HomeMy WebLinkAbout838 W 14th St - Engineering
PUB/LIe WORKS & R/W PERM/T
Issued
Permit No
Work Order
7/31/1997
OWNER/APPLICANT D Attached Notes
BILL BARRET
838 W 14TH ST
PW.CITY, PW'State PW:Zip
000/604-2000
PROJECT INFO
Work is. Outside Traveled Road
Plans Required Start Date.
Contractor' COZI HOMES
Performance Bond Required
Proof of Insurance
Work to Perform.
PROPERTY LOCATION
838 14TH ST W
Lot: 8,9
Subdivision
Parcel No
,,/
~
o
Block: 415
TPA
o Long Legal
Value Work:
$000
1 1
Finish Date
206/452-9906
1 1
Amount:
$000
Install
o Repair
o Watermain
o Sanitary Sewer
o Storm Drain
o Underground Tele/Elec
o Misc
dwy
PROJECT NOTES
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Do
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FEES ASSESSMENl"
1 ) RIW Excav' $40 00 15 ) Other San Sewer $000
2.) Sidewalk: $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter. $000 17 ) Sew Capl W/M Removal: $000
4) Driveway' $000 18 ) Alter Repair Sewer' $000
5 ) Dwy Culvert: $000 19 ) Storm Drain $000
6 ) Street Cut: $000 20) Catch Basin per ea. $000
7 ) Other RIW' $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass. $000
9 ) Res Water Servo $000 23 ) RIW Use Perm: $000
10 ) Comm Water Servo $000 24 ) Admin Cost (D RA) $000
11 ) Other Water Service. $000 25 ) D RA $000
12.)Water System Dev' $000 26 ) Misc: $000
13 ) San Sewer SFR $000 TOTAL FEE. $40.00
14) San Sewer MFR $000
add unit: 0 Amount Paid: $000
Receipt No
Inspection Fee $000 Balance Due. $40.00
-P-
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
...
.....
REQUEST'
Date
Time
)Y!5
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
e-U /~ ~
/~~ (~~T
Phone No
Permit No
Plumbing Final Sewer Excav Other
8$8
CJ<)C;(
~
INSPECTION NOTES.
Inspected Date 7 - "S I - 97
Remarks. ~ 7"Z' ~~.
~5A-.
Time
~
/ /,' - /f---t By K~J.
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RESTORATION REQUIRED . . . . YES
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NO /
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SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved DGravel 0 Asphalt 0 PCC
D Repaired by City
o Repaired by Permittee
o No Damage Found
o Other
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)