAL 0 OVERHEAD SERVICE
~ NEW CONSTRUCTION ~ UNDERGROU~9-S~VICE
b REMODEL VOLTAGE: /2tJ/2-i/U
o ADD/ALTER CIRCUITS 11<(,/, -I
o SERVICE UPGRADE/REPAIR r 1 'f' 0 3 lU'7/10
SERVICE SIZE <;....,ty AMPS
d.- €-FEEDER SIZE /rcu) AMPS
DetailslDescription:
~
o TEMPORARY SERVICE
~~tJ
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
tfl O.K. to connect service
-1rT'fJ Final O.K.
~Ol
0. Ic f-O" $!t
0'S [~
-#1,/
Installer:
New Meters
.;;2.......
Site Address:
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the BUildin~. PHONE 457-0411, EXT. 224. II
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 11 0 ()
Electrica Inspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
.
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW _
DetailslDescription:
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
PERMIT NO. Jz~
DATE /Z z tJ-
ELECTRICAL PERMIT
#/.3
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
~ RESIDENTIAL 0 RISER
o COMMERCIAL 0 OVERHEAD SERVICE
~ NEW CONSTRUCTION ~UNDERGROUND SERVICE
o REMODEL VOLTAGE: /2& /~ yo
o ADD/ALTER CIRCUITS '" "
o SERVICE UPGRADE/REPAIR ~ 1 'f' 0 3 ll!.,."..--.
Q ~ERVICE SIZE ~ AMPS
o TEMPORARY SERVICE bL~EEDER SIZE /620 AMPS
~ ;jJ Au
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
~O.K. to connect service
;fp'\ -re Final O.K.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $
I Electrical Inspector
Installer:
.
WHITE - File by address
OLYMPIC PAINTERS INC
=10 /3
Permit/Receipt No.
2-5
New Meters 2-
f go
Permit Fee
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
ELECTRICAL PERMIT
#/L.
PERMIT NO c,c'102 tj
DATE /;:'/2 'Lh-sI
I i' I
Installed By:
D READY FOR
INSPECTION
License Number:
D WI LL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
D BASEBOARD KW _
D FURNACE KW _
D HEAT PUMP KW
D FAN/WALL KW
~ RESIDENTIAL D RISER
D COMMERCIAL D OVERHEAD SERVICE
;@, NEW CONSTRUCTION LI< UNDERGROUpm SERVICE
D REMODEL VOLTAGE:7?-6'/Z.rV
D ADD/ALTER CIRCUITS ~ A- ' { A-
D SERVICE UPGRADE/REPAIR 1 ~ D 3 ~., n /1
ERVICE SIZE ~ AMPS
.;2€-sEEDER SIZE /19-0 AMPS
D TEMPORARY SERVICE
I? Kcv
Details/Description:
~/~
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
~ Rough-in/cover O.K.
'fs O.K. to connect service
~ &. Final O.K.
Installer:
-<7/:f7.....
permitfef~ ~
New Met:~
Site Address:
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~
Electrical Inspector
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
,t eO
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYMPIC PAINTERS INC
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address: d-,3 ()
Installed By:
ELECTRICAL PERMIT
1f>4(J / (
PERMIT NO. 41 1.;2 .3
/2/z.-z/9t/
DATE
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
f
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW_
o FAN/WALL KW
-m RESIDENTIAL 0 RISER
b COMMERCIAL 0 OVERHEAD SERVICE
)2'l' NEW CONSTRUCTION ~ UNDERGROUN9 SERVICE
o REMODEL VOLTAGE: LZ6J LZ-f/D
B ~~~~~~E~p~~~~~j~EPAIR )if 1 r/J 0 3 ~..., Af)
SERVICE SIZE c:><:JoV ~ AMPS
c2€JsEEDER SIZE /&-0 AMPS
o TEMPORARY SERVICE
-: -Ii 1:'-0
DetailslDescription:
YJJr/
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
Q!l O.K. to connect service
~'tJ Final O.K.
Site ~30 I cu, kfl-4 ~
Installer V<v b~ z/~
New Meters '2....
#!fJ
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. I
ftVVl NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ I? ()
Electrical Inspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PAINTERS INC
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Installed By:
ELECTRICAL PERMIT
41/0
PERMIT NO. 1/<; z <:.
DATE Izh<:.~~
I /
Site Address:
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW_
o FAN/WALL KW
~ RESIDENTIAL 0 RISER
o COMMERCIAL 0 OVERHEAD SERVICE
'ii!t' NEW CONSTRUCTION ~ UNDERGROU~ SERVICE
tJ REMODEL VOLTAGE: I~t'&.c/D
B ~~~~~~~E~p~~~~~j~EPAIR ~ 1 rjJ 0 3 ~.~~
SERVICE SIZE ~
Q:VEEDER SIZE /lP-f)
AMPS
AMPS
o TEMPORARY SERVICE
DetailslDescription:
~
~rf' ,4u
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
1iJ Rough-in/cover O.K.
~ O.K. to connect service
~flJ Final O.K.
Site Address:
#/0
Installer:
New Meters
2--
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. .it
---r;;;;, NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT P 8 D
Erectricalns~~ $ Permit Fee
WHITE - File by address
PINK - Top: Eng, Bollom, Customer
GREEN - Top: Meter Dept.. Bottom: City Hall
OLYMPIC PRINTERS INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
-#-"1
PERMIT NO. 'Y'9C:Z/
DATE / z./zz...h V
, . ,
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW
~ RESIDENTIAL 0 RISER
o COMMERCIAL 0 OVERHEAD SERVICE
~ NEW CONSTRUCTION ~ UNDERGROUN.p SERVICE
o REMODEL VOLTAGE:LZ:o ~ o./D
o ADD/ALTER CIRCUITS Ii.<,j. ',j.
o SERVICE UPGRADE/REPAIR )"l 1 'f' 0 3 'f'-:;> .a....
SERVICE SIZE ~ AMPS
o TEMPORARY SERVICE ~€iEEDER SIZE /r9-D AMPS
Details/Description:
~~-
117 1:-0
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
QIl Rough-in/cover O.K.
'1'1 O.K. to connect service
~ tJ Final O.K.
Installer:
New Meters
.;l..
iVI
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. /I
rrM. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ f/> cfD
,
Electrical Inspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTE"AS INC
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
~
Installed By:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
)!' RESIDENTIAL
o COMMERCIAL
;e' NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
Details/Description:
-3 ~ryd: ~M
4;d 4k/f5 ~ /e-o
~ iiJ.er Q &-0
.
3
I
PERMIT NO. s/ f .2 0
,
DATE I ~"7/.9~
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o RISER
o OVERHEAD SERVICE
~ UNDERGROUhSERVICE
VOLTAGE: /~ yo
~qS D3L__
SERVICE SIZE ~ AMPS
FEEDER SIZE AMPS
I~,
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
1lQ O.K. to connect service
~Final O.K.
#6'
Site Address:
uJ, ItA
j;~
.:2 0
Installer: R-Dhl5
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. .t/
(~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 11> //0
erectricallnspeclor Permit Fee
.
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRttlTERS INC
GREEN - Top: Meier Dept., Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. '79/]?
DATE / Z/~ z-h V
. ,
Site Address:
ELECTRICAL PERMIT
W. jf#' :IF 7
h:5. d~
rnl'~&" 'j
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW
o RESIDENTIAL 0 RISER
o COMMERCIAL 0 OVERHEAD SERVICE
o NEW CONSTRUCTION J!!. UNDERGROU~D SERVICE
o REMODEL VOLTAGE: /ZfJ&</U
o ADD/ALTER CIRCUITS d. d.
o SERVICE UPGRADE/REPAIR ~ 1 Y-' 0 3 ~fl-rl
SERVICE SIZE ~ AMPS
o TEMPORARY SERVICE 02 0EEDER SIZE /&-0 AMPS
DetailslDescription:
P~fL7'
L/9 ?tU
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
lfl Rough-in/cover O.K.
y? O.K. to connect service
1f'^1EJ Final O.K.
Site Address:
LV, ;gi4 /JI.
!t~
#-7
Permit/Receipt No.
/
;:;L 3D (
Installer: f20 b '5
New Meters
Z--
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
r-~
Electrical Inspector
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
If 80
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
.::2..
Installed By: Rob,s
Owner/Business:
ELECTRICAL PERMIT
;1f=- / 0 READY FOR
<.p INSPECTION
License Number:
PERMIT NO. Y 9'/cP
DATE / z/z. ~/f~
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW
~ RESIDENTIAL
o COMMERCIAL
~ NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
",H UNDERGROU1D SERVICE
VOLTAGE,!;1L?- yO
Ar1 rjJ 0 rjJ
SERVICE SIZE C:ZOD AMPS
.;zeFEEDER SIZE /OD AMPS
Details/Description:
tltl~
7" rf ,.(:0
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
9\RoUgh-in/cover O.K.
~ O.K. to connect service
~lf> Final O.K.
Installer:
;;:2:30(
0'S
{,() , / cY#r
~
:#6
Permit/Receipt No.
tiC/IS>
Site Address:
New Meters
d..
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Buiiding Permit. PHONE 457-0411, EXT. 224. .
;fRO
~~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
Eleclricallnspector
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept" Boltom: City Hall
OLYMPIC PRINTERS INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address: .,;)...J 0
Installed By:
ELECTRICAL PERMIT
#/
PERMIT NO. fC"?/7
DATE / .;:;4;:;,4y
o READY FOR
INSPECTION
o WILL CALL FOR
INSPECTION
Phone:
License Number:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WAll KW
~ RESIDENTIAL
o COMMERCIAL
lKI NEW CONSTRUCTION
b REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
DetailslDescription:
/DZ
/7S- ~CU
.
.
~7 ~4it~ ~
/~~~
Phone:
Sq. Ft.
o RISER
o OVERHEAD SERVICE
~ UNDERGROU:6:SERVICE
VOLTAGE: /2/;/ f/O
~1rb D3~
SERVICE SIZE rJ'fJo
FEEDER SIZE
AMPS
AMPS
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTAll SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
LItJA'J'I-O.K. to connect service
/0"" 6- Final O.K.
Site Address:
~301
Installer: f2v k,'.s
11::/
Permit/Receipt No.
4q/7
New Meters
(3
.
Notify Port Angeles City light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permi!. PHONE 457-0411, EXT. 224.
~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
Electrical Inspector
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
~
OLYMPIC PRINTERS INC.
#' ~1-5~
Permit Fee
GREEN - Top: Meier Dept., Boltom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW
't)( RESIDENTIAL
D COMMERCIAL
~NEW CONSTRUCTION
D- REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
PERMIT NO. 9".$7/ t
DATE / c../Z z../9 V
, I
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
D RISER
D OVERHEAD SERVICE
;gc UNDERGROUN,P SE;,aVICE
VOLTAGE: Jc:.o/dr!U
A"1 rp 0 3~
SERVICE SIZE 0<90 AMPS
FEEDER SIZE AMPS
8 ~j ~ 1c:MJ ):w I~
r f1! ~~ ~ /Z %
' e
Details/Description:
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
lJ Rough-in/cover O.K.
i..,f!. O.K. to connect service
f(!f"'f-J Final O.K.
:#-z..
Installer:
New Meters
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
oron the Building~it. PHONE 457-0411, EXT. 224.
r-JM'i1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ .f ;;;2q~
,
Electrical Inspector Permit Fee
.
WH ITE - File by address
PINK - Top: Eng, Bottom, Customer
QlYMPICPRINTERSINC
GREEN - Top: Meter Dept., Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
#3
Owner/Business:
PERMIT NO {~
DATE 12... z f/
.
o READY FOR
INSPECTION
o WILL CALL FOR
INSPECTION
Phone:
License Number:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW
o FAN/WALL KW _
'rt RESIDENTIAL
o COMMERCIAL
7'f NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
DetailslDescription:
6' uJ cyA
/,+0 K.cv
.
/~-
.
1Zt:~
/~ 17;;;
Phone:
Sq. Ft.
o RISER
o OVERHEAD SERVICE
I'iC UNDERGROUND)3ERVICE
VOLTAGE: /ZOkfe!!_
,
~1 r/J 03 r/J
SERVICE SIZE c;azo AMPS
FEEDER SIZE AMPS
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
~ O.K. to connect service
~ Final O.K.
Site Address:
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
7tf2#1 $
Electrical Inspector
~
#3
Installer:
.
WHITE - File by address
PINK - Top; Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
Permit/Receipt No.
7Lw.r
New Meters
~
#02?S
Permit Fee
GREEN - Top: Meter Dept.. Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. -t/9/Y
/ z/~.~/Yf
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
~ UNDERGROUN S~VICE
VOLTAGE: 2.0 ,2<fU
;M 1 lIS 0 3
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Details/Description:
c,~~
C-&-'r1-'IAiLr J.JJ /194
f; ^~e ~ ~
ra ~uJ
.
/c9D~
k? .
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~Rough-in/cover O.K.
qs.o.K. to connect service
~rf1 Final O.K.
Site Address:
Permit/Receipt No.
Installer:
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
J:frWI
Electrical Inspector
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
;j~0S-
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
;Uo
ELECTRICAL PERMIT
#~
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
I
Owner/Business Address:
I
I
EJ.-ECTRIC HEAT '7
'f'J BASEBOARD KW ~
CI FURNACE KW _
01 HEAT PUMP KW_
dJ FAN/WALL KW _
?t RESIDENTIAL
D COMMERCIAL
~ NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
PERMIT NO. <;/ P/3'
DATE /z~L;h y
Phone:
Sq. Ft.
D RISER
D OVERHEAD SERVICE
"E UNDERGROUND ERVICE
VOLTAGE: j} 2. D
%1~ D3~
SERVICE SIZE O?SO
FEEDER SIZE
AMPS
AMPS
/J1 /tftfllf f?.> ~;f.- / i 11-<<# c!~ ~
I
/ t::h:4-d ,;;13 ;C:[J
j~~~~%~
DetailslDescription:
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
r:- Rough-in/cover O.K.
f O.K. to connect service
~ Final O.K.
Site Address:
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. cJf)
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /i
$ 11 IIJO
I .
Permit Fee
::ts
.;;;;L201
Tstaller: '~0'S
.
/~
Electricallnspeclor
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
QL'It/oPIC PRINTERS INC.
New Meters
2-
GREEN - Top: Meter Dept., Bottom: City Hall
tv?4j.AlE -
rJ.~.&: c:::-~ ~z:::-S";c ~,c?//~ 5 ~O;.C:
~~h/ &N Iz -cc::. -9s-
FCc ~ V"d L (cL
t+-rs
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November 21,1995
Credit Housing Limited Partnership/Paratech
Attn: Bob BeVan
P.O. Box 3080
Bellevue, W A 98009
RE: Fairchild Heights Public Works Punch List
Dear Bob:
The Public Works Engineering inspection have revealed a few items that still need attention
before we can sign off and final this project.
VSanitary sewer manhole at entrance to Fairchild, East of Bldg 14. Grout (3) rungs on the top
portion. Requires additional hanging ladder with (2) rungs.
v'Sanitary sc;wer nnUlhole West ofBldg 3 requires grouting.
