HomeMy WebLinkAbout3215 S Laurel St - Engineering
PUBILlC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
BARBARA MAXWELL
3215 S LAUREL
Port Angeles, W A 98362
000/604-2471
PROJECT INFO
Work is
Plans Required
Contractor' R J SERVICES
Performance Bond Required
Proof of Insurance.
Work to Perform
Issued
6/20/2002
Permit No
Work Order'
1232
o
PROPERTY LOCATION
3215 LAUREL S
Lot: MEETS & BOUNDS
Subdivision
Parcel No
Block.
063015230125000
~ Long Legal
Value Work:
$000
Start Date
I I
Finish Date
360/457 -1420
I I
Amount:
$000
~ Install
D Repair
D Watermain
~ Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
D Misc
PROJECT NOTES
install pressure sanitary sewer line connect into 10"main on
west side of Laurel Street
FEES ASSESSMEN"F
1 ) R/W Excav' $45 00 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 $000
4 ) Driveway' $000 18 ) Alter Repair Sewer' $000
5 ) Dwy Culvert: $000 19 ) Storm Drain $000
6 ) Street Cut: $400 00 20 ) Catch Basin per ea. $000
7 ) Other R/W $000 21 ) Sewer System Dev' $745 00
8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $000
9) Res Water Serv' $000 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 $95 00 TOTAL FEE $1,285.00
14 ) San Sewer MFR $000
add unit 0 Amount Paid $1,28500
Receipt No 7407
Inspection Fee. $000 Balance Due $0.00
CITY OF PORT .ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
.....
REQUEST
t/u/02--
Time
Date
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
cS>oundation Framing Chimney
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INSPECTION NOTES
Inspected Date ~~,do'Z--
Remarks
Received by ~
II
3Z~~'~~<J
(phone, person)
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Phone No
Permit No
Plumbing Final Sewer Excav Other
I 23 z..
Time
PIY1
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By
YES t/ NO
RESTORATION REQUIRED
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SURFACE RESTORATION lL) X:J. I )
SURFACE TYPE 0 Unimproved 0 Gravel [K] Asphalt D PCC
o Other
[] Repaired by City
[] Repaired by Permittee
CI No Damage Found
Work Order #
M COMPLETE GV\ re ~oJ r-~ w\t'^'
o INCOMPLETE \-\~'t M \ V \\<.
(DATE)