HomeMy WebLinkAbout310 S Chambers St - Engineering
PUBILle WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT -
JOHN FRICHETTE
310 S CHAMBERS
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
9/13/2002
Permit No
Work Order.
1320
o
PROPERTY LOCATION
310 CHAMBERS S
Lot: 1
Subdivision
Parcel No
Block. 4
DOYLE'S
063000730400000
[g] Long Legal
Value Work.
$000
I I
Finish Date
360/452-7179
I I
$000
o Install
[g] Repair
o Watermain
[g] Sanitary Sewer
o Storm Drain
o Underground Tele/Elec
o Misc
PROJECT NOTES
repair side sewer
FEES ASSESSMENt
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. $35 00
5 ) Dwy Culvert: $000 19 ) Storm Drain $000
6 ) Street Cut: $230 00 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 R.A) $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 $310.00
14) San Sewer MFR: $000
add unit 0 Amount Paid $310 00
Receipt No 7489
Inspection Fee $000 Balance Due $0.00
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT.
i9J~~me
REQUEST
Date
.....
. Received by ?::::::- (phone. person I
~~~
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
~spection (circle appropriate one)
~oundation Framing Chimney
INSPECTION NOTE~ ~
Inspected Date ~ ~
Remarks C'O S Le-:r~
Phone No
Permit No
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Plumbing Final Sewer Excav
Other
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Time By
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RESTORATION REQUIRED
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NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved
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o Gravel ~ Aspfu;!t
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(Continue on reverse side if necessary)
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
OPCC
o Other
Work Order # . ~ 'l
M COMPLETE A~En. t~QC\\. r~ \..0 '\ t \
o INCOMPLETE ~(j"\-- ~\ \ Y.\ K
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STREET SUPERINTENDENT
(DATE)