'-- /
V'Sanitary sewer manhole East ofBldg 7 & 8 requires grouting and a hanging ladder with (2)
rungs.
t/ Sanitary sewer manholes North ofBldg 6 and at 16th street both require grouting.
v Sanitary sewer manhole West on 16th, C.r. rim on top of manhole requires grouting, interior
grouting and hanging ladder with (2) rungs.
v' Sanitary sewer manhole East of "0" Street requires grouting and hanging ladder with (2) rungs.
,/ Sanitary sewer manhole at "0" Street requires grouting and hanging ladder (2) rungs.
/Backfill material required at Storm Drain Manhole on 19th Street on the Port of Port Angeles
Industrial Park. c..~Tv, b.<- k f,/IG'd 2~~~...J ;:L />'1-1 's a, i' LV. o?Mj ~f I:.".e b u.T
'~4/ ~ (5;;;: :e;::;'<~~ ;::~ ~~:;;~;:;<h~(:V,:;;~
vUl ~;4 ,(jump. 3;f" b,,-~p
1"1 !-~
G"'......e'e.iel. s<zf,~f(!.*",'r'(Y ....; ',7'h -th-e ex eer5't;;r. A' )r6~J
-:::>,' tl -rc- he5 -----r J J
L/~ /-2--'7(,
l~_..,,_ '~~:::.::~..;,~~'%'2:'
CITY OF PORT ANGELES
A)~~
lJl./C WO'f.
e.....
321 E. FIFTH. PO. BOX 11',0
PHONE 12061 457-0411
PORT A,'\JGC:U:::S. '"I,,'.A.SH1NCTON 98:3b2
FAX IZOGI 452-035:,
October 31, 1995
Credit Housing Limited Partnership/Paratech
Attn: Bob BeVan
P.O. Box 3080
Bellevue, WA 98009
RE: Public Improvements Bond, Fairchild Heights Project, Port Angeles
Dear Mr. BeVan:
The City of Port Angeles has reviewed and accepted the Public Improvements for your
project. The improvement bond required for the work in the right of way may be released.
Very truly yours, _
A u.'-
Gary W~worthY, P.E.
City Engineer
"-~. .
"L__.
.~
----~-_..--
GWK:gk
Copies:
Jack Pittis, P.E., Dir. /
R/W Permits, Trenia -
Disk: D:\WP\9418\BNDRLS.GWK
File: 94-18.08
/ ;B(pZb AlE Zc;:!.A ~:6l. /
s- ~)1)1{ PUBLIC WORKS CONSTRUCTION
_' 118"005 and RIGHT-OF-WAY PERMITS
~ City Phone: 206-457-0411, ext. 124
....tUCANT/OWNER: c/~ ~ ADDRESS OF JOB: :2,?-c>/ W
~ ,L.-/o
APPUCANT ADDRESS: PHONE LEGAL OF JOB:
WORK IS 0 OUTSIDE or 0 INSIDE OF TRAVELED ROAD VALUE OF WORK IS:$ (If work is outside roadway
and is equal to or less than $2,000, then permit may be issued to other than licensed and bonded contractor.)
~ f~ 76??:>
00402
Ir
3L-
PERMIT
5ee~#
-~~4
-/57 PA~
/0"2-- . p~
PLANS REQUIRED 0 YES 0 NO CONTRACTOR: DATES FOR START & FINISH
PERFORMANCE BOND REQUIRED 0 YES 0 NO AMOUNT: $
PROOF OF INSURANCE: 0 Work $2,000 or leis: $50,000 personal injury, $100,000 per incident. $20.000 property
o Work over $2,000: $200,000 personal injury. $500.000 per incident, $100,000 property
o Right of Way Use: $300,000 personal injury, $300,000 per incident, $100,000 property
Plormittee uuderstands that no street may be closed to traffic unless approved by the City Engineer and Chief of Police in advance of the
closure; that there is a 24 hour minimum notice prior to inspection, and to call 48 hours before digging to: 1-800-424-5555.
III .. . fII_ ......01.........................,. dill...... dill... CII1f11f/M. ADeaIIIt 1IIIl..,. _ill ~.....-.-.aua ~..-..d bIrmII. 1lO" ~ hili.,. 1WliIIlr......-nrr
for..,........ ...CII'....lD~orPf'ClFlll)'.......OI' 0CICII.n1a&_ u.,.........uK dID)' wort........wDlr Ilz ~nm ollbl.lpplgUoa.m li'l: permil or pcmulf MlktIary be p.-d iII__
u.-. "'lbIlU!ol"~_",,,,""'ilylbl~.
Signlld:
DATE:
/O/3/"1'~
. ,.,.,;;; .... FEE '''''0 '<0'0 I
PAID rm FEE PAID
JJQHT OF WAY EXCAV. ....00 ~,EWER. ISfIU (6" 10 PI1.- 6".4" "'.00 V r.:. 11
IIDEW AlJ( "".00' SAN. SEWER tuFa' . 1., lmiI ....00
<MlUT'fER SI23m SAN SEWEIlIUFR1. ADD. UNrr ".00
DlUVEWA Y SI23JXJ SAN SEWEll 0THEIl.S. Mia-S7.:1.1XJ: SO.om III
M...-5730 ICD.CD:lIfl1O.0025 CXCZM
OWY ctJLVEI<T ._ S<<l.oo SEWEll TAP. BY crry ~O SI23~lOO.CO
0.- . . WVElMANHOLE TAP
snEEI' cur. ~ =.00 SEWER CAPfWATER METER S22$.OO
REMOVAL
ot1IEI.lJOKTOP WAY WORK ....00 A1.TERATlON/ S30.00
REPArR TO SEWER
FOOl IfYDIW(T OEPOSrr STORM DRAIN TAP SIU.OO II
RES. WATER SEl.V1C! Ie X 'l1e "".00 ~I'::1I1) JJurSltll8'FI PER (;."" -- /~ 3 /'..$ O~S~
RES. WATER S'EltV!CE I. X )W "".00 Z', -5 ' ttf, ,?~O ee
SECONDARY SEWER ASSESS. SAIO.OOin~l'.OOOt.UIOc
RES. WATER SERVlCE I" X I" ""'.00 S~SYS.DEV.CHARGE S)2UXlfEW'M~d 33 " '7 '7'7& ~J
COMM. WATER. SE1VJCE I" - SI,em It -tmLWAUKEE UII...... [J. .._fSS. /" .3 24BO~i
Ii.\t:-~ 316D t:P. ,
-~ I" 5' {Pe.:70j2.
W''J:g SERl.!JeE D.l"ilEll FmM. RIGHT Of' WAY USE PERMITS VARIES S.5. SICO
WATER SYS. DE\'. CKAJ.OE .J ,,/ifJ Z'" /!lObO/i!Z. TOTAl-' , ,.....-::i.~V
~
5
TlliI~u.&o. --............. iI~o.pr.I1IIiuMlcloLlK_a..cr;ia:l...a:>> (or 0. ~~"'I.bI~ Eo.dlpllnNl W ~.~ IOlhI: """,.. oili'c .~__iDu.: ~>Or.
l1li"-';" MI u. ~ tttI u. Of)' 01 Part,."... M~ Cede. 1'1~ pc...ultlld _.........r..II too o..m.llO....rnlIf U. """"".... 0(...... .tlIPlieJob. lo.... of li'c Ci,~. C"""",... SL&"" or F_..l Go-.:...-.
COMMENTS/CONDITIONS: d
Cl Inslall a Repair 4ke.d -4 fra.n:>~r >(;.00 ~ ",cro...... 1;":5~O~ d.e/"os/T
DWaIennain /':&1;:> >"-tpl2e ,Rec# 355 ~/~/:S"'?' 4~at Rec#- /.;2..24-,Pa";!"'&;';>/S!5
o Sanitary Sewer /iA".<<-Lea<;e;-""r4h~*,,""" (C,,,,,,,"") ~ 00 "",to 5<?"l' (<1>00"")_
DSlormDrain Rec.... /411 un//Re.,r~cr A!1?o-",/y Z6__ /
DUndergroundTelephonelE1ectrical :>ewr:;- vnr,/ -,<....,..,n.r e",.,pArre.... /r /C'/3(!::;];----
-,IOOTTOTALS $ -5/5?t/eJ2- RECEIPT #/1'// ISSUED BY: f ~' DATEtP~/~
.
INSPECTION FEES $
WORK ORDER No.
00402
lNSPI!C\'OR'S COPY - WHITE APPUCANI"S COPY. PINK omCE COPY - CANARY PERl\llT
PW-0209.03 (1:!1931
,
CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
ACCOUNT PERMIT ACCOUNT DOLLAR
NAME NUMBER NUMBER AMOUNT
<.;On n (lA!.~"1l
Plan Check Fee 700.9449
Surcharae IM.501 001 .2291 000
Plumbin\ 700.9212
I M8CIlanicaJ 700.9213
Sian 700.9214
WSEO 700.9301
House Movingj Radon 700.9626
Sidewalk Driveway- CUrb Permrt 700.9228
Sanharv Sewer Permrt ..d/l 700.9223 ,.::l.,-'S -
Publications 700.9409
Blua...inls Aerial 700.9429
Enainearina Service F eas 700.9462
Oear/Glade Permit 700.9241
Riaht 01 Way Permit 700.9226
Fra 5D1'Inklar Plan R8Vlew Fee 600.9449
Adminis1ra1ion Cost 15%\ 700.9426
I ORA Fees Plus I nlBrest 001 .2392000
:m~,::(::::::::::::.::::~::.::~t:::::!d::::::: OOl.l11\uw
Storm Drainl Tap 752.9619
str8B1/ Allev Restoration 752.9242
SIW Co 00 752.9626
. ..~~..:):" >,,:-; ", :~:~~:"~' ':~::<:::: :..;: :::::: , ::~~:~::::::::: .::y:.. :::::::::'::::::~::;::::: :::t'.. ~/f'-
other Fund
:..~.~...:::;:::~N:>>.:; 1'1.lb,6N!fMlif'IMPflOVl!!MEN1tl!UlilO..... ,;;::::::):::::: .........'TQTAC... .' . 31 O:tt11 000' .. ~ '.i
ProPertY Sales 715.9634
;ttN::?:j:~:::.:::/:: ;"". ,HI< '.. '.
.'. "
Water Svstem Develooement Char ~/' :?4. 753.9403 "'2'737~~
Hot Tap (watarmainJ 753.9619 ,
F.H. Install Mater 753.9619
WIM Installation 753.9619
1 < .......".......
Sannarv Sewer Tap/C8P or MH Tat 354.9619
Sewer System DeveloP8ment Charae ."1-/ 3-2" ,..., 354.9403 //"> -'l!2..r>r~ ~
:~:::.:~;: ::~::t.A::::}::)~ .i ....... IJuw
Milwaukea Dr Assessment 755.9403
:wm:t::~~b~:Wt::t::: 111 ClOO
!~~:::,:::!:::::::::::': ,,::;;:: t:~f.._':b. ~n ...... ......
Sacondarv Sewer Assessment '.iJ...../q 3-2- .d/') /1 757.9633 /2 q/~ ~
,
~ ....\i_ - i "'i.i
. .
.. . .
.. ...
N' 0 1 4 1 1 ~
RECEIPT # ...............:..
FILL -u, TELY -luIAL"'-L rUNDS AND GRAND IUIAL
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THE CITY OF fORT M~;~';:--
_....J
fi:95007950R
1 ();'(';'C 11"\'7 ..
.. ",J/7.,,)
FAIRCHILD HEIGHTS
Check '
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FAlf:CHILD HEIr;HTS ".- "
, $,/0, )21. 00
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r.;;t.:;jjl/ . ~ :fj5';,';' ~_::~L~~'~*~r:!i:t~'r.;r:"7.':~Cr.;;x-_:__'!'m!lL~~)IrI.Y;mn"::-r-"~_ ......
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1116
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FAIRCHILD HEIGHTS ASSOC. LTD. PARTNERSHIP
13620 NE 20TH ST.. STE. I
BEllEVUE. WA 98005
I
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I' . d){ ~ ~/ I ,;Bi5";inj II
i/.,Jh., i! /it: ~.- {J~II.futjt1-f,:,'( 7. OOUA" I
7RSTBlVilI 0 ::,' ;:.'~:'~ ~/ .J",",v, '1'.'.1
',~~. ,..-,..11)./;/ ;,7 ,I
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'8-2/'250
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i'", 11'0. . bll'
IL~..,-",=tc'"""~' =.=~-='
1:.25000021,1: b'l588 80bll'
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.........'m:iWiIji;:i:fr.:jj;-~iii.-=.i~-,-~!.-:~i~~,..."""..:..............ii,""'Ul.,~
.'
."
'.
Gulf Insurance Company
CONJFR\o\creR
Paratech Construction, Inc.
JOB DES<JRIPJ1ION
SEWER AND WATER IMPROVEMENTS
BOND'HOLDER
CITY OF PORT ANOELES
PO BOX 1150
PORT ANGELES
WA
98362 0000
STATUS INQUffiY
9/19/95
BOND #
EFFECTIVE DATE
BOND AMOUNT
CONTRACT AMOUNT
CONTRACT #
GE 5642084
10/20/94
$ 110,000.00
$ 110,000.00
We need a status report on the progress of the job described. Your
completion and prompt return of this brief inquiry would be appreciated.
IF THE CONTRACT HAS NOT BEEN COMPLETED:
PERCENTAGE OF COMPLETION
/00
/-(/4-
/rIA
TOTAL AMOUNT'PAID TO 'DATE
$
, . . .
I .,'"
CURRENT CONTRACT AMOUNT
(INCLUDING CHANGE ORDERS)
$
%
It is understood that this information is
furnisbed as a matter of courtesy and
will be beld confidential by Surety, It
is also understood that tbe providing
party does not guaranty the accuracy
of tbis information wbetber sucb
information is furnished by the owner
or any agent of the owner.
IF TnE CONTRACT HAS BEEN COMPLETED:
DATE OF COMPLETION /0 / 9 /&;6-
DATE OF FINAL PAYMENT / /I/tV
TOTAL CONTRACT AMOUNT $ rf~
(INCLUDING CHANGE ORDERS)
COMMENTS Au.- ~ .I''V ~ {!.,7 .u&#r~ ~
~ ~t:-7ew~ dM- ~~ ~p~
v
NAME
R~A-uJ U}. ~</jN
~-f!E~sr
Please sign, date and return this inquiry in
the enclosed envelope to:
Midwest Indemnity Corporation
5550 West Touhy Avenue - Suite 400
Skokie, l1Iinois 60077-3200
PHONE (708) 982-9800
FAX (708) 982-9816
4876
20
044405
000
SIGNATURE
TITLE
DATE
/0-//-90-
(.~o) <1.~7-0<N/ ~- /~'3
U~) ~.s-Z-t'J 3'0..3
PHONE:
FAX#
Gulf Insurance Company
CONTRACTOR
Paratecb Construction, Inc.
