HomeMy WebLinkAboutPermit File ROW-2019-0212 2413 Washington Court GST Y q City of Anacortes Invoice/Permit#: ROW-2019-0212
904 6th Street Applied date: 12/12/2019
• fsrohiealigeri' P.O.Box 547 Issue date:
> !! Anacortes,WA 98221-0547 Expire date: 12/11/2020
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Job Address: 2413 WASHINGTON CT Permit Type: Franchise Right-of-Way Permit
ANACORTES WA 98221-4834 Project:
APN: P117665
Remarks: Contractor to start bore on the east side of 2415 Washington Ct and bore west 86'of 2"conduit and place Carson on 2413
Washington Ct property line
Owner: JOURDEN LAWRENCE COMCAST Contractor: PRINCE TELECOM
Address: 1525 75TH ST SW Address: 13701 24TH STREET EAST
200 BUILDING G
EVERETT WA 98203 SUMNER WA 98390
Phone: (425)921-8201 Phone: (253)891-2899
License#:
General Information: Fees:
Street Cut N Outside Traveled Way 20.00
Natural Gas N Total Calculated: 20.00
Cable Y Deposits/Receipts: 0.00
Culvert N
Power N Total Due: 20.00
Curb Cut N
Telephone N
Outside Traveled Way Y
Inside Traveled Way N
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYSFOR I ��
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCEE, •I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISION`
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, TH5_•
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER Sl',�'rE Oj2j
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY t`-' N. "-
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-0 Y Qom:,,- City Of mit#: ROW-2019-0212
� � 904 6th ,,,�n `^� date:
"'�T — P.O.Box `�,,, 12/12/2019
r __ date:
tp; AnacortE C),------- �\
`s,�, 'J,(�:; F r t\ date: 12/11/2020
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. 71,_4.14140,1 ,Job Address: 2413 WASHINGTON C ` q,r. rctf` sight-of-Way Permit
ANACORTES WA 982 k`\-+ C 0'9
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APN: P117665
Remarks: Contractor to start bore Finance Department
pf 2"conduit and place Carson on 2413
Washington Ct property
Owner: JOURDEN LAWRENCE 019520 0114 Lee M, 12/23/2019 11 :29AM
ECOM
Address: 1525 75TH ST SW PERMITS AND INSPECTIONS ;TREET EAST
200 PRINCE TELECOM
EVERETT WA 98203 ROW-2019-0212 ,98390
Phone: (425)921-8201 Franchise Right-of-Way 9
Permit
Contractor to start bore
an the east sid
General Information: pending
Street Cut Gas 2019 Item: ROW-2019-0212 20.00
Cable Inside Traveled Way 0'00 dculated: 20.00
Culvert Outside Traveled May 20'00 teceipts: 0.00
Power Payment Id: 267911
Curb Cut 20.0020.00
Telephone
Outside Traveled Way
Inside Traveled Way Subtotal 2000
Total 20.00
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CHECK 20.00
Check Number 194425
Change due 0.00
Paid by: PRINCE TELECOM 0 —4 -tiKu �
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DUPLICATE •RECEIPT •,y- ►m` 0 ' -
THIS PERMIT BECOMES NULL AND VOID vIENCED WITHIN 180�DAYSFOQ'I '
CONSTRUCTION OR WORK IS SUSPENDED 1 AFTER WORK IS COMMENCEEt `I fi
HEREBY CERTIFY THAT I HAVE READ AND E> JE AND CORRECT.ALL PROVISION
OF LAWS AND ORDINANCES GOVERNING - SPECIFIED HEREIN OR NOT, T ry
GRANTING OF A PERMIT DOES NOT PRESUN,_ __ .. ,, �v-., , ,c um u/NCLL THE PROVISIONS OF ANY OTHER S], .1 E ON ,'-,•
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. u
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY r r.,�a'
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