HomeMy WebLinkAbout4314 Fairmount Ave - Engineering
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362 .
D(::; - 501
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
06-00000559 Date
043259
4314 FAIRMOUNT AVE
06-30-08-5-8-1600-0000-
PUBLIC WORKS UTILITES
5/30/06
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43/1 ~~
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Owner'
Contractor
WITTENBERG HANNELORE E
4314 -'FAIRMQNT AVE
PORT ANGELES WA 983638329
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452-1110
Permit RIGHT OF WAY
Additional desc 30' PHONE LINE IN FAIRMOUNT AV
Permit pin number 78527
Permit Fee .00 Plan Check Fee .00
Issu;-ODate 5/30/06 Valuation 0
Expiration Date 11/26/06
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 lor electrical 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
lor a period of 180 days afler the work as commenced, or if required inspections have nol been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this applicalion and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied wilh whelher 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.
I Signalure of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1105]
MRY 30 2006 10:18 FR TRRFTON B
2534711324 TO 13604174709
P.01
To:
City of Port Angeles
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7850B S. Troflon
Ta~ma! W A 98409'
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360-417.4709 (Tel 360457-4807)
From:
Qwest Communications
Data:
5/3012006
Re:
Pages:
cc:
Dona Thaut 253 597 5136
o Urgent
o ForRGIII8w
o Please Comment
o PIoass Reply
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NOtiis:
'I'ien:i~'Fwislon, 3604]7-4807
Permit.applications: for 4314 S FairmoWlt
WP060] 088/452M
Thank you,
-Dona
f leA.Se IS'5 Ue.. fA Y)O pet --pevmlT
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MRY 30 2005 10: 18 FR
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TRRFTON B C~0 , u~ _
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135041747[1'3
I'UIIl.C WIRllI
'-..'-
P~rmir To Perform Worle In Srreet Ri&ht~(.W.y
APPLlCA TION is hereby made [0 rhe municipaliry or li'OIiT A]Jml'r"N~.
to perform "'ork a.
nored hereon and .s ,hawn an allaclled drawing; WP060l088.,452M
PLEASE. SI:..E AIt' ACtrE h ...5r..Eii: H-#'
Place Buri:ed~ervice Wire in ROW to provide telephone service at 4314 Fainnount
Work will require a road crossing.
Approved:
.
Watv Deparunent - SUperintendent
F'. LI2
Ssww Depan:mlUlt - Superintendent
The eStimared rime for'completion of lhe above worle Is 10 "'DAYS Ai:
Dale.
Pf;g",~
t"AX
. --..!la y 30, 2006
253/597-513.6.
253/471-1324
By_ Exce1- BSIIil"',QWE;ST- Dona
Connactor Owner
OWE-5T /Air-N ; B5w
Thaut
7850-8 S. Trafton, T~coma,WA
THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECI'TO A,PPUCANT'S:
Complying ""iln all Municipal Ordinance,;
Notifying rhe Streer Superintendenr or the time the work will 'tar:, and when ir will finish;
Pr",cC:\lting rhe warlt witn dilillen~and with d\le ro.peer to all prol'lIcty, c:onlmen, penon,'
"ghts and rhe interesTS and c:onvenlen= of rhe PIlblil';
Saving the Munic:.ipaJlty harmless from any and all damaau whll'h rnay a~ClUe ro any penon
or property beeilusc of this installation or the maintenanl'e thereof;
ComplYinll "'ilh folIowinll special <:endlnons:
Dale
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City.ot PORt' ~~O:::
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MRY
30
2006
10: 19
FR
TRRFTON
B
253 471
1324
TO
13604174709
P.03
Qwest Job #I
W~b1tD1Dg,i- '-I52N'\
Push or bore 2 inch PVC or BIP under driveway (total footage)
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TOTAL PRGE.03 **
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This request for permit is for the placement of underground telephone service
our customer at the following address:
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Y 1\ ':f. $- faL&.mou vt+'
This work will require:
Plowing in the R/W (total footage)
~
Push or bore 2 inch pve or BIP under roadway (total footage)
30'
Push or bore 2 inch PVc or BIP under, multiple driveways (total footage)
'All crossings and ROW work at 36 inches, 'All pirs and trenching require select fut
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