STATUS INQUIRY
3/16/95
JOB DESCRIPTION
SEWER AND WATER IMPROVEMENTS
BOND HOLDER
PO BOX 1150
BOND #
EFFECTIVE DATE
BOND AMOUNT
CONTRACT AMOUNT
REVISED CONTR AMT
CO~CT#
We need a status report on the progress of the job described. Your
completion and prompt return of this brief inquiry would be appreciated.
WA
98362 ??oo
GE 5642084
10/20/94
$ 110,000.00
$ 110,000.00
$
CITY OF PORT ANGELES
PORT ANGELES
PERCENTAGE OF COMPLETION
DATE OF COMPLETION
1
1
II is understood thaI this information is
furnished as a mailer of courtesy and
will be held confidenlial by Surety. It
is also underslood Ihatthe providing
party does not guaranty the accuracy
of this information whether such
information is furnished by the owner
or any agenl of the owner.
TOTAL AMOUNT PAID TO DATE
$
/'///1
CURRENT CONTRACT AMOUNT
(INCLUDING CHANGE ORDERS)
$
////1
IF THE CONTRACT HAS BEEN COMPLETED:
DATE OF FINAL PAYMENT
I
I
TOTAL CONTRACT AMOUNT
(INCLUDING CHANGE ORDERS)
$
COMMENTS
PHONE (708) 982-9800
FAX (708) 982-9816
PHONE:
FAX#
G:r.//fU'/ ~;J. '~5fp..j
. ~A;:r
~r-
:3-Z Z'--CiS--
C;r60) 4..~7-0<1// p,<;-/z.>
(.3'&':l) "/SZ -0 3S-3
Please sign,' date and return this inquiry in
the enclosed envelope to:
Midwest Indemnity Corporation
5550 West Touhy Avenue - Suite 400
Skokie, Illinois 60077-3200
NAME
SIGNATURE
TITLE
DATE
4876 20
044405 000
CREDIT CAPITAL CORPORATION
P.O. Box 3080
Belleyue. W A 98009
(206) 562~ 1200
Fax (206) 957~0425
October 2, 1995
Trenia Funston
Engineering Permit Specialist
City Of Port Angeles
321 E Fifth
Port Angeles, W A 98362
RE: Fairchild Heights
Dear Ms. Funston:
Enclosed please find check number 1116 in the amount of $50,521 for the final payment
on the Fairchild Heights public work fees.
Please contact me if you havc any questions. .
Sincerely,
CREDIT HOUSING LIMITED PARTNERSHIP
by Credit Capital Corporation, its General Partner
~~
Janet L Harding 't
Accounting
Enclosure
,.,
.,,~ PUBLIC WORKS CONSTRUCTION PERMIT 00204
<~ / and RIGHT-OF-WAY PERMITS 7 '5 9-~
~ 4" City Phone: 206-457-0411, ext. 124 2-30/ UJ J p-cn .
. ....... ~II:C . /' oti-. 'A 0;-:: J!::: ~
, ....r'UCANTIOWNBR: <f""""~~ .cTb ~DRESS OF JOB: (f --I$L-rA Dd
, APPUCANT ADDRESS: l:3b2l1,VG" ..:2~PHONE :rr LEGAL OF JOB: S L /07
WORK IS D OUTSIDE or~D'm1tfvlfL1tf?g~ VALUE OF WORK IS:$ (If wor~ is outside roadway
and is equal to or less than $2,000, then permit may be issued to other than licensed and bonded contractor.)
PLANS REQUIRED D YES D NO CONTRACTOR:
PERFORMANCE BOND REQUIRED D YES D NO AMOUNT: $
PROOF OF INSURANCE: D Wor:k $2,000 or leSs: $50,000 personal injury, $100,000 per incident, $20,000 property
D Wor:k over $2,000: $200,000 personal injury, $500,000 per incident, $100,000 propeny
D Right of Way Use: $300,000 personal injury, $300,000 per incident, $100,000 propeny
Permittee understaDda that no Btteet may be cl~ to traffic unless approved by th. City Engineer and Chief of Police in advance of the
closure; that there is a 24 hour minimum notice prior to inspection, and to call 48 hours before digglDg to: 1.800-424-5555.
DATES FOR START
& FINISH
II. .. . "'dII~oIlb111l"""II""""""'U.""''''IbIaa,olPt.t~_..fII...om-.Ol'~lbaIlbe__lIInIlI-.lCIlh1~haa__u.bIIIlyCll'~ibI.lI!)'
b'1IIY~_or~lO~orprop:llT)',b.. ~""""'7~pI"ClUImlll' lollll)'-..ort\rdcrulZlllrdarlbc~~oii.hil.~llalKl'lU'l:l\tcPtrTnJ(QfPtmu~..tUdl~belJ"QMdlfltaco-
~_lbIIUlvlM.idI1abWt;.UIfbuolby~_~~u. .
~ /-s:: // --r1 , DATE;
Sigaed:
'.' ..,"
,.....
.. I 14fI!'
PA[I)- ),IJ I.f rl t '1m
~ ~er ~~E.lt (SfR> tOc' lQ PIl. 6....
SAN. SEWn. (MF1l:). hI ...,;\
SAN SEWER (MFll.). ADO. UNrr
FE>:
'RI'n'o
RJOHT OF WA.Y EXCAV.
><0.00
--
"".00
.wauTTU.
Im.oo
DlUVEWA Y
SI2J.LX1
SAN SEWER 0TlIEIU . MiD-UHO:
1ota.-S7>>
OWY C\JL~. ____
><0.00
SEWER TAl. BY CITY NO
W'YEJJ.CANHOU TAP
ST'UET CllT. ~
$'200.00
SEWER. CAPI'NATEJl. METER
REMOVAL
OTHEI.lJOKT OP WAY WOIUC
s.o.m F.n ALTEllAT1O~1
J')\'Ut REPArR TO SEWER
OEJ"03rr l~dp.r." STrlawf(RAlJ'o'TAP
1$.".00 f' oI'lI. . n'~~ASINS l'N LOTS PER EACH
<7,,'l'roo oM IO(A) 1'7?' y.;I r~~M YS'W'HSSF.SS
""'.00 '%J' '..;/} '- / '" 'lv, 0<'1. CHMG'
'" .. 51,COO ", _ f{);:-.,.,.,...' MlLWAVKEE: DR. SEWER ASSESS.
~:-':-st~ L-- /~'/)"J:::-
F1lU! HYDIW<T
J.D. WA'TU. SEllVlCE \0 X YlI"
R.ES. WAT'D. SERV!C!! 10 X),.'
RES.WATEJl.SFll:~"X I"
COMM. WAm SDV1CE
" 1.0..r7
'NAT'D SEJ.VJCE. onmt
EmMATE
RIGHT OF WAY USE PERMITS
""ATel SYS. DEV. CHAAOE
S7jO.CXl~
TOTALS
FEE RWD PAID
"".00
~.OO
1.l.00
SO~I.(
lIXlOXllrl1O.00uILll~
Sllj,OOI1.)(X).OO
sns.a)
$)0,00
SI2HXl
<<000
5-610.00", S6IHX>l><ULor;
sn~ ,00 fEWM
SI.50.00fE\ol<"M
VAJUES 15. Sloo
, I
I,
II
,\
Ii
II
II
II
I'
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Ii
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Thio...ur.. l.lalltll ..... -.d ~ it ..,.- U. pcl'UllU 10 do a.. ..-or. .-cnl:e:l iD Illd for Ib> ~ .-." III Ih: OWUcat>a'l, E..d1 pe......, " &J'W1'IOd ...0,,,,.,. 10 lh:. .....m. o( ll'IO 'Imcrno:n c:aulnDll Itlllll: ow;'",""'"
Uld..e;.a '" Ita ~ allbl Ory 0/ PM Anp.. M~ Ct<'\<.. .'Inh.in( PC~'WId beN>.n:k. .r.U be ~ 10 O'o'C....-o: tte ~'<:Q ol Lm' .ppi;ClI>~ I.... of t/>< C;". C<'<R'll" SL.~ 01' Fo:lo:",j Go-nn>IOnl
COMMENTS/CONDITIONS: J7 @ ~ ~ /.')' ~ ~ .A:1..if) ILJ , '"7
D IIlIlaIJ ~ Repair ~D~. ~-~ ~.--;---114
~S:_!tUA~~ ;;;:fJZ$~
..:iOOTTOTALS $ ~tbE RECEIPT # fJ% ISSUED BYV ~ DATE: 9~k~
INSPECTlON'FEES $ ~ {,pI 7 /--leT /~ ....d/5"J9"y
WORK ORDER No,
cd ~%o);.)-f4j2//l?7ey;,/:S TfY-# /t:Jtb/ 00204
PIV.mQ9,03 (121931 INSPECTOR'S copy. WHm APPLICANT'S COPY. PINK OFFlCE COPY. CANARY PERIVIIT
FI! l?7der f/'74,) pet (jOJd~~"i'~~ qgf
. \' ~ORT "Itv
4. 0 Q~
~...~.<~
<.> ~'"
J"~ ~
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0., 1-t3eVdY7 L7/1 3r/ ZOO
r/or.J J(f) ;;(/2-7
FILE:
I
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, , ,
~
I
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-, - -.< I
'1
CITY OF PORT ANGE
.o~~
1I8l./c WO~+:
321 E. FIFTH' P.O. BOX 1150
PHONE (360) 457-0411
PORT ANGELES. WASHI
F X'
August 7, 1995
Credit Housing Limited Partnership
ParaTech
P.O. Box 3080
Bellevue, WA 98009
RE: Fairchild Height-Update of City of Port Angeles Public Work Fees and 16th
Street Right of Way Quit Claim Deed
Dear Mr. Bob BeVan
Per our discussion here are copies of the documents required to clear title for
dedication of 16th Street. Also I have included the updated list for Public Work
Fees still owing on this project.
Randy had requested an additional (1 1/211) water meter for irrigation purposes,
for which he paid (drop in meter), system user fee still owing.
/",jq{ I~IJ
I ID,/ -JJ
f" /leC/
17/~ /4111
P' ,0 o-:P-
?e
j7/(l.p-' ~J
p~ (f1 fZeY
d fPI7/4~lltrl
f jZrc,
IJ j Itll1
s;~~~~r~w::w7~) ~~~~~~.~~~~. ~~~. .(~:' .~e~~r~ .~d. ~~). :~:~~~$0~,:~~~~~5 pA IO/'1It~t
{~,e/4~S~J RC..~~
Fairchild Hts-City of Port Angeles Public Works Fees paid
Sanitary sewer hookup
Bldg 4-5, Bldg 9-14 pd $695.00 still owing............$
Rec. # 1226
625.00
Right of way permit pd 9/9/94 $40.00
Water meter 2" meters (4) installed 6/5/95 pd $1.545.28
Water meters 1" meters (10) installed 5/9/95 pd $1,734.00
Water System User fee (2" meter) paid (1) $6000.00 7/27/95.
Still owes (3)......................................... .$18,000.00
Sanitary Sewer System User fee (211 meter) paid (1) $2592.00.
Still owes (3).......................................... $ 7,776.00
Secondary Sewer Assessment (2" meter) paid (1) $3280.00 7/27/95.
Still owes (3).........................................$ 9,840.00
Water System User fee (1" meter) paid (7) $13,125.00 7/27/95.
Still owes (3)...................... _. _...............$ 5,625.00
pJ.
F
1~)q~AI ,
;e/
Pg 2 Fairchild
August 7, 1995
Secondary Sewer Assessment (1" meter) pd (7) $7,175.00 7/27/95
Still owes (3)........................................$ 3,075.00
PW inspection fees pd 7/27/95 $600.00 -poi 0?OoOi2 9/(,1/44
Water main hot tap pd 12/8/94 $250.00
Per Randy's request for an additional 1 1/2 " irrigation
Water meter (1 1/2") drop in paid (1) 7/27/95 $ 250.00
Still owes (1)--(11/2" meter) Water System User fee
.......................$ $3,750.00
Paid to date 7/27/95................................$ 42,956.28
Total Public Works Fees this project.............$94, 077.28
- AD
-(poO ~
~ P5()5-;; J !!.!?
Still owes.........................................$ 51,121.00
-
If you have any questions or concerns, please feel free to contact me at 457-
0411, ext 124.
Sincerely,
J
-
/ . _../1- \ ) ~
~ \s';} (j
G:J~6a
L(J \YJ. \0
Trenia Funston
Engineering Permit Specialist ~
l\ ?
\(~ OJ .I~tl..
q\~ ^OO \~) D~
LY f\\'iloOD
A'
J fl'tt.~ I
'fO 61./?-/
~DD
\ 11Y
+
~
~
PI
1~
Enclosures
~ \'ORT.<I.....
. .~O Q~
_,:. ,J" ~ .... . (~
CJ/~ _ . IJI
JiJI1T ~
.'~~
-. ~.... ,~..., ..
CITY OF PORT ANGELES
~
,0(/ f.""
8(IC WO~
September 1, 1994
321 E. FIFTH' Po. BOX 1150
PHONE (206) 457.0411
PORT ANGELES. WASHINGTON 98362
FAK (206) 452.0353
Credit Housing Limited Partnership
ParaTech
P.O. Box 3080
Bellevue, WA 98009
RE: Fairchild Heights-City of Port Angeles Public Works Fees
Dear Mr. Bob BeVan
Per your request here are the Public Works Department utility
connection fees for the Fairchild Heights construction project on
West 18th street in Port Angeles. These are permit fees only,
there may be additional material and labor charges undetermined at
this time.
Bldg 1
Bldg 2
Bldg 3
/0) /' Bldg 4
go v Bldg 5
Bldg 6
Bldg 7
Bldg 8
rJ!3 v Bldg 9
85 Bldg 10
V
$51/' Bldg 11
~~ I/' Bldg 12
g, V Bldg 13
~5 V Bldg 14
~S
FAIRCHILD HEIGHTS
CITY OF PORT ANGELES PUBLIC WORKS FEES
Sanitary sewer hookup.....................$80.00
each additional unit $5.00 (11).......... 55.00
Sanitary sewer hookup..................... 80.00
each additional unit $5.00 (7)........... 35.00
same as bldg 2............................ 80.00 :Jl.
sa~e as bldg 2....................... .... 35.00 ~.I 1/~lM( ~eO
Sanltary sewer hookup .................... 80.0~r--- / 7Jd
each additional unit $5.00 (5)........... 25.00 II 1/~7/1:) It-r
Sanitary sewer hookup..................... 80.00 II 7/J-1/1:>
Sanitary sewer hookup..................... 80.00
each additional unit (1)................. 5.00
Same as Bldg 6............................ 80.00
each additional unit (1)................. 5.00
Sanitary sewer hookup .................... 80.00
each additional unit $5.00 (2)........... 10.00
Sanitary sewer hookup .................... 80.00.
each additional unit $5.00 (1)........... 5.00
Same as Bldg 9 ........................... 80.00
each additional unit $5.00 .............. 5.00
Same as Bldg 9............................ 80.00
each additional unit $5.00............... 5.00
Same as Bldg 9............................ 80.00
each additional unit $5.00............... 5.00
Same as Bldg 9............................80.00
each additional unit $5.00............... 5.00
Same as Bldg 9............................80.00 pd /I
each additional unit $5.00............... 5.00 ,/ #
~1/~111i)
II I'
~ .
