HomeMy WebLinkAbout3123 City Lights Pl - Engineering
PUBILle WORKS & R/W PERMIT
i Attached Notes
OWNER/APPLICANT
CLAUDE & LESLIE McKEY
15800 NESIKA BAY RD NE #30
POULSBO, WA 98370
000/606-7700
PROJECT INFO
Work is
Plans Required Start Date
Contractor" TERHUNE HOMES, INC
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
! I Install
LJ Repair
L>J Watermain
1 ) R/W Excav"
2 ) Sidewalk.
3 ) Curb/Gutter"
4 ) Driveway.
5) Dwy Culvert:
6 ) Street Cut:
7 ) Other R/W
8 ) Fire Hydrant:
9) Res Water Servo
10) Comm Water Servo
11 ) Other Water Service
12 )Water System Dev.
13 ) San Sewer SFR
14) San Sewer MFR
add unit
5/8"
o
Receipt No
Inspection Fee
7315
$000
Issued
8/14/2001
Permit No
Work Order"
1185
o
PROPERTY LOCATION
3123 CITY LIGHTS PLACE
Lot: 10
Subdivision
Parcel No
CITY LIGHT ESTATES
06301576010000
Value Work"
I I
Finish Date
360/697 -7000
PROJECT NOTES
DROP IN WATER METER .2 IS 11"I..A
Mr McKey will pay by check 8/13/01 per telephone conversation pd JI D ~ n U~
.J! 08114/01 G 170 Ok (!J J1;o4W~
W;oF/if2ssESSMENT ~ ZQZ/377 Y~/h _.
$000
$000
$000
$14500
$000
$000
$000
$000
$150 00
$000
$000
$1,02500
$95 00
$000
$000
8: Misc
Sanitary Sewer
Storm Drain
Underground Tele/Elec
15 ) Other San Sewer"
16 ) Sew Tap Wye/Man Tap
17 ) Sew Capl W 1M Removal
18 ) Alter Repair Sewer.
19 ) Storm Drain
20 ) Catch Basin per ea
21 ) Sewer System Dev"
22 ) Milwaukee Dr Sew Ass
23 ) R/W Use Perm
24 ) Admin Cost (0 RA)
25 ) 0 RA.
26 ) Misc"
TOTAL FEE.
Amount Paid
Balance Due
Block.
Long Legal
$000
I I
DWY
$000
$000
$000
$000
$000
$000
$74500
$000
$000
$000
$000
$000
$2,16000
$2,160 00
$0.00
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
/z~ 1
REQUEST t/ !t
Date ~ ~ ') /
Time
Received by
;-- t=-
/ I
~person)
Location of Work to be inspected 3 / ~ 3 r f?;~
Name of person requesting inspection C ~ J
Address of person requesting inspection
Type of Inspection (circle appropriate one)
(S~ F9undation Framing Chimney Plumbing Final Sewer Excav Other
~ 57/77
INSPECTION NOTES, / /
Inspected Date 7/ ! -3/ c) /
::::' ...
Remarks / fr (./ / ") ..\ V
LI~
-- -e- );u/Je ;:A,J'?7E? 5'
Phone No 41m- /4J'fo
Permit No //f~
['h:J
Time Iv-
/~( "
By ~-_.~.
. \
""
r:;,. ) 'r ,'~"(~' t
. /(
RESTORATION REQUIRED
YES
NO
. i
i
&?
~ (
(";...----.
I~.c..
'-.
i .
/,.
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel D Asphalt D PCC
o Other
[] Repaired by City
[] Rep~by Permittee
~Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
~
t> e,u- 2.00 1- 19"). 05-
APPLICATION FOR WATER / I 1:2 - K-
City Water Department ~. ;1 / .,;,
i/ /7//-'
(.../1 /11 <-
Port Angeles, Wash
I hereby apply for water to be furnished in accordance w th rates and rules of the City
for the following premises
Name of Applicant (P'//// /(~ ..Off/) ,/~'-L-<-(
! I
-::2/''7/7 /7 / '. "-,.-. /9'
Address ~/ C J L. ;';'-7 L-/ Y",-.-i:.Q !.--f' a. iLL--'
. !..-
Renewal 0
I:I~ ;; - /;. i
New Service ~ Blk_ Lot~ Add Ge..'
U-
91 ItJu'-70 /4"1/
f
o Service Left Off 0 Signed
Si ze of Servi ce
Service Left On
Installed by
;0e-#- 17:3/5
Remarks /) ~
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