HomeMy WebLinkAbout3431 Mill Creek Ct - Engineering
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PUBLIC WORKS - BUILDING DIVISION
321 EAST STH STREET, PORT ANGELES, WA 98362
501
PUBLIC WORKS CONSTRUCTION Issued: 5/22/96 LC Permit No: 50
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
MARIAN MURPHY 3431 MILL CREEK CT
3431 MILL CREEK CT Lot: 3
Port Angeles, WA 98362 Block: Long Legal:
360/457-6239 Sub: SHP94-04-06
PROJECT INFO--------------------------------------------------------------------
Work is INSIDE traveled Road Value Work: $0.00
Plans Required: N/A
Contractor: LAMPLIGHTER HOMES
Start:
Finish:
Performance Bond Required: N/A
Amount:
Proof of
Insurance: Work $2000 or less: 50K PI/lOOK Per Inc/20K Prop
Work to be
Performed:
INSTALL
* Watermain
* Sanitary Sewer
/ /
/ /
$0.00
* Storm Drain
Underground Tele/Ele
* Mise
PROJECT NOTES-------------------------------------------------------------------
drop in meter
PROJECT FEES ASSESSMENT-----------------------------------~---------------------
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$125.00
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}:
Mise:
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:
$0.00
$80.00
$0.00
$0.00
$0.00
$0.00
$0"00
$0.00
$0.00
$642.00
$0.00
$0.00
$0.00
$0.00
$0.00
------------------------------
------------------------------
$0.00
$883.00
TOTAL FEE:
AMT PAID:
$1,730.00
$1,730.00
$0.00
/11/
$0.00
BAL DUE:
Separate Permits are required for electrical work, utilities, private and public improvements. This perm~ becomes null and void if work or
construction authorized is not commenced ~hin 180 days, if construction or work is suspended or abandoned for a period of 180 days after
the work as commenced, or if required inspections have not been requested ~hin 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
will be complied with whether specified herein or not. The granting of a perm~ does not presume to g~e authority to violate or cancel the
provisions of any state or local law regulating construction or the performance of construction.
Date
Sin nature of Owner (if owner is builder\
Date
Sionature of Contractor or Authorized Anent