HomeMy WebLinkAbout1824 E 3rd St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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PUBILle WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
GERALD COUSO
Issued:
7/1412000
Permit No:
Work Order:
1080
o
PROPERTY LOCATION
1824 3RD ST E
Lot: 4
Subdivision:
Parcel No:
Block:
Port Angeles, W A 98362
000/600-0000
PROJECT INFO
Work is:
Plans Required: Start Date:
Contractor: REED DESIGN AND CONSTRUCTION
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform:
BAYVIEW HTS
063011570040000
D Long Legal
Value Work:
$0.00
1 1
Finish Date:
360/683-2062
1 1
~ Install
D Repair
~ Watermain
~ Sanitary Sewer
~ Storm Drain
D Underground Tele/Elec
~ Misc
dwy
PROJECT NOTES
install dwy off 3rd st ?
fees based on 1999 fee schedule previously discussed fees prior to
increase
FEES ASSESSMEN"F
1.) R/W Excav: $0.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00
3.) Curb/Gutter: $0.00 17.) Sew Capl W/M Removal: $0.00
4.) Driveway: $125.00 18.) Alter Repair Sewer: $0.00
5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00
6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00
7.) Other R/W: $0.00 21.) Sewer System Dev: $642.00 .
8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00
9.) Res Water Serv: 5/8" $550.00 23.) R/W Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $0.00
11.) Other Water Service: $0.00 25.) DRA $0.00
12.)Water System Dev: $883.00 26.) Misc: $0.00
13.) San Sewer SFR: $80.00 TOTAL FEE: $2,280.00
14.) San Sewer MFR: $0.00
add unit: 0 Amount Paid: $2,280.00
Receipt No: 6382
Inspection Fee: $0.00 Balance Due: $0.00
R/W SANIT AR Y WATER 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 t e work as comm , or if required inspections have not been requested within 180 days from the last inspection. I hereby certify
that I ave read and e ' ed this app 'cation and know the same to be true and correct. All provisions of laws and ordinances governing
this t pe .of work will mplied wi whether specified herein or not. The granting of a permit does not presume to give authority to
viola or cancel the ions of a state or local law regulating construction or the performance of construction.
Signature of Owner (if owner is builder)
Date
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 1 ~ '27 ..-- (){.)
Time
Received by
y
(phone, person)
Location of Work to be inspected / t 7- 1- !! 3/2])
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
6JrZ0 ~ ~Uf{
I08()
,
INSPECTION NOTES:
Inspected: Date CY - ::J 7- <:::I (j Time
Remarks: 0 f,/
/ () . - /t' ~:~-:/j;t)~y _.. I ( f,./
RESTORATION REQUIRED . . . . .. YES
NO A'
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel 0 Asphalt 0 PCC
o Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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