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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
PO. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A Rowe, RE., Director
Robert G. Nesbitt, RE., County Engineer
July 29, 1988
Ma){ine Graves
14340 Hwy. 101
Quilcene, WA 98376
Dear Maxine,
We want to remind all park attendants of the necessity of making
sure that all receipts reflect the e~act amount of checks and
cash taken. Also, we need to have from you the number of hours
that you spend on park related activities. The county will be
paying Department of Labor and Industry rates, which are based on
hours. Please contact me as soon as possible regarding your
hours.
Thank you for doing such a great job this year!
Sincerely,
~~~
M. Carter Breskin
Property Manager
PvlA 02
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, RE.. Pifee/or
Robert G. Nesbitt, RE., County Engineer
July 29, 1988
Geri ~loore
P.O. Bo~ 245
Quilcene, WA
98376
Dear Gerl,
1/"/'"''
We want to remind all park attendants of the necessity of making
sure that all receipts reflect the e~act amount of checks and
cash taken. Also, we need to have from you the numb~r of hours
that you spend on park related activities. The county will be
paying Department of Labor and Industry rates, which are based on
hours. Please contact me as soon as possible regarding your
hours.
Thank you for doing such a great job this year!
Sincerely,
~~~
M. Carter Breskin
Property Manager
PWA 02
100% Recycled Paper
"orICE TO THE PUbLIC
PURSUANT TO JEFFERSON COUNTY RESOLUTION NO. 2-78, regarding purchases
between $1,000.00 and $3,500.00;
NOTICE IS HEREBY GIVEN that the offioe of the Jefferson County
EQUIPMENT RENTAL intends to purchase the
following materials, equip~ent or services from the lowest responsible
bidder.
SHARP SF-BIOO COPIER
o Telephone
[;] Written Quotation(s) was/were received from the
following:
Bidder:
Address:
COPIER HAINTENANCE TECHNO! OC"
POB 2005 AUBURN HA gR071
Amoun t:
Sharn SF-Rlno s., !Joe; nn St:'_llh1 Tl"''''lIm'''nf" 1<'",00I,.!...... e:OQI; 1"\('\
Bidder:
Address:
GRF.A'T' WF.S1' 'RnSTl\1F~S MAf"I-l'TNFC:
501 EAST PINE SEATTTF HA gRn??
Amoun t:
SharD':t!~.:,Cnnn':~?~onn'''n, DQGl:lffiSIH -er..ee.l !=:RoC; on
Bidder:
Address:
Amount:
Bidder:
Address:
Amount:
AFTER THREg DAYS FROM THIS POSTING THE BID WILL BE AWARDED TO THE
FOLLOWING BIDDER FOR THE LOWEST HOST RESPONSIBLE BID:
Bidder:
Attach as separate sheet explanation of basis of selection of
if less than three quotations are received.
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POSTED THIS / t1 (.. '-DAY OF r,.t.(/,.
BY "'::('Y~4"'<4I?'/ C ()
(Department Head or Responsible Official)
bidder
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THIRD
ANNUAL
MS 150
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AROUND
THE
SOUND
BIKE
TOUR
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NaliollalMultiple
Sclerosis Society
Puget Sound Chapter
2328 Sixth Avenue
Seatlle. WA 98121.9990
(206) 728.1088
Mel
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July 27, 1988
M. Carter Breskin
Jefferson County Department of Public Works
P.O. BOle 1220
Port Townsend, WA 98368
Dear Carter,
Thank you so much for allowing us to use Oak Bay Beach as
a rest stop for the Around the Sound Bike Tour. We had
many hungry & thirsty bicyclists who really appreciated
the break.
It looks as though the event will raise over $100,000 so
we are all very pleased with the results.
Again, thanks for your support!
Sincerely,
lQ&(,-(~lf~(t( (
Debra A. Lefever (/
Tour Director
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3 Build the cepabilitk, of the "(,upporter;" of Hie p,'ogram. Here are strong supporter$
of ttre program and there isn't a 'day to benefit from Hlel l' enthun\,m I)et. ( I bl)IJghl ,ome
books: HOI.' to Hold Better ~'Ieetin'l'; and have distributed them to specific people. We talkelj
abrJut sendi ng people tt, trai ni ng 3essi')n"., or h"l,ji ng \'.,,0 dal) t r'li ni ng Se$$iNIS here, etc. but at
present Iher'e are conslraint$. One ilje, IS10 !Iold a Saturdalj traimng for those interested __
have the county spri ng for dinner?)
4 Build a greater understandi ng of the concept of Employee Involvement in the Countl!.
T he Commissioners, manalJers (If other dep3rtments! the supervisors need greater exposure to
the concept and the process we have undertal:en. (I 'dill be taking at least Bob Nesbitt to the next
AQP meeting which is in Bremerton. Also., I'm planning on taking people to see the Pierce Countl)
program. I'll look for videos ,In,j audio tapes. I trove been di.ltributing some articles as Hie'!
appear in the pre3?.)
5 Rel~ognize improvement activities. The norm,::!l ;~ystem is .~trlJcturejj to $uppllJ negative
feedb'lck - - e3peciall y \111en the') fail or 30un,j funny. (We l.l1ke,j about n,e value of 'J newl"t1er
and of the cre\,./ presentation and of 11310'J the picnic to be9i n this.)
3i n(;ere]JL
JeFFERScr< CXll.Nrv
DE:PARTNENT OF PUDL.I C WORKS
FILE /tCl4 O",,"O,/i!..
REQUESTED By. 49f:.L
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PERTAINING To. 0 OFFICE 0 ENG/SlJRVEY Jlr ROAD IolAINT. 0 EQUIP. MAINT. 0 5OC'D WASTE
REQUEST FOR. .T.pC'N'11li, JO/lI!.e.. r:>;''''..) I
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PREPARE ESTIMA"r'E F'CR-
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August 24, 1988
Merle B. Lindgren
P.O. Bo~ 236
Hoodsport, WA 98548
Dear Mr. Lindgren,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
PO. Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt. RE., County Engineer
Enclosed you will find the two plat maps you inquired about. I
want to inform you that Seamont Estates Division 4 has a replat
map. If you are interested in this replat, please let me know,
would be happy to send it to you.
Sincerely,
~-V~~
Georgia Murphy,
Secretary
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PETITION TO NAME ROAD
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WE, THE UNDERSIGNED, representing a majority of the property
owners along the road, do hereby petition the Honorable Board of
Jefferson County commissioners to name said road:
Poc h'eT
PROPERTY OWNER
PRINT NAME & ADDRESS
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
PO. Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Ro'Ne, RE., Director
Robert G. Nesbitt, RE., County Engineer
August 24, 1988
pope and Talbot, Inc.
P.O. Bo~ 217
Port Gamble, WA 98370
Attn. Steve Wistrand
Dear Steve,
Enclosed you will find an Application To Open Right Of Way. This
is the form you need in order to construct a road with a 12 foot
graveled running surface with ditches and culverts.
Please sign and date the application and return it to The
Department of Public Works. The fee is the same for the open
right of way permit, so I will use the check you had previously
sent. Also enclosed is your receipt for the application.
I am sorry for the inconvenience of this misunderstanding and I
hope this will not delay your project.
Sincerely, .
&U---~~
Georgia Murphy,
Secretary
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P,E., D/reclor
Robert G. Nesbitt, P.E" County Engineer
August 23, 1988
Fire Protection District #2
P.O. Bo~ 433
Quilceno, WA 98376
RE: Naming Private Road
To Whom It May Concern:
A petition has been submitted to this department requesting that
the road on the attached map be named as shown: Dietz Drive,
Smith Lane, and Lindsey Road. The Board of County Commissioners
has directed Public Works to contact the Fire Protection District
for review of this request. Any comments which you may have
regarding naming the road as indicated should be forwarded to
this department.
Sincerely,
:r;~ J J~
E.D. Simon
Administrative Secretary
Encl.
xc: PWA 02
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. Box 1220
Port Townsend, WA 9836B
(206) 385.9160
Gary A. Rowe, P,E., Director
Robert G. Nesbill, P.E.. County Engineer
August 23. 1988
Fire Protection District #2
P.O. Bo~ 433
Quilceno. WA 98376
RE: Naming Private Road
To Whom It May Concern:
A petition has been submitted to this department requesting that
the road on the attached map be named as shown: Dietz Drive,
Smith Lane, and Lindsey Road. The Board of County Commissioners
has directed Public Works to contact the Fire Protection District
for review of this request. Any comments which you may have
regarding naming tho road as indicated should be forwarded to
this department.
Sincerely,
:r;~ J J~
E.D. Simon
Administrative Secretary
Encl.
xc: PWA 02
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. 80x 1220
PorI Townsend, WA 98368
(206) 385.9160
Gary A. Rowe. P.E., Director
Robert G. Nesbltl, P.E., County Engineer
September 23, 1988
Rockey's Road Striping Co.
916 Garden Hill Road
, Elma, WA 98541
Re: Project Number MT0766, Pavement Marking 1988
Rockey:
Our records show that you have completed approximately 50~ of
Project ~MT0766, Striping 1988. After review of the project and
project records, to date, it was determined that the work that
you have accomplished is unacceptable.. This determination was
based on the following:
Yield outside of the 10~ tolerance
Starts and stops out of specification
Line width out of specification
Overspray
Thermoplastics out of specification
Equipment. unacceptable
Jefferson County requests that you submit a plan to rectify these
problems, within 10 days of receipt of this letter, or Jefferson
County will pursue a course of action of our own design.
Sincerel.y,
P4~
Robert G. Hesbitt, P.E.
County Engineer
xc: MT0766, corres.
PWA02
100% Recycled Paper
Septcmber 19, 1988
Dave Cunningham
60-M Paradise Bay Rd.
Suite 4
Port Ludlow, WA 98365
Dear Dave,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gsry A. Rowe, P,E., Director
Robert G. Nesbitt. P.E., County Engineer
I havc rcviewed thc Storm Drainage Report and drainage design for
the Bay View Village Parcel 16. The design is approved as
submitted for this portion of the development.
Sincerely,
If you have any questions, please feel free to contact me.
PY--4dd#
Robert G. Nesbitt, P. E.
County Engineer
PWA 03.50 Pt. Ludlow #16
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JEFFERSON COUNTY
DEPARTMENT OF PUBL1C WORKS
1820 Jefferson Street
PO. Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, RE" Director
Robert G. Nesbitt, RE., County Engineer
July 29, 1988
Glenn Lucich
P.O. Bo~ 292
Chimacum, WA 98325
Dear Glenn,
We want to remind all park attendants of the necessity of making
sure that all receipts reflect the e~act amount of checks and
cash taken. Also, we need to have from you the number of hours
that you spend on park related activities. The county will be
paying Department of Labor and Industry rates. which are based on
hours. Please contact me as soon as possible regarding your
hours.
Thank you for doing such a great job this year!
Sincerely,
~~~
M. Carter Breskin
Property Manager
PNA 02
100% Recycled Paper
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. 80x 1220
PorI Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Robert G, Nesbitt, P.E., County Engineer
October 6 I 1988
Beryl Fernandes PHD
Fernandes Associates
2611 N.E. 125th, Suite 202
Seattle, WA 98125
Dear Ms. Fcrnand8G,
Thank you for your phone call regarding our request for Statement
of Qualifications to update the Jefferson County Solid Waste
Management Plan.
Enclosed is a copy of the IITasksl' to be performed, for the update.
We look forward to receiving your Statement of Qualification as
soon as possible. Thank you.
Si~
Jeff Frcttingham
Solid Waste Coordinator
f'l.JA Q);L
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NARRATIVE (1)
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Tasks:
1.1
Rmtiml exiGti ng plan 1n regard to govornments having
jurisdictional impact.
:1.2
RcvicH the ground~'m.ter mani tor 1ng study, operations plan,
Se~tage Study, Feasibility study and Preliminary Engineering
report in relation to the comprehcnGive land UGe plan. (The
Hazardous I;astc Plan. uhich will be completed after the S\oIMP
updatc, will be referenced by task.)
1.3
RevlcH and respond to previous SvlMP recommendation5.
1.4
Devise a schedule and procedure for review of the S~IMP.
1.5
List the target goals and objectives of the S\oIMP. List the
administrative and procedural organization of the solid
waste department.
2.1
Review physical. natural and environmental conditions of tho
planning area.
2.2
Review all areas that meet the following factoro for siting
Criteria:
Geology
Groundwater
Soil
Flooding
Surface water
Slope
Cover material
Capaci ty
Climatic factors
Land use
Toxic air emission3
3.1
Analyze the following solid waste handling systems in
relation to each other as well as separate recommendations
and implementation for each item:
I~aste Reduction
Recycling, composting and land utilization.
Energy recovery and incineration
Collection (all collection needs and operations to be
inventoried)
Trans far
Long haul
Landfill and volume reduction.
Enforcement
Admini~tration
Additional systems~ such as sludge
Each individual.:it9m will include a revievl of inventories of
eKisting conditionci, practices, pregrams and facilities in
the area. Future need:; and improvmcnts in the Golid W[\:;tc
handling sy~tem will be di~cussed. Alternative ways to mcct
the defined needs and epportunities abovc vlill be analyzcd
and recommendations will be rcviewcd. Financial plans for
capital coots ~nd operational expenditures of the solid
~m3te management system Hill be determined.
4.1 Outline recommendations und jmplementation schedule for
Golid waste processing program:; and facilities for aiK and
twenty years.
4.2 Outline schedule for the landfill and other facilitics ~o
meet minimum functional standards.
4.3 Describe the recommendations and implementation schedule for
all solid waste programs and facilities for siK and twenty
years.
4.4 Describe the SWAC's involvement for implementation of the
plan.
4.5 Summarize the development of the plan.
5.1 Complete SEPA for the proposed plan an submit to the County
Planning Department for review.
6.1 Complete an appendiK including resolution of concurrence and
adoption of the plan, SWAC documentation.
2
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P,E., Direc/or
Robert G. Nesbitt, P,E.. County Engineer
To: Board Of County )?~missioners
From: Carter Breskik1~~roperty Manager
Subject: Parks Board
Date: October 10, 1988
In November, the Parks Board will begin meeting again, with its
first goal being updating the Parks comprehensive Plan. Current-
ly, the following persons have applied for membership: Rick
Tollefson (previous member), Scott Kilmer, Kevin Burke and Larry
Scott. With the Board's approval, I will contact these members
to meet with Warren Steurer and me in November.
According to RCW 36.68.030, boards are to be composed of Seven
Members. With your approval of the above four, three positions
will remain. If the Board has any appointees they would like to
make, please let me know
100% Recycled Paper
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 9836B
(206) 385-9160
Gary A. Rowe, p,e" Director
Rober' G. Nesbitt, P,E" County Engineer
October 12, 1986
David Goldsmith,
Jefferson County
Courthouse
Port Townsend, WA
Director
Planning and Building Department
96368
Dear David,
Please excuse me for not having responded to your request about
the to-be-vacated credit union office on the 3rd floor. Having
finished the Port Townsend Community Center grant request, I can
answer some delayed requests.
It had been my intention, ae you and I discussed some time ago,
to make the room you currently use for your photo copier and
storage into an office to accommodate Water Quality. I had
intended (and have all the dimensions necessary) to furnish the
shelving and provide necessary electrical outlets, etc. to make
it a "working"office that could eventually be a part of the "one-
stop-permit center".
I am intending to proceed with the plan, but perhaps we should
discuss it. Currently, we need, in my opinion, as much multi-use
conference space as possible, and I had intended to keep the
vacated office as that type of usage.
Please contact me when you are available to talk about this.
Sincerely,
Ca/!f;r
Carter Breskin
Property Manager
PWA 02
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
PorI Townsend, WA 98368
(206) 385.9160
Gary A, Rowe, P.E., Director
Robert G. Nesbitt, P.E.. County Engineer
October 12, 1988
Kathy Schwartz, Manager
PEJCO Credit Union
County Courthouse
Port Townsend, WA 98368
Dear Kathy,
I have discussed your request to move to the PUD office (not
including John Floyd's separate office) with the Director, and we
have no objection to the move.
The use of auxilliary electric heaters is prohibited, and I will
have the heating system in the office checked by our chief
custodian, Pat Whiteman. At the same time we will check the
carpet to determine if it should be replaced.
Sincerely,
{Mtt/'
Carter Breskin
Property Manager
PWA 02
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October 12, 1988
Ms. Martha Belding
225 Lakeview Drive
Silverlakes, WA 98645
Dear Ms. Belding,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelferson Street
P.O, 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.lE., Director
Robert G. Nesbitt, P.lE., County Engineer
Enclosed you will find a copy of a brochure we have available on
our county Parks System. We are currently updating the brochure,
and this is all I have available.
Our Total county budget is approKimately $17,000,000. County
Parks Budget is approximately $58,000, which would be O.3~ of
the total.
Sincerely,
c~eskin
Property Manager
PWA 02
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September 19, 1988
Tollshark Construction
1132 Van Trojen Road
Chimacum, WA 98325
Gentleman,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Streel
P.O. Box 1220
Port Townsend, WA 98368
(206) 3B5.9160
Gary A. Rowe, P,E., Director
Robert G. Nesbitt, P.E., County Eng(neer
We arc requesting four items from you in regards to the
courthouse Renovation Project:
1. Line item budget
2. Product information
3. Subcontractors list
4. References of previous construction projects
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Plense provide these items by September 23, 1988. Thnnk you for
your immediate attention,
Uulir &.IJ(};c'~
M. Carter Breskin
Property Manager
PWA02
R0741
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Street
P.O. Box 1220
Port Townsend, WA 9B36B
(206) 385.9160
Gary A. Rowe, P,E.. Direc/or
Rober' G. Nesbitt, P.E., County Engineer
September 19, 1988
Melee, Inc.
Builders and Developers
P.O. Box 1567
Sequim, WA 98382
Gentleman,
We are requesting four items from you in regards to the
courthouse Renovation Project:
1. Line item bUdget
2. Product information
3. Subcontractors list
4. References of previous construction projects
Pleasc provide these items by September 23, 1988. Thank you for
your immediate attention.
Sincerely,
&tfr /3-Y.A1r~
M. Carter Breskin
Property Manager
PWA02
R0741
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Washington State Association
~ County Engineers
September 20, 1988
TO: All County Engineers
FROM: MARLEY L. YOUNG, President, WSACE
SUBJ: Legislation -- Utility Relocation Payments
The utility companies are making progress to have the Federal Regulations amended
which could require municipalities to pay for their cost of relocation caused by
our reconstruction, even if they occupy our right-of-way. We need your help to
stop thi s progress.
Enclosed herein, for your review and follow up, is a copy of the letter prepared
by Mason County, which has been sent to our Legislative and Congressional
districts, as well as other Federal Agencies. The cut-off date for response to
the F.H.W.A. Docket No. 87-22 was September 19, 1988, which we have met.
However, we apologize for not getting this material to you in time for the
September 19th cut-off date; but you can still participate by contacting
your federal and state representatives regarding this issue.
As you can see, the 1 oca 1 publ i c agenci es attendance at the meet i ng was mi n ima 1.
We .!:!MQ your participation; this issue, if passed, is detrimental to ill local
public agencies.
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Marley L. Young, P.E
Diretto,
DEPARTMENT OF PUBLIC WORKS
COURTHOUSE AHHEX 1/ '11 NORTH 5TH STREET
P.O. BOx 357 SHELTON, WASHINGTON 9B5B.
September 16, 1988
Local public agencies were asked by the Federal Highway Administration to
attend a workshop in Portland on August 22, 1988, to provide input and
comments on the "Notice of Proposed Rule-making" regarding implementation
regulations for the Uniform Relocation Act Amendments of 1987. This meeting
was poorly attended by municipalities, but there was an overwhelming
at tendance from the utility compani es. Mason County was represented by Jay
Harmon, our Right-of-Way Agent.
If they are successful in changing 24.307(a). the only safety we have in the
State of Washington that !!1!!ll be preserved is Paragraph 5.
We agree and support many of the proposed regulations; however, we must offer
some additional comments on Sub-part D #24.307 of the July 21, 1988, Federal
Register, Part II, which reads as follows:
"24.301 Discretionary utility relocation payments.
(a)
Whenever a program or project undertaken by a displacing agency causes
the relocation of a utility faCility (see 24.2(y) and (z)) and the
relocation of the facility creates extraordinary expenses for its owner,
the displacing agency may, at its option, make a relocation payment to
the owner for al1 or part of such expenses, if the following criteria
are met:"
(1) The utility faCility legal1y occupies State or local government
property, or property over whicq the State or local government has
an easement or right-of-way; anp
(2) The utility facility's right 01 occupancy thereon is pursuant to
State law or local ordinance speCifically authorizing such use, or
where such use and occupancy has been granted through a franchise,
use and occupancy permit, or other similar agreement; and
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(3) Relocation of the utility facility is required by and is
incidental to the primary purpose of the project or program
undertaken by the displacing agency; and
(4) There is no Federal law, other than the Uniform Act, which clearly
establishes a policy for the payment of utility moving costs that
is applicable to the displacing agency's program or project; and
(5) State or local government reimbursement for utility moving costs
or payment of such costs by the displacing agency is permitted by
State statute.
(b) For the purposes of this section the term "extraordinary expenses" means
those expenses which, in the opinion of the displacing agency, are not
routine or predictable expenses relating to the utility's occupancy of
rights-of-way, and are not ordinarily budgeted as operating expenses,
unless the owner of the utility facility has explicitly and knowingly
agreed to bear such expenses as a condition for use of the property, or
has voluntarily agreed to be responsible for such expenses.
(c) A relocation payment to a utility facility owner for moving costs under
this section may not exceed the cost to functiona71y restore the service
disrupted by the federa71y assisted program or project, less any
increase in value of the new facility and salvage value of the old
facility. The displacing agency and the utility facility owner sha71
reach prior agreement on the nature of the utility relocation work to be
accomplished, the eligibility of the work for reimbursement, the
responsibilities for financing and accomplishing the work, and the
method of accumulating costs and making payment. (See Appendix A,
#24.301. )
Section 24.307(a} provides that the displacing agency (municipality) may, at
its opt i on, make re 1 ocat i on payments to the owner (of the Ut il ity) for
extraordinary relocation expenses. This language puts the util ity companies
on notice that they may be el igible for cost recovery for relocation. This
1 anguage is ambiguous, whi ch coul d contri bute to s ituat ions where the projects
may be hel d hostage unt il the uti 1 ity company and the munici pa 1 it i es negotiate
a sharing of the relocation costs.
To make matters worse, the utility companies are proposing language changes to
this section which would make i! mandatorv that the displacing agency
reimburse the utility owners for such relocation costs: such proposal language
is as follows:
"#24.307(a}............ the relocation of facility creates.e~tra~rdinar~
expenses for its owner, the displacing agency 'may shall, ~Hi~s}optj,on/;
make a relocat~,on payment to the owner for all'''or part ofs'uch eX'penses
This proposed language would affect even the smallest town and the remote
counties. If this language were to be adopted, municipalities. in order to
protect themselves from future costs, may elect not to issue or renew
franch i ses to the ut il ity compan ies. Thi s woul d have a negat i ve and
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Page 3
disastrous long-lasting impact on the utility companies and place an
additional financial burden of relocation and right-of-way acquisition on the
ut il i ty compani es' rate payers.
At present, Paragraph 5 of Section 24.307(a) provides limited protection for
municipal ities in the State of Washington because our state has law which
clearly designates when the municipality is required to pay relocation costs
and when the uti 1 ity owner must absorb the cost of re 1 ocat ion.
"RCW 35.55.050 Limitations upon grants.
(1) Any person constructing or operating any utility on or along a
county road sha71 be liable to the county for a71 necessary
expense incurred in restoring the county road to a suitable
condition for travel.
(2) No franchise sha71 be granted for a period of longer than fifty
yea rs.
(3) No exclusive franchise or privilege sha71 be granted.
