HomeMy WebLinkAbout2154 W 4th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
property Use
Property Zoning . . .
Application valuation
05-00001058 Date 10/27/05
619212
2154 W 4TH ST
06-30-00-9-4-0069-0000-
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
LOREN/GERALDINE SCHMITT TTE
2154 W 4TH ST
PORT ANGELES WA 983631402
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
RIGHT OF WAY
PHONE SERVICE 2" BORE
63941
.00
10/27/05
4/25/06
Plan check Fee
Valuation
.00
o
Fee summary Charged Paid Credi ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total ,00 .00 .00 .00
Grand Total .00 .00 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, i,f construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be compiled with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1I02.15R [1/05J
OCT 27 2005 09:17 FR TRAFTON B
V,? v.eI~
253 471 1324
;U~
TO 13604174709
I'I&ICWClIIC.S . __.' _
~ ~ ~~\ ... "",,500,"5-4520
lf09'o \1) \
()C,I 11 Pmm Yo erform Work In Street Ri;ht-of-Way
APPLICATION is hcr~by mode to the munj,;:lpaJity of PORI' .u.=.1:'C:
to perform' work as
noted hereon and as,hown on attached drawing;
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5i'.ETi: I+#'
? LEASE.
Place Buried Service Wire 15' acrose alley to provide telephone Service at 2154
W 4th St
renn1,sz#: . 60-/058
Approved:
Water Department - Superintendent
Date.
PHl1v~
253/597-513.6
253/471-1324
CllnUSctOr Owner
QWE.5T /Arr~ ;"86w
t"AX
7850-8 S. Trafton, TAcoma,WA
THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPl.JCAl'IT'S:
ComplYing wilh all Municipal Ordinances:
Notifying lhe Street Superintendent of Thll time The work will nllr;, and when it will finish:
Prosecuting the ....ork with dili&c:nec ,and with clue rCSllerr to all prol".rey. contracts. penons'
rights and the interesrs and convenience, of tb.e public;
Savini the Municipality harmless from any and all damag., whieh IRay aecNC to any penon
or propeny because of this inlullarlon 'or The maintenance thereof;
Date
Complying whit foUowina special conditions:
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P.02/03
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** TOTAL PAGE.03 **
OCT 27 2005 09:17 FR TRAFTON B
253 471 1324 TO 13604174709
Qwest Job #
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This work will require:
Plowing in the RjW (total footage)
Push or bore 2 inch PVC or BIP under roadway (total footage)
ail () :J
Push or bore 2 inch PVC or BIP under driveway (total footage)
Push or bore 2 inch PVC or BIP under multiple driveways (total footage),
"1\11 crossings and ROW work at 36 inches. .1\11 pits and trenching require select fill.
P.03/03