II h
~"
,/ h
p-J-'
,I "
f4 "
" It
~
1M
Sub Total...........$
1,320.00
~ /?;>f
/4) re
d ,,/?7
cgJ3_ fRight of way permit............................$
~5 Sanitary sewer hookup 54 units................$
Water Meter installation
dropin/time and material
(4) 2" meters $100.00 + 286.32 ..............
.jj. VI (10) 1" meters $100.00 + 73.40 ..............
12eC, I? Fees based on 2" water meter sizing
(pOOO -/ (4) Water System User fee
~ "',7.;Z"l (4 X $6000.00) ..................
512 - I (4 ) Sanitary System User fee
f(.'(c.lJ-nzy (4 x $2592.00) ..................
3ZSQ / (4) Secondary Sewer Assessment
->l-- 1 (4 x $3280.00)...................
(ev /1.-1.- Fees based on 1" water meter sizing
/5/ZS-p)(10) Water System User fee
I (~~n>v1 (10 x $1875.00) .....................
5t..70{7\(10) Sanitary System User fee
/(.,(:ilt;P--/ (10 x $ 810.00).....................
7 17Sfi)l 10 ) ?econdary Sewer Assessment
&11~,tI 7!?1/tfJ((Ct:l-/7lt'10 x $1025.00)..................... 10,250.00
. ~UDI1C Works estimated inspection fees
f.t;ooo.E.: (Road construction, watermain installation/testing ,-.II Ii)te I
-- sanitary sewer connections), approximately ~ b V\
20 hours at $30.00 an hour... 600.00 Jr ~
Water main hot tap by city forces.............. Q50.00~\
Total...........$ 90,077.28
"
.
.
A
~
30,t 7
~1Iq~~
1,320.00 ~ /- ~
....--;{1~ 15~lIly
fP(,
1,545.28
1,734.00
24,000.00
10,368.00
13,120.00
18,750.00
131i:':..S (7
8,100.00
Prior to any utility construction, a preconstruction conference
needs to be scheduled to verify proper material and installation
requirements per City of Port Angeles Standards. Any utility
construction requiring street asphalt cutting for storm drainage to
the Port of Port Angeles property, a traffic control plan must be
submitted and reviewed by the Public Works Engineering division.
Control Density Backfill material will be required for any street
cuts at 18th.
If you have any additional questions or concerns, please feel free
to contact me at 457-0411, ext. 124.
Sincerely,
.( -----/
i>:I"'" ~ ,~~~.-:>'~C
..........,_./ / L.<'- ,. l./<"'--,,--,
Trenia Funston
Engineering Permit Specialist
Jack N. Pittis, P.E.
Director of Public Works
G-i-h, I?-e.c~ i 0 D
I(W5D05t1447 r!)Q/8'i /-'
7/:17/1:) )
I
.\
(
.
Port Angeles Public Works DeDartment
. IT II AMOUNT
NAME NUMBER NUMBER
Construction 700.9211
Plan Check Fee 700.9449
SwOw~e ($ 4.5) ) 001.2291000
Plunbim! 700.9212
MedJanicaJ 700.9213
Si~ 700.9214
1-10= / Radon 700.9626 ,
RJW Sid:waIk- Dr.Wav-<1llb Pmn .~./)q 700.9228 ~/)
Dri\eWav-ClIrb Permt 700.9228
SanitaIy Se>= Permit 700.9223
PublicatiJns 700.9409
Blueprints - Aerial 700.9429
SeNce Fees 9./)U 700.9462 / d")/) .'C.
Oear,Grade Permit 700.9241
Fire Sprinkler Plan Revi:w Fee 500.9449
5 % Administratioo Costs 700.9426
Oe\eloper Fee olus interest 001.2392000
TOrAL GENERAL...FtJHI) TOTAL 1001.1111000 $
Stoon Drain /Tao 752.9619
Street I Alley Restoratiln 752.9242
I
[TcffAL S1REEf FUND TOTAL 102.1111000 $
()t he L~ Fund
i TOr AL CAPITAL IMl'ROVJlD TOTAL 1310.1111000 $
: Property Sales 715.9634
TOrAL P.W. ~OV,.lIl.IND TOTAL 1314.1111000 $
Water ~tero 0e\cl00lmt Chan!e 753.9403
Hot Tap (Watennain) 753.9619
F.H Install/Meter 753.9619
W/M Installatim 753~9619
TOrAL WATER FUND .... ..... TOTAL 402.1111000 $
Wtarv Se\\er Tap/CaPOT MHTap 354.9619
Se>= S~tern Oe\elonnent Chan!e 354.9403
TarAL WASIEWATERFtIND TOTAL 02.1111000 $
Landfill Oe\elorRmlt 0larlE 755.9403
Milooukee Dr. ~t 755.9640 .
TOrAL S:>lIDWASl'IiFUND TOTAL 1404.1111000 $
Landfill Exoansim
TOrAL S.W. ~lH;FUND TOTAL 1409.1111000 $
~ndarySe\\er ~t 757.9633
TOr AL SEWER IMJ:ilt 412..!111000 $
--------..-.- 7f0 Cl "
Receipt # l)3 'D Grand Total !.L
0 ---~
"0 In r.ompletelv - total all funo"'" '
~
"0 total ~~~.
CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
ACCOUNT
NAME
PERMIT
NUMBER
Icon n
Plan Check Fee
Surcharoe IU.50l
Plumbina
Mechanical
Sian
WSEO
House Movinal Radon
Sidewalk Driveway Curb Perm~
Sani1arV Sewer Perm~
Publications
Blueorln1s Aerial
En ineerlna Servioe Fees
Oear/Grade Permit
Riaht otWay Perm~
Fte Sorinkler Plan Review Fee
Aaninislration Cost 15%1
ORA Fees Plus Interest
:::t~~,:;%~t.:Mt::f~4~.A~: ~::::
;.:, ::::::::::::::::::::;:~:~::::::::~:;:;::::::::::: ........
.:.:.;.;,:.:.; .,.:::,.;.;." ~~.
---~
Storm Drainl Tap
~ AIlev Restoration
SlWCo 00
::\~
ACCOUNT
NUMBER
700.9211
700.9449
001 .2291000
700.9212
700.9213
700.9214
700.9301
700.9626
700.9228
700.9223
700.9409
700.9429
700.9462
700.9241
700.9228
600.9449
700.9426
001 .2392000
DOLLAR
AMOUNT
752.9619
752.9242
752.9626
"':Il,Q!'Iu:tttt.:','t',,.,............... }ttl'QU\ti.tt .:tt::J wiU'n QOlt:tt,:
,.... ," ..........:".:'..:.:';.:~..... .................' ....:.:.;.:,.;.:.:.;.:.;....,. '.....'.. -.
-.,'-, .;.;.'.;,..:.;...:..... ..:.~.:,:.:.....:..." '," ",' .
other Fund
PrODenv Sales
'.&lMd'lICQTAlr' ....rriU;UUPl'lOVl'!UEN1HIUNO.......,................."":WtQTAliitt:. tt3Httll'UI0ll.'I"".'...., ,..."...",.,...,.,...,.....,..,.,.....,..,.,..,.
715.9634
::l@~:J#:tt%:
.,
......
,~:<:::::::::::':....,:......,. .
Water SYStem Develoo ernent Charoe
Hot Tan twatermainl
F.H. Installl Meter
W/M Installation
I'/' J
"
:t:~:~tf:W+t!::gW@tt::: :
)::::::::::::::}::::::::~:::::-:..':......,.......,
Sani1arv Sewer TaDIGaD ()( MH TaD
Sewer System Develooement CIlarae
"l,-).
,
~::~~}@##:!ttt::!n: ;.
Milwaukee Dr Assessment
:!:!:iti.!~d::M!1:r i!~:~t ;: ':
:::J. ,k. :+:':. .'.
Secondarv Sewer Assessment ( '7 )
~...
... . ...
. .
.. .
.. ... ..
::'::::.:::.::::::;::::::::::::::~..:::.;:.,:;:::.:.:...;,"
"."."."., .
.
:" ~
':"""':':"':'::::"::'::,:;,,:::;::;::,::,;::::::,: :.:.:,:.,.:~.:.:::.:.:.'"
753.9403
753.9519
753.9619
753.9619
/:::l /.:::J~ CJ{.)
';';"';';"';';':':';':':.:.;.'.:,;.,.:.:.:,;.:.:.'.:.:.:.:.:.:.;.:.:.:.,:.;.:,"-',".'"
354.9619
354.9403
~ -
. . :::.;::::.::::;,::;,:::.::::::::::::::::::::::~:::.:::::::::::.:..::.;.:........ ..
755.9403
1
...:.\'~itl.
f
I
."".:........:~
757.9633
7/7...,'(l(
N'
..... '...""..''''''''C'.'''.:.:..''''''':''''.''''..._.' """"""""."''''''''' """,""""'.':"'.""i",,""I..:.i ..,. .'. ..}}:....}
01227
TEl y TOTAL ALL FUNDS AND GRAN OT AL
'...........-
RECEIPT #
~ILL-IN '
(8t1'5C 0/7
/ ///77t>~rs) ;2 i&ol W/j/PJ
CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
AC COU NT P ER M IT Aceo U NT D 0 LLAR
NAME N U MBER N U MBER AMOU NT
cc nstruction 1.9211
Plan Check Fee 700.9449
Su,chame /$4.501 001 .2291 000
Plumbina 700.921 2
Mechanical 700.921 3
S10n 700.921 4
WSEO 700.9301
House Movinal Radon 700.9626
Sidewalk Drivewav. CUrb Permrt 700.9228
Sanitarv Sewer Permrt 700.9223
Publications 700.9409
BluerYin1s Aerial 700.9429
Enoin_ino Service Fees 700.9462
Oear'Grade Permit 700.9241
Riohl ofWav Permit 700.9228
Fi'e Sorink\er Plan Review Fee 600.9449
Acminis1ra1ion Cost /5% 700.9426
ORA Fees Plus Interest 001 .2392000
..,:::::::::<':::.#!~;::!H:f~:;;~W! , :::;:: .. 11.:.:.)))\,:, ,. ~!:::::::!: ::::!::::~:;.: ..... .W" :::'::;:::::::::::;::':: :::::::::::::::::::'::':::::::::::'::;::'::::::::::::;:;:~;::.~ :::;.::;:;:::::::::~::?::!:~:::::~:::::::'
,. .~. ::,:~~::,:::: ..... ..... ,
storm Drainl Teo 752.961 9
strAAt! AIlev Restoration 752.9242
SMTCo Or> 752.9626
~:::b~~n~:~Z: :r!t:ttM~. ., ::t .: "'"U!'lDtf: .::::::::::::::::::::::::::::::::::::::::::::::~::: ...., . 1
:: ... . ..... .............'.,.,..-..,. ..
other Fund
%~:::::!:~~:~hT<. t..ITJIfl'( OWlMI!NTRJlIlD .....:.;,..:::::;.'. '('TOTAtA':':' '(talllltll1:llllOt({n:) :!:!:!:!:!:~:!:!:!:!:!:~!~: t(t;tHt~{!?;}:
.. "c, . .::::!;.:' '.::: ::;~;:;::;:.,.;..':' .... ;:::;;::;;;;':;;:;';;;';;':;;;:
ProcertV Sales 71 5.9634
!A::;:~~:~:~:M!:!:t , ':;: .,..j:,;
WatBr Svstem Develooernent Cha,"" J 753.9403
Hot T~n lwatermainl .-7~ ,,,I. ,)A7!J/~ -"LJJU 753.961 9 ~,c:;;r)<'~
F.H. Install! Meter ''-' , 753.961 9
W[M Installation 753.961 9
H:d~:~~!;:::.g~~! t~t:i::~:!:!~:;:: ;~;: 1
Sanitarv Sewer Tar>!Cao or MH Tao 354.961 9
Sewer Svstem Develo""ment Char"" 354.9403
:::::i:::::~i~:~~*~@!{::::::: ;;.;~;,
Milwaukee Dr Assessment 755.9403
:~~m~Wf~:;,:~:;:}t~~t#: ., :.:-;. .;:::::r;;::~:::~;:::::;(;::::j::::::::;:: ......,.,..,.,..;.,.... ..... .;,;,.;.;,;,' 1:HOlln}':'/ . . :::;:;:;:;:::;:::::':::::':::;;':;:::::;:':;!;:~;;':::,;,:;,;;,;,"'.." ...
b::\::~~:::~~?:::~:t: .. " '\. ,~~!.W ..'........... ...'.....'. :.:.:';,,':':':'~.':':' ;:;::::::"::::::::'::;:~': .,.:.:,:-,.:,'
..
Secondarv Sewer Assessment 757.9633
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N , 0 0 6 1 7 '"
RECEIPT #
FILL IN COMPLETELY TulAL ALL FUNDS AND GR NO TOTAL
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CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
~Sales
,~,::,".' ".,:m:~:~:t~:~%#::
WaIM S=-Devel=ement Char-
HotT~n lwatermain\
F.H. Inslall MeIM -;- ---
_I:~:!,~P'/<>Y<:
SaiiHiiN Sewer T~ or MH TaD
Sewer S"""'m Develo-ment Char-
ACCOUNT
NAME
COnslrurnion
Plan Check Fee
Surcharne 1!t4.50\
Plumbinn
Mechanical
Sinn
WSEO
House MoviiiiiT Radon
Sidewalk Drivewav. Curb Perm~
Sanitarv Sewer Perm~
Publications
Bluenrlms- Aerial
Eiitiln_lnn Service Fees
Clear/Grade Perm~
Rinht otWav Perm~
Fre SrYinkler Plan Review Fee
I A~Inis1ratiOn eoSfTSo/;;!
o Fees Plus InfMest
.::'~
storm Drainl T~"
strAiitT A1I8VRestoration
S-MrCo-O"-
'::f, ., ~,'f::::~:::;,. ~.:
;.:,;:
Other Funrl
.'~.
..:;:
.':;
:-: .;,,::::::.:
Milwaukee Dr Assessment
I
I
I
. .:.
Second~'" Sewer Assessment
, .
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RECEIPT #
N~ 01061
FILL -IN
PERMIT
NUMBER
ACCOUNT
NUMBER
111
700.9449
001 .2291 000
700.9212
700.9213
700.9214
700.9301
700.9626
700.9226
700.9223
700.9409
700.9429
700.9462
700.9241
700.9228
600.9449
700.9426
001 .2392000
DOLLAR
AMOUNT
.' ..:w~$!@;::.a':::;@;~~~:w :::~$::?:~.. : :;~W~: M~:~: ::.:
::~:::.,.:.:.:.:.:.,,: ::::;,;:.:;::::::)::::,..:,:...:~;:.:,.::::::::~:t:m:M:::~~::~:::Mt:::::::i::::::;::'
752.9619
752.9242
752.9626
',;.
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::::::H~;~::ji::::::::
:::;$~h .., .. .:' :.:,::% :Ht:~:~~~:::r :.' ",
,,' ... :", :~::;...:.:.::::::::t.,.::::::::~::,}:;:~:;.}~:::!:~:~:~:~
M
}1!Ul\lQ}:MHI :tm:!l:Ql1AlMi' .. "liMliIl'OWH1OOllt:::::...