(4) The facilities of the holder of any such franchise shan be
removed at the expense of the holder thereof, to some other
location on such county road in the event it is to be constructed,
altered, or improved or becomes a primary state highway and such
removal is reasonably necessary for the construction, alteration,
or improvement thereof."
It has been along standi ng accepted pol icy that if the ut il it i es occupy the
road ri ght-of-way, then the ut il ity company pays for the rel ocat ion. I f the
road improvement encroaching onto the utility company's own easement or
right-of-way, then the displacing agency pays the relocation costs, This
practice is consistent with 23 CFR 645, Subpart A - Utility Relocations,
Adjustments and Reimbursements. #24.307 appears to el iminate the ownershi p
distinction.
We are aware that the ut i 1 ity compani es are very act i ve in tryi ng to change
R.C.W. 36.55.060, Paragraph 4; which, if successful, will take away any
protect i on Sect ion 24.307 (a), Paragraph 5 now provides.
We are requesting that. at a minimum, no modification be allowed to the
eXisting language of Subpart 0 #24.307.
Sincerely,
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MARLEY L. VoUNG, 'I., PLP
County Engineer
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Jim Rough & Associates
Creative Choice through effective meetings
1040 Taylor 5t, Port Townsend, WA 98368 . 2063857118
Gary Rowe
Director of Public Works
Jefferson County
Port To",nsend, Wa 98368
9/1/88
Dear Gary,
This is my status report for AUi)ust:
oThe Road Crew made a presentation to the rcst of the cre",. This ",as a major stride
for",ard for many of the group member., ",ho were very resistive to the whole idea at first They
are begi nni ng to see that they have done some val uable work - - even though it didn't feelli kc it
for much of the ti me. Other people who have not been a part of the meeti ngs also saw the val ue of
the group's work.
oln the Office group the issue that was origi nally identified: Priorities/StresslWorkload,
has changed shape a number of times in August. The problem definition process has led to an
understanding of the problem as being i ntri nsic rather than extri nsic in nature. That is, the
group is now discussing the attitude changes that are necessary to deal with the problem and
devising ways to support one another. This wrestling is very difficult for people to face
directly.
oln seeking ...ays to build the trust and growth of the aims of the program, I've continued
to have individual discussions ~Iith people in the groups, distri buted one of my own articles on
dragon-slayi ng which descri bes the change process, and developed a MAP Proposal Form which
helps groups to present their ideas in effective ways.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 B20 Jellerson Street
P.O. Box 1220
Port Townsend, WA 9B36B
(206) 3B5-9160
Gery A. Rowe, P.E., Director
Rober' G. Nesbitt, P.E., County Engineer
October 19, 1980
Ron Landon, City/County Liaison Engineer
Dist. 3 State Aid
W:S.D.O.T.
P.O. Box 9527
Olympia, Wa. 98504
Re: Leland Creek Bridge Replacement, CR0587, Fed. Aid No. BROS
2016(5), City/County Agreement No. LA-0429
Dear Hon:
Please extend the closing time on the above referenced
project until December 31, 1988. The extension is necessary in
order to post all administrative charges that relate to project
closure against the project within the County's accounting
system.
If you have questions, do not hesitate to contact me.
~cerel~ .
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Construction Engineer
xc: CH0587, corres
PWA02
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JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Street
. P.O. Box 1220
Port Townsend, WA 98368
(206) .385.9160
Gary A. Rowe, P,E., D/foctor
Robert G. Nesbitt. P.E" county Engineer
MEMORANDUM
TO: Planning and Building Dcpartmcnt
FROM: Jcfferson County Dcpartmcnt of Public Works
DATE: September 28, 1988
SUBJECT: Gary Jensen/Sonny's R.V. Variance Requost
Public Works has reviewed to proposed variance request from the
alley in Block 23 of Chalmcrs Addition and have no objection to
granting requested variance,
PWA 03.10.0l Sonny's R.V.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Slreet
P,O. 60x 1220
Port Townsend, WA 96368
(206) 365.9160
Gary A. Rowe, P.E., Dlrec/or
Robert G. Nesbitt, P,E" County Engineer
October 24, 1988
Daniel L. Hesse, P.E.
WSACE/PWD President - Elect
Room 408, County Courthouse
Yakima, WA 98901-2614
Dear Dan,
The T-2 Advisory Committee met on Thursday. September 22, 1988,
at the Department of Transportation Building in Olympia.
T-2 is trying to build a library of Mid-Management training
films. At the present time the only ones that are available are
very expensive.
T2 is also working on a certification program to certify
equipment operators. There are various counties which presently
have their own program. What the committee wants to do is to
review all programs and make one program for those groups that do
not at present time have an operational program.
Sincerely,
_/~~y/
Robert G. Nesbitt, P. E.
County Engineer
T-2 Committee
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe. P.E" Dlreclor
Robert G. Nesbitt, P.E,. County Engineer
October 26, 1988
Mr. Stephen Buxbaum
Washington State Department of Community Development
Ninth and Columbia Building
Olympia, WA 98504
Dear Mr. Buxbaum,
In order to clarify the requirement of the Citizen Participation
Community Development Plan which states "The Applicant has a
process for responding to written complaints within 15 working
days", please accept the following county poliCY.
The Board of County Commissioners' policy for all county
departments is to provide response to written complaints within
ten working days. Each Department has a designee to provide the
response. Regarding the Citizen Participation/Community
Development Plan. the person designated to respond to complaints
within ten working days is Jerdine C. Bragg, Clerk of the Board
of County Commissioners. Procedurally, the complaint, whether
via telephone, written or in person is taken and written as an
"Action Request", a copy of which is attached. I also refer you
to paragraph 6 of Resolution 97-88: In the matter of Approval of
the Citizen participation/Community Development Plan which also
refers to the complaint response process.
The rest of the information you requested will be soon be
completed.
Si~ ~M~
M. Carter Breskin
Property Manager
PWA 02
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Ga'ry A. Rowe, P.E.t Director
Robert G. Nesbitt, P.C., County Engineer
October 28, 1988
Tollshark Construction and Custom Woodwork
1132 Van Trojen Rd.
Chimacum, WA 98325
Re, R0741 Courthouse Renovation, Phase II
There will be a Pre-construction Conference for the above
referenced project on Tuesday November 1, 1988, at 10:00 a.m., in
the Board of Equalization Room in the Jefferson County
Courthouse. In order to avoid delays, the following data should
be submitted for approval as soon as possible:
-Letter designating job superintendent
-Letter designating personnel names and phone numbers to be
contacted for emergencies
-Intent to Pay Prevailing Wage forms.
A second meeting will be scheduled at that time for
subcontractors.
If you have any questions, do not hesitate to contact me.
Sincerely,
ct~
M. Carter Breskin
Property Manager
R0741
PWA 02
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.' ~ISH Q
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WILLIS 0, TUCKER
Counry Executive
I. PCtrpose and Scope
p~')/J. '/0
GERALO E. WEED. P.E.. Director
DEPARTMENT OF PU8L1C WORKS
FIFTH FLOOR, COUNTY ADMINISTRATION BUILDING
EVERETT, WASHINGTON 98201
/206) 259-9488 . Scan: 649-9488 . Toll Fre_: '.800.562.4367
AND PROCEDURE: FOR QUALITY CIRCLE ACTIVITIES
To establish Policies and procedctres for operating
quality circle activities. This document addresses:
* Definition
.. Objecti Yes
* Organization
.. POlicy
II. Definition
A quality circle is a group of employees, performing
similar Work, who meet regc'larly to learn aboclt and apply baSic
quality circle techniques. They USe these techniques to identify
probl ems withi n their jUri sdi cti ons, anal yce them, and reCommend
sohltions to management. When POSSible, they will initiate the
necess"'ry action to implement the SOhttion. Normally, CircI"s
will consist of from 3 to 13 employees from the same work area.
III. Objective
+ RedLtc:e errors and. enhance qLlal i ty
+rnspire more effectiVe teamwork
+Promote job inVOlvement
+rncrease employee motiVation
+Creat" a prOblem-solving capabilty
+8uild an attitctde o.f prOblem" pr"V"ntion"
+Dev"lop harmonious manager/work"r r"lationships
+Promote personal and leaderShip dev"lopm"nt
+Develop a greater safety awareness.
II). Orgi:.'\nization
4.1 A steering Committee will be established and will Consist
of " repr"s"ntati VI? from th" Eng i """r-l ng, Mai nten"nce and
Operations, and Solid Waste Divisions of th" F~blic Works
D"parbnent.: on" r"pr"s"ntati v" from th" P"rsonnel OH i ce, COctnci 1
Or Ex"ccltive OHic".: and a r"p'-',sentative of th" department
burg"ining union. Th" quality circle facilitator will be a
member.
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Th~ st~~ring committ~e will b~ pr~sid~d oV~r by a Chalr
P~rson and all d~cisions will be reach~d through a d~moCratic
proc~ss of one vot~ P~r person.
St~~ring Committee members may not d~l~gat~ m~mb~rship to
oth~rs to attend m~~tings in th~ir Plac~.
Th~ st~~ring committee will m~et mOnthly.
Mor~ than half of the ste~ring commltt~~ members must be
present to constitut~ a quorum.
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~nsure th~ success of the qUality Circl~ Program through the
~fforts of qLk'lity circle m~mb~rs. The steering Committee Will
act as advocat~s for th~ programs taking appropriat~ action to
ensure opportunity for participation by PUblic Works ~mploY~es is
giv~n conSideration Consist~nt with th~ Planning and
eStabl.ishment of new circle groLlps. Th~ st~ering committee wi l'J
act as,advocat~ of th~ program through pOSitiv~ and sUPPortive
statements wh~n r~f~rring to th~ program oLltside Of m~~tings and
in advocating imPlementation of approv~d programs of a CirCle
group. All int~ractions between the steering Committee and
cirCle groups shall be based On a premise of discretion and
confid~ntiality. Additionally, th~ st~ering committee will abide
by the fOllOwing Charges,
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.,. Establish objectives and operational gLlidelines for
CirCle grOllp5
.,. Define broad goals of quality CirCles identifYing
limitations to areas of reView and recommendation
.,. DeV~lop implementation plan with dUe conSid~ration for
approVing and ~ncoUraging attainable goals and
assistanc~ to Clear initial hUrdl~5 as Part of
p,il/:J't EH'for-l:
.,. Control r"t~ of e::rMI1Sitm and sb.\r"tclp O'f n"w qLlallty
CirCles ensuring appropri.t~ balance in skills.
abilitios and interest of Pot~ntial Circl~
members
.,. D~termine fLmding and r~source prOVisions
+ Select P~Cilitcltor
.,. D~fin~ appropriat~ training and Upgrad~ of skills
n~CeS5ary to effectively participat~ in circle
grol.lp
.,. Determin~ frequency and duration of Circl~ m~~ting5
-? -
+ Define an evaluation proc~ss to measure quality circle
activities, monitor cost effectiveness, progress
and value of efforts as well as periodic reView
With groups involved in a qUality CirCle activity
.to det~rmine if there are difficulties that need
to be addressed Or resolved
4.2 The facilitator will be the individual resPonsible for
Coordinating and directing the quality circle actiVities within
the organi.ation. The faCilitator:
+ Is selected by the steering committee
+ Interfaces between circles, staff ,and management
+ Is a member of the steering committee
+ Maintains appropriate records
+ Executes steering Committee policy
+ Is reSPonsible for providing training fOr new qUality
circle leaders
'.J Quality circle leaders will provide leadership for the
circles, teach circle members the quality Circle techniques, and
will be responsible for the operation of their respective
Circles. The leader will provide gUidance for Circle actiVities
and aSSLlre commLlni cat! on wi th management throLlgh mi nutes of
circI~ meetings, activity reports, and management presentations
by the circle. .
V. POlicy
5.1 Employees will be allowed to vOlunteer to:
.. Become members of quality circles in their areas.
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b. Suggest problems to circles for analysis.
5.2 M~nagement will:
a. Be supportive of qUality Circles by:
+ AllOWing circles to meet during normal work hours. If a
meeting must occur .fter hours, pay will be at
Overtime rate. SUch meeting time is authori.ed For
am,.", i mUm of one hour Per- Week
+ EnCourage formation of CirCles as an Ongoing actiVity
Within the department
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+ Place h gh priority on members attending quality circle
meet ngs without interruption Or rescheduling
reqLl rements eHcept in emergenc.i es
+ Allow member(s) to attend meetings of other circles as
invited to work on Joint prOjects
+ AClthori:e and encoun'ge circle leader candidates
+ Provide adequate meeting areas, equipment and supplies
in SUPPort of effective tneetings
+ Authori:e leader/member involvement in outside
conferences
+ PUblicize circle actiVities and accomplishments
+ Include circle actiVities as part of organization goals
with appropriate actiVity reports
b. Be participative in circle activity by
+ Respecting the autonomy of circles
+ Encouraging m~nagement presentations
+ Responding in timely mclnner to circle reqclest and
recommendations. PrOViding an explanation when
clnabl e to compl y with request or recommendati on
+ Implement approved circle recommendtions with minimum
delay
c. Suggest problems and prOjects to CirCles, respecting
the right of the circle to make the final selection.
d. Have right and reSPonSibility to verify the cost
efTectiveness of circl~ recommendations.
5.3a Circles will:
+ Direct their primary attention to prOblems and projects
within their areas of Work actiVity
+ Establ ish and abi de by an agreed upon COde of Condclct
which will assure each member has equal Voice.
+ Utilize QUality circle techniques prOvided in training
+ Set up SchedUles for meetings and presentations with
due consideration of known departmental work loads
arid cOromi'l:ments
+ Commit minimum of SiH months time to CirCle activities
without delegating memberShip to others to attend
meetings in place of original Circle member
5.3b Circles will not address the fOlloWing SUbjects which are
oLltside their charter:
+ Ordinances and Contracts enacted by Council, Executive.
Department of Public Works
+ Organization StrUctLlre
+ Personnel Rules
+ Wages, Salaries or Benefits
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+ Disciplin~ry Policies
+ Employment and Termination Policies
+ Grievance and other items cOvered under collective
bargaining agreements
+ Adopted Departmental Budgets
+ Personalities
Note: When an element of a Specific prOblem Or perceived
resolution recommended by a circle for study falls within the
scope of One of the above items, a circle group is expected to
review the matter with the Steering Committee prior ,to proceeding
with study. The intention of this stipulation is to avoid
conflicts of interest or engagement in legal matters that are
beyond the purview of both the Steering Committee and the QUality
Circle Teams. Where appropriate, clearances will be Sought by
the Steering Committee as warranted. It is not the intention
that QUality Circles act in a Politically motiVated 'manner nor
act as lobbyist eithin within the department, with elected or
appointed Officials.
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5.3c Have the ri ght to accept or refelse probl ems or projects
',"- -from C1lny SCl.lrc:e.
5.3d Identify, analyze and implement solutions to problems
obtaining permission for implementation where necessary.
5.3e Conduct presentations to management regarding specific
rec:ammendati ons, aCCompl i shments ~nd stab.ls.
5.3f Attempt to improve communications, harmony and
involvement between all circle members as well as between other
emp 1 oyees.
AcJopted by: ~ t!J
~f:!-:L~jl:_<:.~~_______________ '___,_' __ _____,_ ___ '
~Ck 8ilsborough Bob Dunmire Mary ~adison
(;;._d:..J>L~0/D ~ liiiJ;ft~8.!I/ _ n '-'~I~l:___~_
Don BO::fordT(f< Tom Farrell ' ~y Yed
~~I.~~-1:!.
Bob Hi lslnc."\nn
-----------------
John Costa
Date Approved:
------------------
cVc...,L -'- '1 /9 t .:;-
.~--- - --- -- ._--:-.t_ _._~.__ _ _ _ _'___
Ron I'hal ey
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,,~,'~'~..H'".~.._ ~-"''i,
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APF'ENDI X A
Wa.ys to Mea5iLlre
1. QUALITY IMPROVEMENT:
... Yield rate
+ Errors
... Rework costs
... Scrap 1 evel
+ Shortages
+ Del ays dCle to errors
+ Public Complaints
+ Design changes
2. COST REDUCTIONS:
+ Savings to cost ratio. generally 5 to I
3. ATTITUDE IMF'ROVEMENT:
... Absent employees
... Tardy employees
+ Grievances
+ Turnover
4. EVALUATIONS/Use of qUestionnaire to evaluate fOllowing:
+ Steering Committee
+ Facilitator
+ Circle Leaders
+ Circle Members
+ Supervisors/managers
+ Trai ners
-. G-
Suggested Program Implementation Outline
There are a number of reasons to start Quality Circles. Not all
of them are valid and these will very early on cave in from their
own weight and poor structure. A couple of good reasons to
consider this particular approach is the change in the work force
that all organizations are now experiencing- a non-traditional
work force that includes more women and minorities. Another
change inpacting management is the changing authority
relationships and an increasing complexity in the nature of the
problems faced by management now. Workers are very clearly
advocating self-development and participation in decision-making.
Some thoughts on a process to follow if you are serious about
establishing quality circles in your organization,
1. Research and evaluate program advantages and disadvantages for
your specific operation.
2. Make the decision to start then move definitively to do so.
3. Select a facilitator with proven process and trouble-shooting
skills.
4. Establish a Steering Committee made up of advocates and
detractors to such a program.
5. Create operating procedures & get buy-offs.
6. Develop/acquire training materials.
7. Notify/include union representation.
8. Train/include middle managers.
9. Select pilot circle area.
10. Select leader.
11. Train leaders.
12. Collect some baseline data.
13. Solicit members.
14. Start Circle meetings.
~
In summary, the true emphasis of quality circles is not on
short-term dollars and cents results. Instead, the program
centers on creating a management style that works towards the
goals of the employees as well as goals of the organization,
creating a meaningful win-win situation and not just lip service
which generally is all too well recognized for just that.
I
All TITLES L1STEO HEREIN ARE AVAilABLE IN THE
FOLLOWING FORMATS EXCEPT WHERE NOTED -
16mm Color/Sound Film
'Ii' VHS Video Cassette
>;';" V-malic Video Cassette
Rental Charge
The Rental Charge for all films Is $75.00 per title per week.
Films kept longer than one week will be charged
accordingly.
Quantity Discounts
Discounts apply to the total number of filmsltapes ordered
at one time.
QUANTITY
2-4
5.9
10 or more
Placing Your Order
You may telephone one of our customer service represen-
tatives at (BOO) 421.9585 or in California (800) 445,4613, or
by mailing the enclosed order form.
Please order as far in advance as possible, specify the
format you wish the film in, the date you require it, and the
complete billing and shipping information.
If your organization requires a Purchase Order, please
enclose it with your order, or have the number to give when
ordering verbally.
Shipping and Return of Flfms
Whenever possible, films wil,l be shipped via United Parcel
Service, otherwise by priority mail. Shipping charges will
be added to all orders. User must return films to us by
priority mail (insure for $200.00 per title) or by United
Parcel Service.
Restrictions
Films may not be transferred from one organization to
another, nor may they be shown where an admission is
charged, or televised (including closed circuit).
DISCOUNT
10%
15%
20%
NOTE: Federal law provides severe civil and criminal
penalties for the unauthorized reproduction, distribution, or
exhibition of copyrights motion pictures (Title 17, United
States Code, Sections 501 and 506). The Federal Bureau
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Previews
Sorry, but films are not available for preview. Films sent out
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Invoices
Upon the return of the film, an invoice will be issued. Our
terms are net 30 days.
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We will not hold users liable for minor damage resulling
from normal use, but users are responsible for excessive
damage to, or loss of the film or tape. Customers are liable
for replacement cost of the entire film or tape in the event it
can not be repaired.
Projection Equipment
We do have projection equipment available for our
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for a 16mm projector and $5.00/day for a screen. Equip.
ment must be picked up and dropped off at our office, User
also accepts liability for any damage to the equipment
while it is in his possession.
TO ORDER FILMS, CALL TOLL.FREE: 800.421.9585
IN CALIFORNIA: 800.445.4613
ADDRESS ALL ORDERS AND INQUIRES TO:
~FiLM LiBRARY
GREATER LOS ANGELES CHAPTER NATIONAL SAFETY COUNCIL
3450 WILSHIRE BLVD., STE. 700, LOS ANGELES, CA 90010
(213) 385.6461
~
~
WOR-XING PARTNERS: THE
SECRETARY/MANAGER TEAM
lS MIN. TITlE NO. 1459
Illustrates how both the secretary and manager
can increase productivity and personal jOb salls-
laction when they work together as a team. Fol-
lows two secretary-manager pairs as they
develop into efficient, productive teams.
......
THE CASE FOR QUALITY
22 MIN. TITLE NO. 200a
This dramatized film Shows workers their stake In
high quality production, and Ihe risks they lake
every lime they compromise quality with care~
lessness - company closings, damage liabilities
against the company, and other POSsible loss or
jObs due fa competilion within Ihe United Slales.
and from foreign Imports.
I KNOW IT WHEN I SEE IT
1a MIN. TITLE NO. 1474 VIOEO ONLY
Delivers an unusuaJly practical and powerful
message for anyone who has tried to undersland
what quality is. Shows a company's struggle to
improve its quality, and discovers what quality
really Is and how to achieve It.
JUST-IN.TIME, JUST-IN.CASE
2a MIN. TITLE NO. 1296 VIDEO ONLY
Demonstrates this eflicient way to produce
finished goods, a key to optimal productivity,
quality and employee satislaction, Gives a quick
overview of how this system was developed, and
takes an in-depth look at a company that recently
Converted to JIT.
PRODUCT LIABILITY:
THE OTHER SIDE OF QUALITY
20 MIN. TITLE NO. 1005
Portrays managers in a typical company that has
been hit with a lawsuit. Shows the plant manager
examining work practices in every department,
covering the crucial areas to investigate when
looking for trOuble spots. A four-step process is
presented for complex problem Solving,
THE SUPERVISOR'S ROLE IN
QUALITY CONTROL
22 MIN. TITLE NO. 116a
The how and why Some departments reach an
unacceptable rejection rate Is demonstrated
I' h ere, and how handling workers can be the dif.
ference between a high rejection rate and a
nearly perlect one.
. TOTAL QUALITY CONTROL
I 25 MIN. TITLE NO. lOaa VIDEO ONLY
'j Examines quality control processes used In
.. Japanese industry, and the emphasis placed on
t by management, through every step of the
Jroductlon process,
L
TOTAL QUALITY CONTROL IN
THE SERVICE INDUSTRY
30 MIN. TITLE NO. 1295 VIDEO ONLY
Shows case studies 01 Total Quality Control as it
is applied allhe Joban Hawaiian Center, and how
it has implemented TaC in aU areas, and at aU
levels, from lOad service 10 cleaning service. and
so on. Also helps viewers consider how these
principles may be applied 10 other organizations,
WHY QUALITY?
23 MIN. TITLE NO. 10a3 VIOEO ONLY
Four dramatizations are used 10 illustrate Com.
man Quality issues. and how they can be han.
died. Shows that every employee has a key part
in delivering quality to customers,
--
BRAIN POWER
12 MIN. TITLE NO. 12S0
DeSigned fa show prior to a meeting, this film
features actor, John Houseman, challenging the
viewers to make the most use 01 their minds
during the meeling, and gives some pointers on
avoiding "col/ective stupidity,. which all to often
dominates meetings.
IDEA POWER
16 MIN. TITLE NO. 11aa
Vincent Price hosts this look at how to nurture
your best ideas and turn them into realities,
Based on the writings 0' management expert,
Karl Albrecht, this film also shows what kills
ideas, and gives some simple exercises to
sharpen prOblem solving skills.
