HomeMy WebLinkAbout709 1/2 S Pine St - Engineering
PUBILle WORKS & R/W PERMIT Issued 9/07/2001 Permit No
o Attached Notes Work Order'
OWNER/APPLICANT _____ ____PROPERTy LOCATION---- --~~- -
GARY HOOPER I 709 1/2 PINE S
I Lot: 53' W 20' L 8 S53' L 9/10
I Subdivision TPA
Parcel No 063000023545000 [I Long Legal
1198
o
Block. 235
Port Angeles. W A 98360
000/600-0000
PROJECT INFO
Work is
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance
Work to Perform
Value Work,
$000
Start Date
/ /
Finish Date
000/000-0000
/ /
Amount:
$000
[S Install
i-l Repair
CxJ Watermain
[J Sanitary Sewer
~ Storm Drain
D Underground Tele/Elec
L
Misc
PROJECT NOTES -----------
SEPERATE DUPLEX WATER METER PLACE STAKE IN GROUND WHERE CUSTOMER
WOULD LIKE METER PLACED
qf~/o/ C [JOZ4 p ~ 7 7h4bt _
FEES ASSESSMENT -- Zag I SC 2U~ ~ jg J? ~
1 ) R/W Excav' $0 00 15 ) Other San Sewer' $0 00
2 ) Sidewalk. $0 00 16 ) Sew Tap Wye/Man Tap $0 00
3 ) Curb/Gutter' $0 00 17 ) Sew Cap/ W /M Removal $0 00
4 ) Driveway' $0 00 18 ) Alter Repair Sewer' $0 00
5 ) Dwy Culvert: $0 00 19 ) Storm Drain $0 00
6 ) Street Cut: $0 00 20 ) Catch Basin per ea. $0 00
7) Other R/W $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $0 00 22 ) Milwaukee Dr Sew Ass $0 00
9) Res Water Servo 5/8" $64000 23) R/W 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 --- -$640.00
14) San Sewer MFR $0 OO~- ---
_ __ add unit 0 Amount Paid
Receipt No 7304
Inspection Fee $0 00
$640 00
Balance Due
$0.00
PUBILlC WORKS & R/W PERMIT
II Attached Notes
OWNER/APPLICANT -"=----~-- ___
GARY HOOPER
Port Angeles, W A 98360
000/600-0000
PROJECT INFO- -
Work is.
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance
Work to Perform
Start Date
Amount:
Issued
9/07/2001
Permit No
Work Order'
--PROPERTY LOCATION-----~___
I 7091/2 PINE S
I Lot: 53' W 20' L 8 S53' L 9/10 Block, 235
I Subdivision TPA
Parcel No 063000023545000 [J Long Legal
---L____~_ __._ __'__~_.~_
Value Work. $0 00
1198
o
/ /
Finish Date.
000/000-0000
/ /
$000
[Z] Install [" J Sanitary Sewer
l~ Repair ~.i Storm Drain
lZ Watermain l~ Underground Tele/Elec
L1 Misc
PROJECT NOTES- ____
SEPERATE DUPLEX WATER METER. PLACE STAKE IN GROUND WHERE CUSTOMER
WOULD LIKE METER PLACED
qf~/o/ C ~oZ4 F 6 7 7&4&7t
FEES ASSESSMENT - ~ql_SLLJV~ ~J;tJ7~
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 Servo 5/8"
10 ) Comm Water Servo
11 ) Other Water Service
12.)Water System Dev'
13 ) San Sewer SFR
14) San Sewer MFR
add unit 0
Receipt No 7304
Inspection Fee $0 00
$000
$000
$000
$000
$000
$000
$000
$000
$640 00
$000
$000
$000
$000
$000
15 ) Other San Sewer' $0 00
16) Sew Tap Wye/Man Tap $000
17 ) Sew Cap/ W /M 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.
$640.00
Amount Paid
$640 00
Balance Due
$0.00