HomeMy WebLinkAbout3415 McDougal St - Engineering
PUBILle WORKS & R/W PERMIT
OWNER/APPLICANT D Attached Notes
FRED HENNINGS
3415 MCDOUGAL
Port Angeles, WA 98362
360/457-0613
PROJECT INFO
Work is: Inside Traveled Road
Plans Required: Start Date:
Contractor: aWEST COMMUNICATIONS
Performance Bond Required: Amount:
Proof of Insurance:
Work to Perform: .
Issued:
2/12/2001
Permit No:
Work Order:
1143
o
PROPERTY LOCATION
3415 MC DOUGAL
Lot: S P 84-4-5
Subdivision: PINEBROOK
Parcel No: 063014230050000
Block: 7
D Long Legal
Value Work:
$0.00
II
Finish Date:
3601000-0000
I I
$0.00
D Install D
D Repair D
D Watermain D
Sanitary Sewer
Storm Drain
Underground TelelElec
D Mise
PROJECT NOTES
push under and trench along McDougal approx 160'
FEES ASSESSMENT
1.) RIW Excav: $0.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $0.00 16.) Sew Tap WyelMan 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 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) $000
11.) Other Water Service: $0.00 25.) ORA $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
APPLICATION is hereby made to the municipality of PORT ANG.ELES to perform work as
noted hereon and as shown on attached drawing: --:y U~ t-t
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A NO \K...tl0Ct+ A:LOr0 G rf\c.. 80 Vb A L
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Approved:
Water Department - Superintendent
Sewer Department - Superintendent
The estimated time for completion of the above work is L>l \ TI1 I,J 10 I::vi y5 of iUC.5/ Pi
f't~~. J:::-,.. '
By ~ ~7
3(,,0 - <t7B -'{LlZZ.
Contractor Owner
U S WEST / ATTN: 1"\' STY
(.,,1 \ - ~--r~ SffiEET -'5A:::6mfNT
BREMEi~lDN, Wi\~hlN5fDN qB3
THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPLICANT'S:
Date
~.J::,. 7 .
I
:t9. '2..00 J
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:
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City of TbfZT ANGE.LES
Dale
ssw Order FormlSkBtch Number wOo I 00
Wire Center.<<'52.. Dld8 SUbmitted .s-
. COMPLETE ON' BOX ONLY (A, B or C)
S. ENGINEeRING C. PREPROVISlONlNG
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o Order t 1. Requsst ClOp Preburlsd
[J TN 2. Report Prebwy has blillilll
Order CF'_ for follDWlng reaaona oompleted
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2. Rigllt gf~ or pem1fts IJ Plow
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D IIftd E ALWAYS. REQUIRED'
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From-QilEST
'ECHNICIAN PAGE:
bSTALLATI~& REPAIR.
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