MAKING MEETINGS WORK:
A FIVE STEP PLAN
la MIN. TITLE NO. 1199
Introdwces five basic steps to make meetings
prOductive, creative, and building 0' team trust
and commitment to team decisions,
MANAGEMENT: CONOUCTING
EFFECTIVE MEETINGS
la MIN. TITLE NO. 1169
Techniques for conducting a Productive and effl.
cient meeting are given hera, and how to take
time to plan, prepare an agenda, be clear about
the purpose, start and end on time, stick to Ihe
subject. follow-up. and more.
THE MEETING ROBBERS
20 MIN. TITLE NO. 1197
Illustrates how an organlzation's time, money,
and resources are drained because managers
lack the skills necessary to keep their meetings
result-oriented. Shows how to plan and run effec.
tive, productive meetings,
12
MEETINGS: ISN'T THERE
A BETTER WAY?
26 MIN. TITLE NO. 1122
A film on Ihe different types 01 meelings.the rates
of Ihe participants, how to involve them, and how
to run bolh a decision-making and prOblem.
solving meeling,
SPEAKING EFFECTIVEL Y TO
ONE OR ONE THOUSAND
21 MIN. TITLE NO. 1421
Shows the key areas 01 speaking: body Ian.
guage, vocal quality, and Ihe language used,
Demonstrates how a speech, whether prepared
or spontaneous, should be organized.
STAGE FRIGHT
13 MIN. TITLE NO. 1423
Tells what stage fright is, how a person may
overcome il. how 10 give an effective talk despite
reservations one may have about speaking in
Iront of a group.
WHO ME? MAKE A
PRESENTATION?
15 MIN. TITLE NO. 14a3 VIOEO ONLY
AcrearoutlJne of the presentatton process
tram fnil/al planning to fInal delivery,
ShO'NS the steps necessary to develop an
effective and persuasive presentation,
BRAVOI WHAT A
PRESENTATIONI
1a MIN. TITLE NO, 1464 VIDEO ONLY"
This program hIghlights some of the more
sublle aspects of pUblic speaking;:
graphics and visuel akl's, body language
and voice control, and even anecdotes '..
and stories to help them capture and hold
audience attention.
WORKING TOGETHER
16 MIN. TITLE NO. 1135
A humorous rook at five common disasters faced
in meetings, Covers: ending on time, prepara-
lion, effective briefing before beginning, group
diSCussion, and drawing out opinions from the
group.
THE WRITING PROGRAM
20 MIN. TITLE NO. 1431 FILM ONLY
A manager learns how 10 turn his poorly writlen
report into an effective one, Covers the main
points to remember when writing any piece of
material meant to be read by olhers.
(800) 421.9585 OR
(800) 445.4613 (CA)
~
L
OVERMANAGEMENT: HOW AN
EXCITING IDEA CAN
BECOME A DULL PROJECT
10 MIN. TITLE NO. 1190
Management altitudes and how they determine
the success or failure 01 new Ideas ere reviewed
here, and how they effect morale, enthusiasm,
produclivlty, especially in Oualily Circles.
PARTICIPATION IN PRACTICE
35 MIN. TITLE NO. 1145 VIDEO ONLY
For companies who wish to tearn how to facilitate
a participatory management program. Co'.ers
solutions 10 the mosl common problems laced
when inItialing such 8 program.
PARTICIPATIVE MANAGMENT:
WE LEARN FROM THE JAPANESE
26 MIN. TITLE NO. 1205
A case study film, examining Nissan's participa-
tive management system in Its Smyrna, Tenn.
plant Shows American workers who traveled 10
Japan 10 see this plan in action. and how II
benefited both management and employees.
PEOPLE AND PRODUCTIVITY:
WE LEARN FROM THE JAPANESE
26 MIN. TITLE NO. 1206
Some of the key Ideas of Japanese business
philosophy are shown here, how they help 10
Improve productivity and employee relations, and
how some American companies have applied
these concepts.
THE POWER OF POSITIVE
REINFORCEMENT
26 MIN. TITLE NO. 1256
Demonstrates behavior modification techniques
and how they have been used successfully.
Shows that positive reinforcement can increase
both worker satisfaclion and productivity.
PRODUCTIVITY AND THE
SELF.FULFILLING PROPHECY:
THE PYGMALION EFFECT
30 MIN. TITLE NO. 1259 REVISED EOITION
The new version olthe classic productivity film of
all time pins down the evolution of the self.
fulfilling prophecy and shows explicilly how a
manager's expectations can influence and
dramatically improve a workers performance,
Includes a sequence on the "Galatea Effect" .the
prolonged power 01 a positive Pygmalion which
establishes higher goals.
PRODUCTIVITY: IT'S
A PERSONAL MATTER
19 MIN. TITLE NO. 1230
Explores the idea 01 "work" - what it means to
people, how that meaning has changed, how that
change has hurt us, and the need to rediscover
the value of work, lor our own sake, as well as that
of the company.
THE RE.MAKING OF
WORK SERIES
An. examination of change In the work.
place, and how these changes can lead to
higher worker morale. greater productiv-
ity, and increased profits. ..
MODERN TIMES REVISITED.
ALTERNATIVES TO ASSEM.
BL Y LINES
29 MIN. TITLE NO. 1233 VIDEO ONLY
Shows worker.oriented production lech.
niques In action by using interviews with
workers, revealing how self-pacing work
teams have replaced the classic assembly
line, and how these employees leel about
their new responslbilltles.
MORE TIME TO LIVE.
FLEXIBLE WORKING TIME
30 MIN. TITLE NO. 1234 VIDEO ONLY
How the trend away Irom rigid work pat.
terns toward "individual working hours"
systems is examined, and how this sys.
tern has served both labor and manage-
ments Interest.
SMARTER TOGETHER.
- AUTONOMOUS WORKING
GROUPS
29 MIN. TITLE NO. 1236 VIDEO ONLY
Two sequences filmed at assembly plants
Illustrate a new approach to Increasing
productivity, quality and prolits - allowing
workers a greater measure of Identifica.
tion with their work.
FOR MY OWN CAUSE.
QUALITY CIRCLES
27 MIN. TITLE NO. 1232 VIDEO ONLY
Quelity Circles are shown In action.
employee groups tackling problems,
Improving output and productivity. and
learning to find their work more interesting
and rewarding.
A TERMINAL ON MY DESK.
THE IMPACT OF DATA
PROCESSING IN THE OFFICE
29 MIN. TITLE NO. 1237 VIDEO ONLY
Case studies of two large firms show how
technology is revolutionizing wor1<ing con.
ditlons In the office and stresses Ihe need
lor employee involvement In planning and
ImplemenUng changes.
ATHOME,ATWORK.
ALTERNATE WORK SITES
30 MIN. TITLE NO. 1231 VIDEO ONLY
Shows these sites in actio;,. both home
industry and computer terminal work, and
how the employer benefits by more pro-
ductive use 01 expensive equipment, and
the employee, by more Ireedom of work.
lng hours.
RESPONSIBILITY SHARED.
AUTONOMOUS PRODUCTION
GROUPS
28 MIN. TITLE NO. 1:235 VIDEO ONLY
Gives examples 01 alternative lorms of job
sharing: the benefits to management and
labor, and the probl'3ms that must be over-
come in order 10 have successful opera-
tion 01 these kinds 01 groups.
11
ROADMAP FOR
, ..," CH~NG,E
'. THE DEEMING APPROACH
29 MIN. TITLE NO. 1092 ,'. ',' , ' .'
A case study of how the Pontiac Division
of GMC Implemented Or. Oeemlngs obli.
gations 01 management, and Interviews
. with top management down to line
workers. tell how this change Is affecting
the nature 01 theIr work, and their attitudes
lowardl!.. ,
THE DEEMING LEGACY , ',. .,
29 MIN. TITLE NO. 1093 .',; '" ',-',
this follow.up looks at how this new phi-"
losophy has laken hold In the company.
and how it has Improved quality and pro. .
ductivlty, and hOYJ Ihe employees have
responded to \,1e challenges of Innovation
and problem solving.
STRESS ANO PRODUCTIVITY
24 MIN. TiTLE NO. 1174
Gives supervisors methods 01 reducing stress on
themselves, and their employees. Covers such
stress fighters as: planning ahead, delegating,
recognIzing symptoms of stress, and how to
teech workers to deal with stress.
THE SUPERVISOR'S ROLE IN
INCREASING PRODUCTIVITY
23 MIN. TITLE NO. 1261
Presents the ten most common work-related pro-
duction problems, and how an effective super.
visor can deal with them, satisfying both man.
agement and employees. while Increasing
productivity.
SUPERVISORY PLANNING
AND CONTROL
20 MIN. TITLE NO. 1242
Shows that the most important part of intelligent
supervisory management is planning. Clearly
demonstrates the importance 01 advanced plan-
ning by using a story 01 a supervisor who thought
that because things had always turned out all
right in the past, that they would continue to do so
- and was dead wrong.
A TEAM OF TWO
30 MIN. TITLE NO. 1095
This new version shows the latest thinking and
most contemporary answers lor dealing with
lime management problems involving managers
and secretaries, so both may do their jobs with
the greatest efficiency.
TRANSACTIONAL ANALYSIS
31 MIN. TITLE NO. 1262
The techniques of transactional analysis are
demonstrated, and how they can be used to
increase commur.icalion. solve problems, and
Improve human relations and motivation on the
job.
WHO'S RESPONSIBLE?
12 MIN. TITLE NO. 1355
Uses the example 01 a tailed presentation to
illustrate the concept 01 accountability. Shows
those who see themselves as totally responsible
lor producing a desired result are the most elfec-
tive people within an organization,
,~
YOU THE CHANGEMASTERS: INNOVATION:
4 MIN. TITLE NO. '268 IT'S WORTH THE RISK
A self.image awareness film, comparing the UNDERSTANDING THE 30 MIN. TITLE NO. '475 VIDEO ONLY
enthusiasm and resiliency of a baby, compared \0 THEORY Peter Drucker, noled authority on management,
the way we become as we grow older. and less 28 MIN. TITLE NO. 1298 VIDEO ONLY shows how \0 cncou! age, plan for and carry 01.11
able to pick ourselves up alter we fail. Dr, Aosabolh Moss Kantor explains why successful innovation. Shows that effective Inno.
she believes the only way businesses can valion is the result of a carelully planned process
YOUR IMAGE: survive loday's climate 01 sudden and dra- that anyone can learn and apply on the job.
MAKE IT WORK FOR YOU malic change Is through innovation.
These companIes she calls "Changemas-
17 MIN. TITLE NO. '530 ters," Hera, she describes the seven lngre- MADE IN JAPAN: CULTURAL
On creating and living up to an image that will aId dlents essenllal to successlul businesses INFLUENCES ON INDUSTRY
In achieving desIred goals and personal satisfac. and how to incorporate them Into a '6 MIN. TITLE NO. '291
tion. Features:whal is image. its importance, and company. An analysis of Japanese industry, com.
how to understand and change one's own image. CHANGEMASTER paring their modern day economic mira- n
COMPANIES: cle wllh the plight of the American
System,
WHEN I SAY NO, I FEEL GUILTY PUTTING THE THEORY MADE IN JAPAN: BUSINESS
30 MIN. TITLE NO. 1140 INTO ACTION
Based on Dr. Manual J. Smith's book on asser. 42 MIN. TITLE NO. '299 VIDEO ONLY PRACTICES AND CHANGING
tlveness training, this lilm shows how to cope Three case studies of organizalions who LIFESTYLES
with problems and conflicts by learning the skills ere on the cuning edge of Innovation. 22 MIN. TITLE NO. 1292
necessary to handling criticism and verbal
manipulation in order to reach their goals, Shows the ideas set forth in "The An examlnalion of lhose practices respon-
Changemasters" have already worked sible for Japan's booming economy, that
and Bre working in the real world. have made it the world's leader In steel
WHERE DO I GO FROM HERE? production and many other consumer
19 MIN. TITLE NO. 1096 VIOEO ONLY goods.
This program will help trainers convince GOAL SETTING
employees thatthey're responsible for the direc.
tion 01 Iheir careers, and provide Ihem with slrat- 20 MIN. TITLE NO. '260 MANAGEMENT BY
egies lhat will help them reach their objeclives. For supeNisors, this him shows them how to sef OBJECTIVES
achievable goals, set deadlines and other
SEE PAGE ii methods that will aid them in accomplishing more WHAT IS MBO?
while boosting company productivily and
FOR RENTAL AND employee morale. 13 MIN. TITLE NO. 1212
ORDERING INFORMATION A worker, who doesn't believe that man-
agement really cares aboullls workers,
GOAL SETTING FOR FUN. learns that people can be trusted to do a
~- HEALTH AND PROFIT fair day's work when they know what is
17 MIN. TITLE NO. 1271 expected of them end come 10 believe In
A simple, step.by-step process for selting and themselves.
achieving goals is shown here, and how this will DEVELOPING OBJECTIVES
aid in more efficienl use of lime and attain the 14 MIN. TITLE NO. '213
highest level of achievement. Demonstrates the knack 01 outlining sim.
BUSINESS, BEHAVIORISM AND pie, specific goals that are both measur-
THE BOTTOM LINE able and realistic, and how an employee
23 MIN. TITLE NO. '327 HOW SUPERVISORS RUN can grow, both as a person, and as a
Shows how beha'Jiorism - positive reinforcemenl EFFECTIVE PRODUCTIVITY worker.
~LY and improved feedback - can be applied to most MEETINGS PERFORMANCE APPRAtSAL
,se organizational problems, even those as basic as 22 MIN. TITLE NO. '266 14 MIN. TITLE NO. 1215
lal- shipping and receiving, warehousing and com- Shows supelVisors how to make any depart men. An employee and manager come to con.
en! puter operations. lal meeling Into a productivity session, common flict over the employee's object1ves, but by
als mistakes to avoid, and generate interest and listening to each other, they learn that
". THE CASE FOR PRODUCTIVITY commitment amongst employees. objectives must be a \Wo-way street, salis-
tying 10 both parties.
20 MIN. TITLE NO. 2007 INTREPRENEURS
Shows employees Ihe m,porlance of Iheir alti-
tude loward produclivily, and why it is vital, not 55 MIN. TITLE NO. 1278 VIOEO.ONLY MANAGEMENT'S FIVE
.ell. only for their company, bul lor their own iobs as Case studies 01 four major corporations who DEADLY DISEASES
ing well. Dramatized segment features the problems Invested in their "intrepreneurs," people within 16 MIN. TITLE NO. 1094
>on of losing key customers to a competitor with their organizations with ideas or the skill to Dr. W Edward Deeming outlines these problems
nair botter productivity and lower costs. invent, and how this has lead to greater profits. that Inhibit growth and productivity in American
business, Demonslrations 01 his philosophy in
IMPROVING PRODUCTIVITY aclion will challenge viewers to re.evaluate their
i THE CASE OF THE THROUGH EMPLOYEE own management styles, and recommit them.
~NL MISSING PERSON INVOLVEMENT selves to pOSitive change and growth.
15 MIN. TITLE NO, 1252 18 MIN. TITLE NO. 1204 VIDEO ONLY THE ORGANIZATIONAL CLIMATE
l,ull,. The story of a personnel manager who attempts The story 01 how one company has dealt with the 27 MIN. TITLE NO. 1283
:e to to find out why an employee ceases 10 be produc- problem of increased competilion from foreign The importance of a pleasant work environment
!psr. live and becomes "missing" as far as the organi- goods. and strengthened its position In the .is covered here, and what makes a workplace
have zalion is concerned. The causes of his "disap. marketplace, especially through increased productive or unproductive, assessing Ihe
pearance" and the solutions 10 cause his employee involvement and beller labor-manage- environment, and things that may improve an
~reappeafance" are shown. ment relations. organization's climate.
10
L
~
~
The ~lDBF.1 is gathering information for their review o.f thl?
personal protection equiprnent usage and pOlicy.
Place a check mark ne,.:t to the eq"ipment or clothing YOl.! wear
wh,m YOll are doing any of the jobs listed below. If YOLI W"ar
something or else SOme protective gear th"t is not listed, ple"se
1 ist it.
It is not np.ces'iary for yo" tel sign this sheet. When completed,
give to your Quality Circle repr"eSentative.
------------------------------.-------------------------------,_.~--
Indicate your preference:
1. Each Worker wears a safety vest at all times regardless of
work assignment when working on co"nty road right of way.
_____yes ______"0
2. Each person has option for we.ring a safety vest or
standardized orange shirt, Jacket or coveralls.
______yes _____"0
3. If fLlrnished, I WOLIld wear standardized clothing items year
rOLlnd"
_____yes _____"0
4. If standardized safety Clothing items were f"rnished, wo"ld
yell p"rChase standardized T-Shirt fer optional hot weather wear?
_____yes _____no
5. Have you e.perienced any safety hazard res"lting from else of
any required garment? If 50, explain situation.
--------------------------------------------------------------
---_._._~.~._--'----_._._-_._------------_._----------._'--------_._---_..~-.
-------------------_._--~._..~_._._----------,...-------------~-_._-----_.-
-_._......~~.-._...~..~._--_.~_..,..~-.-......._-,..._.-.---'-_.._._,._.~_._...~._--------_._-~_._---_.~~-_._---~.-
_.~- ~.. -.-....----.-- .'~.... - . ....-.. .. -..-.----------------.- ---'-- --- -.---.-.-.--
D'l". h 1':::"1" t::()iTlme),t:~::i t'Clq:","(j 'i. nq ~:;:J ft?'I: ~I .i. tl-?fTls'?
~
HEAVY EQUIPMENT OPERATORS
hard hat
:::::hearing protection
_____vest
Put check mark next to item Used when working in following are_so
THERt10 LAY
_____hard hat
vest
:::::gloves
_____Coveralls
CHAIN SAI, OPER.1TOR
ear protection
-----hard hat
::===eye protection
_____leg protectors
_____vest
BR lOGE CREI'}
_____h,;rd hat
_____s~fety vest
LADOF(l;:R8
_.~__ ~..hZ\rd h~ t
..._...._._.Qa+0~y V8S'~
hll::::L ['r::T~:.:;
....."'\.-{' I:"';,l :<.'1' !-:i..-.n
r,l':~"ll'h,,~r lllid)' 1!/",\I:f~f;!:icJn
I t-":Il h0t l./ I C'''f:''-;
ill:; lil'.;lL: I flF
AIR SAW CREI,
-____hearing protection
_____fac~ protection
_____hard hat
_____s_fety vest
BLACI( TOP CREW
_____hard hat
_____vest
_____gloves
--___aspirator
FLAG PERSON
_____hard hat
_____safety vest
CRUSHER OF'ERATOR
_____hard hOlt
-____glOves
_____he~ri. ng pro'teet i an
_____eye protection
_____respi rator.
_____vest
_____Si:tfei:y shoe....'3
JETTER CREl'!
Il-:?rd h~:tt
_____safety vest
EMr" pl',.tgs
TRUCK OF:IVERS
hard hat
tr'::lf.fi (: vest
SIGN STliIF'PING
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~
TO:
M E M 0 RAN DUM I.!~
~r .
MARy MADISON, ADMINISTRATIVE ASSISTANT ~
KEN WINCKLER, MAINTENANCE AND OPERATIONS DIRECTOR
POLICY ON PERSONAL PROTECTIVE EQUIPMENT USE
~
,
FROM:
SUBJECT:
DATE:
FEBRUARY 2, 1986
After thoroughly reading this pOlicy, I find that there is a
need to change one small item.
This change is under "1.1 General Requirements", letter "E",
in the second paragraph.
There needs to b~ the requirement that flaggers wear safety
vests at all times. Yellow or traffic orange raingear alone
is not visible enough for a flagger.
KW:DO
If you have any questions, please give me a call.
Attachment
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POLICY AND PROCEDURE
Subject: Personal Protective Equipment Use
Issue date: 1/21/87
Revised date: i
Prepared bY:_MOBB/Og /l!
Approved: 4. ~ rJ.~ i
Key Words: Safety, clothing, equipment
POLICY: It shall be the policy of the Department of Public Works
to protect the safety and health of its employees through
adherence to safety concepts and management performance
aimed at reduction of accidents and health hazards.
DISCUSSION: This policy and procedure represents minimum
requirements and does not limit additional
requirements for special or specific tasks as
determined by the departmental manager, supervisor or
crew leader.
PROCEDURE:
1.0 Introduction
1.1 General Requirements
A. Protective equipment shall be used and maintained in a
sanitary and reliable condition wherever it is necessary.
B. Personnel shall comply with safe job practice and
procedures.
C. The employer is responsible for employees wearing
appropriate personal protective equipment in all
operations.
D. Where there is a danger of contact with moving parts of
machinery, or the work process is such that a similar
hazard exists:
(1) The clothing of employees shall fit closely about the
body.
(2) Dangling neck wear, loose fitting bracelets,
wristwatches, rings, or similar articles shall not be
worn by employees.
(3) Guards will be installed.
~
!';
i'
E. Employees whose duties are regularly performed in areas
and under circumstances when they are exposed to the
danger of moving vehicles, shall wear work vests of highly
visible materials, or equivalent distingUishing apparel.
~Q~wea-l:'-in~el-10w--or-t-ra-H-:k-o-range-r!t'i-ngea-r7
rlaggers will wear safety vests at all times. During dark
or dim light conditions, a safety vest with light
reflective capability shall be worn.
Existing assignment and use of coveralls shall continue,
unless otherwise noted.
1.2 Emergencies
In case of serious emergencies such as danger to life or
property, the rules of this manual may be temporarily changed to
facilitate proper handling of the emergency.
During regular working hours emergencies should be called in over
the radio to the Road Maintenance Shop. The person receiving the
call will maintain communication until aid has arrived. A state-
ment of emergency transmission should be noted over the radio at
time of the call. Caller will then do the following:
1. Identify yourself;
2. State where you are located;
3. If Possible, leave someone on standby at radio;
4. Maintain communication until help arrives.
5. Notify your supervisor.
1.3 Government RegUlations
If emergency occurs after regular work hours, call SNOPAC at 911.
Snohomish County is required to have employees adhere to all
regulations of WISHA Act of 1974. Failure to do so may result in
penalties. WISHA states, "Every employer will furnish each of
their employees a place of employment free from recognized
hazards" AND "Each employee shall comply with occupational safety
and health standards and all rUles, regulations and orders issued
pursuant to this act which are applicable to his/her own actions
and conduct."
1.4 Employee Obligations
Management expects each employee to comply with the department's
safety program. The basic tenants of the program are as follows:
All injuries and accidents will be reported immediately
to your SUpervisor and to obtain medical aid without
delay.
~
f~;
Personal protection equipment, where required, must be
worn by all employees.
Machine guards will be used and maintained in good
condition. Machines without adequate guards or guards in
questionable condition will not be used.
Hazardous conditions and other safety Concerns must be
reported immediately to your supervisor.
Each employee has the responsibility for his or her own safety,
as well as the safety of your fellow employees. Through your
actions, the department can ensure safe work conditions deserved
by all of us.
1.5 Management Obligations
The basic responsibility of management is the prevention of
accidents. Management will provide incentive and full support of
all safety procedures, training and hazard elimination practices.
It will keep fUlly informed on all health and safety items
throughout the county in order to maintain effectiveness of
safety and health programs.
Supervisory personnel are directly responsible for the
instruction of all employees under their jurisdiction in regard
to proper procedures and safe methods to be utilized in
performing work duties, for taking immediate corrective measures
to eliminate hazardous conditions and/or practices and for the
prevention of accidents, whether personal injury or property
damage.
The supervisor must at all times enforce the established safety
program. Supervisors will not permit safety to be sacrificed for
any reason, be it production, time limitations or unexpected
problems.
2.0 Safety
2.1 Basic Information
All injuries, regardless of how small, must be reported
as soon as possible after the injury. Failure to receive
medical treatment may'result in serious infections or
complications to your health.
First aid supplies are located in work areas and vehicles:
familiarize yourself with their placement. Should you
become injured or ill anywhere and need immediate medical
aid, contact your supervisor or any other supervisor if
your supervisor is not immediately available.
