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HomeMy WebLinkAbout2032 W 4th St - Engineering ~?ORr""" lO~~~ ,.~ ~~ ~ ~1CW..p CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000944 Date 10/04/05 825008 2032 W 4TH ST 06-30-00-9-4-0039-0000- QWEST PUBLIC WORKS UTI LITES RS7 RESDNTL SINGLE FAMILY o Owner Contractor BISHOP HAL F 2032 W 4TH ST PORT ANGELES OWNER WA 983631604 Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 1. 00 1. 00 1. 00 1.00 1. 00 Permit RIGHT OF WAY Additional desc UNDERGROUND PHONE SERVICE Permit pin number 61622 Permit Fee .00 Plan Check Fee .00 Issue Date 10/04/05 Valuation 0 Expiration Date 4/02/06 Fee sununary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void itwork or construction authorized is not commenced within 180 days, it 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 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 will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1/05) OCT 03 2005 '. .... 15:49 FR TRRFTON B 253 471 1324 TO ~~ t@j~ ::t)~ 13504174709 ct.lIILJOWCAU 1llPn~OO55~/452M P.,mil To Perform ''/lork In Strlll Ri&ht.(lf.W.y -...,.. . to i3Cirfotm "",Olk. :as APPLICATION i$ I\er,"y made '0,1\0 m>>l\ieill.lily of ~ ~ ooted hereon and ::IS "hown on attach.ed dn,Wlnl: "PLEASE:.. seE. A"'TiAC*e~ II? ...5\'.ETi:. rr woo 5 0 r-lace BuriE'd Service WirQ 50' in ~lley ,to provide Lele~honc serviC'~ i1t 2032 W 11Th .p~ ff ()~944 A\l1lroved: Water Department - Superintendent. P.02 SeWer- DeD_t - SUPerintendent The .sti....nClI;me forcompletion of the aboVI wor!: II 10 7)AYS 1lrt'"rER- rz.Ec.ell"'1 '._CQj3/os: Due. ph,,/e rAX By g"cel- BSW~.OWEST- Dona 'rh61lt ;>.~3/597-5lJ.G .. 2S~/4 71-1324 Contractor Owner OwESI /Aii"~;~w 7R50-B S. Trafton. ~.coma.~A THE ABOVE APPLICATION (S HEREBY GRANTED SUBlSCT TO APPl.ICANT'S: Date I"~ ",', ., " Complying wi,h all Municipal Orclin.neel; Notifl'inS the Street Superintendent. of tile time the w",k ",ill .rar:. InQ when it will' finish: ': ftTQ~c;.c;::ytin~ t\o\o wortc:: u.ritn dm~~, ODond with chi.. re11'8r:'f to all prgporc;y. ,ontmc;::U, pen.r;ms. "silts and thl interens .n" convenien.e of tile ""loll.; S.Ying lbt MIltlicipllilY h.rmlen from IllY and all dam88ei which '..Y accrue '0 "fly,penon or property De.au,. of thillnstallation Ot the maintenance tlIueof; Complying "hh t'ollovl1ns ''Pedal Cdndjt:!CIUi; ,~/1/1fitJS t~~OJ~~ BY fdtf _I ~lU' OCT 03 2005 15:50 FR TRAFTON B 253 471 1324 TO 13604174709 P.03 Qwest Job It _ \i\J r D SOlx55a... r..f5~ ,. ~.. \f\l J,(~ ~ '{ 50' )6. flLLiLV J , \ ~ ":.'! This leque~t for permit i~ for the pJm:ement of underground telephune service wire to our customer at the following address: d2o.~?-- w yth This work u,;1l require: Plowing in the R/W (total foot,,-!!;e) bOO Push or bore 2 ind, pve or Bll-' under ro~dway (total footage) ,..'..;. ~~., Push or bore 2 inch pve or !:lIP ,under ddvcway (total footage) _ W Push or bOT. 2 inch rve or BIP under multiple driveways (loti'll footage) ..l3t- "'AU cro~!lihlg.s and ROW work at ~fi inches. IIrAll pits and 1:J"P.nchini:; requite select fill. . . r~ ** TOTAL PAGE.03 **