HomeMy WebLinkAbout1130 W 12th St - Engineering
PUBILlC WORKS & R/W PERMIT
l ! Attached Notes
OWNER/APPLICANT -- - __
HOWARD PRIEST
1139 OL YMPUS AVE
Port Angeles, WA 98362
000/604-7834
PROJECT INFO
Work is
Plans Required
Contractor' OWNER
Performance Bond Required
Proof of Insurance
Work to Perform
Start Date
Amount:
~j Install [2J
[J Repair [,
VJ Watermain lJ
Issued
10103/2002
Permit No
Work Order'
1306
o
--PROPERTY LOCATION-
I 1130 12TH ST W
I Lot: B
Subdivision
Parcel No
VANGESEN SP
063000036990000
.__-1
Value Work.
1 1
Finish Date
206/000-0000
$000
II Misc
Sanitary Sewer
Storm Drain
Underground Tele/Elec
PROJECT NOTES-
driveway off 12th street will require removal of existing sidewalk
construct driveway to city standards. 6" depth in city right way
water meter box exists no meter all fees to be paid. san sewer at
alley pay for re-connect only no system user fee.
FEES ASSESSMENT
1 ) R/W Excav'
2 ) Sidewalk.
3 ) Curb/Gutter'
4 ) Driveway'
5 ) Dwy Culvert:
6 ) Street Cut:
7 ) Other R/W
8 ) Fire Hydrant:
9) Res Water Servo
10) Comm Water Servo
11 ) Other Water Service
12 )Water System Dev'
13 ) San Sewer SFR
14) San Sewer MFR
add unit
--- --
Receipt No
Inspection Fee
5/8"
7483
$000
$000
$000
$000
$000
$000
$000
$000
$000
$640 00
$000
$000
$1,025 00
$95 00
$000
o
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap
17) Sew Capl W/M Removal
18 ) Alter Repair Sewer'
19 ) Storm Drain
20 ) Catch Basin per ea
21 ) Sewer System Dev'
22 ) Milwaukee Dr Sew Ass
23 ) R/W Use Perm
24 ) Admin Cost (D RA)
25 ) D RA
26 ) Mise:
Block. 369
I Long Legal
$000
1 1
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
TOTAL FEE.
-- _.~= ----= --_.=-==.~=.__. -=
$1,760.00
Amount Paid $1,76000
Balance Due. $0.00
i'. _7001-22 3c:,
..... ,.....,. --: (
APPLICATION FOR WATER
City Water Department
Port Angeles, Wash.
/ 0 !~Z-- ;-1L:::
, Name of Appl i cant
I hereby apply for water to be furnished in accordance with rates and rules of the City
for the following premises
~~ ~~i p~,
t l ~) LV 12..-\:h
Address
Renewal
o
New Service G Blk~ LotE- Add L}~ e ~S'lJP
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} \/" l...-! . Vh. \.-,,,r, ~;.)~c,5" ~ -
( ,.... Met r Number' CJT;/ - 76>0 ~
o Service Left Off,; ~ Signed -1'c
/I.D' II
Size of Service
Service Left On
Install ed by
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Remarks
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