HomeMy WebLinkAbout1035 Georgiana St - 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: 12/12/96 LC Permit No: 593
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION-----------------------_
OMH 1035 GEORGIANA E
939 CAROLINE Lot: 18
Port Angeles,WA98362 Block: 2 Long Legal:
360/000-0000 Sub: HART & COOKES
PROJECT INFO--------------------------~-----------------------__________________
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor:
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
Work to Perform:
Watermain
Sanitary Sewer
storm Drain
Underground Tele/Ele
Misc
PROJECT NOTES-------------------------------------------------__________________
11 t / I- I
PROJE~t:1.7.'~~,~f~~-(~~--~~:~!~~jj~---------------
R/W ~~~v: $0.00 San Sewer SFR: $0.00
sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add unit: 0
Driveway: $0.00 Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: $0.00 Sew Cap/ W/M Rem~al: * $225.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: $0.00 Catch Basin per ea: $0.00
5/8" Sewer System Dev: $0.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Comm Water Serv: $0.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
1 1/2" Misc: $0.00
2 ., ==============================
Oth Water Serv: $0.00
Water Sys Dev: $0.00
TOTAL FEE:
AMT PAID:
$225.00
$225.00
Receipt No:
Inspection Fee:
RIW
SANITARY
$0.00
WATER
BAL DUE:
$0.00
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, utilities, private and pUblic improvements. This permit becomes null and void it work or
construction authorized is not commenced within 180 days, it construction or work is suspended or abandoned for a periOd of 180 days alter
the work as commenced, or it required inspections have not been requested within 180 days from the iast inspection, I hereby certify that I have
read and examined this application and know the same to be true and correct, All pro~ons of Jaws and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a permit d n presume to give authority to violate or cancel the
provisions of any state or local law regUlating construction or the perform an] ~o s;u
Si nature of Contractor or Authorized A ent Date Si n ure of Owner it owner is builder
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