HomeMy WebLinkAbout1420 S K St - Engineering
L
v~ (i!}kd !;{)~
PUBUC WORKS
Permit To Perform Work In Street Right-of-Way
APPLICA TION is hereby made to the municipality of PORT ANCElfS to perform work as
noted hereon and as shown on attached drawing:
-rfCA:; AJ C 6J
/ Lf 20
,0
If< j
ALL~
S T fL5--(S-l-
A- \\ A C \-\ E. b S K- E TC t-\ 00 - 5 ok:, tJ
p--f~';i1 I DC] l\
B8\-\\J~
YL-t:K:>6
SEE
Approved:
Water Department - Superintendent
Sewer Department - Superintendent
The estimated time for completion of the above work is vJ \ T ~ J tJ J 0 :D'\ yS of f2EC.E, PI
Date ~.
~A ~-
By f"r-- ""'" .. Uo
3(,,0 - '-1718 -'f ~
Contractor Owner
US WEST / ATTN~ .MISTY
(.,,1 \ - G-r~ STREET .1)A:s6mfNT
. BREMERTON, WI\SH \ NGTDN QB3'3
THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPLICANT'S:
IS
,w z.ooO
Complying with all Municipal Ordinances:
Notifying the Street Superintendent of the time the work will start, and when it will finish;
Prosecuting the work with diligence and with due respect to all property. contractS. persons'
rights and the interests and convenience of the public:
Saving the Municipality harmless from any and all damages which may accrue to any person
or property because of this installation or the maintenance thereof;
Complying with following special conditions:
( )zzlz-tz;z)
...1-9-..
City of ?o R;I MG E.L E..S
.-i/).-,j ,,;, /t~?~~rh-
Date
PUBILlC WORKS & RIW PERMIT
OWNER/APPLICANT 0 Attached Notes
Issued:
8/22/2000
Permit No:
Work Order:
1099
o
PROPERTY LOCATION
1420 K ST S
Lot:
Subdivision:
Parcel No:
Block:
o Long Legal
000/000-0000
PROJECT INFO
Work is:
Plans Required: Start Date:
Contractor: QWEST COMMUNICATIONS
pertormance Bond Required: Amount:
Proof of Insurance:
Work to pertorm'.
$0.00
Value Work:
II
1 I
Finish Date:
3601000-0000
$0.00
o Mise
o Install 0
o Repair 0
o Watermain 0
Sanitary Sewer
Storm Drain
Underground Tele/Elec
PROJECT NOTES.
TRENCH IN ALLEY BEHIND 1420 SOUTH "K" sT
FEES ASSESSMENT
1.) RtW Excav: $0.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00
3.) curb/Gutter: $0.00 17.) Sew Capl WIM Removal: $0.00
4.) Driveway: $0.00 18.) Alter Repair Sewer: $0.00
5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00
6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00
7.) Other RtW: $0.00 21.) Sewer System Dev: $0.00
8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00
9.) Res Water Serv: $0.00 23.) RtW Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (DRA) $0.00
11.) Other Water Service: $0.00 25.) D.R.A. $0.00
12.)Water system Dev: $0.00 26.) Mise: $0.00
13.) San Sewer SFR: $0.00 TOTAL FEE: $0.00
14.) San Sewer MFR: $0.00
add unit: 0 Amount Paid: $0.00
Receipt No: ~
Inspection Fee: $0.00 Balance Due: $0.00
08-1S-00 07:0S From-US WEST m N OAKRIOGE OR PA
T-lez P.OI/01 F-7S9
o-5oc:'U.
Number
Cate Bubm1lled g - '1-00 WOdDO r S-12.
COMPLITE oN. sox ONLY (A, B 01' C)
S. ENGINEERING C. JlREI'ROVISlDNIN(I
,... IIbflllll': I'k. 1-41l1li2'" ,17(1
lJ Qraer f ,. FltIqUllt Drop Ptlbur!ed
lJ TN 2. Report Pl'lbury hu bllen
Order cPn for folJoWlftIJ ""10", llCImplsllHl
1. 0vlIr 5OIl' (Rural) Q at preb'"Y;
2. AlIIIl! of -.y or P~rml" \11 Plaw
I'IqUlred }I'J Conduit
3. New constluctlon - "0 3. Due ON
fllClUIIII Q ~ Ill....... ~ ....CoM
4. No pllllIi . t:I F1 4. 1'10 . FlNdy for Gndf8NI:
QF2 YlIlI NoQ
g and E ALWAYS REQUIRED
" L Addl1llll
caR City
Lalt
S8clIcm--D:l. RanOll RbW
I h ooa...1:ilL Paget
Su IVlIor ' b Tel.' ~5'1-~:)) VMS Fa t
It ICE'TCH .R. "'red on 1111 ol'dtln CFQ'ftI."d 008 Re lr. Fa to LRAC
C ,.,. I. Info on ." orrlM'l 0' Iketf;h..
L L S M ':). -C.. A s ~
!i:;I F,IU N a.w 11 a i .....7 w......O.c G,A,MoN IIlI 8.N
a, n __n 'J.. Ra",eJ ~kJ TawnahlpJ:3oAL
II FeCIt --1 (J cJ TvPe af Wire FlOld X-Inl
+136045ZZ933
.
SSW Order FonnlSlcItoh
4S2.
WIN Center.
CHNlCIAN PAQEl
INBTALLAnOf/' RE~/R
Order' C 2' 'i~ OJ :2-
~ 91' -O::t7
1. Pedfor&SW )iJ
1.1 PIid cannot locate EIllCAP _ Q
3. 1I1li1r 006 ____ q
4. PIId tar Fl.F2, alto """ SSW IJ
6. Imp Pllllltld . "lllld IIkalch -
JIPIalnod bo!llW lJ
8. cunei Temp - Sll/IlI Job-_ tJ
Olt1er Loc:etlon_ q
C OI*n Tlllncl1
Blnck
1llwnehlp T...::KJ""
CUIl1Il "bulle C
Verbal cant[,
EV
C
.~ (J
C
7'Iltmbw1 CBL
L /76, ~8
~N C.T 0 .J:
. . . . . . . . .
. . . . . . . . . . .
. . . . - . . . . .
. . . . . . . . . . . . . .
&tt"M. ,
. . . . . . .
. . . . ~. . .
. . . .~ -:t. .\.. .... . .
.~ ~ l'11.0 : . .
. .' .~. ..,
. . .~ . .M
. . .~ .0' t-< ~t
. '-.. ~'IE:)'
. a I '--.,' . . .
. . . (& . . . ih p.~~~~ bj:
. . .
. . . . . - . PQ . . . .
. Svb",. . .
..
-
. :.r
.
or
'/.1'
. .
. .
. .
.
. .
. .
., ...
\.
lla~"LII!IQ
. .
. . . . . .
'.
. . It It . . I .
P,",,~ Rllqlll~ \If 7. ~1II1doOlg C IlIl$ldll CflItII tll'HIa IIIId CDCl~B
- 't:,- ,
. .
:~-J:~
. . JI"' ,.
III L'-'-' '"
. . .
.. ..
. .
. . .
. . . .
.
. .
. . .
. . .
.. . , '"
. .
. .
. .
. .
. .