~
If in~ediate aid is not needed, notify your supervisor
before proceeding to the nearest medical facility.
When outside medical aid is needed, the immediate
supervisor present will call for this assistance.
3.0 Head Protection
3.1 In Work Areas
All personnel employed by Snohomish County PUblic Works in field
operations are required to wear hard hats. The hard hat must
meet American National Standards Institute (ANSI) standards to
ensure sufficient head protection to users.
t
3.2 During Inspections
Employees working in or inspecting structures or buildings where
overhead construction or repairs are being done shall wear hard
hats.
3.3 Exceptions
a. Blacktop Crew
When working with the lay ton box or layer, blacktop
crew may furnish their own hat in lieu of the standard
hard hat. This hat must be bright yellow, red or
orange in color and highly visible. Flag persons
assigned to the blacktop crew must wear standard hard
hats at all times. Hard hats must be used when asphalt
is not being applied.
b. Vehicle drivers/operators
Drivers and operators are not required to wear hard
hats when operating vehicles or equipment that have
full cab protection. However, when exiting the cab in
a construction area, hard hats must be worn.
Drivers and operators will wear hard hats in their
vehicles when within any rock quarries.
c. Rear operator of stripper.
4.0 Hearing Protection
4.1 Noise Level
Whenever it is not feasible to reduce the noise level or duration
of exposure to permissible noise exposures, protective devices
shall be used.
~
,
4.2 OSHA/WISHA Requirement
OSHA/WISHA requires that hearing protection be worn where work
place noise is in excess of 8SdB over an 8 hour day.
Irreversible damage can result from continued exposure to noise
over 85dB
~
5.0 Foot Protection
5.1 Type of Footwear
SUbstantial footwear, made of leather or other equally firm
material, shall be worn by employees in any occupation when there
is a danger of injury to the feet through falling or moving
objects or from burning, scalding, cutting, penetration, or like
hazard.
Rubber footwear may be worn in appropriate digging or excavation
work situations.
5.2 Other Suitable Footwear
Calks or other suitable footwear, which will afford reasonable
protection from slipping shall be worn while working on logs,
POles, pilings, or similar round timber.
6.0 Eye and Face Protection
6.1 Management will determine with employees what tasks require
eye or face protection and which devices provide the better
protection for an employee. Questions concerning eye or face
protection should be brought to a SUpervisors attention and
resolved before the jOb is started.
~
6.2 Type of Protection
Types of eye and face protection include:
a. Goggles
b. Spectacles
c. Welding goggles
d. Chipping goggles
e. Face shield
f. Welding helmets
7.1 Right to Know Information
7.0 Environmental Protection
compliance with OSHA rules and regulations regarding Right to
Know Information shall be enforced in conjunction with the Safety
Officer training and awareness program.
8.0 Respiratory Protection
8.1 During Emergencies
In emergencies or when controls required by Occupational Health
and Environmental Control fail or are inadequate to prevent
harmful exposure to employees, appropriate respiratory protection
devices shall be provided by the employer and shall be used.
Employees are reminded to take precaution when it is necessary to
enter manholes or similar areas where air quality prior to
entering should be considered.
8.2 Selection of Respirator
The chemical and physical properties of the contaminant, as well
as the toxicity and concentration of the hazardous material shall
be considered in selecting the proper respirators.
8.3 Use
When respirators are provided for a particular work activity,
they shall be used. When using a respirator, f~ilo. the
manufacturers instructions.
u
8.4 Training
Employees required to use respiratory equipment shall be
thoroughly trained in its use. Employee is responsible for
inspecting and maintaining assigned equipment in good condition.
Filters are to be cleaned or replaced as necessary to avoid undue
resistance to breathing, or if the odor of the contaminant is
detected by the user.
8.5 Types of Respirators
Types of acceptable respirators include:
a. Air Purifying Respirators
1. for dust (various type filters)
2. for gas and vapors
3. Multipurpose
b. Self-Contained Breathing Apparatus
1. Pressure demand type
2. Continuous flow type
c. Hose Mask with Blower
9.0 Care and Use of Safety Equipment
9.1 Responsibility
Each employee shall be responsible for having and wearing proper
safety equipment in accordance with this policy. Hard hats,
safety vests and other necessary equipment may be obtained from
central stores storekeeper. storekeepers will maintain records
of dates, employee name and type of equipment issued.
9.2 violations
Employees who violate this policy and procedure may be subject to
appropriate disciplinary action.
9.3 Labor and Industries violations
Any employee causing the employer to be cited by the State
Department of Labor and Industries for violation of safety rules
and regulations will automatically receive a warning letter if
violation resulted from action contrary to supervisors
instructions.
1
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~IEMORANDUI1 TO:
ijl?/fj----
FROM:
(See 1 i st below)
Mary Madis~\
Cl1airperso~ QLlality Circle
Steering Cor ittee
PLlblic Works QLlality Circ:le Program
DiscLlssion Meeting: September 17,1986
RE:
-------------------------------------------------------------
You are probably aware that we are in the process of establishing
a quality circles program in Public Work.
A key part of the sLlccess realized by this approach is to have
the felll sLlpport and involvement of sLlpervisors. As part of the
start-up effort, the steering committee has scheduled a two hour-
meeting with supervisors and the consLlltant who is working with
LlS, to give YOLI a mor-s detail overview aboLlt quality cir-cles, how
they work and how this effort will fit Into the overall
organization. Another f,ey element to the sLlccess of this effort
is to get your input regarding the kinds of concerns you have and
some of the things YOLl feel need to be addressed early on. The
results of this meeting and whatever suggestions you have will be
given to the steering committee for their consideration in
establishing gLlidelines for the operation of qLlality circle
groups.
Please plan to attend this work session on September 17th. It
will be held in the Planning Conferenc:e Room at the COLlnty
Administration building, 5th floor. The meeting will begin at
9:30 a.m. and will end at 11:30 a.m. This meeting will be LInder
the direction of Robert Callahan. Steering Committee members
will be attending also. Attached is a very brief overview for
those of you who have not had any information about quality
circles before. Please review it and bring YOLlr questions and
concerns, and suggestions to the meeting.
LIST OF ATTENDEES
Accetturo
Aney
Baasch
Carnahan
Davis,Dick
Davis,Don
Derry
Firo'led
Fogard
Hopkins
I<eithley
l<e11 y
Leyde
Love
McNeal
Miller
Moore
Neal
Neuman
Olmstead
Pearson
Pederslie
F'ownall
Royal
Sass
Shipley
Slayton
Spicer
Stenson
Trammell
~
The following are the remaining concerns noted l.lnder
problems/difficulties we should anticipate, irnpact on
mid-managers and rest of organization listing from our last
meeting. Those specific items covered in the Policies and
Procedures draft were omitted from this list.
1. Lo~" VOll.lnteer rate
2. Conflict with mid management typical duties.
~. Manager feeling blamed or resentment (responsible) for quality
circle solution.
4. Lack of communication throughout organization.
5. Leader (mid-manager) censoring quality circle.
6. Member/non-member conflicts.
7. Mid manager/employee away from main job assignment.
8. Other sections cooperating with quality circle group.
9. Failure to consider past effort. Reconsider old/not
reconsider.
10. Inability of quality circle tal earn process to continue
without consultant present in future.
11. Testing to find limits.
12. Too big of a problem.
13. Mid manager feeling bypassed.
14. Lack of credibility for quality circle suggestion.
15. Concern for special treatment of quality circle (sabotage)
16. Reward for support by mid managers.
17. Fresh oLrt of probl ems.
~
.~...
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, ;".'):
The role of Quality Circle Members is:
-Attend meetings regularly and promptly
-Participate fully in the problem-solving process
-Focus on problems that the circle can resolve
-Share ideas, information, and enthusiasm
-Encourage and support other members
Role of Quality Circle Leader:
-Keep positive attitude
1
I;,
~
-Acquire necessary knowledge and training
-Recruit circle members
-Train or assist in training circle members
-Help members stay focused
-See that circle records are maintained
-Encourage involvement
Role of Quality Circle Facilitator:
-Attend and suport circle meetings
-Act as a coach/consultant to the leader
-Act as resource for the cirle
Role of Steering Committee:
-Establish operational guidelines
-Control expansion and startup
-Determine funding & resources
-Select facilitator
-Act as advocate of the program through positive support
-Advocate implementation of approved circle programs
-Review and evaluate circle progress
u
Review of Past Years ~ctivi'ty: MOBB
Basic Objective:
~
1. \,.lJh~\'I: \,oJfW!!' some of the? important events in YOLlr npird,.:.m?
o V '\ ~ ~",s<.'",T"T io N TO 1[,,<( S7 (<2"'; "5 Co/V'(1/f,-/j" of? .
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o V y- .5 =.::t\ iA V\ ~ T]., <. C\ b; {; T Y CJ F T ~ e-
lee. lei b <. b rd::>V1 ~
Re.Ferenc~ Points~
3; ~~hen were you having fun? .. .- ,,-_.... ,
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f?, ~'il",'/ '.'i.',i!; .,'r:~. ~1'ii:LI 1:h3.r: 9,'TH~t.. ~,"'":lfJ:-'~.(',;;~.'.'l
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SGlM~ ",-t' WlY 'Z:V"-e\.U d""d:; -t.r-v~i= W\~ <:I\I\,)'IoW"r-e. f
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10. What nanlS would you give this grou? now?
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A, Rowe, P.E., Director
Robert G. Nesbill, P.E., County Engineer
November 1, 1988
Mr. Art Smelser, P.E.
WSDOT District #3
P.O. Box 9327, Mail Stop KT-ll
Olympia, WA 98504
Re: SR20 / Airport Cut-Off Road (Chimacum Wye)
Dear Art,
I met with Brian Ziegler and Ray Martell from the Port Angeles
office to review a proposed plan to upgrade the above referenced
intersection.
The county supports the planned improvements and is willing to
assist with the project. The county will commit to a share of
the cost of the project once a final coat share is determined.
Plans should also include a left turn lane to the entrance of
Fred Hill Materials cement plant located at the intersection.
Fred Hill's permit was conditioned upon their participation in
improvements at the intersection.
We hope that this work can be included with the project being put
together for SR20 from Discovery Bay North to this intersection.
If this schedule can not be met I look for the Department of
Transportation's committment to funding the project in 1989.
Thank you for your help with this project.
Sincerely,
4J~a.K-
Gary A. Rowe, P.E.
PWA 04.50.07
PWA 02
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.JEFFERSON COUNTY
PLANNING AND BUILDING DEI'ART:\lENT
I'.! I, 11n.\; I~:.!I!
1'111'1 'Ii 1\\' l\:-'I'lltl, \\"a~IIII\...:r, III ~ 1,,\:;1;;-'
Planning {:.!(Hi) ;ls':-"nJ III
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,IEFFIWSII:-; (:()l;~Tr COI.:ItTII1H.1);(>;
f)arid {ioJdslllill1, J)jn'I'I'(J]'
October 17, 1988
BECEnfED
~ir. ar.d Mrs. vli tter
171 Embody Road
Port Ludlow WA 98365
OCT 17 1988
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
Re: Witter Short Plat: SP5-88
Dear Mr. and Mrs, Nitter:
In reviewing your file, I realized while approval for the revisal of your
short plat applicat:ion was given on October 5, 1988, I did not enclose an
u;:dated and revIsed approval form. Please find the short subdivision
summary approval enclosed,
Sul:mittal of the survey will initiate the final steps for approval ar.d
filing of the plat,
Sincerely,
/3d-d. ~~
Rachel Natharson
Senior Plar.ner
c: Alan Carman
Jefferson County Public Works Department
Jefferson County Heal th Department
Enclosure
RN :mkg
~
REVISED
JEFFERSON COUN'l'Y
SHORT SUBDIVISION S~MJ\RY APPROVlIL
SHORT SUBDIVISION: SP5-88; Gloria and Ross Witter; Section 8,
T""ntship 28 North, Range 1 East, 11M
DATE OF APPROVAL: September 20, 1988
CONDITIONS OF lIPPROVlIL: PrelimInary "pproval by Jefferson County has been
gl'antecl subject to the requirements of the Jefferson County Sub:livislon
OrdillEUlce and thc fOllOWing conditiollS:
1. Thc f.lnal short plat shall be prepared ln accordance with the final
short plat checklist (copy attached).
2. 'l11e exjsting sel/age disposal systGm on Lot 1 must be evaluated to the
satisfaction of the Jefferson COWlty Health Department prior to final
plat approval,
E,'U'IRli'fION: SUJrunary approval w.ill expire on ~brch 20, 1989, UJ"lless <In
e"tens.ion is requested "t least thirty days before the date of expimtion.
A one time eJ{tension may be grunted for a period of six months. If
swmnary approval mcpircs, reapplication may be made.
SUEi'1ISSION: It is the responsibility of the applicant or authorized
representative to ensure the final short plat is submitted in accordance
Nith the condi tions of sUlrunary approval. This includes p:lying all
property ta:~es and submitting a $51 recording fee and a plat certificate,
all of which is outlined in the final short plat checklist.
NOTICE: The sale of lots prior to flnal short subdivision approval is
unl"wful
7?~~~
~i Nathanson. Senior Pl~lmer
Jefferson County Planning and
Building Depzirtment
cc: Jefferson County Health Department
Jefferson County Public Works DeJ;artment
TaaG Survey
Gloria and Ross \'1Itter
.\j![Ij.:ESS:
802 SHERIOAN. 2nd FLOOR, PORT TOI/NSEND HA 98368. (20b)
I' , J/J~::--"')
385-0722
( ) FOR YOUR I NFORMATlON
( ) PLEASE RESPOND
( ) PER YOUH HEl)lIEST
El'e::,t,y)
DATE: /()'~J{:/~:?
p,.) \0 L ,_ Wee" r:.;s
~:;U: C &~ nl [~ D
OCT 3 1 1988
JEFFERSUI'J.'
Pi IElllC WOR~~g~;-;.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, p.e., Director
Rober' G. Nesbitt, P.E" County Engineer
November 3, 1988
Ms. Gwen Howard
Jefferson County Health Department
b02 Sheridan St.
Port ~awnsend, WA 96368
Dear Gwen,
I am responding to your memorandum of October 26, 1988, in
which you describe some problems you noticed regarding the
bathroom facilities in the Health Department.
I sent Patrick Whiteman, Chief Custodian, to the building to
inspect the area. He does this on a regular basis, of course,
but when we receive a note we always try and give extra attention
to the potential problem. I discussed the matter with Pat, who
had also mentioned your note to Sharon Booth, the janitor for the
facil ity.
Over the years we have had problems in maintaining adequate
services for the Multi-Service Building. During the last year,
when we rctained Sharon, the facilities were noted to be much
cleaner and acceptable. Sharon has always been required to give
special attention to the Health Department restrooms for obvious
reasons. She is, in my and Pat's opinion a very conscientious
worker, and sensitive to the Health Department's needs. However,
our budget permits only 79 hours per month for custodial Services
at the Multi-Service and Port Townsend Community Center
Buildings. Consequently, services are "spread thin". During the
past year we have had fewer and fewer complaints, and Pat has
been satisfied that Sharon does as much as she possibly can given
the time constraints.
With the public use of the restroom facilities they will,
towards the end of the day be less "fresh" and may lack paper
products if there has been heavy use (or abuse, as frequently
happens at the courthouse and other facilities).
We are aware that there are no fans in the bathrooms; they
apparently were not designed into the rooms. I will have Pat
take a look at the possibility of installing them.
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discuss them with me when you wish.
Sincerely,
&ar
M.Carter Breskin
Property Manager
PWAOl
PWR Oz..
CJff~
November 3, 1988
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Streel
P.O. 80x 1220
Port Townsend, WA 98368
(2061385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbill, P,E., County Engineer
Mr. Al F. Hallin
Area Manager
CMC Real Estate corporation
547 West Jackson Boulevard
Chicago, Illinois 60606
Re: Railroad Right-Of-way
Dear Mr. Hallin,
Per our discussion of 10-31-88, I have revicwed the matter with
the County Prosecutor. I have also visually inspected the
location of the railroad right-of-way parcel one in relation to
Cape George Road and Nelson's Landing Road. Additionally I have
reviewed the property evaluations in the area with the County
Assessor. Based on these reviews the county will make an offer
for railroad right-of-way as follows:
1. Parcel #14 and #16: $1000. Quit claim deed with no
reservation on CMC's part.
2. Parcel #17, #18, and #19: $6900. Quit claim deed less
county road right-of-way with no reservations.
3. Parcel #1, part: $4000. Easterly 662 feet, plus or minus,
across the two five acre parcels numbered 3 and 4 in surveys
Volume 3 Page 47; Quit claim deed needs to include any
portion of Parcel #1 lying within the right-of-way for Cape
George Road. (map enclosed)
Total offer is $11,900. Please send the appropriate documents
for the county to sign to formalize the offer.
Please call if you have any questions. I will be on vacation
from November 7 through November 28. However, I will be
available on November 14 and the morning of November 15.
S4:/oJ)~_
Gary A. Rowe, P.E.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. 80x 1220
Port Townsend, WA 98366
(2061365,9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P,E., County Engineer
November 3, 1988
Mr. Byron Swogart, District Manager
puget Sound Power and Light Company
1208 Water St.
P.O. BOK 555
Port Townsend. WA 98368
Dear Byron,
I would like to thank you for attending our preliminary budget
hearing on October 25th. Your support of our proposal, and
eKpertise regarding the electrical systems at the Corrections
Center was greatly appreciated.
Your comments will enable the Commissioners to make a more
informed decision.
Thank you again for spending your valuable time at the meeting.
Sincerely,
UuW
M. Carter Breskin
Property Manager
PWA 02
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 60x 1220
Port Townsend, WA 96366
(206) 365.9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
November 7, 1988
Mr. J. Randolph Mosher, MAI
Richards & Associates
4110 Kitsap Way
aremerton, WA 98312
Re, Oak BaY/r'lagler Rd. Intersection Improvement, Fed. Aid No.
RS-P161(OOl), Co. No. CR0738, Personal Services Contract for
Right of Way Appraisal
Dear Mr. Mosher:
The time for the above referenced Contract has expired and
due .to an oversight has not been extended as required by the
Contract. Jefferson County proposes to extend the time under Part
21, of the Contract to November 15, 1988. All other provisions in
the Contract shall remain intact and shall not be modified.
If you are in agreement with the extension, please sign and
da te in the space prov ided on the enclosed form and return one
original to Jefferson County.
If you have any questions, do not hesitate to contact me.
Engineer
Enclosures
xc,CR0738 Corres.
PliA 02
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
~
November 9, 1988
Mr. David Goldsmith, Director
Jefferson County Planning and Building Department
Jefferson County Courthouse
Port Townsend, WA 98368
Dear David,
As we discussed some time ago, after the P. U. D. moves, and the
Credit Ullion moves to the P.U.D. space, you may utilize the vacated
Credit Union space until January 1, 1989. After January 1, 1989,
the room will be designated as a conference room.
As you are aware, there are no phones in the office (Credit Union
has its own system), and for so short a period of time (1 month)
I cannot see the value in installing them.
I fully intend to complete the plans for your print room we
discussed, and that should be done some time in January.
Please contact me if you have any questions.
Sincerely,
~
M. Carter Breskin
Property Manager
PWA 02
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gar)' A. Rowe, P.E., Director
Robert G, Nesbitt, P,C., County Engineer
~
November 9, 1988
Mr. Kelly Beuchel
P.O. Box 1653
Shelton, WA 98584
Dear Mr. Beuchel,
On Monday, Novembcr 7th, the Board of County Commissioners approved
your proposal to finish insulating the Brinnon Senior Center for
$999.85.
Please proceed as soon as possible with the work, and contact Anne
Sears in the Auditor's Office (385-9121) if you need a purchase
order number.
Sincerely,
'-7J2-. &.-.fiR.,- ~p(~
M. Carter Breskin
Property Manager
PWA 02
cc: Anne Sears/Auditor
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1620 Jefferson Street
P,O. Box 1220
Port Townsend, WA 9636B
(206) 365.9160
Gary A. Rowe, P.E., Director
Rober' G. Nesbitt, P.E., County Engineer
November 7, 1968
Mr. J. Randolph Mosher, MAI
Richards & Associates
4110 Kitsap Way
aremerton, WA 98312
Re: Oak Bay/Flagler Rd. Intersection Improvement, .'ed. Aid No.
RS-P161(001), Co. No. CR0738, Personal Services Contract for
night of Way Appraisal
Dear Mr. Mosher:
The time for the above referenced Contract has expired and
due to an oversight has not been extended as required by the
Contract. Jefferson County proposes to extend the time under Part
21, of the Contract to November 15, 1988. All other provisions in
the Contract shall remain intact and shall not be modified.
If you are in agreement with the extension, please sign and
date in the space provided on the enclosed form and return one
original to Jefferson County.
If you have any questions, do not hesitate to contact me.
~~rel~ .
~~~
Construction Engineer
Enclosures
xc: CR07 38 Corres. V
PHA 02
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 820 Jellerson Street
P.O. 80x 1220
Port Townsend, WA 98368
(2061385.9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P,E., County Engineer
November 15, 1988
Mr. Jack,Gummer
P.O. Bo~ 368
Napavine, WA 98565
Dear Mr. Gummer:
I have reviewed your request to vacate the portion of Milo Curry
Road lying past 0.30 miles. There is some question as to whether
this was actually your intent, as Milo Curry Road is a usage right
of way, and the County portion of the road is only 0.29 miles long.
Any roadway past this point is considered to be private, over which
the County would have no jurisdiction.
If you have further information on which to base a petition, please
forward it to this department.
Sincerely,
6.~,y~
E.D. Simon
Administrative Secretary
xc: P 02
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(Title:
Flagging situation
MAP PROPOSAL
) C Location:
Hadlock Shop
)
)
Prepared by:
(Date: 9/1/88
Jerry Clemons
Ken Austin
Tony Liske
Bill Arey
Roger Risley
Rock Founta in
Mark Lopeman
Earl Wells
John Newman
Dennis Bates
C PROPOSAL SUMMARY)
We propose to replace the current system of having only part-time
flaggers with a system of having two people on permanent staff that
are dedicated to the flagging operations.
For the essentially the same costs, the new system will greatly
reduce (minimum estimate 40%) both the risk of accident and of
county liability.
SUMMARY OF BENEFITS )
)
Annual costs(revenues):
C
insignificant
Present situation:
$60,350
One-time installation cost
Proposed situation:
$61,100
Good, but not rneasureable
Improved safety and
Reduced liability
Annual savings
Return on investment
OTHER BENEFITS:
. Increased safety to crew and the public
. Reduced liability to the county if there is a claim
-Reduced supervisor busywork and frustration of constantly getting
flaggers and training new ones.
-Added crew efficiency and teamwork
-Added management control
-Reduced stress of dealing with a new person in a key safety
position
-Added prc..fessional appearance to the community
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More Calculations:
o
Currpnt ~i tUi'lt; Q.U
.T..wo Fill} Tirnp FlaoO'f'!r&
1 However, considering lost management and crew time:
Manager:
Foreman:
Crew:
4000 in lost wages (est)
8000 in lost wages (est)
6000 in lost wages (est)
Lost foreman, manager and crew wages
(est)
Total lost time wages $10,000/year
$2000/ year
2 Considering the value of the additional hours available with the fulltime
flaggers.
Current flagger hours are 6050, but with
the two fUll-time flaggers they would be
6060, The value of the work that they
would do in this time is described
below.
810 hours @ $12/hour _ $9720
Total cost for 6050 hours of flagging
-6
Total cost for 6050 hours of flagging
. ~61, 100 J
3 Also, not quantified, are the opportunity costs of what people could do in the
saved time. (Removing the largest frustration factor for two managers will
substantially impact the operations.)
