HomeMy WebLinkAbout1035 W 12th St - Engineering
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CITY OF PORT ANGELES
.PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, \VA 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
06-00000645 Date
. 756250
1035 W 12TH ST
06-30-00-0-3-5345-0000-
QWEST
PUBLIC WORKS UTI LITES
6/16/06
RS7 RESDNTL SINGLE FAMILY
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Contractor
SWENSON MARGARET ANNE
1035 W 12TH ST
PORT ANGELES WA 98363
EXCEL UTILITlES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452-1110
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
205' BURRIED PHONE LINE
80424
.00 plan Check Fee
6/16/06 Valuation
12/13/06
.00
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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 for eleclrical work, SEPA, Shoreline, ESA, ulilities, 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 jf 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 10 give aulhority 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\1102.1SR [1/05]
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JUN 13 2006 13 39 FR TRAFTON B
253 471
1324 TO 13604174709
78508 S. ')'Iraftol1
T'COlllll, WA 98409
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To:
City of Port Angeles
Fax:
360-417.4709 (Tel 360 4$7-4807)
From:
QweSl Communications
Date:
6/13/2006
Re: Pages:
cc: Dona ThauI 253 5975136
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Trenjli-F\ms~on, 360417-4807
Perniihpplications: for 1035 W 12'" ST,
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PHINe 253/597-513E Contractor owncr:'f;:j{1~\~
~AX 253/471-1324 OwES, /Arr-i~ ;B5W;;~~~\}~1f:~{
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JUN
13 2006
13:40 FR
TRRFTON B 253 471 1324 TO
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13604174708
1'URJe_
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P~rmil To Perform Work In Street Ri&ht-of.Way
WP0601l80-452M
APPLICATION is her~by made 10 the lTJunicipality of PORI' ~~'"
. to perform worle: as
noted hereon and .s "howl'I on artaehed drawing:
AIt'ACtrEh
f'LEASE.
...5~: It#
<:..pe
Place Buried Service
1035 W 12th St
Wire 205' in ROW to provide telephone service at
Approved:
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Water DllplLft1'nent - Superintendent
7850-8 S. Trafton, T&coma,WA
THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPl,ICANT'S;
Complying With all Municipal Ordinances;
Notifying the Street Superintendent of the timc the work will stllr:. and when !twill fInisb; _
Prose"utinll the work with dlUliIcnce- and with due. respeo:t to all prol,euy, contracts, penons'
ri&hts and the interests and con\lenienee of the pUblic;
Savini the MUlIlcipaJily harmleufram any and all damages which rnay accrue ro any petlon
or propeny bCC'J.use of this installarlon or the maintenance thereof;
Complying wirlt I'ollolllinl spedal condiTIons;
Dale
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JUN 13 2006 13:40 FR TRAFTON B
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253 471 1324 TO 13604174709
Qwest Job #
W'P (J()n (12<) -452 tU-
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This work will require:
Plowing in the R/W (total footage)
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This request for permit is for the placement of underground telephone service wire 'tl:l:,}}(;:~tc~;,:
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our customer at tea OWIng a ress: ....::,,',,",,(:!';
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Push or bore 2 inch PVC or SIP under roadway (total footage)'
Push or bore 2 inch PVC or SIP under driveway (total footage)
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Push or bore 2 inch PVc or SIP under multiple driveways (totaHootage)
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'All crossings and ROW work at 36 inches. . All pits and trenching ~equire select fill.
** TOTAL PAGE,03