HomeMy WebLinkAbout1206 W 6th St - Engineering
PUBILtC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
Chuck Werner
Issued: 9/12/2001
Permit No:
Work Order:
1206
o
PROPERTY LOCATION
1209 6TH ST W
Lot: 18 Block: 114
Subdivision: TPA
Parcel No: 063000011485000 C3J Long Legal
Port Angeles, W A 98363
000/605-5367
PROJECT INFO
Work is:
Value Work:
$0.00
Plans Required: Yes Start Date: I I Finish Date: I I
Contractor: QWEST COMMUNICATIONS 3601000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: C3J Install D Sanitary Sewer D Mise
D Repair D Storm Drain
D Watermain C3J Underground Tele/Elec
PROJECT NOTES
place 100' 6 pr SSW in alley for customer@ 1209 W 6th
FEES ASSESSMENT
1.) RfW 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 1M Removal: $0.00
4.) Driveway: $0.00 18.) Aller 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 RfW: $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.) RfW 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.) 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
Jan.} 0-02 -" 04: lJ4pm ~ j[ l\ ".....
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.2063469223
T-031 ?Ol/02 F-!Ti
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FROM: Terry Jones 206--461-2665
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RE:
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!2"-10-02 04:04p. Fro.-U S WEST lRAC
2063469223
T-031 P.02/02 F-171
January 10,2002
TO: CITY OF PORT ANGELES STREETDEPT
FROM; QWEST-BSW FAX; 206-345-2282 ATIN: TERRY
REQUEST FOR A PERMlTW AS SENT FOR THE FOLLOWING JOB. IF
IT WAS NOT RECEIVED OR IF THERE IS FURTHER INFORMA nON
PLEASE LET US K..~OW. TIIANK you.
1. WOOI03527 -1209 W. 6TH