4 Also, not quantified, are .the value of the largest iSsues which are SAFETY and
LIABILITY. (Insurance payments Were $75,000 per year this year)
We feel that our flagging crews Would be at least 40% safer with two full-time
flagers employed. Their on-the-job training will be invaluable to working with the
part time people. The full-time flaggers would be a part of our team concept
bringing efficiency and safety both.
90 to 95% of the time there will be flagging activities required. In the rare
situations that flagging is not required the fOlloWing is a list of activities
they could be assigned to do.
1. Hand clean canyon culverts
2. Shag parts to other areas when needed.
3. Pilot car drivers.
4. Hand brush trouble spots.
5. Ride shotgun in sand trucks to help clean spinners and increase safety.
6. Sign rebuilding, paintin9, Cleaning, washing, and other various jObs.
7. Inventory
8. Take care of all flagger schedUles, phone calling, and flagger issues.
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OFFICE OF RISK MANAGEMENT
TORT CLAIMS PAID OVER $50,000
1980 TO 1987
A~.ncy Number of Claims
Indemnity paid
Cept of Transportation 76
$17,500,000
Dept. of Natural R@sources
Dept. of Corr@ctions
-llitary D@partm@nt
Cnlversity 'of Washington
Dept. of Social, H@alth
hrvicu
13
23
7
17
5,218,000
4,300,000
$ 4,000,000
$ 3,900,000
16
2,600,000
~.hington Stat@ Patrol
Stat. Board for Community
COlll.ges
'.Dept. Of Licensing
240,000
$
200,000
108,000
'ark. , R@creation Commission
75,000
55,000
...t.rn Washington Univ@rsity
77
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3??oo000.00
8
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'<-'->"',
J
10000000.00
Tort ClaIms
(Tolll Stlla)
0.00
\980 \98\ \982 1983 '98( \985 1986 '987 \988. \989.
. Dollar Payout
II Value 01 cases
YEAR
-..Estimated Values
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Jim Rough & Associates
Creative Choice through effective meetings
1040 Taylor St, Port Townsend, W A 98368 . 206385 7118
10/3/83
Gap) ROlle
Director of Public Works
Jefferson County
Port Tov/nsend, Wa 98368
Dear Gary,
This is ml) status report for August:
oThe Road Crell made a presentation to the office I'.IAP group. I believe this had a heolin')
effect in many lIoys and served to bring the 11,0 groups together. Anott,er outgrwth of this
presentation lias that the office group has taken more responsibility for their olin process --
telling Jim that they '"anted to get some,.'here, too, rather" than just discuss.
oThe Office group decided to go back to the MAP Problem-solving process. They sele,;ted
the "respect" issue, brai nstormed, and broke into small groups. The group is grwi n') in
trust-level. There have been breakthroughs in tone, insight, and momentum. I believe that key
playersare seei ng the promise of ne'" \,al)S of operati ng, but do not see hw to get there, 'jet.
oThe road crell group has assumed more responsibility for their meeting each lIeek due to
the ur,comi ng presentation. They became very serious about practisi ng for the Commissioners
and are ready at tMs point.
0' took 80b Nesbit and Earl "lith me to a meeting of the Association for Quality and
Participation in Bremerton. The topic lias Team Building. 'felt that both Earl and Bob '"ere
somellhat resistive to the extent 10 IIhich some people and companies have accepted the values of
Employee Particpation. But' thought thaI the session \,as Vel"j good and that thei I' attending \oiaS
valuable.
Sincerely, '\
~/
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Jeffaf';.:.t"l Cul.lnty PIJbl i, ~ot"'k; Si23
Pa'~c 1
Jefferson County Pub I i Co Uorks 5/23
Revie. of where .e are in the Proble.-so1ving process
We are going throlJ')h the process dll$cribed in the bOQklet. This '~ill provide an illlJstration
from future problem-solving efforts.
Follo.-up of last :leeting
I 8i tl wi II ,eep track of downlime
Pennl) is still flagging.
Rock will gel inpul from flagmen
Ken will try t.o find out hottl other counties do it
Ken reported that in Ki\3ap county:
I All SIJmmer crev hS'le flagging carde pllJS regular crev
2 flaggers are taken out and familiarized with the upcoming roade baforehand
in Chllam:
1 Have nagmen on call alllJear at $6.03 per hour.
2 Have it 'N'orked out with the union
3 Also familiarized the flaggers vilh the roads ahead of time.
4 Ht'Jrl<. 1.1Ji II find out. i f the'J'r~ planning to hire lab.:.rers in t.he fr.~hlrli!!
More solution ideas
I Fam i I jar j ze f I agger" ,>> i lh lhe road sys lem and lhe job be forehand
2 Uork O'Jt a ne'JJ job classi fication wi th the union
3 E:; h,b I ish a sa'een i ng process
4 Hove Q clear plan -- especially in pre-Ie....el ing
5 ltri te out a cleQr job description for f1aggers
Sy.p to.s/couses
t Missing people
'2 Spending time explaining
3 Li.lck confide.nce In fl';1gging -- efficiency
4 ('(Irs interfere -- efficiency
5 Safety
MATERIALS
METHOOS
\
f"1o'ling zigrls
\
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Rohtion
I
No ~xperi~nc€'d people
ere....,. ~nd
m~n<lgmo?nt.
10s\ time
TrUt)ks w,~iting
\
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'2 I.,ms Ofl
people
The crew never
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ihey don't
kM'o" \
Lazier type
ofpen:j)n
I
EHYIROHMEHT
PEOPLE
~
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Jeffe.'son County Publ ic Works 5/23
P"'le 2
Addi tional Concern
I j.lj th perml1nenl flaggers they ei ther go home or are part of the crelJ/.
When they aren' t needed
I t could be Q real waste
Possible Proble. state.enls
1 How to hire full lime flagmen
2 How to re la i n compe ten t p~op I e
3 HOIJJ to save managemen t time in re tro i n i n9 peop I e
4 How to get the money for full lime flagmen
5 How to gain confidence in the flogpeop'e
5 How to insure safety and confidence in safely of t.he flaggl?:rs
7 How to save time and be efficient
8 How to make a be tler f I agger
9 Hor.lJ to insure better training
10 How to get a consistent group of people to flag
11 How to have floggers f.ht recognize 0 situation and toke initiative
12 How to get (Iagg~s to be allowed to work more hours
13 How to find folll" Oennys
14 HOIJJ to have flagmen luMo kn()1tlJ the rOl.lntines
"ore da to
I Insurance is requiring flagging for more situations
2 F I aggers ore a ho I d IJp when 'doU con I t tack ahead 0 f them
3 We have one rea II y good f IllglM:n now: Denny
Do to needs
1 Find ou l who t makes a good flagmen
2 Co a "chicken test" Good vs Bod
IJhot.s the di fference?
Decisions
I Ear I w I II ask Oenny to our nex l mee li ng
2 Mark Uf i r r poke arol.lnd '.u i th t.he '.In i 00 to see IJJha t the cons tra i n t.s are and
why
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 B20 Jefferson Street
P.O. Box 1220
Port Townsend, WA 9B36B
(206) 3B5.9160
1
n
Gary A. Rowe, P.E., Director
Rober' G. Nesbitt. P.E., County Engineer
November 16, 1988
Byron Swigart
puget Sound Power and Light Co.
P.O. Bo~ 555
Port Townsend, WA 98368
Dear Byron,
Jefferson County Public Works requests and authorizes pugct Sound
Power and Light Company to replace the two e~isting Luminaires at
the intersection of Center Road and Eaglemount Road, and to
maintain the replacement fi~tures. Please continue billing this
department as in thc past.
Please contact me if you have any questions.
Sincerely,
-<J~ ~
Scott Kilmer
Planning Engincer
Xc: El02
100% Recycled Paper
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,JEFFERSON COUNTY
PLANNING AND BUILDING DEPARTl\IENT
P,O, lIu:\ ]:!:!O
I','l'! 'lil\\'II"I.tHI, \\',lsJlin,l:l"1l !I,,,,;]I;.',
I'lillltlillg (:::IHi) :IS,.).!II.JO
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.JEFFEIiSO~ ('111';>;'1')' ('OI'lfl'IIlH'SE
I);t\'id UlJldSlllith, l)in'I'll)1'
MEMlRANIltM
\:.;~. \',p" ~~'~~~
~.\:; ~~,'~:
TO:
Jefferson County Public Vobrks Department
David Goldsmith, Directorr;J;" ]I
( Ir;n
Novenber 07, 1988 ' /"
Juani ta Draper Subdiv.ision Variance Request
~ I ;'"1 \ I
" ..' ~
1388
FR<lo1:
DATE:
SUBJECT:
The Jefferson County Plarming Conmission took action on the above variance
request. They approved the request pending your physical inspection and
wri tten concurrence that the 30-foot easerrent will provide adequate access to
the upper lot. Please return the response sl ip below by November 30, 1988.
DG:ph
Enclosures
l
~
~
1. The access easEl1\ent be established for the eKclusive use the Draper
property.
2. The access to the higtway be shared by both properties; no new access
l'oOuld be allowed.
3. Wri tten concurrence of the variance request be received by:
a. The Fire District, concerning fire access to the property.
b. The Jefferson County Public Works Department, concerning !;hysical
access along the proposed easEl1\ent.
c. The Washington State Department of Transportation, concerning
mul tiple residences utilizing the access.
1
N
Draper propel'ty
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fllLLOW ST. VACATION
(SHERRIS, 1988)
1"lTH-
DRAWN
'--':
JE~FERSON COUNTY ROAD VACATION PETITION RE~ORT
Principal Petitioner: ft~(Ufl-vL 'f-J~~ ,)L~JII'.tj
/,fO tJ. ~J3oo..-t: ]);,/,f'€, / ,,,y\~fl/'o....
(J,I.., q f3& 5 ) ..f (}I'u
Business: 1No '1'1i J
Peti tion No.
Address:
Received: (p-2tJ-rl Phone: 1/i37-.-1(r1..(~
WPA Number:
Description: ;rrT",,'.c. tfl un," M'~d.. /,Il;/I
I ~.",..t ill j,.r.! 1/1 _,.j~ ,," " "I)
rf (JliJ:t nftnl It) 1,(J/.fT'-''h,t
.3n '" . '" m:I .&Nt fl'd Mt4, l' r;, UJt;
U II
Planning Commission Meeting
Newspaper Publication Dates:
() C' \0-0'
d'(J,j,) ^.
Date: OIA!?!. '3
5{-3 o.td K-j()
r - .)). ~ \Iex'
BCC Public Hearing Date and Time:
Posting Property Dates:
Principal Petitioner Verification:
By:
Assessor's Verification:
(date)
Notification Pate, Adjoinin~ Property Owners, A~encies:& -~l-gf
Agencies Notified: ((.,f../P/.,f../,-'..
P('ill)J/,-;\,,.-,
'S/)(', ,:L,).. .
f.t.n(Jl'tJ,q41~'_' :)I'~~.
PI/,,,,q;- fiJll',;,y (7JT 1" '.R,..,,,
P?'i'.e ( p~ ..,. :3r.~,t..," ~ +'""~',J
''''1)..1)
F.P!\P'<
flrd:!,", /}.)t!tt.L
Adjoining Property 9~ners Notified:
11'.1'1" . P,r,. 1/,,,,,
" I
/-:f?/..'..r"t(117(J,.sj'.....-, {;;!t/O/
1 . I / r ; I. .,_t ,1,'7'.. (/)I/ k..)
f-
Date for Return of Comments:
A/, ";.1 ?y
EKpense Report:
Newspaper Publication Fees:
22 '""
5'~
-JJd~~~
Filin~ Fee:
Public Works Fees:lsee attached)
Planning Dept. Fees:
Assessor's Dept. Fees:
Compensa tion:
Other: f",.h!~ (':?~:) p:),~~r;_".
I
TOTAL EXPEIISES:
.... ~1-5" 1.- 1)/)
.-'- '~T<J ,---
.' i
LESS DEPOSIT:
RE~UND:
/(JO~
AMOUNT DUE:
DATE FINAL AMOUNT PAID:
Date of Filing Final Resolution:
Final Resolutions to:
Assessor
BCC -
Planning==
Original Posting Notice to BCC____
~:l7i
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Jefferson County Department of Public Works
ROAD VACATION COST BREAKDOWN
VACATION PROJECT NUMBER RVO '1 '( 'I
PETITIONER NAME
ADDRESS
PHONE:
LABOR: ,
Kilmer: 10 hours @ $ I(j /hr.
Breskin: hours @ /hr.
Simon: '7.5 hours @ $ iff) /hr.
Addi tional :
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TOTAL:
Mailing Costs: ~ @ $lk-22',.;i:'
~ublication Costs:
TOTAL:
.::', --
Filing Fee:
TOTAL:
Xeroxes:
5)
,:-" c1 ~
TOTAL:
@ $ 0 . 10 each
Compensation
TOTAL:
Other:
TOTAL:
TOTAL:
j)x,..',
GRAND TOTAL:$
5.00
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,r~EC\E~V~;,rJi
SEP 6 1988
IEr;FEr~SO(\l COUNTY
~ ENGINEERS OFFICE'.
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CUSTOMER COpy
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COUNTY ROAD VACATION fEllllON
A PORTION OF WILLOW STREIT
IN PARADISE VIEW ESTATES
Nolica is' l18reby given thol 0
public hearing willbe held by the Jef.
ferson CO!Jnty Board of Commis-
sioners on Mondoy, August ,15 01
10:30 a.m. in their chambers 01 the
Counly 'Courthouse in' Port T own-
send, Washington, for the purpose of
laking testimony concerning the
vocalion of Willow Street lying adja.
cent to Lois 27 and 28 of Block OD"
and lol19 of Block liE" in the plol of
Paradise View Estates.
B.G. Brown, Chairman
Jefferson Counly
Board of Commissioners
L
667 8.10
Y::;tJ~ /O,;O,Oe....
Affidavi~f Publication
STATE OF WAS~t1NGTONI
COUNTY OF JEFFERSON)
FRANK W. GAR RED, being sworn, 10)'1 hll i$ In" publilhor 01
Ihe Port Townlond/Joffofsorl Counl)' luoder, 0 WQukly
newlpopllrwhkhhcllbllonoltob'ilhod,pvbli~hlldinthu Enulilh
languagll ond circulotlld continuously os 0 wllekly nowlpaper
intho town of Port Townlond, in laid County and StOlIl, undfor
gllllorol circulotion in laid county for moro than IiI( (0) month~
prior to tho doh:! of thlllillt publico lion of tho Notice herolo at.
toched, and that the said Port Tawnsend/Jelfoflan County
loadllfwalon tho 271h day of Juno 1941,opprovodolologol
newlpopllrbylheSupllriorCourtolluidJeflllfsonCounty,ond
thot onno!(ed is true copy I)f tho
County Hoad'vacation petition
a portion of Willow Street
in Paradise View Estates
01 itoppeored in therllgulorondentireiuuoolsoid poperihell
ond not in 0 supploment thereollaro period 01
t:~'?_--~_Conlecu!iveweeh,bllginnjn90ntho
3E..~____d'y ,'~"-\1~~t:_,_. 19--.!~
ondllndin9onthe_~~!j1yol_~~~_,
88
19___. end thot said newspaper was regularly dislributed
to its $ulmribers during 011 01 this period. Thot the lull omount
,
,I 5~_~_,_~Q._h" b"o p,'d 10 ',II. ",.1/,,, ,I 55,50 p"
COlumninchlor~inlerl;on. ~ .
", i/' I Vi. )
A.-5.-,'f;(" ,Ii, i....~/(...u:
--"---,._.__...,_....._.._.-.,-~--~-..._.
Subscribed ond l"'orn te bell'm m", thi~,!~thday 01
August 88
..-.._..._.______., 19.__..
~~,e~/J
'd' - No/n'y P~bli.: in ond ~or thll Stote or
Walhlllstlln,rlllidlll9Cl1 Hodlock
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August 30, 1988
Elizabeth and John Sherris
10021 Lakeshore Blvd. N.E.
Seattle, WA 98125
Re: Willow Street Vacation
Dear Mr. and Mrs. Sherris:
,'--'"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 9B368
1206) 385.9160
Gary A. Rowe, P,E.. Director
Rober' G. Nesbitt, P.E., County Engineer
We have received the final cost on the Willow Street vacation
petition. A breakdown is as follows:
Staff Time
Mailing Fees
Filing Fee
Publication
Copying Fees
Compensation
Deposit
$104.66
2.26
5.00
22.00
6.00
not apPlicable
138.91
- 100.00
38.91
The balance of $38.91 remains. When this fee is received by the
Jefferson County Public Works Department, the vacation petition
process lin this case terminating with a withdrawal) will be
completed.
Thank you for your attention in this matter.
SincerelYO
E.~. J~
E.D. Simon
Administrative Secretary
KC: PWA 02
RVO 778
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COUNTY ROAD VACATION PnITION
A PORTION Of WILLOW STREET
IN PARADISE VIEW !SIAIEl
Notice is hereby given thai a
public hearing will be held by the Jef-
ferson Counly Boord of Commis-
sioners on Mondoy, August 15 or
10:30 a.m. in their chambers ollhe
County Courthouse in Port Town';'
send, Washington, for Ihe purpose of
laking testimony concerning the
vocation of Willow Street lying adja-
cent to Lois 27 and 28 of Block 110"
and lol 19 of Block liE" in the pial of
Paradise View Estates.
B.G. Brown, Chairman
Jefferson County
Boord of Commissioners
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6678.10
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'f/tJ,-f /0.10, C!u
Affidavi. A Publication
STArE OF WASHINGTONI
COUNTY OF JEFFERSON)
FRANK W. GARREO, being sworn, says he il the pubthher 01
the Porr Townlend/Jefferson County Leader, 0 wee~ly
newspoper which hel beon IUlablilhed, publidled in the Englilh
language and circulated cantinuaudyal a wee~Jy ne~lpaper
in the town of Port Townlend,in laid County and State, and lor
general circulation in laid county lor more than li"'16l month
priarla lhedate of the fint publicalian 01 Ihe Notice hereto 01.
tached, and thaI the laid PorI TawnlendlJeffersan Caunly
leader Wal on Ihe 271hday of June 1941,opprayedala legaJ
newlpaper by the Superior Caurl of laid Jefferlon County, and
that annuedh true capy of the
County Road vacation petition
a portion of Willow Street
in Paradise View Estates
01 it appeared in lhe regular and entire inue of said paper itlelf
and not in a lupplement lhereaffara period 01
two
canleculiveweeks,beginninganlhe
3rd
doyalAugust
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andendingonthe~chsyaf August
19~,andthatlaidnewspaperwolr,gUlarlYdiltributed
laitlsubmibersduringalJaflhilperiod. ThatthefulJamaunl
afS~~holb"npaidjnfuU,0Ith~QleafS5.50per
,,',m";",h'''L:J~uJ,~tzL
Sub,cribed and l,,"arn 10 b,lrltn me thi, 10th day 01
August 8S
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POSTI:-':C NOTICE VEf(lFICA'rr(l~
XOT1CE m' Pl:B!,U; HEAIUXG
COU1;'!Y ROAD VACATION PETITION
,\ PORTION or WILLm, STREET
IN PARADISE VIElt E~'TATES
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Notice is hereby' !l,.lVUll tlwt a tJllblie Iw,Il'in,\'; ~~l L: be held bV ~he .JetTe!'8:);l Count:,:
BOIlr-d or Commi:~:.:;jonr.r;; on ,\lollday, AUI_~":jt IG ill. W:::U fLlll. jll UI(dJ' dmml)!~r:-; Ht. t.he
County COllrthouse in POt't Tm'm:wild, Wa~:;hillr;t()n, :-ot' till? IHlI'pU~':;8 or t;lkin1.~ tt~:,I:imollY
cOJl(.:el'njOf~ the vacaUnn or h'j Uo\'; ~;t;'ed lyinl'. adjacent. l.n Lot:.. ~~7 and 2U of Blnd\ "])"
and Lot 1.~) 01' Bloel, "E" III t1w plnL 01 hll'iH.lL..e Vie.... E:HilU!s.
I CEHTIF\' TII...\T TIlE t\DOVE XOTICI:: \~,'S POSTH) "t.: PHESClnnEIJ BY THE .JEFJI[mS()~ C(JC;~T\' }WAD
Vl\CATtOX OHDI:\,,,\:\CE.
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JOHN AND ELIZABETH SHERRIS
COUNTY ROAD VACATION PETITION
VACATION ~ETITION RVO 778
REQUEST
The request is to vocote unopened liillow Street being 30 feet wide b,' opproximoteiy
200 feet long lying adjacent to Lots 27 nnd 28 of Blocl< "0" of the pInt of Paradise View
Estates, os recorded on Pagas 7 and 8, Volume 4 of Plats, along with thnt portion of
unopened h'll low Street being 30 feet wide nnd approximately 100 feet lon~! lying adjacent to
Lot 19 in 810cl< "E" of Paradise VI ell.' Estates. The area is located 20 miles south of the
city limits of Port Townsend. h'nshington. In Section 22. Township 28~, Range 1 Enst, \'i.M.
The principal petitioner is requesting the rood vocation to oup,ment the size of theIr
lots.
FINDINGS
1. A petition for vocotion of 0 county rood Is mode pursuont to the Jefferson County Rood
Vacation Ordinnnce nnd Is subject to its requirements nnd criteria.
2. Notice of the proposed vacation was mude to npproprinte agencies nnd adjacent. property
owners. Rcsponse by agencies is shown under "AGENCY RESPONSES": response by property
owners under "TESTIMO~'Y".
3. Review of the proposed vocotion by the Jefferson County Plonning Commission Is
scheduled for August 3, 1988. Notice of the meeting was milde by mail to all
petitioners nnd abutting property owners.
4, A publlc heorlng wos scheduled by the Jefferson County Boord of Commi.sioners for
Monday, August 15, ID88,at 10:30 n.m. in their chnmbers at the county courthouse in
Port Townsend. Public notice of the heoring wos mnde by pUblishing legol notIces in
the August 3 nnd August 11, 1088, editions of the Port TOhl1send Lender nnd posting
the SUbject site with notices.
AGENCY RESPONSES
1.
The Jefferson County Public liorks Oeportment hns the follOWing comments on the
request: 1} Willow Street is on unopened 30 foot county right of h'ny. 2) There is
nn eXisting wnter Une running dOhl1 Willow Street, so a utility eaSement would be
required, 3) Future possibility of needing this right of way for traffic circulation
is slim. The county would need to purchose on additionol 30 foot right of woy to
ilccommodate n rand. 4) The vacation, if approved, would not lundlocl< ilny lots in the
pint. The ocreoge to the west of Willow Street ond the plot would hove Occess vin
West Boot Drive. liest Mople Street. Pine Street, etc. The Public liorks hos no
objection to the vacation.
4.
The .Jefferson County Assessor's Department stated that the il.Sscssed value of the
vncatioll request is $4320.00. Compensntion for the vncated area, determined at n rate
of 50% of the nsses.ed valuc of the property would equal 52.160,00.
The PocifIc Northwest Bell Telephone Compony hod no objection to the request.
Jefferson County Sheriff' s Office mode no response to the request,
5,
The Puget Sound Power ond Light Company stoted that they hnve no facllities within the
proposed vocation area, nnd therefore has no Objection to the request.
6,
The Emergency Services Council made no response to the request,
7.
Fire Protection District No.3 made no response to the request.
The Jefferson County Planning and BUilding Department hns no objection to the
\-'oention request, nnd made the additional comment that the area of the rond
vocotion is within the suburbon (residential) desig:mtion of the Jefferson
County Comprehensive Pion.
a.
Jefferson County P.U.D. #1 stated that they hove no objectIon to the request.
TESTIMONY
No testimony wns received concerning this vacation request.
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TESTIIIO~Y
~o te:itimony \';8.3 rccnivcd concerni.ng tld:; vacntiol1 rt::qlll.!:-;l.
