HomeMy WebLinkAbout1800 S L St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 2/07/97 LC Permit No: 610
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CITY OF PORT ANGELES 1800 L ST S
321 E 5TH ST Lot:
Port Angeles,WA98362 Block: 118 Long Legal:
360/417-4815 Sub: SL
PROJECT INFO----------------------------------------____________________________
Work is N/A traveled road Value Work: $0.00
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$0.00 '0
Plans Required: N/A
Contractor:
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform:
Watermain
Sanitary Sewer
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Storm Drain
Underground Tele/Ele ~
Misc ~
PROJECT NOTES-----------------------------------________________________________ ,
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NO FEE R/W PERMIT PER KR r./ ~ ~
~ I' L II a;:t ~ I/K-S 77L-k..f' ~
PROJECT FEES ASSESSMENT----------------------------------_______________________
R/W Excav: * $0.00 San Sewer SFR: $0.00
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add Unit: 0
Driveway: $0.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: $0.00 Catch Basin per ea: $0.00
5/8" Sewer System Dev: $0.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Comm Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2" ==============================
Oth Water Serv: $0.00
Water Sys Dev: $0.00
Receipt No:
Inspection Fee:
TOTAL FEE:
AMT PAID:
$0.00
$0.00
R/W
SANITARY
$0.00
WATER
BAL DUE:
$0.00
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
I' .., .
Date
Si nature of Owner if owner is builder
Date
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