HomeMy WebLinkAbout1007 E 3rd St - Engineering
ti
~';;?
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
/,/
PUBLIC WORKS CONSTRUCTION Issued: 10/02/97 LC Permit No: 737
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------______PROPERTY LOCATION----------______________
JOE COLEMAN 1007 3RD ST E
/ <11()~ 10 ~ Sr; CT C;:'- Lot: El/2 LOTS 8-12
, W.ll.~83 gO- Pt/YfJ-Ll-vpW A- ~8374 Block: 1 Long Legal:
360/000-0000 Sub: DOYLES
PROJECT INFO----------__________________________________________________________
Work is N/A traveled road Value Work: $0.00
(;OO3t
Plans Required: N/A
Contract-or:
Start:
Finish:
/ /
/ /
--
\::)
()
~
\\
~
-t:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform:
Storm Drain
Underground Tele/Ele
Misc
NOTES----------______________________________________________________
Watermain
Sanitary Sewer
PROJECT
f~ Ifl/zZ-/oO
PROJECT FEES ASSESSMENT-------__________________________________________________
R/W Excav:
Sidewalk:
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut:
Other R/W:
Fire Hydrant:
Res Water Serv:
5/8"
3/4"
1"
Comm Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
o
Other
Admin Costs (D.R.A):
Misc:
$0.00
$0.00
$0.00
. $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
Receipt No:
Inspection Fee:
TOTAL FEE:
AMT PAID:
$225.00
$225.00
R/W
SANITARY
$0.00
WATER
-----------------------
BAL DUE:
$0.00
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or
construction authorized is not commenced within 180 days, if 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 complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
pr visions of any st ocallaw regulating construction or the performance of construction.
~C /
i nature of Contractor or Authorized A ent
Si nature of Owner if owner is builder
R~{l;ySvC- S~f
Date
IV / /4 {&if