:tM~; ,;.. ;:;~tt %:::::::.
715.9634
....~,~,...
., .~:. ;::t:,'lI;::t:;U:UcU:::::::::
......,. w
:::::::::::::::::::,::,:,:,:':::::::;::::::~::::::'
w
.. ........ ,...
..... .... .:::::::,::::::,::,::::,::::::::::,::::::::.:::::,:;:;::::~
i"t{~Jb: 'i!Wr
753.9403
753.9619
753.9619
753.9619
:. ,11lQll'i}t ::,,,.
354.9619
354.9403
/~
::::~::::i~::::@$i:::::;:~i ,':':~' i:::W~~::;:m:~i::::f::;:n:;:::::: ,~.
..'..,...,........',.,. "."..,...,..;. '.' :::::::::::,:::::::::;::::::~:::::::~::::::::~::::::::~ ::::;:~:~::i:~::#::::
755.9403
@iM~:t:@~~*:::~~:i:~ i:~i:im:i:~~~:m!:di~~&:l (:*~~*~.
:~::::::::::: ~,::: '::;:::::;'::;:::;::::::':q::::!:::!:!:!:::::t~!:!:::!ii~!~:i:J:~!:!:n:w:@~!{:::!
.: ,.;:,*:~:-'b::k~ IW:lW~W~~%W~~:.:~!:::.: :~, -:-;:,:'. ii:. :' ;: .:, ::/ti\::;:;;: ::.:::::::;,:~~;~::;i;!~;!:2:;;;:,:;::;~:;:iiM!!r:~:\ !:!i@!@WMM!!~!
757.9633
w".~mn'M'j~II'll;n:~II%::U:ir:::';'::::I.:~IMil'll:1
-TO' UNDS AN OTAL
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CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
ACCOUNT
NAME
PERMIT
NUMBER
L;OnS1l'UCbOn
Plan Check Fee
Surcharge 1.....50'
Plumbina
Mechanical
Sian
WSEO
House MovinQ/ Radon
Sidewalk Oriveway~rb Perm~
San Sewer Perm~
PUblications
Bluecrin1s Aerial
EnQin_ina Service Fees
Clear Grade Perm~
Riaht 01 Way Permit
Fre Scrinkler Plan Review Fee
Adrninislra1ion Cost 15%1
ORA Fees Plus Interest
::i;' :;.~::;:.. '; .@:::. f::f:;~~~
::~::
:~~ ;
.' ::!:):::(:;:::::;: ~;~~:(;:::::
'::;;;.;:::::~::: :~~::::::;.
:::::~:~t::: ::,!::::@!=:
storm Drain Tea
street! AIlev Restoration
SNV Co Op
~Wt@~~~~~Ht?:~,;:. :;..; ; ~~::
=?@::::
"~:,:;" :W%):~itttU~lI!)::/::::...
Olher Fund
".~~l
~~,
PrODenv Sales
if;!$i:::@:-::::;::(@:i::;":..
r~~..~~~,.., :
MI!N1UlUNl):\%""'" /!mrQTAli# '"
.:;:;, :::::~::;~:::;::: ;::!:~:;!~::: ;
...................."....
...;....., .....:
715.9634
<.,
Waw Svstllm Develooernent Charas
Hot Tea lwatermaim
F.H. Installl Mew
~~~:;i~'~~: "
~'n.,\ /n
:;:i~ .; . ';: ,.': . ;.
...... . ..,. "'"
Sanilary Sewer Ta or MH Tap
Sewer System Develooement Charas
0#'1/)4
:'::;;:':'d:_bl'
; : ''', ~ ,.::;'
~~~.:::
:!:m~~!::
\)~H
:!:!:i:~i~ i:!::;::=i!i!=!=!i!,!: i::t::t~:~g::~:i~:~~
Milwaukee Dr Assessment
r~} '. :@~&: *.$.:::. :t:::;:~~~ ::. :~~:
:-: ~:i:~:n:::titfi:i~:~: )i:!:!:i:;:~!:i:i:::::: :::;::::~ :;:::::::;::' :~::::::~~.,
ifut::A;:j::~1-:;\ ". ., ;:~~~*.
Secondarv Sewer Assessment
:::: .:;:i:i:::W:!:!ti:m:~ .:~ ......... ::~:::::j:{::~:~~:~::t..:.:.:....::::::::: .....,.,:....
RECEIPT #
r 00984
~ILL Itl.Y-IUIAlALL.UNDSAND RA
ACCOUNT
NUMBER
\1
700.9449
001 .2291 000
700.9212
700.9213
700.9214
700.9301
700.9626
700.9228
700.9223
700.9409
700.9429
700.9462
700.9241
700.9228
600.9449
700.9426
001 .2392000
,'n1)'!!I\6l",::,,)'f'
752.9619
752.9242
752.9626
'1)]1':1'11.00It)'):"""""
753.9403
753.9619
753.9619
753.9619
,t
354.9619
354.9403
:~H~f.
755.9403
DOLLAR
AMOUNT
:.:.,.:.;.:.:...:':.:.:':...:,.-:.:.:-:....:;;:.:~::::::.;...:,'.'.
:;::;:::::;':;::;;::::';::::::::;::::::;';::-:';:::It?:::::::
~~/;<4 q~,
:;:;;:::::,;:~::;::,:.:
......-...-...'.:':.'.:.',:':.:.:....';..'.-:;,;:::::,:::::::::::::::::::::::::::::::.:::::~::::::::::;;.:.:.:,'
.'." '............... :::::::;::::::::::::::::;:::::::::::::::;:::':;:::::;:=:::;: :!:t!:!:!:!:}:::':/:::::::!:if):?;
(It
757.9633
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CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
~
~.
~.
ACCOU NT PER M IT ACCOU NT D 0 LLAR
NAME N U MBER N U MBER AMO U NT
\,;lln n 700.9211
Plan Check Fee 700.9449
Surcharae (li4.501 001 .2291 000
Plumbina 700.921 2
Mechanical 700.921 3
Sian 700.921 4
WSEO 700.9301
House Movinal Radon 700.9626
Sidewalk - Driveway- CUrb Perm~ 700.9228
Sanilarv Sawer Perm~ 700.9223
PUblications 700.9409
Blueorims Aerial 700.9429
Enain_ina Service Fees 700.9462
Oear/Grade Perm~ 700.9241
Riaht of Way Perm~ 700.9228
Fre Sorinkler Plan Review Fee 600.944\1
Actninistration Cost (5%) 700.9426
ORA Fees Plus Interest 001 .2392000
.;>: : .::::' %! :::~: :,; " .:@tf:!MMt3M?:~1m: ~~*;:!::~: .::~::;~:! :;::::..,~:~ ,;,., .....'.......,:....... :::::::::::::::::;:::::::::::::::::8;:::~;~::::::::~ :;:;:::;~:;: \~:::!:n:t::;;:::g~:~;:
.. ,. .~:.:.:...,.,..,'...' .
storm Drainl Tan 752.961 9
~AIIeY Restoration 752.9242
S Co 00 752.9626
1:$.:::g:::~~!:]:~J~*.~~~%;b\: " , ~::: ~ J~~~NQ:m@:m:~t:Wb:mW: g@;: , '::::Hi; :!th:::~i~~~4::1:jJ:~:r:ti:ii:t:::;: ..' .... ~iitrHmi:~%i:t ,',' ::::;::::::::~ ::::;:;,:~;::
other Fund
';'::~::::-i~.f,: ':CM MEl\l'l'J!UNDt" ;ih~:iX: :W.MrOTAlii' ,ire .:.:.:.:.,:.' n:nl1000 :.:.:.:.:,:.:.:,:., :::::::::=::~:;;:,:::;:.,~:~~:::,:.:. l\j\\j ti~:!.~~~ :\\\\i:N;\H\\\:~::!\:~:::!:Wi:i:~
, ;,:.:.>.:<.~ '" ' .~: ',: :: ?,:': . . , ;:,:::'.:,:',:,,~;:',' ....................'..............,
ProPertY Sales 71 5.9634
~". ,.:..~=B:::'.'. w '.'.W :::=!=i::M::tj:; :':;:'. ::::::;W: ,.;,:,:.,.;,; .:. '.:,:.,,: .... .....,.,..,-.'.,.... " ...
" ..,.;...., .. .. :;:':.,..... :,...:,;.;".:.:.;.;.:.:.;.,.:.:.:.;.:.:.:,'.:,:.'.:,:,',::,:,,::,:;,::,:;,::=::,::::,;:;::;,:,::,,:::::,.:,:.'.'
WatBr SYStem Develooemerrt Charae 753.9403
Hot TSD (watermain) 753.961 9
F .H. Ins1all Mew J, 753.961 9
=~~:::~~,~, " //'0. ~ hi {)t7- 753.961 9 ::::><;;00</
.... '.' '.' :!:;tf::: ::;'/,:;::(.O2Ol':'
. ... . ,. . .. :.:=:':.~ "
'.: v,, . .:...' .' ..
........ .. .......,.... ... '.' ".. ....... ...
Sanilarv sewer TaP/GaIl or MH Tap 354,961 9
sewer System Develooement Charoe 354.9403
;::J ":" ~,:,;:::: , .. ~; .. , :::#:n;~i: :'~=~=\::!:=:=~mt :r: ;=~;~:H:::::::::!:~ :::::::::::~:i:; ~:~:!#:. ....:.:,. :';"':';':';"".:.:.=:<:.;. .....'.....:". .:.".".,.:,:.;."...... :;::;::Mi::!:~~W~
.. ....'.',-..,.... .w..... ,'..............'...w.',.... :,:.,..,.;.;.,: ......
Milwaukee Dr Assessment 755.9403
f 'IN!!' ':~::#1M" " ;.{ :::::@:::. .. , .. ....., ..... ..MW......... '.' in, , ;.s~J:,~J:{;.:::~Wi:::;.:::~~.t\
'::.. ,".' ........'....,:,;.:.:.:,;.;." ;:::;:'::::':::::':::: ,......:w. :::::':::'::;:::=::':: ::::::::;::..:;;:;::mj;::::~::::;:;.:::::;::':':':"'"
:M::::8>.t:~:*~~f::. ~f:..t~li~wf ~':!%4Il1li1"l:'
:..'....,..... ...,'....,
Se<:ondary sewer Assessment 757.9633
.. '~ :;:;:::~ :::if:=::M:~:~::::f:::::::~:~::~~ ::~::::;:; :::::::::::::f:~::::::::::::
, ,. , ',,> ,'," ,",., ,
.. ' . .
.1'. 0 1 2 2 I" ::::l::l.ljll:~~l:\;'l[;
RECEIPT # ;)
FILL- rELY--TUIAL ALl D A DGR TAL
Z?{)J W / p-tt'1
{la;2~d0/
CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
ACCOUNT
NAME
PERMIT
NUMBER
Con n
Plan Check Fee
Surcharne 1!t4.50\
Plumbinn
Mechanical
sOOn
V\lSEO
House Mavin Radon
Sidewalk-Orivewav~CUrb Permrt
Sani1arvSewer Permrt <;<
Publications /
Bluenrinls- Aerial /'
En-",n_,nnSarvice Fees 7n:5,,"",c-or/(},,-Ie;;;<
Oear /Grade Permit
R"'ht ofWavPermit
Fre SDrinkler Plan Review Fee
Admi nis1ra1ion Cosf75'Y;;l
ORA Fees Plus Interest
..)0<7'
-~
.:.;.;::.;.;':''':'.
'..:,.....,...............,........
:::::::::;:::{:::;:::::::::;::::::~
storm Drai;;7Taii"
str""iiiiV A1I8VRestoration
SM/Co O~
ACCOUNT
NUMBER
11
700.9449
001 .2291 000
700.9212
700.9213
700.9214
700.9301
700.9626
700.9228
700.9223
700.9409
700.9429
700.9462
700.9241
700.9228
600.9449
700.9426
001 .2392000
DOLLAR
AMOUNT
/",,:,'...c; 9_"
/~/) / f'.Q
':':::'.. :;.0;
.::;:::::::::::~::~:::: ','.".
:::,.@".
.,:.'-,.;. ..,:.,.:.;::.;:.::::~:
::'::::::::::::::~:::::::::#;::':::~:::::
752.9619
752.9242
752.9626
- -rorAl: 102,11
. "J_ ,')4 753.9403
753.9619
753.9619
753.9619
,,,,,,,,.. ,,1. .""""l""""'"
. ... . TOTAl.. &TRiatFUNI)
Other Fund
1------- ----
.,:-:-..,.,'-:
TOTALCAPlTAl..IMPl'lOV:eMENTfUNO.'.
.TOTAL
PrOrlArtVSales
Water S~tern Devel~ernent Char~
Hot r;mTwatenmaiiil
F.H.lnstal17Meter
WIM Installation
1/
~.
. .. . .....c.
..'.:, :;:..:.::. ..;..:,:;::.:::.....,:,:;.;
Sa"",,""iVSewer T~ or MH Tao
Sewer System Develo~ment Char"" /
t'UNIl
.
. ..
~ukee Dr Assessment
~;;jwn
- --
::0::::.
NI'l
Sacondarv Sewer Assessment . 1
-'jFlJ .tI
--
311:1.1111000
.
715.9634
ii'
/_.
354.9619
354.9403
7Aq;;>
755.9403
--
1
.sGIl,11
...
757.9633
.~
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RECEIPT #
1\] ,
FILL-
o 122:U;;/h ~. ~
fay - -TOTAL ALl. FU~ TOTAL
{f.A--:'-GZ;) oA..J 2// rn f'Yf?r:s) '2--3-01 wi !?-fA
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CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
ACCuUNT PERMIT ACCOUNT DOLLAR
NAME NUMBER NUMBER AMOUNT
~n '009211
n (Fee 700.9449
15urcnarae IM.5O) 001 .2291 000
1t"lumOlna 700.9212
I Mecn&n1Clll 700.9213
Sian 700.9214
WSEO 700.9301
House Melvina/ Radon 700.9626
~-l:Irivewav' Curb Permrt 700.9228 ..~_.
nnary ,,",wer Permrt ""H'. 700.9223 ":;:'2=--.
Publications 700.9409
BlueDl'lnts Aerial 700.9429
Enalneerlna Service Fee. 700.9462 .. .
Clear/cnde Permit 700.9241
Right otWay Permit 700.9228
1~~I~~~rYI n R8\lewFee 600.9449 .
n one :ost(5%1 700.9426
ees us nlBreSl 001 .2392000
-~_.-............-.-
'n ....~.... ":'~":';'~:;..,: . _~U 111U~. -
stDl'm uraln 18Il 752.9619 . ---
~AIIeV RestDration . 752.9242 - .-
S Co-Oo 752.9626
,',,', ~,,:;::~ .: ", . ;:~: ,",': ...L'1<'-,11U~L >
f---
Ulner r und
.At\IY M NO ..". .. "TOTAt.. a10.Ul1000
I .. . -
Jil.tleS 715.9634
. . >>: 314.1 ---
. . ". , I.UUU
. . . ~. +._.._-_.._,~--_..