PU\:\NT~G cm1~II~:;sr(J:\ I~Ecw.nfEXDA"l'.[O~i
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l\ ITIotJon I\'HS mnde anti ~~econded to dellY the reqllest. The petUoners indicnt.cd that t.hey
~-;i3hed to withdrm~ the peUtion.
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1'lJm,IC^TlO~ ~O'l'lCf:
PUBLISH 'J1~O 'ma':s: ~.51 aug. II
ll[l.l.: .Je('f'nnwll COllllty Pulll il; \\'01'[<:;;
1',0. tlo;{ .l:!20
POl't l'owl1scmd, \'IA !:lU:l()t\
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COLWfY ROAD V^CATJO~ PETITION
^ [,ORTro.~ OP N!l.I.m~ STREET
IN PARADISE vmw ESTATI;S
NotlGe i::; het'eby givlJll tlmt a Pllb] ic !If!(Ll'ing wi 1.1 be llold by th{~ .1cffer':3oll County Bonnl of
COlilmh1~~j(lnm'::> on ~lol1dllY, At1}~mj"t. 15 ilL 1O:3U n.m. .in the.h' r:llilrnbcr:~ at the COllnty CourthoU3(~
in Port Tm....n:H!I1fI, l'insi1illgtoll. for' t1w pUt'pO;;;) of t,ll...tlli,~ tmitimol1:,.' lXlllcrH'lling the Vi:lClltloll
of IV.iJlo\'J ~a,rC!C!t Jy.lne' ndjac:ollt 1"11 Lot:.; ~!'1llnd :!U oj' Blocl, un" and Lot. HJ of Hinde "E" :ill
UH~ pInt of Pm'w.li:w VIllW E:1Lat:I~:),
_...4:~~~h./_
B,C. llt'mm, Clmlrmf.lll
.1effnl'~lOll County nOiu'd of 1,;omm:I~:(.;,illjICi':'i
Jf"I,~ f:;"~./J Jo" ',-),:_?[I,
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The request is to vocate unopened Willow Street being 30 feet wide by approximately
200 feet long lying adjacent to Lots 27 and 28 of 810ck "D" of the plat of Paradise View
Estates, as recorded on Pages 7 and 8, Volume 4 of Plats, along with that portion of
unopened Willow Street being 30 feet wide and approximately 100 feet long lying adjacent to
Lot 19 in Block liE" of Paradise View Estates. The at'ea is located one half mile south of
the city limits of Port Townsend. Washington. in Section 22, Township 28N. Range 1 East,
W.M.
JOHN AND ELIZABETH SHERRIS
COUNTY ROAD VACATION PETITION
VACATION PETITION RVO 778
REQUEST
The principal petitioner is requesting the road vacation to augment the size of their
lots.
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JOHN AND ELIZABETH SHERRIS
COUNTY ROAD VACATION PETITION
VACATION ~ETITION RVO 778
ReceIVED
JUN 29 1988
ofJ':'~~
REQUEST
The request is to vacate unopened Willow Street being 30 feet wide by approximately
200 feet long lying adjacent to Lots 27 and 28 of Biock "0" of the plat of Paradise Vicw
Estates, as recorded on Pages 7 and 8, Volume 4 of Plats. along with that portion of
unopened Willow Street being 30 feet wide and npproximately 100 feet long lying adjacent to
Lot 19 in Block liE" of Paradise View Estates. The area is located one half mile south of
the city limits of Port Townsend, Washington, in Section 22. Township 28N, Range 1 East,
W.M.
The principal petitioner is requesting the road vacation to augment the size of their
lots.
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JEFFEHSON COUNTY
PLANNING AND BUILDING DEPARTl\mNT
P.O. H,L\ 1~:2()
1'(ll'l T\lWIl!';(~rlfJ, \\'<Is!lill)~tOII !JH:l(il..;
Planning (~O(;) :l~;j.nJ.\fJ
Building (:!flfi) :l."'ltt'!lI.IJ
,IEFFEllSO,"-; CO!JNTr l'lIUItTIIOlJSE
Dm'id (;oldslIlilh, [liJ'{TloJ'
MEMJRANDUM
TO:
Jefferson County Public Works Department
Rachel Nathanson, Senior Planner rJ
FROM:
SUBJECT:
Sherris Road Vacation
DATE:
July 19, 1988
The Jefferson County ~lanning and Building Department has the following
conunents regarding the Sherris Road Vacation Request for a portion of Willow
Street:
1. The area of the vacation is within the suburban designation of the
Jefferson County Comp"-ehensive Plan.
2. The department has no objection to the request.
RN:ph
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DATE
.,.J:efferson.. C"unty Dept
Publi C Works
.. County Courth"use
ATTN: Eileen
,RE.: ., Vacation Request RVO 778
, -!
DATE
~
July 8 ,J~ 88.
,Puget Sound Pow"r . Light , Company
has",nofaci)ities Wi.thin ,the ,propose
Y9.,ca.i:,iqn,.,a1;:!3a.,.. ,there.fore we have "no
objection to the Vacation.
BY LcJ~~~'J
WillieneHarris
SIGNED
SENDER: Keep PINK copy - send WHITE and yeLLOW copies.
RECEIVER: Keep YELLOW copy - relurn WHITE copy to Sender.
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OFFICE OF' THE
.IEFFEHSON COUNTY ASSESSOH
l'H BOX l:l:!u, CO(;lfl'l!()[::'i!':, 1'{1Il'l"I'OW~sE.'W, \\',\ mWiH
{:.!fJli):JS'I.!J]O[i
.JACK \\'ESTEUl\IAN JII, COUNTY ASSESSOlt
TO: EILEEN SIMON, DEPT. OF PUBLIC WORKS
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COUNT\' COLJIlTI!Ol]s!o: lHf)2
June 30, 1988
RE: ROAD VACATION REQUEST, ELIZABETH AND JOHN SHERRIS
After review of the road vacation request for a portion of Willow
Street in ~aradise View Estates, I uphold our value estimate of $2,160
($4,320 / 2). Furthermore, the vacation is acceptable as an
enlargement to the adjacent parcels.
Respectfully Submitted,
J e;'1=="!=' CI-1A,?"'~A!--l
Jeff Chapman
Assessment Operations Manager
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
p.o. 80x 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe, AE., Director
Robert G. Nesbitt, RE., County Engineer
MEMORANDUM
TO: Dept. of Public Works
FROM: County Engineer ~/t
DATE: June 30, 1988
SUBJECT: Sherris Vacation Request for Portions of Unopened
Willow St.
Comments on the above referenced petition are as follows:
1. Willow Street is an unopened 30 foot county right of
way.
2. There is an existing water line running down Willow
Street, so a utility easement would be required.
3. The future possibility of needing this right of way for
traffic circulation is slim; also, the County would
need to purchase an additicnal 30 feet of right of way
to accommodate a road.
4. This vacation, if approved, would not landlock any lots
in this plat. The acreage to the west of the plat
(west of Willow Street) would have access via West Boat
Drive, West Maple Street. Pine Street, etc.
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STATBOF WASlflNGTON,I. ,~.
Ctiinty d ;.:ffer!lf;l. I
TAX 'DEED ~H10152
No '016 ~
TIlES ~mEN1URE. malic lhlll ~d.1Y at
Frnnces F. HM.'len
at Wuhlngtoo, p.1ny 0{ the flrllt pJrt, .1nll
1)f1t'N"I-",..
A.D'~bctwl"'T1
,asTreJsurerd }l:lfer!JQ'\CLOulfY, 51.lle
John C. .:!!lei ~11;::lbath V. Sh~rr13
Nn..!!..'IJ/'lllcsl'l:l.lldpim:
wrnU~'if:"I, Thu, Ithcrl,'u, .n a public ule of tcal prqlcny hc!ld r.:n the 3l'd 'by c~
rt"l"i'!'l!'1AI' . A. D.~. put!~.nr to iI. real prCf.lt!tty t.uJudgm.t:nt l;'ll[urt.'IJ In
:~~~98~"\ 1n,~;,::,,~.J~:;;;::,::~, ",",'::" ",,~;;:,~ ,,~:~':~:~ ~ "" """ I"",,, ,,'
hldcam, John C. and Eli:::abeth V. Sherr!!>
WiT p.lrcNklJ In compll.1nce wIth the law. at the Su.~ at WUhlnillon, and In conllllenttoo cl the.urn r:l 5
$16:)0.00 ,thetollawlnlde.crtbedre'lpr~rty, IO'wlt: ,_
Lot 19, Block liE", Farodi.:;e View Estates, as per plat reCOrded in VolU:nc 4'or Plat.')
on page 8, records or Jerrerson County, i'CGETHER with un undivided 1/195 interest in
and to all tidclunds or the second class, sltuntcd in rront or, MJacent to and
abutting upon the plat or Faradize lJiew Estates, the ;.;hole or zaid t.idelands being
dE:3i!Dl<lted as beach area on the plat or $,1id Par'atJiDe Vicw Estates and dedicated rol"
use or all lot owners and thtdl", occupants.
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'62 n 10 f:i ~: ,9
andwtuld
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John C. mrl F.l ii'.:i"nH. '/ %'~"r""
l.lK have complied With the laws at the Stue of WUl':lng:OC'I necenlry to cnlltle t/;'-M
to adecG ""t; J.lld real property,
OOW, lllere1ore, blowye, thul, Prnnc"s p, f/,'!nsP.I1 , c.-:..mty Treasurer cluld
County d Jefferson, State of Washington, In coosldcratlon of the premlsel Jnd by vlrrue a the Stdtufes nl the
StltcolWuhlngton, In such cases provided, dOhcrc!lygrantlndconvcyunlO
,John C. and Eti:?:;}~",th 'I, ,r; nr..
~~,~~1=,fl~~~i ~~rl~i;~~';i~';:i :.al~~1 ;;1~~ ~:l~r.~<)~~~~~r;,t~~~~ dC8crlbed. S"bll\110 '''''.llnJ '1'<";11 U\nlm~nll .nd
ClvenundcrmyllandandscJlofoffleethls 20th JJyof rec(nber ^.D.~
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CalMy Trcasurer.
snTEOF WASlIL',GTON, I ss.
County r:.( JeffefSQ(1 I
Oot~I~~<I;IYOf~_^.O'~bcforeme,thetinderSlgncd_
InJn<Jfor'JiJC()<lIuyandStJ{e'PCf900JJJyappc.1f~'d_
r mnces F. l!ansf'!1 to mc pcrsooally kn'1oIIn and ~n(lWn to me .10 ~ the
Trcasurcr of Icffcrsoo C,'(mty, WJShln~loo, and lhe ~rson descnbed In Jnd who c,ccuu:d ih<; '!iJ'etiJilik iO!ntu"
ml'n{, .nJ ~" adn'1..lcdgCd {O mc th.u he ~I!:ne:l Jnd e,ecutcd Ihe same JS treasurcr uf SIIjd.~<;:t.ounlY.'''/\, hl!;t~i.~
Ilkl VnlwH.:Iry .let and d,~d, f('r the uses and purpo.~C8 and tn thecJpJclty t!;ereln mcnti~~,{;jn<J..'IJ'1 ~ 5ca~
Itfbcd Is the uHlelJI seJt of SJIJ rr"a~ufcr. , . ~ ~' / '",
IN W/Th'f:SS WHEREOF. I tuve hCrl'tlnto set my hand and aru~(ld Iny official seallh~ dJy'~,n~'Yl.~~'tn ~he
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Statutory Warranty Deed
'nlECR.\.'1TOR 'RCOtR f1RRON. wbo.. 1\.1_ aho 'ppuu of ncord II ROCZa CRAl'rt FKRRCM,
Ind HAHII wtmELla, tormed, HAHIlI: YRRRctf,' botb 'fngt. penon. on o.ClmbU 12. 1962 and
to~I~~tfn~:uJ:r~~&n~1t~/~~~~~~)1~J1:~'~ndothar good .cd '1duabh condderacf.OQ
llllwldpaJd,Convey.&lIdwarnntsto ILlZAIl&TH V. SHRAAIS, ... bu .ola Indll!lPlr.ta prop4l't)',
~i= aribtd rea! t3Ult, dtU4ttd l.n tbe CauDly 01 Jdtluon I Sl.&te 01
Lou 24 Ind 26.:; PIt.di.. View I.tae.., 1I1ock D, Iccordlng to plat ncordlld
in volUIM 4 of pInt, piS. 8, in Jdfu.oa Countl. WUhlngtoa.
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"fiERSON COUNIY
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St1BJlcr TO: luettent., rutr1etion. .nd runvltion. ot rlllcord.
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STATE OP WASHINGTON, l..
COUII!1 01 l1na ,
OIlthildaJ.~apptaredbc'Ofeme aocu. FUictf aDd w,m WimKL&ll,
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10 lDt ~.?q~:~'f.hC lndividu..ali de.1Cribcd in llld 1rbo aecuttd the wilMa &nd 'ol'f1'Oina Instrument, and
achlowf~,.~ :. ~,_ ' s1gntd the same Ul tt.1r' rl1ll and Y'OlWllUy act and deed, fOf tlw
llItSud~~t'f~C~ed.
GIVE>>,~dW fA' b.ap9' a.od oiftdaJ JUllhiJ.
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Oct., ~l1J' 19.?~'
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PETITION fOR VACATION OF A JEFFERSON COUNTY ROAD
Principal Petitioner: Elizabeth and John Sherris
Authorized Representative:
S~e as above
Mallin!! Address: 10021 Lakeshore Blvd. N.E.
Seattle, WA 98125
Telephone: Home: 524-3189
Business:
IOStruotiOO8 :
1. The principal petitioner sholl contact the Jefferson County Public Works
Deportment for legal description of right-of-way to be vacated. A fee of twenty-
five dollars ($25.00) sholl accompany the request.
2. The principal petitioner sholl submit to the Jefferson County Public Works
Deportment a complete petition, accompanied by 0 bond in the penal sum of one
hundred dollars ($100.00) to cover county processing expenses. Checks or money
order sholl be mode payable to the Jefferson County Public Works Department.
3. The principal petitioner sholl include with the petition a map suitable for
reproduction that is no larger than 8!oi by 11 Inches showing to a reasonable
scale: (a) the county road, or portion thereof, to be vacated; (b) the property
location and names of all petitioners; (c) the property location and names of
all adjacent property owners who did not Sign the petition. with an attached list
of their addresses: and (d) the nearest constructed county road to the proposed
vocation. (This information may be found in the Jefferson County Public Works
Department, the" Jefferson County Assesso"'s Office, andlor a local title
company. )
Reouest
TO: The Board of County Commisdoners of .Jefferson CQunt~l. Washington:
We. the undersigned, being ten freeholders reSiding in Jefferson County, do
hereby respectfuliy petition the Jefferson County Board of Conunissioners fo,'
vacation of the followiag described road in Jefferson County (inclUde in the
description the length and width of right of way to be vacated):
That portion of unopened Willow Street being 30 feet wide by npproximately 200
feet long lying ndjacent to Lots 27 and 28 of Block "0" of the plat of Paradise
View Estntes, as recorded on pnges 7 and 8, Volume 4 of PInts. Records of
Jefferson County, State of WashIngton along with that portion of unopened ~lJllow
Street being 30 feet wide and approximnteIy 100 feet long lying adjncent to Lot
19 in Block "8" of said plat.
State the reason for requesting the vacation:
c,-r'"p/wtL.I'rk,O 1 0CIL(J ~-QJ)iW'/.)~.Q.D( U'~
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PETITIONERS
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1l1IIl: Each petitioner must own property in Jefferson County. Husband and wife may
each sign the petition.
NAME
(MJm & orint below)
(pr~jlIl1 petitiooer)
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MAILING ADDRESS
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The principal petitioner hereby aCknowiedges that: (a) Jefferson County shall
require compensation by the principal petitioner(s) for granting approvai of tlte
petition. pursuant to R.C.W. 36,87.120 and Section 6 of the Jefferson County Road
Vocation Ordinance. COMPENSATION FOR ALL VACATED RIGHT-OF-WAY SHALL BE DETERMINED
AT A RATE OF FIFTY PERCENT (50%) OF THE ASSESSED VALUE OF THE VACATED PROPEm'Y; (b)
Jefferson County may retain an easement within the SUbject vacated area for the
construction, repair. and maintenance of ,public utHities and st:rvices, pursuant to
H.C.W. 36.87.140 and Section 5 of the Jefferson County Road Vacation Ordinance;
andlor (c) Jefferson County may retain an easement within the SUbject vacated area
for trail or pathway pW'poses, pW'suant to Section 5 of the Jefferson County Road
Vacation Ordinance.
The principal petitioner further acknowledges that eh or she shall compensate tlte
county for any additional expenses incurred in the processing of said petition,
which may exceed the one hundred dollar ($100.00) bond. Checks or money orders for
~id. bond sholl be I1lade payable to the Jefferson County ColWltissioners Revoiving
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SignatUre of Principal Petitioner 'j Date
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ROAD VACATION PE., _TION NO.
NAME:
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Adjoining Property Owners and ~etitioners:
Plat Name, Block I< Lot, or Tal< No. J,.i- 0, 'H//l-,j< e p)/,O//'/:J" )(~,)
Parcel NO.
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Name: -1}'(f)Jrj /::> (~!Ji'7Jlf/,() lrr..'/I <.1~/), ,'J./ r-~
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Address: ~I,) h/l"'" (I/o,,,.
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Plat Name, Block I< Lot, or Tal< NO./-, la.l'?V,~, "..,,,1 j .~]:;',:J:?;" fkk /)
(b/r':J.d.,:,I,e 7.!2N.-i)
Parcel 1;0.
Name: ___11' J,"'v ::1-'1':"4.
P.l;~ ,;/';:'./!L, J.) :;/-/,).4..
:0
Address:
Plat Name, Block I< Lot, or Tax No. / ,Iro, If ,-:'.}, /?,F
Parcel NO. ,,/;?-io,Y)52D
) I) 'J' ' .
Name: l, :)!I.,v ()/;or/ fht,...,;t '/)1"./.:1-_
Address: hJ, iJ,.'/ 5;j )()(o/ dE- 31& '!.6
(h,/"p"" -oJ~ VUt;IIA'!./.:u.Ar "llr022-
Plat Name, Block I< Lot, or Tax No. 1].;)' " ,:
/=J /~ /i
Parcel NO. :'7 r'/-{),lO - 515 +
Name: (;iu/(I/d.. /y.u(Jt"-"
jc- 11/ , ./
Address: .J / fA) , (')I}-{l;?
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Plat Name, Block I< Lot, or Tax No. flyp /' /. II)
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~arcel NO.
Name: ('At7,!"<,, II. UUi'l;,p". ,I
Address: 1/'111) '-;::: ;5','0:'
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ROAD VACATION ~E__TION NO.
NAME:
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Adjoining ~roperty Owners and Petitioners:
Plat Name, Block 6'< Lot, or Tal< No. 1/'11, "'0 (/ ,'", ,
1r)/ ~'2)1/)J ~:'
Parcel NO.
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Address: If:!),,, -"" ('/'/'
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Name:
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Plat Name, Block 6'< Lot, or Tal< No.
Parcel NO.
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1/111' ,J};:.y,:"! -:/ ,,',1./ ,1./
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Name:
;:f." ,
Address: // . /
:C;r /C? U)) '77321
Plat Name, Block 6'< Lot, or Tax No.
Parcel NO.
Name:
Address:
Plat Name, Block 6'< Lot, or Tal< No.
Parcel NO.
Name:
Address:
Plat Name, Block 6'< Lot, or Tax No.
Parcel NO.
Name:
Address:
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AREA
PAI.:ADISE VIEW ESTATES
TYPE OF WORK
BREAKDOWN OF WORK ITEMS:
SUBMJ TTED J Iblt.-e. J.o
BY:..:G.~~
ROllTE TO:
o ASS IST/lNT DIRECTOR
o ROAD SUPERINTENDENT
[J CONSTRUCTION ENGfNEER
L
.........
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PROJECT/WORK AUTHORIZATION
INlTTAL
COST CSTlMIITE:
---------
TOTAL:
198L
APPROVED:
AREA CODE:
PROJECT NAME SHERRIS RD. VACATION: UNOPENED \o!fLLO,J s,J'ROclECT NO{1\ v'J 000718
SI/S
BY:
DIRECTOR OF PUBLTC \vORKS
~CCOUNTlNG
o
D
BOARD OF COUNTY
CQ\iMISSIONERS
198_
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January 28, 1988
Elizabeth Sherris
10021 Lakeshore Blvd. N.E.
Seattle, WA 98125
Dear Ms. Sherris:
,,-,
JEFFERS~N COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelferson Street
RQ, Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe, PE.t Dileetor
Robert G. Nesbitt, PE.. County Engineer
Enclosed you will find your petition for vacating a portion of a
county road. Please read carefully, state your reason for
requesting the vacation, acquire the signatures of ten Jefferson
County property owners, and return to this office with the
$100.00 advertising fee.
If you have further questions, please contact this office.
Sincerely,
6,j. ~ecv
E.D. Simon
Secretary
Encl.
PWA 02
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]anuilrV 19th 1980
E.flSlmon
Public \\7orl;~ Dept
Jcrrer~on County p,o,nox 1220
Pon Townsend, WA 98368
Dear Sir
,.--.
10021 Lal;e,]](Ire 111\'d :\,E.
Seattle, W.,\. 98125
!n reply to Your leiteI' of December 7th 1987, an~\'.'el"1ng my que~tions
about a road vacation in Para<.!i,e View E~tatc~, Jefferson County, Illerelw
reque~t that a petition is prepared for me so that J Illa)' obtain tile nece~sar\'
~ignatures and ~tal't the vaction process,
I enclose a checl: for $25,00 which! under~tand i~ tile required fee,
~Iso encjo~e copies of the relevant correspondence,
cSincer,elY
"(i, '(. ", I,"l (, (: /;(,'
'(~)' ".
Elizalletl1 V Slle'Tis
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December 7, 1987
Elizabeth Sherris
10021 Lakeshore Blvd. N.E.
Seattle, WA. 98125
Dear Ms. Sherris:
JEFFERLN COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, Box 1220
Pori Townsend. WA 98368
(206) 385,9160
Gary A. Rowe, RE., Director
Raben G, Nesbitt. PE., County Engineer
In response to your letter of November 18, 1987, I believe that
what you are interested in is a road vacation. There are a
number of steps involved in vacating a road or street, the first
of which you have accomplished by writing to us to state your
interest. We will now prepare a petition for you. The petition
fee is $25.00 and should be remitted to this department as soon
as possible. The petition will be sent. to you so that you may
obtain the signatures of ten Jefferson County property owners. A
$100.00 advertising fee must accompany the petition when it is
returned to us. We will then arrange for the petition to go
before the Planning Commission and the Jefferson County Board of
County Commissioners. If your request for vacation is approved,
you will be required to pay one-half the assessed value of the
vacated property plus any additional el<penses incurred in
processing your request.
If you have any questions on this procedure, please feel free to
contact this department.
Sincerely,
6J.~
E.D. Simon
Secretary
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1 0021 LaKesllOre EHvd N,E,
Seattle. W.A. 08125
November 18th,1987
Public WorKs Depl
Jefferson County, P.O, Box 122(1
Port towllsend
Washington 08368
Dear Sir or Madam
I understand that there is a possibilility that some vacation of the
proposed Willow Street in Paradise View Estates. 111' Port Ludlow could take
place,
[ further understand that we can petitiollto buy 30 feet widths of the
proposed street that now adjoin our properties. We own the following
adjoining properties:
Paradies View Estates. Block E. Lot 10
Paradise View Estates, Block D Lots 27 and 28,
I know that one other adjacent property owner is also interested,
Please let me Know if this is at all possible, and if so, send me the
appropriate information and/or documents to initiate the procedure
Thank you for your help,
Your~. LU"IY
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Elizabeth V Sherris
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
N~
\820Jet1ersonSlrcel
P,O, Box 1220
PorI Townsend, WA98368
(206)385-9160
;ld/l':'r~1(1n County Public VIol":!! Dopt
Del<
District No.
