HomeMy WebLinkAbout3501 W 18th St - Engineering
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
CITY OF PA
321 E 5TH ST
Port Angeles, W A 98362
000/604-7011
PROJECT INFO
Work is:
Issued: 12117/2003
Permit No:
Work Order:
1391
o
PROPERTY LOCATION
3501 18TH ST W
lot: 5,8,36-40/1-10,28-40
Subdivision: PHilLIPS ADD
Parcel No:
Block: 6/7
~ long legal
Value Work:
$0,00
Plans Required: 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: ~ Install D Sanitary Sewer D Misc
o Repair 0 Storm Drain
o Watermain ~ Underground TelelElec
PROJECT NOTES
placement of buried service wire for above address, City of PA 750'
ofRIW
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 Serve $0.00 24.) Admin Cost (D.RA) $0.00
11.) Other Water Service: $0.00 25.) D.RA $0.00
12.)Water System Dev: $0.00 26.) Misc: $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
DEe 10 2003 10:48 FR TRRFTON B
253 471 1324 TO 13604174709
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5E~ VICE '^"/~E Fof!. 0 v f( . '.,:!.,:~4i;,
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01\/ THE f..1[.flT-oF-vv~y .;;"O>c;!,t~
Water Depanmant - SllpeJ1ntendent
Sewer Depan:ment - Superintend'ent,
The estimated lime for'completion of the above work is 10 j)AYS A-FrElL (l F'C.E'IF17"' ~H:"",',
Date OEc. 10 ,4.003 By gY4/V #1. F UQu~
PlfO"; E ;'). S 3 - L/ 75 -07B ~ Contrmor ';tt Owner
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THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPl;I~ANT'S:':.},;\,'r,:,',:"',",.',,.:,.',,:,'.,;,,~,::.,'\.,'.,.:.'
ComplYing with all Municipal Ordinances; _.,
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FUaUC WOFlUl
Permit To Perfonn Work In Street Riaht<lf-Way
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APPLICATION jg ner~by mude to tne municipality of PORI' ~~J::
. to perform work, as '
nored hereon and as ,'nown on alluched drawing:
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L.USTcJl'1ff!-
150 FEET
OF BtJtlfD
4T
Approved:
Notifying rhe Street Superintendent of rile time the work will stllr:. and Wlllln it will finish; .
Pr"sllcuting the work with dilisenee and with due respect to all proi'err:y. contracts. Pllrcon,'
riihts alld rhe interests and eonvenilsnce of the pUblic;
Saving the Municiplllfry harmleu from any and all dameg". which rnay accrue to any panon
Or property bsclluse of this installation or the maintenance tnllrllof;
Complyinli: with fOllOWing special conditions:
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DEe 10 2003 10:48 FR TRRFTON B
253 471 1324 TO 13604174703
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This request for permit is for the placement of underground telephone service wire to
our customer at the following address: .
1Sor
50(lTH 1l?1l.>IV~u"EE DI<I\JE
This work will require: r
Trenching in the R/W (total footage) 7 SO
Push or bore 2 inch PVC or BlP under roadway (total footage)
Push or bore 2 inch PVC or BlP under driveway (total footage) 2.3
Push or bore 2 inch PVC or BlP under multiple driveways (total footage) ($
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'All asphalt road crossings at 48 inches, "All ROW work at 36 Inches,
>All phs and trenching requires select fill. >Backfill road bores with CDF.
** TOTRL PRGE.03 **