Watslt SIIS18m DevelODement Char . 3'--/' .::r-l ..$2,;;1. 753.9403 ... .. . .-=-
Hot T8Il (watermainl 7539619 -- ..:20 37-:5 =-
F.H. Install! Matslt 75:fg~-'" .- .-
W/M Installation 753.9619 -----
.. . :" .::::~:::::;: . ~ "..>' - [lTffMQ ..--.- -----
..~ "'--.--.. ~---- ... .----
Sannarv 58wer TaD/GaD or MH Tap 354.9619 '--
Sawer S m DeveloDeme<1t Charoe -'1-/ -'1-Z" 4n.;A. 3549403 _. _. -) C> ;2.~ (';-0 '"
-
,(.::., ,:" ::::: >> 4OZ.1
._~...~ .
Milwaukee Or Assessment 755.9403
- .. '....,: ,"," 404.11111100
~.. ::\,,~::~f ~lL~ _.-.
.. .' _.'
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Secondarv Sewer Assessment ."J4 ~-? 4n'2 757 9633 /.:2. V5.. "....E
. . ,
~ ii >tI< 12.1111uuu
::','..." . ::: ..:.
N' 014 1 1 .... Ii 6t1 ~ -J',.)/)()
RECEIPT # GAANOtOTAL . ..... . ./L. -
,.'LL",N ._ TeL V . TOTAL ALl ,.UNDS AND GRANLJ IOTAL
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APPLICATION FOR WATER
City Water Deportment
? 1&<7_
_, 19 Lf::' -
V,
I\l
'-
Port Angeles, Wash,
,
in accordance with rQte~, and rules of the City
> ' S-L. /t';"~ --
New Servi~ Lat Add
/1/ . . /. M/If l' W
, 1:;- 11'.)'/ t{,(fIP ~eter {lUmber .
Service Left Off J"0 Signed
I hereby apply for water to be furni shed
.. for the following premises:
~ Name of APplicant;:;; /rcA!/d..
Address _
c., Ren;wol i
\l--
I\i
Size of ServIce
~
a.( Service Left On
b ) ";'J I,
Installed y~J.~_1 r~_ _,,-_~!L-'-__~~--
"?ern'1//p' zOf
- ~t:. c--;{L /:;2,:2S-
Remarks:
. .
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yYle-{~Y /'-<:;, Ie, t. !t^ll~l
f' Did ,'('".
-TlroY'>t- Of V. Il .'
We-Sf Drwl "" -10 P-,Idt,
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,
(UTILITIES URG LOC CTR - WA) 09/28/95 lO:59:01PT
-0051 -0096 -1400 -4350
-4351 002-5670PTANGL -SWRU
REQUEST NO. .953904538 TIME. .10: 24 DATE.. 09/28/95 COUNTY. .CLALLAH, viA
MUNICIPALITY.. ..PORT ANGELES (INSIDE)
STREET ADDRESS. .2301 W 18TH ST
pxopexty Ownex:PLS/NA//FAIRCHILD HEIGHTS APT...
TYPE OF WqRK....INSTALLING CARPORTS' .
EXTENT'. OF WORK. . LOCATE ENTIRE PARKING LOT AREA....
CALLER..... .LINDA ROMERO
TITLE..;... .CO-OWNER
START DATE. .10/02 START TIME. .10:30AM
PHONE *.....206-9~2-1927 OR 206-219-0906
CALL BACK...ANYTIME
CONTRACTOR..J & L CONSTRUCTION
ADDRESS.....PO BOX 156, KAOWSIN, WA 98344
-_.~ --- '-- .__.._~ -- --.- .-' ,- ---.---'---'
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.------------
,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
REQUEST:ill~ ___
Date D CI ')
I
Time
Received by
fr-
f
( -F(l1A(l~)
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
Z,3D I vJ 1 )?~
~O(l_
INSPECTION NOTES: J,
Inspected: Date 0
Remarks:
'-
Time
By
,
\
[,1)'..4"7"1 iL
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RESTORATION REQUiRED...... YES
-
)~
NO
A II 4 u.:r-e-d. +csi:s 0 n w..(.;:.~ I Sit" =,-"e.y ( sn.r'-' s.e -...,.Jer- ~ ~ lJ~ b-e<<.n
c'''''''I'Le.Te4 I ..=er""ted,
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()+-(j) ?I'(~ o-P c1<'.br;", So~il, s;d.e of' "t.L
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ov..(]) C.l-e.s.n "'"I" ('1r."j:~1 0" c.... st. ..T...... aT I..j~5t;.,-;'1 I'&rk 5+or", S-e~,.
up,\ rade.. .
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(j'f..lY EXleYl6- s-t-o~-J Ulc...t..V\.l'ly norl'1 end g;-- rUo't\.wQ./ /pI' WQv.. e...-'L...- .
(j) G-...J,'",'f ,f f';' v.iT-e- 1''' \"'k~,.,'i ..rez M',;tI, s:J-- ~ t' 1'& tf" >-e" e. ,-P "0" -S+.
F/P--tr'. <. - &~ Yk.-./ (;,c.l ....~, ""ve...... eo
SU d: "" I"'ti'e..olf'o .~ PI /~
SURFACE-PfPE: o Asphalt OPCC ~Other
'i -11-45
---...
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
IContinlJe on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . .. . .
. . . . .
. . . .
REQUEST:
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
r;, ,~t. : Ii J/,'i i;
l?12ncl'j
Phone No.
Permit No.
Sewer Excav. e ~Y'" ~ r
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES:
Inspected: Date 7_J!?-'js'
Remarks: .s-:Ol.. l~ V'Y1 N; 11 "
!< h;:;J.. ~-1 ~ r",,',.r.: ~-T;-/A ""
6' ~/:..;o .....~e.....-:;
/
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p/u7yPcL
Er r,rrva-r.-^ ~ r;.. T
By:--t~ 4-
/ -h..--r.. ,/
Dk
Time
A---rvc
~e;:>.v
,
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CREDIT CAPITAL CORPORATION
P.O. Box 3080
Bellcvue, W A 98009
,-
. August 23, 1995
Ken Ridout
City of Port Angeles
Property Manager
321 E Fifth
Port Angeles, W A 98362-3206
RE: . Fairchild Heights Apts
Dear Mr. Ridout:
.Enclosed please find the following compl~ted documents for Fairchild Heights Apts:
1. Quii-Claim Deed
2, Right of Way Utility Maintenance Easement
3, Real Estate Excise Tax Affidavit
(206) 562-1200
Fax (206) 957~0425'
R!-'CEIVE6~'--
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I
. AUG 2 5 1995i
. ' .-1
CITY OF PORT ANGELES
PUBLIC WORKS
Thank you for your help in completing these documents. Please contact me if you have
any questions or need additional information. 1 can be reached at (206) 562-1200 x 122:
Sincerely,
CREDIT HOUSING LIMITEDPARTNEIl.SHIP
by Credit Capital Corporation, GP
JiJa.
Janet L. Hardin~
\2.~-.:p~
5(:;!-<;; (95
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Enclosures
PUBUC WORIC8
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QUIT-CLAIM DEED
[Statutory Form)
THE GRANTOR[ I
of Credit Housing
Ki ng
County of
benifits to clear
}<1iJJ.ipl1!.J.._ An_derson, Beoera 1 Partner
Limited Partnership . City of Belle'-/ue
. Washington. for and in consideration of mutual
title for street and utilitv purposes
convey~ and quit-claim~ to the City of Port Anqeles, a municipal corporation,
of 321 East 5th Street
in the City of Port Angeles . County of Clallam
all interest in the following described Real Estate:
All that portion of the North (35') thirty five feet
abutting the East half of Suburban Lot 102, Townsite
of Port Angeles.
. State of Washinqton
Clallam
situated in the County of
Dated this 23 day of August
. State of Washington.
95
.19_.
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ST ~IJ'K\~~XSHINGTON.
King
Credit
Grantor(sj
Housing Limited Partnership
by Credit Capital Corporation, GP
by William P. Anderson, Its President
G)aJlj4~~
} ss
[Individual Acknowledgment)
I.
. Notary Public in and for the State of Washington.
23 day of August . 19~. personally
Anderson
do hereby certify that on this
Will i af!l P.
appeared before me
to me known to be the individual_ described in and who executed the
acknowledged that he signed the same as hi s
and deed for the uses and purposes herein menlloned.
within instrument and
free and voluntary act
95
19_.
GIVEN UNDER MY HAND AND OFFICIAL SEAL this 23 dayof August
J1<if ~ iJaviu~
M. . 11/2 5
y appointment expires:
North Bend
Notary Public in and for the Slate of Washington. residing at
in said Counl\'.
--- Fo, I 'l h+- 0,- 'v\JA '-\
UTILITY MAINTENANCE EASEMENT
The Grantors.
Credit Housing Limited Partnership
for and in consideration of mut:ual
benefits, does hereby grant unto the CITY OF PORT ANGELES. a municipal
corporation, utility easements for construction and maintenance of ehe wae~r
mains, including fire hydrantl sanitary sewer mains, and storm drain mains, over,
under and acrOBS ~he following described real eBta~e,
Fairchild Heights;
The East one half (1/2) Suburban ~ot: 102 of Port Angeles
situated in the County of Clallam, state of Washington.
Dated this
23
day of
August
199~
Credit Housing Limited Partnership
by l.redlL COl-'lLdl CuqJuraLlulI, (3~
by William P. Anderson, Its President
~o~~,
!
STATE OF WASHINGTON,)
King ) ss
County of )
On this day personally appeared before me
to me known to be the individual(s) described
within instrument and acknowledged that he
his free and voluntary act and deed for the uses
mentioned.
William P. Anderson
in and who executed the
signed the same as
and purposes herein
Given under my hand and official seal this
23 day of August
.
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NOTARY PUBLIC in and
state of Washington,
Residing at North Bend
My Cornm. Exp.: 11/22/95
19
95
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. ' STATEOFWASHINGTON , ,',",', '
: DEPARTMENT OF HEALTH. ' < J
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COllECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY'
If lnatructlona .... not followed, Nmple will be Nject8d.
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DATE COLLECTED TIME COlLECTED COUNTY NAME .
II /?/9YiAA ~':~:~p./~;:~/,fh\" ,..
_.TYPEOFSY~-ry:M I,~~SY~EM.COMPLETE:;; n'"l'~q.:'!l~vlB-rJ:~e-lff
o D~~MDUAL l';;:'~~~;l ~"~'} 'I .' d ,;;;; :~I~, ~~:J:
"(..vMcrit1.~) ':' 1.;' :.)'1' , w';~ain1>mQ
NAME OFSY1?::U:".:z;'e,...~cr .JI~';:':~:~~:::~
~F1C~lJ9Il~~!lAJII'lE~ D' 'ePHONE NO. , '''. " ,u .,
1-" dl.,~\ I(/,. :;""f"'(.... ~' DAY(O''')) f,' fO~";111t~:
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I'" ~!"f~~EDBY:(~) iL,jIU01,~ JlYSTEMOVlNFRI!!~;(~){fl~t"~r .
. t::i'0 ~91&"" f:dt 10 VI. . I" .. '~'. baunit
SOURCE TYPE 0 GROUND WATER UNDER SURFACE INFLU~NCE, . "
'0 SURFACE. 'blIWELLor, D~PRlNG 'OpURCHASEri';'lOCOMBINATIoN
r ~W~FIELo" .u."u".. .'INTfRTI~t~":J:',; orOTHER.qr,
.,SE':lI:!.RE~OIl:rrq:(~.F~,Addro..~~,~) ,G') ,!o ",. ..'.'q "dr
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TYPE OF SAMPlE (chocl< only one in this Column)
! D~~~~~WATER ",.': '0 Chlorinatoc!(Rosld~;~rqtal~~....)..
. chock...tment.,.,.,' 0 Filtered '.IDITOA 3TAYio . ',Ii
: ' 'j';" . -. t:-tfi ~'i;J'O UntreatedorOther><~.iD;~;J~h'ld ',:
"'0 REPEAT SAMPLE ' >, "..;' I" .' '""15"('qr~.luoY
Previouscoliformpresence lab. ""'" t1ia~G
.
J(:,.(GS-13t,t; ..,':, ',: t;~l!L.Date. I"; I.IH::~ t,'nrduG S
IJU.:::ji: Z.6. am8j2'{~ HJ!6W O;!duq to B'C" . ).]J \.:I!U'I '(I~ijdutl ,r~'
, "" .-, ~W,..: f'~",)
".,0 RAWSOURCEWATER........Sourc:e,..~'rnl I{J:r'otaICoI~Ofm
E NEWCONSTRUq~lotl,~~~P~I~~-'.V., -; 1)8Jl(O~qB ~s~,~IColifoon
o OTHER (Specify)
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.,'i, " (LAB USE OHL't) DRINKING WATER REWLTS ".
1~:Y~~~\~~9~:~ ~s ~~t'~~G:',I: ~::~: .~~:~: I J'r;JI=~~~~
REPEATS 0 E;CoIiPresent~...O E.Coli absent.L aievlsr.f t.11'10<' ~,
SAMPLE . . ,
REQUIRED 0 Fecalpresent"'"D Fecalabserit ) t~) e:ln'J,-,~'. /l:
,"','
OTHER LABORATORY RESULTS
TOTAl COliFORM _ /100 ml E, COU _ /1~1 'i.l'iMAi:.'i;l
FECAlCOUFORM /looml' '., PLATE COUNT . :".. Imld ')!~''''''''';~
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( 3~];I:i.E~~,P!-;.E~~t'~q~A,'"! R,@Olll;08Bt'l";'UG
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TEST UNSUITABLE BECAUSE:' ,
o Confluent growth" '" ..
o TNTC Yii,':'I;),GI,b':c:
o Turbid ~lture :'( 1:)::;j,1~Y.J
'0 Excessdebfi. . ' ,. ',i
SAMPLE NOT TESTED BECAUSE::"
O .. I
, Sample too old, : ,: ." ,
o Wrong container
o Incompleta fonn ,,'
o
-'
*' .11_.
SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
LAB NO, (7 DIGITS) DATE, TIME RECEIVED RECEIVED BY
q JO-DII'6
DATE RE ED
/ Ii 15 f
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LABORATORY:
t
: Ii ~~'12(REV.4'121
, ~ WATER SUPPLIER ~()py
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . .
o , , /
Location of Work to be inspected ;:; w,_h, / j /-/-t" /0 j r;-
/
Name of person requesting inspection ~A~~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
REQUEST:
Date j- Ie". -'7-5
Time
1ft]
Received by_----1 A M
(Phone.~
Phone No.
Permit No.
Sewer Excav. C~~ P><-ssur'" ~'
i5"aec-T TesT
,
W "- (,,->, #'1.. 0"
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES:
Inspected: Date /-/7- 9'S-
Remarks: uJd.~1"' 1'Yl~' 'Y1 ,,J$.-,
C ,,<>eel
Time
7e,-jC;"/
h, d
(
A--n1 ByC..AAd
"T -;;LIZ> /1,5 P"'r' 1s-'b-lI'n n hvd
,.
