HomeMy WebLinkAbout1709 S N St - Engineering
PUBILlC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
Darrel B. Dunbar
1709 S "N" ST
Port Angeles, WA 98360
000/600-0000
PROJECT INFO
Work is:
Plans Required: Start Date:
Contractor: QWEST COMMUNICATIONS
Performance Bond Required: Amount:
Proof of Insurance:
Work to Perform:
Issued: 11/02/2003
Permit No:
Work Order:
1390
o
PROPERTY LOCATION
1709 N ST S
Lot:
Subdivision:
Parcel No:
Block:
SL 104
063000110400000
D Long Legal
Value Work:
$0.00
II
Finish Date:
3601000-0000
II
$0.00
D Install
D Repair
D Watermain
D Sanitary Sewer
D Storm Drain
[:><J Underground TelelElec
D Misc
PROJECT NOTES
placement of buried service wire 25' push under ioN" St. & 75' on east
side of "N" 81. Right of way
FEES ASSESSMENT
1.) RIW Exeav: $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) $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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. ro perform worle as <:T,::",;
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Pl.JtCr""'lfN[ of B\JfC.lfD $~~VlcE ""/!!~ ~tJtz ouR.
cUSTO"'1flZ. 4, /709 ~ IV <5:1 TO iN(;tI/D€ 75 FEET
OIV AHE R/c,,1i1-0r.-1Y WITH 'I ;2,5 FdQi fZ,tl//[) ?vSfI
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Approved;
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Sewer Department - Superintendent : , ;';,,',II~
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OCT 30 2003 11 :28 FR TRAFTON B
2534711324 TO 13604174709
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PLIIlUCWOAKS
P~rmil To Perform Worle In Strllet Right-of.Way
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APPLICATION is her~by made 10 the municipality of PORI' ANGE:L!S
nored hereon and .s shown on HUched drawing:
PL.e'A~ :E:e.E. AIt'AC+te b
Water Department - Superintendent :
The estimared time for'completion of the above work is JD ])AyS
Dare (JCT 30 '1.D03
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PH~ivr:>l-53-'/7J. ()7'B'I
rA'x. 2. 53 - 101- /~2'1
By /Z.Y~fo/ P,.JQv~
Contracror X Owner
OWf.ST /A1T'i~ ;BS\IJ
7~5Cg S' TF:Ar-rPN TI9CO,N/41
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THE ABOVE APPLICATION IS HEREBY GRANTED SUBJEcr TO APPI.lCANT'S:
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ComplYing with all Municipal Ordinances;
Notifying the Street Superintendent of fhe time the work will stllr-:, and when it will finish;
PrO.....utinC rh.. worlc with dililenCe and with due respe<:t to all propllrty, contracts. pllnons'
rights and thll inrerests and convenillnce of the public; . ,
Dale
Saving the Municipality harmless from any and all damages which rnay accrue to any p<;Onlon
or property because of this installation Or rhe mallltenance thereof;
ComplYin&: with folloWin&: special conditions:
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P,02/03
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OCT 30 2003 11:28 FR TRAFTON B
253 471
1324 TO 13604174708
Qwest Job *
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Section:
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This request for permit is for the pla.cement of underground telephone service wir;e to . ..
our customer at the following address: '
}70<f
SOuTH
IV 5TRfET
This work will require:
Trenching in the R/W (total footage)
7 /
5"
,
Push or bore 2 inch PVC or BIP under roadway (total footage) 1 ~
Push or bore 2 inch PVC or BIP under driveway (total footage)
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Push or bore 2 inch PVC or BIP under multiple driveways (total footage)
'All asphalt road crossings at 48 inches.
'All pits and trenching requires select fill.
. All ROW work at 36 inches.
'Backfill road bores with CDF,
P.03/03
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** TOTAL PAGE.03 **
OCT 30 2003 11:28 FR TRAFTON B
253 471 1324 TO 13504174709
P.01/03
7850B S, Traflnn
Taonma, W A 98409
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To: City of Port Angeles Fax: 360-417-4709
From: Qwest CommWticabons Date: 10/30/03
Re: Pages: $
CC: Ryan Fuqua
o Urgent
o ForRavlew
o Please Comment
o PIsass Reply
o PIaase~
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Nates:
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T, Funston,
W00306322/4S2M
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Permit, applications:
Thank you,
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-Ryan