HomeMy WebLinkAbout1615 S N St - Engineering
PUBILlC WORKS & R/W PERMIT
o Attached Noles
OWNER/APPLICANT
GEORGE WilLIAMS
1615 S. N ST
Pori Angeles, WA 98363
000/604-7049
PROJECT INFO
Work is:
Issued: 8/14/2003 Permit No: 1385
I Work Order: 0
PROPERTY LOCATION
I 1615 NSTS
lot: 1 Sl 104 Block:
SJbdivision: WESTEND
pJrcel No: 063001520000000 ~ long legal
I
Value Work:
$000
Plans Required: Start Date: I I Finish Date: 1 1
Contractor: QWEST COMMUNICATIONS 3601000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: ~ Install 0 Sanitary Sewer 0 Mise
o Repair 0 Storri1 Drain
I
o Watermain ~ Underground Tele/Elec
PROJECT NOTES i
placement of buried service Wire for customer at 1615 south "N" Street
to include 30' push
FEES ASSESSMENT
1.) RIW Excav: $0.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00
3.) Curb/Gutter: $0.00 17.) Sew Capl WIM Removal: $0.00
4.) Driveway: $0.00 18.) Alter Repair Sewer: $0.00
5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00
6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00
7.) Other RIW: $0.00 21.) Sewer System Dev: $0.00
8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00
9.) Res Water Serv: $0.00 23.) RIW Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (ORA) $0.00
11.) Other Water Service: $0.00 25.) D.R.A. $0.00
12.)Water System Dev: $0.00 26.) Mise: $0.00
13.) San Sewer SFR: $0.00 TOTAL FEE: $0.00
14.) San Sewer MFR: $0.00
add unit 0 Amount Paid: $0.00
Receipt No:
Inspection Fee: $0.00 Balance Due: $0.00
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AUG 01 2003
253 471
1324 TO 13604174709
13:40 FR TRAFTON B
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7850B S. Trafton
Tacolnll, W A 98409
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To: City of Port Ang les Fa~:
360-417-4709
From: Qwest Commun cations
Date:
08/01/03
Re:
Pages:
'3
CC:
Ryan Fuqua
o Urgent
DFot
D PleSSll Comment
D Please Reply
D Please Recycle
-
. . . . . . . . .
Notes:
T. Funston, I
Pem>it applications: !
,
WOO30426g/45~
Thank you, I
1
-Ryan I
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I. . . . . . . . . . . . . . . . . . . . . . . . . . . .
P.01/03
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