VI.!> d,.." '" ~S'UI^e.-
,
RESTORATION REQUiRED...... YES NO
"
.,
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Other
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
R ;:f.:::. ~U\,_'~'_~',
~--~-~.~-'"-'''---'..~ ~---
J
TECHNICAL SPECIFICATIONS
prepared for:
AUG I 2 1994
!
I '_'_'~M.
CITY OF POET .;~;':C':L2- .-;
~.~----i:.~U..C \:~~:2.2~~.~:'.~~_
Limited Partnership
for
Credit Housing
P.O. Box 3080
Bellevue, WA 98009
(206) 562-1200 ext.
124
UTILITIES/SITE WORK
FAIRCHILD HEIGHTS
PORT AN LES, WA
prepared by:
Quadra Engineering Inc.
P.O. Box 2356
160 East Bell Street
Sequim, WA 98382
(206) 683-7019
I EXFlflEStI1Ei11119"
March 30, 1994
Revised May 25, 1994
Revised August 12, 1994
1. WATERMAIN
1.1 The water main may be polyvinyl chloride (PVC) or
ductile iron (DI) pipe.
1.2 PVC pipe shall conform to the requirements of the
American Water Works Association (AWWA) Specification
C900. PVC pipe shall be pressure class 150 and shall
have rubber ring and thickened bell joints. Solvent
weld pipe joints will not be permitted.
1.3 Ductile iron pipe shall conform to AWWA Specification
C151, thickness class 52 and shall be cement mortar
lined in conformance with AWWA C104.
1.4 Tees shall be ductile iron or class 250 grey iron in
conformance with AWWA ClIO and C111 and shall be cement
mortar lined in conformance with AWWA C104.
1.5 Fire hydrants shall be City approved and shall conform
to AWWA Specification C502 for dry barrel hydrants;
they shall be supplied with a 5 - 1/4 inch main valve
opening, two 2 - 1/2 inch hose nozzles and one 4 - 1/2
inch pumper nozzle; and shall be left opening, with a
standard pentagon nut. Hose nozzle threads shall be in
conformance with NFPA #194 for National Standard fire
hose threads. The 4 - 1/2 inch pumper nozzle shall
have Pacific Coast Threads. All hydrants shall have
restrained mechanical joint fittings in accordance with
Section 1.8 below.
TECHNICAL SPECIFICATIONS PAGE 1 of 7
The hydrant valve shall be compression type where water
pressure holds the main valve closed, permitting
maintenance or repair of the barrel assembly from above
ground under pressure. The main valve seal shall be an
ether glycol urethrae compound (or approved equal) that
is abrasion and gravel resistant.
The fire hydrant shall be a breakaway traffic flange
type which allows both barrel and stem to break clean
upon impact from any angle. Traffic flange design must
be such that repair and replacement can be accomplished
above ground.
All working parts shall be bronze or non corrosive metal
in accordance with the requirements of AWWA C502.
Fire hydrants shall be provided with two 3/8 inch drain
outlets and bronze plugs located at the base of the
barrel.
Painting and coating shall be accordance with
applicable AWWA Specifications and City of Port Angeles
requirements.
1.6 Gate valves shall have resilient seats and be iron
body, bronze mounted, double disk with bronze wedging
device and a-ring stuffing box. Gate valves shall have
mechanical joint ends, or mechanical joint by flange
ends as shown on the plans.
1.7 Valve boxes shall be cast iron, two piece slip type,
with coal tar enamel paint. The cover shall have the
word "water" cast in it.
1.8 Restrained mechanical joint glands, where required,
shall be the fully restrained type with twist off nuts
to assure proper actuating torque of the restraining
device. Restrained joint glands shall be Megalug
Series 1100 manufactured by EBAA Iron Sales, Inc., or
equal.
1.9 Service connections shall consist of ductile iron,
bronze or stainless steel double strap with iron pipe
thread saddles (Romac 1015) and bronze corporation
stops. Service line shall be polyethylene pipe Class
200 (copper tube size) for 1 inch diameter or smaller and
PVC schedule 80 for 1 - 1/2 inch diameter or larger.
1.10 Water meter assemblies shall include an American #430
bronze meter class II conforming to AWWA C701 and a
horizontal inlet/outlet yoke with 18 inch minimum
TECHNICAL SPECIFICATIONS PAGE 2 of 7
riser height, a bronze curb stop, and a concrete or
polyethylene meter box. The meter box cover shall have
the word "water meter" cast in it. Meter setters shall
be Ford VH-70 Series, copper, with a lockable shut-
off, a single check valve on outlet. Connections shall
be male iron pipe swivel assemblies.
1.11 Pipe bedding shall be granular material conforming to
the following gradation.
SIZE
PERCENT PASSING
3/4"
3/8"
No. 8
No. 200
Sand Equivalent
100
05-100
0-10
0-3
35 min.
1.12 Trench backfill shall be native material placed and
compacted in 12 inch lifts to 95% of maximum Modified
Proctor density in accordance with ASTM 0-1557.
1.13 Concrete for thrust blocks shall have a minimum 28 day
compressive strength of 2000 psi. All blocks shall be
poured against undisturbed earth.
1.14 The AirlVac valve shall be an APCO 1 inch Combination
Air Valve, Model 143C for an operating pressure of 150
psi or less, manufactured by Valve and Primer
Corporation, Schaumburg, Illinois; or equal.
1.15 Prior to system acceptance, the Contractor shall, in
sequence, open bore flush, hydrostatically test, and
disinfect all water mains and services, and obtain a
a satisfactory bacteriological water sample analysis
report. Hydrostatic testing shall conform to
requirements of AWWA C600. All air shall be removed
from the system prior to testing. The test pressure
shall be 200 psi and shall remain constant for one
hour. If the pressure drops more than 5 psi during the
initial hour, the Contractor shall repair the system
and retest or conduct a leakage test as directed by the
Engineer.
Disinfection shall be with a calcium hypochlorite and
water mixture and the resulting chlorine residual in
pipes shall be not less than 25 parts per million and
shall be maintained for a minimum of 24 hours. The
system shall be thoroughly flushed after disinfection.
The Contractor shall coordinate discharge of chlorinated
TECHNICAL SPECIFICATIONS PAGE 3 of 7
disinfection water with the Washington State Department
of Ecology SW Regional Office; 7272 Cleanwater Lane,
LU-11; Olympia, WA 98504; (206) 753-2353. Bacterial
analysis samples taken by the City shall be paid for
by the Contractor.
1.16 The Contractor shall provide safety systems for trench
excavation that meet or exceed the requirements of the
Washington Industrial Safety and Health Act, RCW 4917
for all trench excavation that exceeds a depth of 4
feet.
2. STORM DRAIN SYSTEM
2.1 The storm drain conduits shall be corrugated metal,
concrete or corrugated polyethylene and shall comply
with specifications in Section 9-05.1 of the washington
Standard Specifications for Road and Bridge
Construction.
2.2 The 36 and 48 inch storm drain conduits shall be 16 gauge
aluminized corrugated steel with 2-2/3 by 1/2 inch
corrugations. The 72 inch storm drain conduit shall be
16 gauge aluminized corrugated steel with 3 by 1 inch
corrugations.
2.3 The smooth wall high density polyethylene (HDPE) Airport
Industrial Park storm drain conduit shall be as
manufactured by Advance Drainage Systems, Inc., model
N-12, or equal.
2.4 The storm drain outlet manholes shall be as shown on
the Plans and shall conform to WSDOT Standard Plans
B-1e, and B-3. The orifice outlets shall be as shown on
the Plans with diameters accurate to within 0.1 inches.
2.5 Catch basins shall be per Washington State Department
of Transportation (WSDOT) Standard plans as shown on
the Plans, with frames and grates in compliance with
section 9-05.15(2) of the Washington State Standard
Specifications for Road and Bridge Construction.
2.6 Rip rap shall be Quarry Spalls as defined by Section
9-13.6 of the WSDOT Standard Specifications and shall
be hand placed in conformance with section 8-15.3(3)
of the WSDOT Standard Specifications.
2.7 Pipe bedding and trench backfill shall be in accordance
with Sections 1.11 and 1.12 above.
TECHNICAL SPECIFICATIONS PAGE 4 of 7
2.8 Trench excavation shall conform with Section 1.16
above.
2.9 Work on the 30 inch concrete storm drain conduit at the
north end of the Airport north-south runway shall include
the following:
- remove all accumulated debris from the conduit and
downstream ditch.
- install one 6 foot length of reinforced concrete pipe,
with wall thickness and joints the same as the existing
pipe, at the downstream end. Bedding and backfill
shall comply with Section 2.7 above.
- place rip rap at the new downstream end as required to
match existing downstream end rip rap.
3. SANITARY SEWER
3.1 The sanitary sewer main shall be PVC conforming to the
requirements of ASTM D3034-73, SDR 35. All PVC pipe
shall have rubber ring and thickened bell joints.
Solvent weld joints will not be permitted. All PVC
pipe entering or leaving a concrete structure shall
have a rubber sealing gasket, as supplied by the pipe
manufacturer, firmly sealed perpendicular to the pipe
axis, around the pipe exterior, and cast into the
concrete structure.
3.2 .Sanitary Sewer manholes shall be Type 1 per WSDOT
Standard Plan B-23a.
3.3 Pipe bedding and backfill shall be in accordance with
Sections 1.11 and 1.12 above.
3.4 Pressure testing of sanitary sewer mains shall be with
low air pressure after installation is complete. Low
pressure air tests shall be done in accordance with the
following procedures: Pipe plugs shall be placed at
each open pipe end in manholes. The air test fitting
type and location shall be at the Contractors option.
When all necessary test equipment is in place, a
compressed air supply shall be attached to the air
fitting on the test equipment and the air pressure
within the line increased to four pounds per square
inch. After the air supply is securely turned off or
disconnected, there shall be a two minute waiting
period. In no case shall the air pressure within the
line, be less than 3.5 psi at the beginning of the test
period. The test duration shall be two minutes and the
TECHNICAL SPECIFICATIONS PAGE 5 of 7
allowable air pressure loss shall not exceed 1.0 psi.
After completion of a test, the air pressure shall be
released slowly through a valve incorporated in the
test equipment. Air test plugs shall not be removed
until the air pressure is not longer measurable.
3.5 Trench excavation shall comply with section 1~16 above.
4. ASPHALT PAVEMENT
4.1 Asphalt concrete pavement shall be class "B" and comply
with specifications in Section 5-04 of the State of
Washington Specifications for Road and Bridge
Construction. Asphalt concrete pavement shall be
compacted to the depth shown on the Plans.
4.2 Crushed surfacing tope course (CSTC) and gravel base
shall comply with specifications in Sections 9-03.9(3)
and 9-03.10, respectively, of the State of Washington
Standard Specifications for Road and Bridge
Construction. Surfacing and gravel base shall be
compacted to 95% of maximum Modified Proctor density
and base shall be compacted to 90% of maximum Modified
Proctor density in accordance with ASTM D-1557 to the
finished depths shown on the Plans.
5. CURB, GUTTER, SIDEWALK
5.1 Concrete curb, gutter, sidewalk and wheelchair ramps
shall be as shown on the Plans and in accordance with
City of Port Angeles Standard Details and shall conform
to Section 8-04 of the WSDOT Standard Specifications.
6. EXCAVATION AND EMBANKMENT
6.1 Remove all vegetation and top soil to expose firm
subsoil at an approximate depth of 1 foot. Stockpile
top soil for later use in landscape areas.
6.2 All fill shall be spread and compacted in 8 inch
maximum loose thickness lifts to 95% of maximum
Modified Proctor density in accordance with ASTM
D-1557. Fill shall not contain roots, stumps,
organic matter, frozen soil, rocks over 6 inch
diameter, or other deleterious material.
TECHNICAL SPECIFICATIONS PAGE 6 of 7
7. EROSION, SEDIMENTATION CONTROL
7.1 All clearing, grading, filling and drainage work shall
conform to the requirements of City of Port Angeles
Ordinance No. 2734.
7.2 The ditches and all areas disturbed by construction
shall be planted with grass, to provide biofiltration
of runoff and erosion control.
7.3 Upon completion of construction immediately revegetate
all disturbed areas. The areal extent of construction
should be minimized. Existing vegetation around the
construction site should be protected and maintained.
7.4 Grass species shall be Kentucky Blue Grass, Tall
Fescue, Perennial Rye or Chewing Fescue. The
application rate shall be 120 pounds of seed per acre.
All work shall be in accordance with Section 11-5.4.3
of The puget Sound Storm Water Management Manual.
7.5 Seeding success shall be evaluated one year after
completion. If there is less than 40% coverage,
reseeding shall be performed using a different seed
mixture and care regime.
7.6 Avoid construction during fall and winter or other
periods like to experience heavy rainfall. During
heavy rain, place visqueen sheeting over areas with
exposed soil.
7.7 During extremely dry periods dust control with
sprinkling may be required.
7.8 Upon completion of construction and periodically
thereafter, accumulated silt and other debris shall be
removed from the ditches for proper disposal.
7.9 There shall be only one access location for 18th Street
for construction equipment. This location shall have a
a stabilized entrance in accordance with the City of
Port Angeles Standard Detail.
7.10 Siltation fences, check dams, straw bales or other
methods to prevent or control erosion on the detention
pond outlet ditches may be required if necessary.
TECHNICIAL SPECIFICATIONS PAGE 7 of 7
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CUADRA ENGINEERING, INC.,PS
160 East Bell Street
P.O. Box 2356
Sequim, WA 98382
(206) 683-7019
October 18, 1994
Garv Kenworthv. PE
City Engineer
City of Port Angeles,
PO Box 1150 ,
Port Angeles. WA.98362
FAX 452-0353
Dear Mr Kenworthy:
As requested, we are pleased to provide you with the
attached engineer's estimate for the public improvements at
the Fairchild Heights project.
As you will note this estimate includes water, sewer, storm
drain and street work only for those facilities that will be
owned and maintained by the City. I would be happy to
provide a drawing that shows these improvements if it would
make your review easier.
The total cost of these improvements, inCluding 8~ for
mobilization and 10~ for contingencies is $108,910, My unit
prices are based on recent local area bids for public
projects and experience. If you feel some other unit prices
would be more accurate, let me know. I am happy to make
adjustments if necessary.
