HomeMy WebLinkAbout1206 1/2 W 6th St - Engineering
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& R/W PERMIT Cond: Work Order: ~
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
JIM PATRIE 1206 1/2 6TH ST W
1206 1/2 W 6TH Lot:
Port Angeles,WA98362 Block: Long Legal:
360/000-0000 Sub:
PROJECT INFO-----------------------------------------------,--------------------
Work is OUTSIDE traveLed road Value Work: SO.OO
Storm Drain
Underground Tele/Ele
Mise
PROJECT NOTES-----------------------------------------------------.-----.-------
3D' UG push under alley
PLans Required: N/A
Contractor: US WEST COMMUNICATIONS
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
\Jark. to Perform:
Watermain
Sanitary Sewer
1 1
1 1
$0.00
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/U Excav: SO.OO San Sewer SFR: SO.OO
Sidewalk: SO.OO San Sewer MFR: SO.OO
Curb/Gutter: SO.OO Add Unit: 0
Driveway: $0.00 Other San Sewer:
Dwy Culvert: $0.00 Sew Tap Uye/Man Tap:
Street Cut: $0.00 Sew Cap/ W/M Removal:
Other R/W: $0.00 Alter/Repair Sewer:
Fire Hydrant: $0.00 Storm Drain Tap:
Res Water Serv: $0.00 Catch Basin per ea:
5/8" Sewer System Dev:
3/4" Milwaukee Dr. Sew Assess:
1" R/W Use Perm:
Comm ~ater Serv: $0.00 D.R.A.:
1" Admin Costs (D.R.A):
1 1/211
2"
Oth ~ater Serv:
Water Sys Dev:
Mise:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$0.00
$0_00
TOTAL FEE:
AMT PAID:
Receipt No:
Inspection Fee:
$0.00
BAl DUE:
$0.00
$0.00
$0.00
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PUBLIC WORKS CONSTRUCTION tssued: 11/04/96 If Permit No: 549
& R/W PERMIT Cand: Work Order: 0
OWNER/APPLICANT........................PROPERTY LOCATION........................
JIM PATRIE I 1206 1/2 6TH W
1206 1/2 W 6TH I Lot:
Port Angeles,WA98362 I Block: Long legaL:
360/000.0000 I Sub:
PROJECT INfO....................................................................
Work ;s OUTSIDE traveled road Value Work: SO.OO
Plans Required: N/A
Contractor: US WEST COMMUNICATIONS
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform:
/ /
/ /
SO.OO
Storm Drain
Underground Tele/Ele
Mise
PROJECT NOTES-------------------------------------------------------------------
30' UG push under aLLey
'Watermain
Sanitary Sewer
PROJECT fEES ASSESSMENT.........................................................
R/IJ Excav: $0.00 San Sewer SFR: SO.OO
Sidewalk: SO.OO San Sewer MFR: $0.00
Curb/Gutter: SO.OO Add Unit: 0
Driveway: SO.OO Other San Sewer:
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap:
Street Cut: SO.OO Sew Cap/ W/M Removal:
Other R/W: SO.OO Alter/Repair Sewer:
Fire Hydrant: SO.OO Storm Drain Tap:
Res Water Serv: SO.OO Catch Basin per ea:
5/811 Sewer System Dev:
3/4" Milwaukee Dr. Sew Assess:
111 R/W Use Perm:
Comm Water Serv:
SO.OO
O.R.A. :
Admin Costs (D.R.A):
Mise:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
SO.OO
SO.OO
SO.OO
$0.00
SO.OO
SO.OO
SO.OO
SO.OO
SO.OO
SO.OO
SO.OO
SO.OO
------------------------------
------------------------------
SO.OO
SO.OO
TOTAL fEE:
AMT PAID:
Receipt No:
Inspection Fee:
SO.OO
BAL DUE:
SO.DO
SO.OO
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PUBUCWORKS
Permit To Perform Work In Street Right-of-Way
APPLICA nON is hereby made to the municipality of PORT ANGELES to perform work as
blA.~ -k\~phonz. CS\)I ~ urd.e.r
nQt("~ ~.ere('ln ana as ~hown on at!:.ch~d drawins:
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Approved:
Water Department - Superintendent
Sewer Department - Superintendent
The estimated time for completion of the above work is
Date.!li/Z-q /4'0
19
1;16
By
Contractor Owner
U S \4/E5T / l\TTN ~ M I STY
~2.D KEAN STI\EET. GARAGE
BREMERTON, WJ\5HINGlDN q8~r
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:
Dal~
11/4
19 1'(/
City of S~IM
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