HomeMy WebLinkAbout114 S Washington St - Engineering
PUBILIC WORKS & R/W PERMIT
U Attached Notes
OWNER/APPLICANT --__
OTTO j SLEHOFER
2884 MONROE RD
Port Angeles, W A 98362
000/604-7423
PROJECT INFO --
Work is
Plans Required Start Date
Contractor' OLYMPIC SEWER & DRAIN
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Permit No
Work Order'
PROPERTY LOCATION-----
114 WASHINGTON S
Lot: 17 -19
I Subdivision WILLIAMS & CRAMERS...
Parcel No 1_:
----____1_. _ __.__.___._______
Issued
3/14/2002
1254
o
Block, 3
Long Legal
Value Work,
$000
I I
Finish Date
3601000-0000
I I
$000
[j Install ~ Sanitary Sewer
~ Repair lJ Storm Drain
LJ Watermain 0 Underground Tele/Elec
PROJECT NOTES
[I Mise
--- ---'----'-.-- ---' ----~----.-
FEES ASSESSMENT-
1 ) R/W Excav'
2 ) Sidewalk,
3 ) Curb/Gutter'
4 ) Driveway'
5 ) Dwy Culvert:
6 ) Street Cut:
7 ) Other R/W
8 ) Fire Hydrant:
9) Res Water Serv'
10) Comm Water Serv'
11 ) Other Water Service
12 )Water System Dev'
13 ) San Sewer SFR
14) San Sewer MFR
add unit 0
---.----.----.----..--
Receipt No 7386
Inspection Fee $0 00
$45 00
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
15 ) Other San Sewer' $0 00
16) Sew Tap Wye/Man Tap $000
17 ) Sew Capl W 1M Removal $0 00
18 ) Alter Repair Sewer' $0 00
19 ) Storm Drain $0 00
20 ) Catch Basin per ea $0 00
21 ) Sewer System Dev' $0 00
22 ) Milwaukee Dr Sew Ass $0 00
23 ) R/W Use Perm $0 00
24 ) Admin Cost (0 RA) $0 00
25 ) 0 RA. $0 00
26 ) Misc. $0 00
-==-.- --=--
TOTAL FEE
$45.00
Amount Paid
$45 00
~-_. ----- "--"-
Balance Due
$0.00