HomeMy WebLinkAbout1440 Marine Dr - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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PUBILIC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
BRICKlE'S TAVERN
1440 MARINE DR
Port Angeles, W A 98362
000/600-0000
PROJECT INFO
Work is
Plans Required Start Date
Contractor. MORRISON EXCAVATING
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
4/04/2000
Permit No
Work Order.
1050
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PROPERTY LOCATION
1440 MARINE DR
Lot: 6,7
Subdivision.
Parcel No
Block 123
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TPA
063000012330000
[ZJ Long Legal
Value Work.
$000
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Finish Date
360/452-7179
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$000
D Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
CAP SEWER
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FEES ASSESSMEN'F
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4/1/Zfm0
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1 ) R/W Excav. $000 15 ) Other San Sewer. $000
2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter. $000 17 ) Sew Capl W 1M Removal $260 00
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 R/W $000 21 ) Sewer System Dev. $000
8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000
9) Res Water Servo $000 23 ) R/W Use Perm $000
10) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000
11 ) Other Water Service $000 25 ) 0 R.A. $000
12.)Water System Dev. $000 26 ) Misc: $000
13 ) San Sewer SFR $000 TOTAL FEE. $260.00
14) San Sewer MFR $000
add unit: 0 Amount Paid $260 00
Receipt No 6106
Inspection Fee $000 Balance Due $000
R/W SANIT AR Y 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
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder)
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Date
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