HomeMy WebLinkAbout715 Currier Ct - Engineering
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
MR. TIMM
715 CURRIER COURT
Port Angeles. WA 98362
000/060-0000
PROJECT INFO
Work is:
Plans Required: Start Date:
Contractor: QWEST COMMUNICATIONS
Performance Bond Required: Amount:
Proof of Insurance:
Work to Perform:
Issued:
8/14/2003
Permit No:
Work Order:
1386
o
PROPERTY LOCATION
715 CURRIER COURT
Lot: 4
Subdivision:
Parcel No:
Block:
HIGHLAND COMMUNITIES
063014650040000 [:><J Long Legal
Value Work:
$0.00
II
Finish Date:
360/000-0000
II
$0.00
[:><J Install
o Repair
o Watermain
o Sanitary Sewer
o Storm Drain
[:><J Underground TelelElec
o Mise
PROJECT NOTES
place new pedestial at site of buried splice approximate area of
Currier Ct and Lambert Lane
FEES ASSESSMENT
1.) R/W 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 R/W: $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.) R/W 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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PI IRI Ie WORKS
Permit To Perform Work In Street Right-of-Way
APPLICATION is hereby made to the municipality of PORr ANGELES . to perform work as
noted hereon and as shown on attached drawing: JOB #
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CHRIS CHRISTENSEN
Qwest, ENGINEER
360-452-2184
FAy !.feo- 'IS? - 9<177
Approved:
Water Department -. Superintendent
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Sewer Department - Superintendent
The estimated time for completion of the above work is_~~. ~O ( ~?
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Owner ,/
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Contractor
(check one)
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;
Date
C01!~z;w19ing special conditions'
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Reason for reissue: Issue: Date:
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EMPLOYEES HAVING A. NEED TO KNOW
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Notlca: Not for dIsclosure outsIde of Owest and affiliates exee t under written a reement.
DESIGNED BY:qx; 1>A v, >OM JOB: > Z W K > 1-'
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