HomeMy WebLinkAbout506 Golf Course Rd - Engineering
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SEP 02 2005 09:34 FR TRAFTON B
2534711324 TO 13604174709
7850B S. Traf1:0n
Tac:onw', W A 98409
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To: City of Pon Angel.. Fax: 360-417-4709 (Tel 360457-4807)
From; Qwest Communications Date: 9/2/2005
Re: Pagss: 3
cc: Dona Thaut 253 597 5136
o Urgenl o For Revlew o Please Comment o Please Reply o Please Recycle
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Not8s:
Trenia Funston, 360 417-4807
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PermitappHcatwns: for 506 S Golf course Rd WP05000190/452M
Thank you,
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 O~- %Z- 1
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000829 Date
712192
506 GOLF COURSE RD
06-30-11-5-3-0200-0000-
QWEST COMMUNICATIONS
PUBLIC WORKS UTI LITES
9/06/05
{5o lj; Gf) fft1e-wvse e.Q.
RS7 RESDNTL SINGLE FAMILY
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Owner
Contractor
MACHON JOSEPH B
506 GOLF COURSE RD
PORT ANGELES WA 983624938
OWNER
Permit RIGHT OF WAY
Additional desc BURIED PHONE LINE IN R/W
Permit pin number 59345
Permit Fee .00 Plan Check Fee .00
Issue Date 9(06(05 Valuation 0
Expiration Date 3(05(06
Fee summary Charged Paid credi ted
--------~-------- ---~------ ---------- ----------
Permit Fee Total .00 .00 .00
plan Check Total .00 .00 .00
Grand Total .00 .00 .00
Due
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.00
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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:\Policics\1102.15R [1/05]
SEP 02 2005 09:35 FR
TRRFTON B 253 471 1324 TO
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13504174709
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Permil To Perform Work III Street Right~f.Way
APPLICATION is her~by m.de to the municipality of PCin' ~~!;
nOTed hereon and .s shown on -/ruched draWing:
PLEASE. ~E. A'1\ ACt+c b
PLAeb" nURI G;[) 'S"'E.~\! \~!2-
c: 50~ 'S GOL f" CouRSE
Approved:
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t"AX
7850-B S. Trafton, TAcoma,WA
THE ABOVE APPLlCA TIO'N IS HEREBy GRANTED SUBJECT TO APPIJCAN'r'S:
Complying Wilh all Municipal Ordinances;
Notifying the Street Superintendent' of the time the work Will star:, and wnen it will finish;,
Prosecuting rile work ...jth dilill,,"ce and With due respeet to all property, contracrs, panonl'
rights and the interesTS and conveniellCe of the public;
Saving the Municipality llurmle55 from any and all dllmasos which rnay ac:cruc to any.person'
or property because or this installation or rhe maintenanee tnereof;
Dale
Complying with follOWing special conditions:
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This request for permit is for the placement of underground telephone service wire ,tQ::"::}ifM~1)i
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our customer at the followmg address: .. :..,::"','{:i!,,)
5o(g GoLF <'-Ov~Sc Kd',';:':~~it~t~
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** TOTAL PAGE.03 **
SEP 02 2005 09'35 FR TRAFTON B
253 471
1324 TO
13604174709
Qwest Job #
W P0500\90- 452.f21-
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This work will require:
Plowing in the R/W (total footage)
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Push or bore 2 inch PVC or SIP under I'oadway (total footage)
C1)
Push or bore 2 inch PVC or SIP under driveway (total footage)
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Push or bore 2 inch PVC or SIP Wlder multiple driveways (total footage)
a5
~All crossings and ROW work at 36 inches. 'All pits and trenching require select fill.
P,03/03