HomeMy WebLinkAbout710 Caroline St - Engineering
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
TERRI WOOD
710 CAROLINE
PORT ANGELES, W A 98362
000/604-7398
PROJECT INFO
Work is
Plans Required
Contractor. APS ELECTRIC
Performance Bond Required
Proof of Insurance.
Work to Perform
Issued
7/18/2002
Permit No
Work Order.
1303
o
PROPERTY LOCATION
710 CAROLINE
Lot: 7
Subdivision
Parcel No
Block: 36
NR SMITH
063005136300000
D Long Legal
Value Work.
$000
Start Date
I I
Finish Date.
360/452-6753
I I
Amount:
$000
[gJ Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
[gJ Underground Tele/Elec
D Misc
st cut elec
PROJECT NOTES
full alley cut
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: $0.00
4 ) Driveway. $000 18 ) Alter Repair Sewer. $0.00
5 ) Dwy Culvert: $000 19 ) Storm Drain $0.00
6 ) Street Cut: $400 00 20 ) Catch Basin per ea. $000
7 ) Other R/W $000 21 ) Sewer System Dev. $0.00
8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $0.00
9 ) Res Water Servo $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 $000 TOTAL FEE $445.00
14 ) San Sewer MFR: $000
add unit 0 Amount Paid $445 00
Receipt No 7470
Inspection Fee $000 Balance Due $0.00
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
i!!2. ~(L/l ~ i
~ 1 S' d...~
Phone No
/303-
.
Sewer Excav Other ------L Q l>.z.)
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Permit No
INSPECTION NOTES / /
Inspected Date 0 Z-? / () Z- Time
Remarks
By
VV'~~ C!J ~7- e.-l',j=:
~~'4f
RESTORATION REQUIRED
YES
/'
VNO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved
o Repaired by Ci
[] Repaired by Permittee
[] No Damage Found
OPCC
o Other
COMPLETE
o INCOMPLET~
STREET SUPERINTENDENT
(DATE)