HomeMy WebLinkAbout302 - 310 Hillcrest Dr - Engineering
PUBILlC WORKS & R/W PERMIT
OWNER/APPLICANT 0 Attached Notes
Issued:
8/22/2000
Permit No:
Work Order:
1100
o
,
000/000-0000
PROJECT INFO
Work is:
Plans Required: Start Date:
Contractor: OWEST COMMUNICATIONS
Performance Bond Required: Amount:
Proof of Insurance:
Work to Perform:
PROPERTY LOCA nON
302 HILLCREST DR
Lot: 7
Subdivision:
Parcel No:
Block:
HILLCREST ADD
[] Long Legal
Value Work:
$0.00
/ /
Finish Date:
360/000-0000
/ /
$0.00
o Install
o Repair
o Watermain
o Sanitary Sewer
o Storm Drain
o Underground Tele/Elec
o Mise
PROJECT NOTE!':
PLACE NEW 6 PR BSW TO BOTH 302 & 310 HILLCREST DR (APPROX 85')
FEES ASSESSMENT
1.) RIWExcav: $0.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $0.00 16.) Sew Tap WyefMan Tap: $0.00
3.) Curb/Gutter: $0.00 17.) Sew Cap/ WfM 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 RIW: $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.) RIW Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $0.00
11.) Other Water Service: $0.00 25.) D.RA $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
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PUBUC WORKS
Permit To Perform Work In Street Right-of-Way
APPLICA nON is hereby made to the municipality of PORT ANGElES to perform work as
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noted hereon and as ~hown on attached drawing:
HILL
C (LtS T
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Approved:
Water Department - Superintendent
Sewer Department - Superintendent
The estimated time for completion of the above work is u.l \ T r\ J N J 0 :DCI yS of f2EC.S I PI
D," 0vc"7 llo.. 0100 By '1\" ~ ~~ ~
3(,,0 - '-178 l...'fL/Z
Contractor wner
US WEST / ATTN: MISTY
(",1 \ - G,-r~ STREET -'"5A::ttnwT
BREMERTON. 'tJf\SH I NGfDN Qg'l,5
THE ABOVE APPLlCA nON IS HEREB Y GRANTED SUBJ Ecr TO APPLICANT'S:
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 condilions:
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Date
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