HomeMy WebLinkAbout3900 S Tumwater Truck Rt - Engineering
JBLIC WORKS CONSTRUCTION Issued 7/26/99 TF PermIt No 977
& R/W PERMIT Cond Work Order 0
NNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DICK HOPKINS 3900 TUMWATER TRUCK RTE
926 W 4TH ST Lot 1-4 Of Coopers
Port Angeles,WA98363 Block Long Legal
360/457-0737 Sub E/S OF TUMWATER@LAURIDSEN
ROJECT INFO-----------------------------_______________________________________
Work is INSIDE traveled road Value Work $0 00 ~
~
\)
$0 00 \:)
~\
E
Plans Required
Contractor
N/A
R J
SERVICES
Start
Finish
Performance Bond Required
Proof Insurance
Work to Perform
N/A
Amount
INSTALL * Watermain
* Sanitary Sewer
5Z7~
/
/
/
/
Storm Drain
Underground Tele/Ele
Misc
NOTES-------------------------__________________________________________
ROJECT
$0 00
$0 00
ROJECT 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 *
Receipt No 5279
Inspection Fee
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$575 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
$963 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$1,325 00
------------------------------
------------------------------
TOTAL FEE
AMT PAID
$2,863 00
$2,863 00
$0 00
BAL DUE
-----------------------
$0 00
-...- ----~ -~-- '--- ._~-- ---- -- ----...-- - ----,.. -~- ----------"---.- --
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . .
REQUEST
Date er -9-() r r
Time
'1,---,- ~ I
Location of Work to be inspected ,-.Jy DOl U )r7'l 06<,4er-1 y 1.Jc.j-(,
Name of person requesting inspection -J" L~j \ ( C~ X
Address of person requesting inspection ! 1-t~ ctr-' e Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected
Remarks
Date
Received by
(phone, person)
By
1(<" n
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Time
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F--1-7C(" I 33()
YES NO ~
RESTORATION REQUIRED A)1'-
l
I
f3 II/{),
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
CJ Repaired by Permittee
CI No Damage Found
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o Asphalt 0 pcc 0 Other
Work Order # J)! s'9
~LETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)