HomeMy WebLinkAbout528 W 8th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I
PUBLIC WORKS CONSTRUCTION Issued: 8/29/97 LC Permit No: 714
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION-----------------_______
VICKIE & LARRY SUTTON 528 8TH ST W
528 W.8TH ST Lot: 7
Port Angeles,WA98362 Block: 263 Long Legal:
360/452-2443 Sub: TPA
PROJECT INFO------------------__________________________________________________
Work is N/A traveled road Value Work: $0.00
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Plans Required: N/A
Contractor: OWNER
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
/
/
/
/
C.
Watermain * Storm Drain ~
Sanitary Sewer Underground Tele/Ele ~
Misc \~
PROJECT NOTES-----------------__________________________________________________
install drainage thru curb
Work to Perform: INSTALL
$0.00
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:
$40.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
San Sewer SFR:
San Sewer MFR:
Add Unit: 0
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer:
Storm Drain Tap:
Catch Basin per ea:
Sewer System Dev:
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A. :
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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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------------------------------
TOTAL FEE:
AMT PAID:
Receipt No:
Inspection Fee:
$40.00
$40.00
BAL DUE:
-----------------------
$0.00
$0.00
WATER
R!W
SANITARY
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 Jaws and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a permit doesnot presume t~thority to violate or cancel the
provisions of any state or local law regulating construction or the performance of constr~cEon.
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Signature of Contractor or Authorized Agent Dateianature of Owner (if 0Wnt is builder) Date