R8SP8ctfp
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FAIRCHILD HEIGHTS ASSOC. LTD. PARTNERSHIP
13620 NE 20TH ST" STE. I
BELLEVUE, WA 98005
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RIGHT OF WAY EASEMENT
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For good and valuable consideralion. receipl of v,'hich IS hcreb: acknowledg~d. the und{'rslg~ec~ 'w~e,s o~. :he 'ar.c!
below deSCTlhcd. hereby grant 10 the CI\Y Dr Pon AI)gdcs, J munlclpJI c;0rpDrJlIon, th.: ~crp<.: ';.1l f.g;-,: te ;':J~t
locale, conslruct, operale, repair. malntam. replace and keep clear thereon an o,crr.cae! ilr:C (', ',,;;-";er~;O'J",C L<<:c;:,:~
transmission and distnbulion line or system, together \vllh such .:ommunlcalj0n Iwes a.'"'lC eq.;:pmer.' as :'"",J, 1'<.: ;';.,_~"':
upon the poles or other strucrures thereof by the grantee or by others with lb consent. Inci"c:n,; :;,t: r,s.:'"': :0 ~.;: .:-.;..--:
and trim trees to the ex lent necessary to keep lhem clear of such line or Sy<;lt;m ~!'1d Ie' ("L;~ Cell;-, '~~):'": :J;:;e ::' :;~c
all dead. weak. \earung or dangerous trees lhat are tall ('nougll :0 stri:":c ::Ce wires. prc....:~::;g ,''';:-:,''.C' .;-,,: :.-.e ~:';'.~_.'.
OWners shaH nOl erecr or place any Structure, bUltdmg. \r\:e or ')hrub on lheiand be.ov. des~r;:),,;d.. i~r.0...l tr,e express
wrinen permiSSIOn of the Cicy of Port Angeles.
The land referred to is in Section , Township TPA N, Range
Washington, and the easement is more specifically described a') follows:
WW.\I!, Clallam Cou;"!:}.
The East one half of Suburb311 Lot 102 following the path of the underground primary cables
per attached Exhibit ~ A.
At such time in the future when the power lines are removed and the righl-of-way easement is no ~of\ger necessa,y,
me f\ghtS cQn\'e)'ed w the City of Pan Angeles by thiS easement will thereupon reven bacf; :0 lhe p:-oper:;. ov. nens)
and this easement shall be void.
Grantee shall al all times have the righl to fuJl and free ingress to and egress from such said proper:;.- for a::
purposes herem mentioned and to remove al any lime all of the poles, wires and other anlcies ':Or:s::tUl:r.g s:.,,;:;
electricaJ system.
The righl herein gT311ted shall inure 10 the benefit of the grantee's successors and assigns, includlr:g any par.;. v.h;ch
It may grant Contact, joint user or other similar rights.
DATED
If! 15!CJ'--/
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STATE OF WASHINGTON)
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COUNTY OF ('b' LL.~.J )
This is to certify that on this 15 _day of_ N ~{ejl\/Y(. 19~ersonaJlY ap;:>ca:-ed l:-o;:'-o:-: ~e
W,lI1r:)vn P ~'~f'ry)", _ u__ ~J "T',C "1'('\""1"' '0 be th,c ~r,d\,;.:~::,. ..'.e:,.~:;o.::.:,:-...c:-.:
executed the foregoing Instrument. and acknowledged :r,,: tL~slgned il,c ,;1;",0.: .L'b.0:~;::: <l~-': Ie ...~" _~
deed. for the uses and purpose lhereln mentioned
Given under my hWd and official seal thisJ.?..day of NOy'p~(1R <f
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APPLICATION FOR WATER
City Water Department
Port Angeles,'Wash.
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Port Angeles, Wash,
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~ NameOfAPPlicantLiiffM&~..7<'. -Cat'"~~~/L72J
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City Water Department d.p'
Port Angeles, Wosh.~-:;1
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City Water Department
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~ Name of Applicant fCl...1Y'(!.#~' 4,-; -L~*~;'y+L7J:>.l-
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City Water Department _/.1
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for the following premises:
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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 pr/ltes:
Name of APPlicantl1ljJ!/j;&/~ '
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City Water Department I"
. Part Ang~les, Wash. . ( -52 -31')
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APPllCA nON FOR WAfER
City Water Department
Port Angeles, Wa~h,
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J hereby apply for water to be furnished in accordance with rates and rules of the City
for the following premi/l_ '1/ ~
Nome of Applicant v Y(J /~~JLt~t'1 M-I' C7
Md,... ;?;31J /-W}g . (1.'3) ~ "
R:newaJ 0 New Servic.D-tm_ lat~ Add '/tI4t#~
Size of Service 2J~'7J?J1l1 / Meter Number IAI "::)1t.1BS-z1S0
Service'left On 0 Service lefi Of~Signedff 1//(/ I () i t'cy
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APPLICATION FOR WATER
City Water Department
,
Port Angeles, Wash.
5~'16
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I hereby apply for water to be furni.shed in accordqnce with rates and rules of the City
lor ihe 101.lowing premises/!
. Nome 01 Applicant ~
A,ddiess ~~ /
i, 0
Renewal
New Servic..Q---Blk_ Lot~
.' 1/ ".;tzz( . ".
2 /' Olt l. GMeter Number
o Service Left ~ Signed_1L==
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. Size of Service
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APPLICATION FOR WATER
City Water Deportment
Port Angeles, Wash.
'(
574
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I I hereby apply for water to be furnished in accordance with rat~s. and rules of the City
~' ior the following premises: '
, '" Nome of APplicont~hd //75' Ge4.+ ~v~~ / T.Q)
~ / /J6A fA) ~o..B";X ~
~ Addre~s Z ~ I W I c:L~ """2;'ed......4' "'-
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~~ Renewol 0 New Servic....B- Blk_ Lot_ Add
i:i.l /~/...,r
Size of Service L~ Meter Number
" . Service left On 0 ' Service Left OHa- Signed
Instolledby 10 AAN ,Po f!J'.....d.,--..( ()
~emorks: ~rn?/T..# ul \
. ~ec.# 355
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APPLICATION FOR WATER
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
>'J( lor the 101 lowing premises:
Name 01 Applicant/d/r/:Md //rs LC?.n>r;";.,L /,L~t/S"/.hj ~Ti)
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Oq Address ?-7V ~~_ -~/tJttc..jI//1-~~-
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N Renewal 0 New Servic...d Blk_ Lat_ Ad
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,Size of S~rvice~__.Ll__ _ Meter NU~J
Service Lell On 0 Service Left Olre-- Signed
uJ :SE'R r'1~ 2.
I~stalled by
Remark. ?eYW1I;r~2tJf
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APPLICATION FOR WATER
City Water Department
. Port Angeles, Wash.
I ,-~-lt CJ/ J
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I hereby apply for water to be Furnished in accordance with rates and rules of the City
for the following premises~. · · ^!l~
Nome of APPli:;?iio ~ ~./ ~..
-Address J =~__/~
Ren-ew~1 Q New Service 0 Blk_ Lot_ Add -..).1:- 9?
Siz,: of Service 4-T,'lA ~ '. Meter Number ____________ _
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Service Left On 0 Service.Left Off 0 'Signedlp
Installed by -r CA...J
Remarks:~r-;r.>/T~ 20Y r;i;! 5D O()
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APPLICATION FOR WATER
City Water Department
Port Angeles, Wosh._u_ -'2/P2-
"I her.eby apply for water to be furnished in accordance with rate$ and rules' of the City
for the following premi ses:
Name of Applicant /i/'I"..C/1/Zd__d/:S:_
. W/tT. .
Ad.Qress _2 ~ OL~J'_~ _______ ._
r-'J .I~ SL /t/:--::;;"
Renewal L New Servi~J Blk _ _ LoL_ Add __._
11/ ' . /, M/~
Size of Service_{:;?-_jl'fltfP/~~eterAumber
Service 'Left On 0 Service Left Off )-0" Signed
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Installed by U&:":!''--'.r-, .( "<A j .c..... G.
Remarks: 1>e rnt/~;&' 201
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l{'~'i llZ. ~lc . APPLICATION FOR WATER
City Water Department t-/..,J
Port Angeles, Wosh._ . _~___. ._, lrffj~
I
~ I hereby apply for water to be furnished in accordance with rates and rules of the City
~ for the following premises:
~..~:' A"~~~//f-Ek-75" -4;t~f~_rp...~
~ Address_ - L6 -:-_H_~~.e}fl W'tXf'
N O' ~ . L...~/O:z.-.
~. Renewal New Servi~lk __ Lot.._ Ad .
'I ~ . I?l
Size of Serxice ,1)(-1. .. Meter Nu\;;ife IV :?I?~ '7i..f2.iO_
Service Left On 0 Service Left Off...s- Signed C. 7
Insiolled by
Remorks: ~rl11/~ 20f
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APPLICATION FOR WATER
City Water Department .".-/.J
Port Angeles, Wosh._P~
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M I hereby apply for water to be furnished in accordance with rates and rules of the City
tV for the following premises:
~ Name of Appl i cant _fit U"eA/ /d.'-6/73'- _~etft6/Jo~ L-~
'^:Addres,~~1~j /4LLfit' (<R)~~~:fs-~~~
DQ Renewal 0 New Servi~ Blk?Z'l1l27Qz..;d - - 'ZT
Q- /f / I
"!' Size of Service /;r ____ Meter Number _ u2.33_1~'1l-'1't--
'~
<It
___, 19&::jS
Service Left On
o
Servi ce Left Off -E-J
Signed-ff' --------
Installed by
Remarks: --;7e/n? /TdL ~f
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
Time
Received by
(phone, person)
Location of Work to be inspected r;. I r 0-1-. ( Ii !-I~ I q h-h
,
Name of person requesting inspection K".dv
!
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
~Foundation Framing Chimney Plumbing Final Sewer Excav. Other
Inspected:
Remarks:
Date C.-13- 'IS
C'-"........~ l.,,-j;. ~
I
Time
,-e
By~ Av I
INSPECTION NOTES:
RESTORATION REQUiRED...... YES
NO ;/
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
~
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. '. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
Time
Received by
(phone, personJ
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
(:~~f~nspection (circle appropriate one):
V Foundation Framing Chimney Plumbing
r.o;r<: ;,;/l IIp :ohl5
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INSPECTION NOTES:
Date ~-- ::J.
Time
I
By '-V d
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NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse .side if necessary)
STREET SUPERINTENDENT
--
(DATE) \ ~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . .. . . INSPECTION REPORT. . . . . .
REQUEST:
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
~ Inspection (circle appropriate one):
~ Foundation Framing Chimney Plumbing
F~,~,f..,lj ;JP:jhf;:
7?~...JJ
Phone No.
Permit No.
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date
Remarks:
b- /6-95
G ~p 1-e t:e
Time
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC
D Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type-o~ In' pection (circle appropriate one):
Sewer oundation Framing Chimney Plumbing
;:;',rc h; /d
I?n ,LI
J
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,
Phone No.
Permit No.
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected:
Remarks:
Date /.,. - ::Lo - 'j S-
Co""'-~ {.p iP .
\
Time
By
~
RESTORATION REQUIRED . . . . .. YES
NO X
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC
D Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
/
/
(Continue on reverse side if necessary)
STREET SUPERINTENDE~
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
Time
Received by
(phone, persorr)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
l!!9yp f Inspection (circle appropriate one):
ewer Foundation Framing Chimney Plumbing
/
;:;, ,~c /,; {j
K,,-,dv
I
f-I,. :;I.is
Phone No.
Permit No.
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date
Remarks:
'-I-n-"ts-
r.,,~ f 1,,-tR.
Time
By ~
/
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V
RESTORATION REQUiRED.,.,.. YES
NO )(
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 pec
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
,I
(Continue on reverse side if necessary)
STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
. . . . .
REQUEST:
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
(T~nspection (circle appropriate one):
S'7'OO'd";0' '''m;.. Ch;m.,y .'.mh".
INSPECTION NOTES:
l?w-r I.', lei
TT'a~rlV
I
!-Ie,~t,fs
,
Phone No.
Permit No.
Final Sewer Excav. Other
Inspected: Date
Remarks:
&~ /2.- 9S
L.DvnO [De...
I
Time
?/Y)
By =----1/..-L
RESTORATION REQUIRED . . . . .. YES
NO X
1~1 Sf-
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
"
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
Time
Received by
(phone. persorr)
Location of Work to be inspected Fd Ire ~ I IJ /-1. : 'i (, t;.
Name of person requesting inspection r?0l ~ ,j./
Address of person requesting inspection / Phone No.
Type of Inspection (circle appropriate one): Permit No.
~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date '-1- /7- 9S
Remarks:
Time
BY~
(' /)~DU--r.z
I
~
L.---"
RESTORATION REQUIRED . . . . .. YES NO
~
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
Time
Received by
(phone. person1
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
0~~ Inspection (circle appropriate one):
. Sewer Foundation Framing Chimney Plumbing
/::;"..~/7" I)
K"V1~J
I
1-1,. :,,;, T:;.
,
Phone No.
Permit No.
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date AI - I t-J - 9 .s--
Remarks:
Time
. .. -.1
By~
c... D...._p Le:i:e"
RESTORATION REQUIRED. . . . .. YES
'B/dj (0
NO X
~
-- :z 71
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1'1-+ II
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SURFACE RESTORATION:
SURFACE TYPE: o Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
Time
Received by
(phone. persorTl
Location of Work to be inspected F", ,.-, h; J -J 1-1 p, G ,,-r~
.
Name of person requesting inspection ""R' CI. VI rl ,J
Address of person requesting inspection ( Phone No.
Type of Inspection (circle appropriate onel: Permit No.
~oundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date 4 -j '-I - '16
Remarks':... C O~p \. -tp
Time
BY~
RESTORATION REQUiRED...... YES
NO >(
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
'"
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
APPLICATION FOR WATER
City Water Department
, Port Angeles, Wash,
'- ;',
, 19
I bereby apply for water to be furnished in accordance with rates and ru:es of .i,l' (ty
for the following premises:
'~
Name of Applicant. ..- t (. ....;c.L ,
( / -,..-
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.,;_._~_...-
...,.
~':::',/) / /1 I j,':",
Address.( _........ /..
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--: ';.!""-.,,/...-"-:
j '.'
Renewal LJ
New Servi ce '___1
-7 'i' [
___L___;.:c__ t" /)'
Blk,
Lot.
Add
Installed by...__.j
Remarks:' 1; -(; II
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)
~
/. 'Meter Number /7'1'
Signed) d. J.
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/ .'/" ,/,' /,' Oi'l-S-47
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$i ze of Servi Ce
S~rvice Left On
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Service Left Off
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date t:; -7.-0- 'is-
Ti m e '7.' eX) A-I.-V1
Received by PI4<-p,l,t.. CA..J. (phone. p-erson)
Location of Work to be inspected ~ ~ 0:3 w. 18 <:;!J; :::v4-..
Name of person requesting inspection ~, i2:....-v P.\>..p,.oU\
Address of person requesting inspection I 'f-l;f:. ~ "G" -;.1. (;,"ji .~)) Phone No. { If, \~
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing
Chimney Plumbing Final Sewer Excav.
Other
l'roU.R-lo8zc>
D(,(,. 2dJT-
INSPECTION NOTES:
Inspected: Date b - 'Z.o_?oj
Remarks: 5J"" k.Va c' Se~ i ~
Time f(), 00 Irwt
t..l:r1'Wl v iK..
By 8. l'<,...V""'J(..~",o
RESTORATION REQUIRED . . . . .. YES
NO v'
,-\ l/ ..2303
cJ 0 )O~
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18{ji:- #.
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order # 3 .s-2-
g-- COMPLETE
o INCOMPLETE
_ _ ___(Continue on rev~rse side if necessary)
STREET SUPERINTENDENT
(DATE)