PERMIT
In accordance with all applicnblc Revised Codes of Washington and amendments thereto, and subject to all the terms, condi.
tions and provisions written or printed below or 011 any part of this form
PERMISSION IS HEREllY GRANTED TO U. S. \^lest Communica bon
2720 Oakridge Dr., Port Angeles, WA 98362
to Install buried service line from Masonic Hall Rd. along Ness' Corner
Rd. to address 1041, including road push under Masonic Hall Road.
Job # 88-325
Counly Road No, 633009
Franchise No.
1.00 to 1.04
Milepost
No work shall be done under this permit 1I1ltil1hc party or panics to whom it is granted shall have communicated with and
received instructions from
This permit shall be void unless the work herein contemplated shall have been completed before Sept. 28
Daled at September 28 . 19 88
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By ./J~ ~
1.800.424.5555
0879
,19 89
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GENEllAL 1'llOVISIONS ,\I'I'L1CAIILE TO ALL I'EIlMITS
This permit is suhject to nil applicahle provi~itlns or the I{c\'iscd C'txlc1.of Wnshinl\llln, except th.1( any prllVi~hlll illlhi".lgrccrnclIlllllll;onshICtll with
stich resolutioll shall be controlling.
^ hond in the amount of $
is requited for the prn(Cctillll of the cmltllY us ~cl rorth ill the term, of the hum!.
During the progress of the wur~ such h.miers shall he erected llllll maintained as may he necessary or as may be directed for the protection of the
traveling puhlic; the hmricrs shall he properly lighted al nillhl.
In aCCcllting this permit the petitioner. his successors IIml assigns. agrees to prolect Jdfcrsllll ('oullty and save illwrmbs rrom ,Ill daims, actions ;lIld
damages of every kind amI description which Illay accrue to or he suffered hy any person or per~(lllS, corporation or property hy reilStHl of lhe pcrfor-
lI1LlnCe of any such work, character of rmHerials used or milliner of il\stu\!atiun, mailltellilllce ami Ilperation or hy the improper {K.:cupancy of righl of
way or ImbUe place or 11uhlie structurc, aml in easc ;IllY suit or action is bTllught againsl said kfferson County for danlllge~ <Lfi~ing out of or by reason of
nny of the ilhove ~'U\ISCS, thc petitioner, his successors or assigm, will upon notice 10 him or thcm of eummencement of such action, dcfcllLlthe same at
his or their own sole cost ilnd expense Hnd will satisfy imy judgment after thc said suit or action shull hn\'c finally hcen detcrmined if mlvcrse to the Jef.
ferson County.
Except ilS herein uuthori/ed, no exc;wation shall be made or llh~tacle placed within thc limits of il COllnty road ill such a lIlanner us to illlerl'cre wilh
the tmvel over \ilid road,
E.\ccpt as herein aUlhorized, flll excnvatinn shall he made or oh~lllcle placed within rour (41 I"eet Ill" lhe cd!,!e of lhe l';lVel1lell\'
Ir the work June under this permit intcrrerc~ in :my way with the drilinage of thc CllIlnly road, the grilnlCe shall wholly :LillI at his OWl! expcll~e mil~e
sllch provision as the engineer may direct to take C;lre of saklllwillil!,!C.
On completion ()f said work herein eOlllemplated ;Ill rubhish ;lml {\ehri~ shall he immedialely rellloved ami the rumlway and roadside stmll he left neat
and presentahle :l11U satisfactory to the engineer.
All of the work herein cOlltemplatcd shall be \lone tlllller the sllllcrvhion il11d to the satisfaction of the CmullY Engilleer antllhe en lire expensc or suill
supervision shall be borne by the party (\f parties In whom this permit is issued,
The Dcpartment of Puhlic Wor~s hercby re~crvcs th.: rig/It WOHler IhcdwllgC of Illratjl)J\ or the relllO\'al (If ;my ~truclure or s\T\l(;tures authori/.ed by
this permit lit :IllY time, said challge or rel1l(WallO he made at the ~(lle expensc ()f the party or parties to whom this permil is i~,ued, or their succe!;sllrS
a1ll111ssigns.
All such changes, reconstrllctiun or relocation hy the grilntces shall he lInnc in such nlilllller as will cuuse the lea,t interference with :my 01" the Coun.
ty work and the County of Jefferson shall inllo wise be held liablc for :IIlY damage \(J thc gmmce hy reason of illlY slleh work by the Cmll1ty 01" Jeffer-
son, it ilgellls or representatives, or by the exercise of any rights by the ClI\1l11Y Ul'tlll roads, streels. public places tlr structures in queslioll.
This permit or privilege shall not he deemed or held to he an cxclusi\'c Olle Hlltl shall not prohihil the County from granting other permits or franchise
righl~ uf like or other lliIturC 10 olher J1uhlic or privatc llti1itie~, nor shall it pre\'Cfllthc County fromusillg any of its roalls, streelS, (If puhlic placcs, or af.
fect its right to full supervision and COlltrol over all or any purt of them, l1\lllC of which i... herehy sllrrendered.
The Department of Public Works milY rcvoke, amend or eallcclthis permit or any of the provisions tllCrcof at allY time by giving wrinen notice 10 the
permiuce, The permittee Shilll imllledialcl~' relllove nil facilities from the rightllf WilY. An~' fncililics rCllwining upun the rightllf \\'ay 30 da~'s ilfter wril'
lcn notice of c;l11cellatinn shallllc removed h~' the ('ounty at the e.\l1Cllse of the pcrmittee.
The party or parties to whom this l1Crl1lit is bsued shalll1111intaill at his or their ,ole expcnse thc strllcture or object for which this permit j, grulItcd ill
u cOllllilinn slltisfnclOry wthe Department of Puhlic Work!'i.
SPECI/\\. PROVISIONS:
1. Conduit for road push shall be a minimum of 30" below existing
shoulder.
2. Cable along Ness" Corner Rd. shall be a minimum of 30" belol< el<istinq
ground clrade.
: . ~ ..;
In uccepting this rcrrnitthc grantee, his !'iuccessors ami assigns, agree thilt any damilge or injury dOlle to thc property of thc grantee or allY cxpensc
incurred hy hill1thwugh thc operatiollof u COlltrnctor, working for the County or any COUlllY employcc ~hnll be iLt the sole expense of the gr;mtee, his
sllccessorS and a~siglls.
,the undersigned, herehyaeceptsthisperrnitsuhject 10 the tcrm!i
ilml conditiolls a~ herein set forth.
cJ&I,
,," 'i?8
Datellthi!i
J day of
(jd
",."",,,,,/(
/1#
~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
I:cc Puiu_ Yc~ _ No
I(ccCI111 Nn.
1820Jot1ersonSlreer
P,O. Box 1220
PorI Townsend, WA9B366
(206)385-9160
,\duress RcqucM _ Yc~ _ No
.\liIcl'ost__
APPLICATION FOIIPEIlMIT
To Department of Public Works,
Jefferson County, Washington,
The ulldersiglled it S W",<f- ~)
hereby app/~ Jor pel/llissioll /() pj;,,: A.-:d 5'enhc,<" tv/r"'-- "~"4' ft/:.ssc-:; C"n.....
I . 1.'IIIl'linl'llllll/d"I<'/lI"IUIlYllllllllw..MI"""d;/I
of"" ,,(1 a"c;! J14st tt,,,,t.r /("-50"lc ;t,t 1",/ ;S 1~,,,,,'h',1.
SKETCH:
RECEIVEr)
{<;c-c- ?r. Add)
SEP 2 1 1988
JEFFERSON COUNTY
ENGINEERS OFFICE
011 Coullty Road:
hssC'" c;,or",,.. /rY'
hef\\'een
,Sl/lffl"m"I/r",'\ I/fo',./Ilf ",d"fI"lIIl1
alld agree_ to do the work ill accordal/ce with your rules and reKulariofls and subject to YOllr inspectio/l and approl'a/.
Dare --2.-- C& . 19~
_?~'tf- _ ' J!~~..
/ ~ ISI~llallllC or APl'lk;Ulll ((lInlraC!1l1l
(If applicant is il copartnership, set forlh nal11es nrcnparlllCfs)
-1-~~a,j~k/"_"'-,4L,
,'!I,Ire" 77' ,',hire"
-'/;----";y_d,;,_M.f~y2.
Phone No._ffZ- C)8"7/.' Phone No.
100% Recycled Paper
~
Jerrcrsoll Cu.
DEPARTMENT 01' PUIlLIC WORKS
Pelm;, No, CJg 79
District No.
i
Supervisor's nellUrt No.
SuperFisor will make derailed report I\'ith his recommendation on this application Whenel'er po,lisible show sketch oJpropo.\ed
~vork. Supervisor will also make additional reports allll }ll1al report givillg date oJ completion oJ work 0/1 this form.
Jlreliminar)' I{elwrl:
/l!e~s' c.a/~Nei2 g,D.
P....stl- fflvtso~;<-
,",0 ~~\--c.tl'e..s
/l1l' ;,00 f-" I.of
;,L-'f-'-L P-C>. ,j-, ,AI e.ss
~ N f-h,~ II-R..etl,
aN ,No ,<:r-/-l S; /) e .
coR.",o.R. 1<.'0. (260' ~ d ,v"'''' )
::i"fJ5rtrt-1.-- ''',",.";",''1,,,,,, or=: 30" Be..Lo"'-' e,'i'-~s.,...I...;) JRrl-DE.
9 - 2- 7 - Be
lint.:
Filial Repurt:
1'E1IMIT INSI'ECTION REI'ORT
,~ Work covered h)' permil has heen completed
satisfactorily.
_ Work is not completed.
_ Recommend permit he cancelled.
_ TraHic cOlllrol- adelluate_
-illllllel(IIlIIC_
REMARKS ::T2>J3 po,.,)E:.
6,l<. /-I.
().llc:
/\ LA.:rj--~
SiJ,tllcd:
~~ ;6~
?'<-CIJ"'''''-M-S
Signed:
/{J -20-88
~
. Ci V. I g. 8..~ _. .0 9 : 2 SI A Ivf
tPorl Townsend Garage POI
I
@ Peel".: Northweet eell
WORK LOCATION
Addross _~.. ,..~L
City Co nty d....ct:f.. r.o... Slalo Ail.
Name . :~r,&~t'(-L,...._,._
ORIGINA tEO BY ;})._t!:~u../-.___ Dale .J..:iJ::1t'
New GB--s/O No,&!P2Jf.t?J'.r... Due Dale ,'J.~P:J'tf
Rspa', 0 Tel. No. M"..f.:./hL Temporl'ed&t"
Rearrange OSIONo. .. Due Dale __'....
Typ. of Sarvice / /- tr
eBl P.lr
Burled Service Wire.
Work Order
"090 Ie. an
No, gfj'-SE
Complote by _____
CONTRACTOR'S ACCEPTANCE
Firm .._______
Slgneluro'___________ __
fllIe Dele__
Un', Prio. 0 COlt Plu, 0 Fl., Sum 0 S~__
8ill,o: PACIFIC NORTHWEST BELL
Altentlon
Addrass ________'_'____,___________
C'ly ____________,__,_____,___ ZIP __'___.
APPROVAL For Flat S\JI'\~/COJl PJlJI $
Recommended.. Dele__
App'Oyed by _,__,_,____ Dale_
PERMIT REQUIRED 0 Yes 0 No
Rece,.ed from ._._ Verbel 0
JUflsdiclion _____ No, _____,_ Dole __.
'~~r"~ ~";r' ~.
-{R. C .1T ~~--~' .i'lOS'
l ., '~-'~~a'
_'_'___..,..._'___'_'...,___'.__ $ /0'11 ________________ ,,'
tlCh' "lli~ ",~.t,:dl t'\;.o'; lIul 1'1-' W1 ;lI'r:\I'rll~ .to'IH"::~~nl'llf('n In llll d.:lll,ill$ It rWf1",ln~, lht COr1!1a~lor'!i f,"spI:mS:blllly 10 propl-I'I'IIOCr.l~ WO!I-: ir'llllt! 'i'lh1
ORIGINAL COPY
5375
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TYPtI 01 SOr\llco_~.,------_.-
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1~.ft!!::'...1J"t-r IN J'MfA. \-..-t------\
hl~~iC,___,S_"I.tU~r.> ". ~, ," '.T--'---i
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fi ..f.&.QG'fI""'!'-~l!le J~-d,_____J..._,.--J '
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\ ~ O..!(~ ' _,--:?-~"'J." .1'O.~~"-"
i ,S~"1.l 0 ~l/' / ((,.~",'--1 '
: $1().i1fN'- / >. ~ fOl<:~~_
\ . '/ /~," - -..--;-
'/~,(~.t~f_'~. _ .. __~-=-..;:-- _
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0"" ,----,--- --;---,.------: ......" -;'\ . ~
: ,r.Y". " ..I)....
" . j,~. :)'>"'1
@ P8clflc Northw&Qt Bell
WORK LOCATION
AddresS
CIty Pc"T~~.L-CountJ' LtI;'P"';-~ H',\) Stata~
Name wO. 1 ,,'/I. ~:h."lEt.>._-,-,---_..----_"-
081GINATED I}'t' ~~ 8$'l<<,,-1L_ Dale "'/1:''1
N~w [0' SID No, .______'. Due Dn!a__
Repair 0 Tel. No. _--- Tempor',ed B
RearranQ" OSlO No, _.__..._,..___ Due D.le ---
Burled Service Wire.
Work Order
Plle!lO le,AIl
No g3.~\1?-
Complete by ___-
CONTRACTOR'S ACCEPTANCe
Firm___
$Ign,ture
Title_
Unit Pric. [] Cnsl P'us 0
-----~-
Dale_
f"'ISum 0 $---
Bill 10: PACIFIC NORTHWEST BELL
Attention -~---
Address ___
City
Zlp___
AOPAOVAL rOf Flal Sum/Cost Plus $ -------
l1eco!":lnlendod __~____.._.___._ [)ate__
,~pploved by ..-.--..' Oute_
PERMIT REOUIRED 0 Yes 0 No
Racel1Jed from ____.____.___.._~_ Verbal 0
M'sdiclion ______ No, __._ Dete ---
COMPLETED BY
Call_"...
_Dal"__
..._______ for Service connectIon
1------....--
\
I!,dl~ale ,Nor)h
+
~
~
.r COUNT'! ROAD NO 527 /t'~
:j STATE LOG NO.
I ~lILE POST TO
l OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTNENT OF PUBLIC \'/ORKS
Jefferson County Courthouse
Port TOI.msend, \/A 98368
PERMIT NO. R'I, <I, 30 --I
FRANCH I SE NO.
FEE PAID _Yes ~lO
OFFICE USE ONLY
\
I
I
~
APPLICATION FOR INSTALLATION OF UTILITIES
:::>-" I In'
Name and Address of Applicant: r'/. (! I 1/ (..<-J('( 0'1' ('/.IT,
...'....-I./() t.~)('11t"'/1 .'~r '
)7'01' ," '77, '0 .7S "'Ilrl ,t..Oo C) q, 'l (, Q
Application is hereby made for a permit to construct, operate and maintain 01 /'" ,,'
PV(Y l-LJ ('(i e j"' Y/1(;/d 'r/! ....0:..' e./' J/fX!.c!... () 1'1,,", S'PI (/<.' /'://1C J_? /'LJ/C'f1/'l'"
77-. /'4'" f'>< iC/r>/oo'" "d i?/n ,u'/' ,<:;:'/: ;,I /'/<1"'/0(>,1(,
The utility installation is located (attach map or drawing) CJoei/ (' {I '/ old
. /
Q/lIWIUlt?"./ ,- J-/cl,d, 10(./0( /7nC/(:L <1,-1,.1 ('/"'~:<" Tel R/f:>!IC" :;;'i--:;
Appl icant agrees to perform the work in strict compliance with the terms and conditions
set out herein, and states that Appl icant has read and will adl1ere to the general provi-
sions set out on the reverse side of this form and any special provisions attached hereto.
Appl i~ant Signature: Q"',-v>1-e, r:~ ;:~a..l'.
,/ ,/
Date: <t/Z?/?7
,
/ //J //J///J/J/J
~)!~dHnWl~fii1 PER M I T
Subject to the following terms and conditions, PERmSSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above.
This permit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
Date:
PERMIT INSPECTION REPORT
UTILITY DAMAGE IS COSTLY.
/Work covered by permit has been completed satisfactorily.
Work is not completed.
_ Recommend permit be cancelled.
Traffic contrOl_adequate; _inadequate.
REMARKS: c.6~'-';-Y All-I> 1-0 [~D /?Q'5..."FA<r: ;COA-D
INSPECTED BY:~r---'t;t- K" . ___ Date: 10 -20-89
CALL 48 HOURS
BEFORE YOU DIG
1-800-562 -6478
~
~
(
Gt!l1tlral Prtlvhlon~ pcI' Jefferson County Or<llj,.,,~ll 2-81 ,loll Wf,C 136-40,
1. All work donllundcr Hid frdnclllsc shall be ~ont! in a thorOlla~1 and wor~manlike manllcr. In the 1<111111) of undl.'r!lro'lIId IIlpclllll:~ dnd c<l"'Jlc\ an": the
,onnrllctlon of Dlh!,!r fatlllties <lnd the oplmln!) of trenches, the tunneltn~ \Jnel:r county roads, rightS-Of'wll)' or Collier CI.I,..,I.)' !,ro:>llrt\~s. VH? ~Ir<l!ltlll.!
shJlI leJvl! Su~h trenchllS, ditch!!!> and tunnels In such a way H to Intel'fel'll <\5 llttlu as posslblu ,dth pUlJllc trd~t!1 and ',11;111 t.l~t! 411 dUl! <I'll!
necessary precduttons to guard th'l 5Jrre so that dJ~Ol<Jl! or injury shall not occur or arise by redson of s!,Icl1 wor~; MIlj wnl:rl! any of SIJCt) trcncN:S,
ditches Dr t'Jnnels are left opcn at night, tnl! ljrantcc shall pl'lce "JI'ntng llaht~ ,11111 barrlc<\lJ(!~ ~t ~'Jch 4 IIO~IUf}n d~ to CJhe d~l:C]~d~e ".Hn!I\'l of
such wor..... The grdntee shall be 1 IJbl!! for any injury to pl:rsor\ or p!!rsons or dama')!: to pl'opl'rty ~u'.ta!nNI throu')h lt~ cdrl'hsslllJSS or fll:'Jlect, or
through any fallur!! or neglect to propl!rly guard or' give ;/,lrnlng of ,lny trenclll!~, dl tche~ or tunnels I!ug or m,llnt~int;d by tIll! ljrdfl'.ee.
2. The grantee, Its succeSSors or nsi9n~, shall COIT1~enCe con~tructton lln~cr such permit ljranted b~ the County Enqlneer IOlthtn tbc ttITe period H4ted
in such pl!nnit 4nd Sh311 hJve completed Jnd havc In operation su~h portion of U,C sy~tem of ilfiprOVC"'cnts as ll\JY be specified In such pennlt or the
rights theretn conferred upon the grantee shall ccase ill\d tolrnl;nHe In~ofar as unoccllpted stn:l!ts, road.., etc" l\re c~rlcerned.
,
J. The grantee shall leave all strects, avenues, alleys, rOJd~, htqhwJYS, rights-of-wJ~ and othl!r co~nty propertle~, after laying and Installing
mains anJ doing construction IOork. making repairs to eC]utpl~ent. etc.. in as good and ~<lfe condition In dll re~peclS as th~l IOcre t.efore the ccmn~nce-
~ent of such work by the grantee, Its illJents or contr~ctors, dl\d all recor~ed monuments I<<hlch h~vc been disturbed or dlslll~ced by thl;! "lor'" shall bll
reset to the 5Pi!clflcat Ions and appro~al of the County Engtneer.
4. In case of any da",.age to said streets. avenueS, alleys, roads, hi~h,..als, rlghts-of-WdY or other county propertIes, or to pa~ed or surfdced road~
IOays, tum~outs, gutters, ditches, wood or concrete wal....s. drdln pipes, hand or embankment rdlls, bridges, trestles, IOharves, landings or mon\lr'1ents
by the grantt!e, the said grantee agrees to repair such d~mdge at the edrlle~t time possible at Its own cost and expense.
S. When the County Engineer determines that an emergency situation does exist. he may order dnd have conI!' any and all \'lOr\: considered necessary to
re~tore to a Sdfe condition any such street. avenue. alley, road, highway. right-of-way or other county property left by the grantee or Jgents 1n d
condition dangerouS to life or property. He may cause to be replaced or re~l!t recorded mnnument~ If d grdntee falls to rcplace or reset sall'e within
a reJsonable time after completion of construction. The grilntee. upon cl>rnand, shall pay to the county all co~ts of such con~truction or repa t I' and
of c!olng such 1001'''''.
6. All constructIon or Installation of mains, valves. ptpes, poles. cables, lines fitting dnl.! facilities. ser~lce, repair, or rll'ocatlon of thc
same, perfonr.ed along. o~er and/or uncer the county roads, rights-of-way or other county properties su'.iJect to sdid franchise shall be done in such
a manner as not to tnterf\!re with the construction. operation and mainttlnance of other utilities, pulJ1ic or prlvale, drains, drainage ditches and
structures located therein. nor with the gracing or improvement of such CO:Jnty roads, rights-of-way or other county pro?erties.
1. The owners of d11 other utilities, p'Jbllc or private, Ir,stalled In such county roads, rlghts.of-way or other county properties prior in time to
the lines and facilities of the grantee shall have preference dS to the positton and location of such utilities so Installed with respect to the
grantee. Such preference sha 11 cont Inue In the e~ent of the necess Ity of re 1 (lcal ing or chdng I ng the grade of any such county rOdd or right-of -IOay.
'8. The grantee, as far ilS prJcticable, ~hal1 construct new utility fdcflftles underqround. txtenslon of overheiJd 'dcll !tIes following streets,
avenues. IOays. boulevards or Uloroughfares s!jall be underta~en only with the approval of the Counly Engineer; PRQV!DW. however, that said approvdl
shall not be unreilSonably IOlthheld. Grdntee shdll COrlvert existing overhead fJdlltles to underground fdcl1lt1es as and when equipment repla(~l;!nt
is undertdken, or IOhen other existing overhead utlHtles are placed underground, unless such replacen1ent 15 unsdfe, I~~ractlcdl, or economically
unredsonable. Line extension policies and procedures establl ~hed by the lJrantee. and urllfonnly applied throu<.Jh I ts ~er~ice area, shall be the
stdndard In determining IOhat is "pract'c~l, Impractical or econoolcally unreasondbl!:!" urlder this ordinance; provided thdt no ne'.. overhedd utiHty
f~clllt les sha'l be con~tructed or established In any ;Ired set dsidc for public IMr!:., school, pldyground or athlet Ic field purposes.
9. Special Provisions:
CONTRACTOR SHALL C0I1PACT BACKFILL IN 6"
LIFTS HlTH A ~1ECHA~ICAL "HACKER P~,CKER".
THE FINAL LIFT SHALL gE 6" OF A.C. PAVE-
MENT f1ECHANI CALL Y C0I1PACTEO.
~
ty/{) b
-0'"'' Rd, 0 0
DtJODD
1.c-~p
u
The ahove IU'OIH)SL'd W:ltCl'litll' will use 9~""D ft'ClOf-.&....Pipe...2...tccs.2;.Cl'osscs.Lhydl.:ints.
_~illch saddlcs.~ lapping slcc\'('s.~ inch valves. Ditching and hack filling will he
:Jl't'ol11plishcd by DICiK s: hak), . Pipe and fillings will be installed hv
{(onlraclnr or City} .
