HomeMy WebLinkAbout1732 W Lauridsen Blvd - Engineering
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
PAUL ROENING
1732 W BLVD
Port Angeles, W A 98363
000/600-0000
PROJECT INFO
Work is:
Issued: 1/11/2002
Permit No:
Work Order:
1234
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PROPERTY LOCATION
1732 LAURIDSEN BLVD W
Lot: 2 Block:
Subdivision: SORENSEN SHP
Parcel No: 063008229010000 D Long Legal
Value Work:
$0.00
Plans Required: Start Date: 1 1 Finish Date: 1 1
Contractor: QWEST COMMUNICATIONS 3601000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: ~ Install D Sanitary Sewer D Mise
D Repair D Storm Drain
D Watermain ~ Underground Tele/Elec
PROJECT NOTES
INSTALL 100' CABLE ALONG SOUTH SIDE OF LAURIDSEN BLVD
AT 1732 W BLVD
FEES ASSESSMENT
1.) RIW 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 W/M Removal: $0.00
4.) Driveway: $0.00 18.) Aiter 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 (ORA) $0.00
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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2063469223
T-005 P.01/03 F.~~!
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Terry Jones 206-461-1665
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Jan-10-02 'O:47a. Fro.-V S WEST LRAC
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Permit To Perform Work In Street Right-of-Way
APPLlC A TION is !\ereby made to the municipality oi PORI' ANGELES to perform work a~
nOi'ed hereon ana ~s ~hown er. a{t~cl1ed drawing:
p~::tL /2--34
Approved:
Water Department - Superintendent
Sewer Department - 'Superintendent
The estimated time for completion of the above work i~ Jf) 'DP.~5 AfT'ElL f'J::C.EJPI
By ( 4J;
Conuccta; V Owner
OWES'- /ATH\L ;ESW l2.Dllt-l\ ISD"I
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THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECf TO APPLICANT'S: liB ill I
Date 1- /0 - "U) 0 ::L
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Complying with ail Municipal Ordinances',
Notifying the SrrenSupelinrendent of the time the worl< will start, and when it will finish;
Prosecuting rhe work wirh diligence and with due rCSllec. to all property, call tracts, persons'
rigt>ts and the interesn and convenience Qf the public;
Saving the Municipality harmless from any and an damages wilich may accrll< ro any person
or property because of this installUion or the maintenance thereof;
Ccmplyine with foHowing special conditions:
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City of PORt ANGEI.ES
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BY~
Date
;.n-10-01 10:47.m FrQm-U S WEST lRAC
1063469223
T-006 P.03/03 F-141
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UVRIDSON 8lV
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This request for permit is for tile pi~emeJlt of unciergmund teiephoDll service wire to out
customcf at the iollowing address:
17"32.. '-Au~IDSOI\J !6LVtJ
This work will r~.1ire:
TreaeilUlg in the RNI (total footage)
100
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Aft/<. 0 Y;
Pusb or boTe 2 inch pve or SIP under roadway (tOW footage)
Push or bore 2 inch pVC or BIP under driveway (tOtal footage]
Push ". bore 2 inch PVC or SIP uncler multitlie driveways (unal foo148I:J