HomeMy WebLinkAbout1112 1/2 W 17th St - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000164 Date
749812
1112 1/2 W 17TH ST
06-30-00-0-4-5100-0000-
QWEST _
PUBLIC WORKS UTILITES
2/15/06
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
JOHN SCMITZ-DBA THE MYRA GROUP
330 E 1ST ST
PORT ANGELES WA 98362
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452-1110
Permit
Additional desc
Permit pin number
Permi t Fee
Issue Date
Expiration Date
RIGHT OF WAY
150' PHONE LINE-45' ROAD CROSS
71282
.00
2/15/06
8/14/06
Plan Check Fee
valuation
.00
o
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
Separate Permits are required foreiectrical work, SEPA, Shoreline, ESA, 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.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R {1/05]
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FEB 09 2006 10:42 FR
TRAFTON B 253 471 1324
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TO 13604174709
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l'~rmit To Perform Work In Strllt!t Ri&ht~t.W.y
APPLICATION ;$ her~by mode to the m,unicipality of E'ORT ~!:'"
to p~rform ,",ork as
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nored hereon and as ." own On a [[ached drawing;
PLEASE..
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Place Buried Service Wire 150' in RCW and a 45' road cros$ing
to provide telephone service at 1112 1/2 w 17th St
p~~ Oh-1b1
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Approved;
Water Dep8rtznent: - Superintendent
,
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Sewer Depanmat: - Superint8lld.ont:
The mirnarcd time for corn pie tion of the aboye worle Is J D '])A. 'IS PrP1'2::: n:- n. FC.~
Datll.
PH~"'c
"_2)q loto-
.
By Exce1- BSW~~WEST- Dona. Thaut
Conrractor Ownct
OWE-S, /AJ"FI~ ;~W "
7850-8 S. Trafton~ Ta~oma.wA
THE ABOVE APPLICATION IS HEREBY ~RANTED SUBJECT TO APPIJCANTis:
253/597-513.6
253/471-1324
fAX
Complying With all Municipal Oniinllnce,;
NOTifying the Street Sllperint~ndenl of Tho time the work will sur;., and when it wiIllbUsh;
Date
PrQsec:uting the work with dillgon.ce',and \lfith due res~ec:t to all property, c~ntracts. p8n0n,'
ri&hrs and the interesTS and convenience of the pubUc; ,
Saving the M uniclpaJity harmlcss .from any and alldamagu Which rnay ac:~e to any penon
or property bCC'lIuse of this installation or rhe maintenance thereof;
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FEB 09 2006 10:43 FR TRAFTON B
253 471
1324 TO 13604174709
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PAGE.03 **
This request for permit is for the piacement of underground telephorle service wire-to
our customer at the following address: '
III;), 1/2-
W 17th
S-r
This work will require;
Plowing in the R/W (total footage)
/50'
1St
I
: 0-
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!
Push or.bore 2 inch pve or BIP under multiple driveways (total foota~e)
Push or bore 2 inch pve or BIP under roadway (total footage)
Push or bore 2 inch pve or BIP under driveway (total footage)
,
,
"All crossings and ROW work at 36 inches, -All pits and trenching require select r>lI.
**
TOTAL
FEB 09 2006 10:42 FR TRAFTON B
2534711324 TO 13604174709
78,OB S. T",non
Toeo"". W A 98409
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To: City of Pon Angeles. Fax; 360-417-4709 (Tel ~60 457-4807)
From, Qwest Communications Date: 2/912006
Ra, pagas:
cc: Dona Thaut 2535975136
o Urgant o For Ravlsw o PI"""" Comment o Plaase Reply o PImae Rucycla
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'Noles:
Trenia Funston, 360 417-4807
Permit applications: for 1112 Yo W 17'" ST
WP0600306
Thank you,
~ Dona
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