HomeMy WebLinkAbout3400 McDougal St - Engineering
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
Issued: 6/14/2002
Permit No: 1289
Work Order: 0
PROPERTY LOCATION
3400 MC DOUGAL
Lot:
Subdivision:
Parcel No:
Block:
0001000-0000
PROJECT INFO
Work is:
o 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: [g] Install 0 Sanitary Sewer 0 Mise
o Repair 0 Storm Drain
o Watermain [g] Underground Tele/Elec
PROJECT NOTES
trench and bury 560' of cable on east side of McDougal between
Benjamin St and Homestead Ave replacing closures # 8 & '\ 1 100 x cable
36" dp bury 14' east of ell McDougal
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.) 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 R1W: $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.) R1W 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
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PI IAI Ie WORKS
Permit To Perform Work In Street Right-of-Way
APPLICA nON is hereby made to the municipality of PORI' ANGELES to perform work as
noted hereon and as shown on attached drawing: JOB # :2 2 WE '177
Ru~ Ic'01
CHRIS CHRISTENSEN
Qwest, ENGINEER
360-452-2184
Approved:
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The estimated time for completion of the above work is
Water Department -. Superintendent
Sewer Department - Superintendent
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Owner
Contractor
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THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT 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 conditions:
Date
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