HomeMy WebLinkAbout1615 Delores Pl - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 11/18/96 LC Permit No: 559
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CENTURY STONE HOMES, INC. 1615 DELORES PLACE
11417- 124TH AVE, NE #202 Lot: 21
KIRKLAND,WA98033 Block: Long Legal:
206/822-7797 Sub: EAGLE'S LAIR
PROJECT INFO--------------------------------------------------------------------
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor: CENTURY STONE HOMES, INC
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
Work to Perform: INSTALL * Watermain
* sanitary Sewer
/ /
/ /
$0.00
* Storm Drain
* Underground Tele/Ele
* Misc
PROJECT NOTES-------------------------------------------------------------------
all water meters are installed and paid lts 14-26, sanitary sewer
connection $80.00 + $410.00
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav:
Sidewalk:
Curb/Gutter:
Driveway:
Dwy Culvert:
Street Cut:
Other R/W:
Fire Hydrant:
Res Water Serv:
5/8"
3/4"
1"
Comm Water Serv:
1"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev: *
Receipt No:
Inspection Fee:
RJW
SANITARY
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
San Sewer SFR: *
San Sewer MFR:
Add unit: 0
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer:
Storm Drain Tap:
Catch Basin per ea:
Sewer System Dev:
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A. :
Admin Costs (D.R.A):
Misc:
$80.00
$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
------------------------------
------------------------------
$0.00
$0.00
$410.00
TOTAL FEE:
AMT PAID:
$0.00
WATER
BAL DUE:
DWY
STORM
DRA
OTHER
$490.00
$490.00
$0.00
Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes nuli and void ~ work or
construction authorized is not commenced within 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after
the work as commenced, or ~ required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work
wili be compiled with whether specified herein or not. The granting of a permit does not presume to give authority to vioiate or cancel the
provisions of any state or local Jaw regulating construction or the performance of construction.
Date
Sionature of Owner lIT owner is builder)
Date
Sinnature of Contractor 0; Authorized Aoent