HomeMy WebLinkAbout1235 W 9th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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PUBLIC WORKS CONSTRUCTION Issued: 7/01/97 LC Permit No: 687
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION--------------------____
PAUL WEITZ 1235 9TH ST W
1235 W. 9TH ST Lot: 12, W 1/2 13
Port Angeles,WA98362 Block: 256 Long Legal:
360/452-4036 Sub: TPA
PROJECT INFO------------------__________________________________________________
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor:
Start:
Finish:
/
/
~
/ \).)
$0.00 \j\
/
Performance Bond Required: N/A
Proof Insurance:
Work to Perform: Watermain Storm Drain ~
PROJECT NOTES----------------_:::~:::~_:::::_____~~~;:~:::::_::~:~:~:__________~
Amount:
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"
Corom Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
Receipt No: 3144
Inspection Fee:
R/W
SANITARY
$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
------------------------------
------------------------------
$40.00
$40.00
BAL DUE:
-----------------------
$0.00
Si nature of Contractor or Authorized A ent Date
$0.00
TOTAL FEE:
AMT PAID:
$0.00
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
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
provisions of any state or local law regulating construction or the performance of construction.