. It is estil11al<:d lli.lIlhe cost willllc S__to he home
.s Ctw/ e
{Conlral'lCn or Cit}'}
hy applic:lJltO <ISSl'SSI11C'1l1 dislri<,.'l [gJ. The city has :Ign.'cd 0 has
S of lhe costs inclIl'l'cd.
d:lle o'..t, ,. <. t:"' f--:'Yid
~~;crillle~cllt)
110t ngrccd l:&l to heal'
(Owner/Contmetor)
d"le~&
~,
. COUlm, ,~(JAlJ NO. b.J5'I01
STATE LOG NO.
MILE pas, ~TO...c1E
9fFICE USE ONLY
I ERMIT NO. 'il'O-S-3 -S'
fRANCHISE ~-
FEE PAID _Yes _No
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARmENT OF PUBLI C WORKS
Jefferson County Courthouse
Port Townsend, WA 98368
APPLICATION fOR INSTALLATION Of UTILITIES
Applicant :PA"I!:lfl WHl'l"'I!iII.:"'T m"t Con t rYF ",or :
Name WI !]i.I-llil.ll,\!qlir;.';_ od _ f!ame~aM.J Job No,; 8 !I-I;),?
Address 8.::z::e...uIY f,ddress..LQJ:9 /9 ,qe.ecd ,k'c;;>t:)
---:'::~~:G:~eRIVC ~g,L. 4.v,9'eJt"f
Phone: ----..f.0llLANGfLE.SJ'I.tU83G~ Phone :_4:a..2:t'b'51,
Application is hereby made for a permit to construct, operate and maintain
.4 iJi/IVec/ )P"'i/IC~ te/lke- '78 .72/ J;;?/?~tUJI!'.o /..44Lt564b
The utility installation is located (attach map or drawing)
S Po"" /?rmdNoI ~eTd
Appl icant agrees to perform the work in strict campI iance >lith the terms and conditions
set out herein, and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this form and any special provisions attached hereto.
Applicant Signatur~.I/e:>..4~ )
Date: ':/-.z.r--'?P
1 I I / / / / / / / I I I I I I I / I I ( r. U I I ILL / / I /IX~
PER '1 I T lA\lrlrUillYJ\1lOO
Subject to the folloliing terms and conditions, PERMISSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above.
This permit Is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No work shall be done under this permit until the Applicant has received instructions to
proceed from , telephone
APPROV~ ..,()~ ;(~
l~ NOTE SPECIAL PROVISIONS ON R~V[RSE
I / / ( I / I I I I I I ( / / I I I / / I I ~..J...L.I I I 7 I / ITT I I I ILL L I. I r
PERMIT 'iNSPECTION REPORT
Date: 5"- 2.-g8
/"ork covered by permit has been completed satisfactorily.
Work is not completed.
Recoomend penni t be cancelled.
_ Traffic control_adequate: _inadequate.
REMARKS:
INSPECTED BY:~&~~ Date: J6-'2.0-88
l
~
,
Gener.l Proyhlons per Jeffenon CountyOrdl ) 2.8'.od ...AC 136-40.
1. All -.ork done under ",hI franchise \hall be done In" thorou9h and ..orkm4l\1tke m4nner. III lht 141'/11} of urHlerqrOund p\pellnu Ind ,able, and lht
(onHruc:t!Orl of other hcllitlu .nd tile open1ng of trenchn, lhe tunneling under county roads, rlqt\tS.O,....IJ' or other COllnt)' prO~trttf\. the qrll'ller
Shill hlye Such trenchu, llltChU and tunnels In such I way as to interfere is little as possible ..ttll !lut-lIe trayel and \11111 tHe 111 due .~d
necenary precautions to 9ulrd tile um. so that llarrlolljll Dr Injury Shall not oeclI!' or aria by renon of such work; and where .ny of SUch lr,nchn,
dttcllu Or tunnels are left open at night, the grantee shall plaCt ....rn;n9 119M' .nd barricades at \lICh" posltton u to give adequate ...mlnl] or
suCh work. The9rantu shall bll liable for any injury to person or penons ordamaqe to property su\latned throu(]1l It, carelennen or neqlect, or
throuqh any ,..nure or neglect to properly gllud or qive ldrnln9 0( any trenches, ditches or tunnels dug or II\4lntalned by VIe lJrantee.
2. ne qrantee, tts ,utcenon or anl(]n" 'hall cCtlTl'ence COIlHructlOIl ullder 'uCh pennlt ljranted by the toullty ElIqlneer \lltl1ln the tlll'>l! periOd Hated
tn such pennlt and ,hall have ccrnpleted alld have 11'1 operation such portton of the ,yste!ll Of k.pro~elTlllnts as m.Jy be ,peclfled In such penlltt or the
rtghts therein cOllferred upon the grantee shall ceue and termfnate lnsofar as unoccupied Hreet', roadi, etc., are conCffned.
3. The grlntee shall lehe all streett, henues, elleYi, roadi, hlqhways, rlqhu-of-\lay and other county properttes, after lay tn'll and tnsulltll9
lIIo!ini and doln9 conHruction \IOrk, lnakill9 repairs to elllllpll'14!nt, etc" In u 900d IInd safe condttlon In all rupects iii thej were before V.e CC1T11\ence.
Ir'l!nt of such \o'Ork by the 9rantee, IU aqents or contractori, and a1\ recorded !IIonurrent' which have been dlstllrbed or dtsplaced by the oIQr~ shal1 be
ruet to the spec 1ft cations and approval o( the County Engineer.
4. In C&ie Of any damage to iald streeti, avenllU, al1eYi, roadi, hlqhl'l&YS, rlqhts-o(.way or other COUnty propertin, or to pa~ed or surfaced road.
..ays, turn-outs, 9utters, dltchei, \IOod or concrete ...hs, dr<lirl plpu, hand or emballklrElIt rails, brtdql!S, trestlu, wharvu, larllltnqs or lI"!Qnuments
bythe!lrantee, thesaid9ranteea9rees torePatrSllthdam49tatth eearl1esttlmeposstbleatltsowncostandeAPense.
5. IIhen the eOllrlt)' ElI91neer determtnes th4t an CiTlergency sltuatton dou ulst, he !IIay order and have done any 4nd an wor~ considered necessary to
rutore to a safe condltton any sllch street, henye, alley. road, hiqh..ay, rl9ht,of...ay or other county property left by the grantee or 4qenU In a
condition dall~ereui to life or property. He rro.ay cause to be replaced or reset recorded rnonl.lllents If a 9rantee fatls to replace or reut U~ \llthtn
a reasollable tilrll! after completton of conitr-uct ton. The 9rantee, upon demand, sh511 pay to the COUrlty all costs o( such conitructlol'l or re~a t rand
o( doing sllch wor~.
6. All construction or initallation of !IIailli, ~a1ves, ptpu, poles, cablu, lines (Htlng and facilities, urvlce. repatr, or relocation of the
S&Jr\e, perfOf'1Tled "01'19, over and/or under the county r05ds, rlghts.Of.\I.y or other COllnty propertles Subject to satd franc"he shall be done In iuth
a manner Ii not to interfere \11th tile constrllctlon, operation and maintenance of other \ltilltles, publte or prhate, drains, drainage ditches and
st!1Jctllres located therein, norwtth the 9radlng or improvement of SUCh county roads, rlghtS.Of.ldy or other county properties.
1. The O'ttT'leri o( a" otller IItllltlu, public or prl~ate, fnstalled In such coynty roads, rl9hti-of-..a)' or other county properttes prlor ln tt!lll! to
tht lines and facllltlu of tht 9rantee sh.ll ha~e preference as to the posltton and loc.tlon of such uttlittu so installed \Illth respect to the
qrantee. SlIcll preference shall continue In the e~ent of the necessity of relocating or chan9in9 the grade of any Such tounty read or rl9ht.of-..ay.
8. The grantee, Ii far n practtcable, shall conitruct new IItllity factlltlei underqround. htenSlon of overhead facllltlu followtng itreets,
avenun, ..ays, boule~ard, or thofOlIghfares shall be undertahn only IolHh the appro~al of the County Engtneer; PROVIOED, hOtll!~er, that sald appronl
sh.ll not be unreuona'Qly withheld. Grantee shall convert !!lhtln9 o~erhead factllttu to IIndergrOllnd facHitles as and ..hen eqlltptl\l!nt replacl!ll1ent
Is lJndertl~err, or wlTe" other elliell'll] overhe6d lIellitles o1re placed \mderground, \lrllen such repf..ce~nt h unsafe, flTllractfcal, or economically
IInreasona'ole. Ltne eltens;onpolictei andprocedyres established by the grantee, and IInlformly applted throu9h iei servlcearu, shall be the
standard In detenninin9 what h 'practtcal, tmpracttcal or ecenomlc411y IInreasonJble" under thts ordinance; provided tnat no new o~erhead \It\lIty
factlitles shall be constructed oresUblhhed In any art.. set nide for public park, School, playground or athletic field pyrposes.
9. Spechl Pf'Ovhlons:
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I. Clty -/W.t~ Jc - County _2f..LI:......_ s,.,..1J..-I
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CONTRACTOR'S ACCEPT ANeE
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Un;l Price 0 (;OSI PIUI [J
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Illll'o PACIFIC NORTHWEST 8ELL
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APtlHOVAL "'01 F!c'tl SI.rn/r.\j~II'!'I' $
A6C('lmmflfldeCl 0.10
Approve~ oy _, _..._ _.. .. D.,.
PERM,T AEOU,RE D [J Yes 0 No
RllGU'W~U 'rom ..__.___ _.. ._._ . VerbOl [J
Jurisdiction _.._....__~_ . No _ .__.... Dale.
COMPLETED 8V _-..-
Call ......__.~___._._
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CO\INTY ROAD NO. 6~ ,"1.01
STATE LOG NO. -
MILE' POST &o-bTOA9=!
OF F I CE""Ug E oW
JEFFERSON COUNTY
DEPARTMENT OF PUBLI C \-JORKS
Jefferson County Courthouse
Port TO\'/nsend, f/A 98368
PERMIT NO.n'E,-/Y-3
FRANCHISE NO.
FEE PAID _Yes -.!Io
OFFICE USE ONLY
APPLICATION FOR INSTALLATION OF UTILITIES
Name and Address of Appl icant:
(l...h... c'/ i~2/ ;;,...."J.,:,""'''/ ItJ/~ 6" ;i)~/Jj
/ /,";::.-,/"1 //J.\'~~!:I.
;~-~p',/ *'~,")'.-Jrh"'l.
App1 ication is hereby made for a permit to construct, operate and maintain t- --'" )/1' '6\
1.:3.' ,,' . /. <'-7. /. J/
f' /l-?-1...-, ;,.d (}'//L' ?::9 4t/l~(..~'.!.e t{_v,('~ c:n7 /?/t'"/"':-7 ;"I'/'n7. 4/"
The utility installation is located (attach map or drawing) (."<1"" r"'''/ #a4/.:~i
E.-C/l,. '4 ^. ',II (:";"/,J1"/'~, , '12 ,,) '.~ ;". ~)' 1.;( "
Appl icant agrees to perf rm the ,lOrk in strict compliance ~ith the terfus and conditions
set out herein, and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this form and any special provisions attached hereto.
Appli~ant Signature: ~,-""/, f~ f~?7(p--t1'
./ /
Date: ? -/1'-~:,(-'
IIIII IIIIIIIIIIIIIII) I IIIIIIIIIIIIIII I II }II I
PER r4 I T ~ rIDfO)~~M~@
Subject to the following terms and conditions, PERmSSION IS HEREByl8l~+[o.'td~A~~lrcant
to construct, operate and maintain utility facilities as requested above.
Thi s permi tis condi ti oned upon Appl icant' s compl i ance with Jefferson County Ordi nance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No work shall be done under this permit until the Appl icant has received ins;tructions to
proceed from , telephone
APPROVED BY: /l,(~ ~ Date: 6-;'-/-88
11-: seE'. ;spec.,' r/L pi2.dv: s ,'ON S ON P. eUelc$ e .
II III I IIIIII~IIIII I I I I II I II IIIII II I I I I II III I
PERMIT INSPECTION REPORT
UTILITY DAMAGE IS COSTLY.
CAll 48 HOURS
BEFORE YOU DIG
1-800-562 -6478
~Work covered by permit has been completed satisfactorily.
Work is not completed.
Recommend permit be cancell ed.
_ Traffic control_adequate; _inadequate.
REMARKS:
INSPECTED BY: ./J /~ ;(..~ Date:~6-2o-88
~
Gl!ner~l Pro~hlon~ jlllr Jeffllr~on CQUlny ordf~"'fl 2-111 dnll \lAC 136.~(}.
(
1. All 'wor\.. lIone under ~Jill frdnclIhc ~lIall be done in ,1 thorou!lh anI! wor\"flwl1i\..c manncr. In U\Q l,ly1nl] of underrlround plfJtllnts and c~~lcs ar\~ Ult!
constructlof'l of othllr f",cll1tie't dnd ttw opening of trl.'nchcs, tile tunncl1n!l um!...r county ro~ds, rlqhts.of''way or cthe'r co",,~y IIropenlc:~, lhe rv~Ilt'!e
sh.\llle,lvl' such trcnches, ditc.les and tunnC!ls in such a WJY as to Intllrfcrll as lltttll dS 110~sl!llH ,r!UI pu!,l!c tNvel ~nd ~'1Jl1 ta~e dll due a'ld
f'lecessary procautlolls to gu.lnl l\1e same so tllat dan1!Jll or Injury ~th\l1 not OCCllr or arise by rlld~on of such \.j()r'~i dnd whc:re ani of Such trenc\1es.
ditches Qr tunnels are left open at nlgll~, tllC! gr..Jntee ~hJl1 pl,lce wJ!'fIlng lit]hts df'ld b'lrrlcadtH dt ~'Jch a lJo~lt!on as t'l !Jhl) Uequd~ll \oIlrnln!J of
such ,"ork. The grantee ~hal1 be lla!lle tor ~ny Injury to person or persons or dar.'Jtjl! to propllfly susl,dncll UlrOU'Jh Its l;arl'lc~~ne~" or nC11ett, or
Uwough any fallurll or fl(!glett to properly guard or give wJrn!ng of ,lny trl.'nctllls, ditches or tunlluls l!U\J 1,11' mdlnt~jncll bl tnl' grantee.
/
J. The grantee shall leave all streets, ~venues, alleys, raads, highways, rlljhts-of-way and athur county propertll!s, aftl!r Idylng and Installln!J
mains ~nd doing construction work, making rcpdlrs to equipt~l!nt, etc., in as l)ood and safe condition In all re~p/1cts ~s thr.y \oerl.' before the CUIlI!':nce.
ment of ~uch work by tht' Ijrantee, its ~IjCf'lts or contractors, and all recorded monlJl'I'mt~ which h.\Ve becn disturbed or dlspldccd by the W')r~ sMIllie
reset to the specifications and appro~a' of the County Engineer.
2. The graf'ltee, its successors or asslljns, ~h,\l1 C()lll"encC constructiof'l uful!.'r Such permit Ijranted by the County Englnl.'er within the time period stated
In ~uch pt!rmlt and shall have completed and have if'l operdtlOn SuCh port Ion Qf the! ~ystem of imprOVel'llll1ts as Ill.!y be sllecifll!~ in SuCh pennl t or tl,e
rights the!relf'l tonfcrred upon the grantee shall cease ~nd tllrmlnate Insofar as urtoccupll!d streets, rOd!.!" etc., arc c~nterned.
4. In case Qf i!f'lY damage to said streets, ~vef'lues, alleys, roads, hiflhways, rlgllts-of.way or other COUf'lty propertlc~, or to pa~ed or surfaced road-
ways, turn,outs, gutters, ditches, wood or concrete walks, drain pipes, h~nd or cm!laf'l\;II'~nt ralls, brit:<Jes, trestles, wharves, landln']s or monuments
by the !Ir~ntee, the sa id grantee a<Jrees to repa i r suth l!ama!]e at the ear1ie~t time poss I b 1 eat Its own cOS t and expen~e.
S. IIhen the County En!Jineer determines that an emerC]ency situatiOn does exist, he may order and have done any and all work considered necessary to
restore to a safe condition any soch street, avenOll, alley, road, highway, rlght-of-wJY or other county property left by the C]raf'ltcc Qr ~gents In a
condition I!~ngerous to life or property. He Play CdUSC to be replaced or reset rllcorded monuments If a grantee fails to replace or re~et 53",e withlf'l
~ re~sof'l~ble time after cO'l1pletlon of construction. The grantee, UpOf'l dem~f'ld, shall p~y to the county all costs of ~uch construction or rep~ir af'ld
o((!oingsuchwork.
6. All constructlof'l or If'lstallation of mains, v~lves, pipes, poles, cables, lines fitting and facll itles, service, repa i r, or relocation of ttle
s~me, pc I' f orr.:ed a 1 Of'lg, ove I' a fill/or uni!er the coun ty roads, ri C] h t s - 0 f -way 0 r 0 the r cO\ln ty p 1'0 ~le r tie s subj ec t to s a I d f I' dnc his e sha 11 be i!one in suc It
~ manner as not to interfere with the constructlof'l, olleratiof'l and maintenance of other ut 11 it les, public or private, dra in~, dralnaC]c ditches and
structures located therein, nor with the gral!If'l9 or improvl!iTlent of such county roads, rights.of-wJY or other county properties,
7. The OWf'lers of all other utilities, pub1f1; or private, Installed in such county roads, rlC]hts-of-way or other county prQPertles prior in tlrre to
the lines ~nd facilities of the gNntee shall havl! preference as to the position and location of such ut!1lties so if'lstalled with respect to the
grantlle. Such preference shall continue in the event of the necessity of reloc~tln9 or changing the grade of any such county road or ri!Jht.of-w~y.
. 8. The grantee, as far as practicable, shall cOnstruct new utility facilities und~r{lrOund, Extellsion of overhead facll !ties following streets,
avellues, ways, bou levards or thorouglifares sha 11 be undertaken on 1y wi th the approv~ I of the Courtty Ef'lginel!ri PROViDED, ho\oe~er I tha l sa i d approva 1
shaH not be uf'lreasonably withheld, Grantee sh~l1 convert existing overhl!ad fadllties to underground fac111tl!!s dS and when equipment replacement
1s underta~en, or 'when other existif'lg overhead utilities ~re placed undel'!Jrounll, unless such replacement Is unsafe. In!lr~ct'cal, or eCQnomlc~lIy
unreasonable. Line e~tension policies ~nd prol;edures established by the l]rantee, and uniformly appl led throul]h its serviCe! area, shJll be the
stanl!ard in determining what is "practical, impractical or economically urtrc<lsona!lll!" onder this ordinance; provided that no new overhe~d utn ity
facti Itles shall be cOllstructed or established hi any area set ~sld!! for pub! Ie puk, school, playground or athletic field purposes.
9. SpeclalProvlsions:
)" O?e'~; c:.Io\' ON /17,4R",eT SIR-e.el ~rll'I'-L. Be. i''''i-;--ClJeD
UJ :+;1 '0" of:' .4Sfh/lC' co"'~ i<.e.1''''-. c:.c"fSS 'S".
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Z, vUI}Te/<-L-;N&: 5t/.4I,'-- ge :J::rJ5rA'I.L-eD 11']- .4- m.-N:/YIV1Y'Y)
oP t,o" i3eLow e)(;S'ri~? ;1i2~DE.,
3, /-ILL b;s'rcd?SeD t9-K<2t1S 5fl"/l.L 13~ l<e5'01;"eD
fr:, --;..).,e;R.. 0I<,'9''''I''IL '.OND;f;OIVS,
~
CITY "I' PORT TOWNSENIl
I Building Permit Applkal;"") WATEI( SERVICE PLAN
1.0 Show stl'l~cts surrounding him:" in whkh In Is :Ire loellled.
2.0 Show 1H.':I1'(:sl W:llcl'lilll' :nul size.
2.1 Slim\' !'Oute of proposed waterline 10 propel'ly.
D
DDD
The nho\'c proposed waterline willllsL'_fccl of_pipl'._lccs._LTOsscs._hydl'anls.
_inch saddlcs._ tapping SICCVl's._inch valves. Ditching and hackfilling will he
accomplished by . Pipe :Ind filtings will he installed by
(('onlr;ll:lor or City)
. It is estimaled that tile cosl will he S to he horllL'
(Cnl1tr:lCIIlTor Cilyl
hy :Ipplic:!nt 0 assessment district O. The city has agreed 0 has !lot :lgl'ccd 0 to hC':l1'
5__01' the costs itH:ul'I'cd.
( OWllcr/COl1trat'tor)
dale_
(WaleI' Superintendent)
d:llc_
....'.~.-- _.-,,_.....-. _._--."'.._."..,-~._. '.~'~--^.~-_....,-,--.,"" "~,,,.~"""'-_. ..._-,~,,_.~,. -..~- .,,~- .-.-, ~.... ""-,,~--,. -, ."..,.-~,,"~. -.--..... .,.....,.....",'-~".--"'..","i~,i'(""';""',\,.~.-,.J;i "
I.ERMlT NO: 1i~'l-is- t
fMNCHISE NO.
FEE PAID _Yes _No
OFFICE USE ONLY
COUNl,'i ROAO NO.65'8Jo'
STATE LOG NO.
'I,ll[' POST a...u..TO~
9,FflCE USE ONLY
JEffERSON COUNTY
DEPARTMENT OF PUBU C WORKS
Jefferson County Courthouse
Port Townsend, 11A 98368
APPLICATION fOR INSTALLATION OF IITIllTIES
NIIPaPmellcantnllUl'I/'l MmWm,M:,.n 11"1' I' IU'iL Contrac~or:
-rJ\Wa:Ib-I-"u.nJ.m~ -Ut.L Name JI'()(1j!.or-:,
Job No.:
?? g-,:;I. ;t/
k'c)
Address MM1AGER I & M
~o-tm1iR1m;t U"'it
-i'lJIlH\~.hf:;,-\4A 6SJ6!
l,ddres5 /0 if?.Ii /'/ ,'I?c,.
/-7:' t! I/o , I,.. (
Phone: Phone: 'Is '/- (0 (" .,(h
Application is hereby made for a pennit to construct, op~rate and maintain
k/UJ'~JJ --6..)('j//Un<.k' -S.:P---L<.rc.:UL c..V..-UL"-'
The utility installation is located (attach map or drawing)
,')"" ~ ~/u.d Sk'",.r-Jl
Applicant agrees to perfornl the work in strict compliance with the tenns and conditions
set out herein, and states that Applicant has read and ~,ill adhere to the general provi-
sions set out on the reverse side of this fOrnl and any special provisions attached hereto.
I,
Applicant Signature: t'c..J, ,;J. 7 a'VI,A..J
Date: b-3 C)-??
,r:{
71 I III/III I (I I I I I) I L ~ ~: ~I ~ ~ I I II L1Mff!i~. /L
Subject to the following ternlS and conditions, PERMISSION IS HEREBY GMNTED to Applicant
to construct, operate and maintain utility facilities as requested above.
This pernlit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this fOrnl and any special provisions attached hereto.
No work shall be done under this pennit until the Applicant has received instructions w
proceed from , telephone
APPROVED 8Y: ..JJ1',:z:(" K~ Date: 7-}2-88
o NOTE SPECIAL PROVISIONS orl R~V[~SE
, I I / I I I I I I I I ( I I I I I .1 rT7 V I I I U I J. I I III I I I 1 I I LL
PERMIT 'INSPECTION REPORT
! Work covered by pernlit has been completed satisfactorily.
lIork is not completed.
Rewrrnend pernlit be cance 11 ed.
Traffic control_adequate; _inadequate.
REMARKS:~~g~fe",l" .1.1:f?pl,'crl--'l-~o,J ;VIrl-Oc.
H~SPECTED BY:A~Date: 7-/~-9g
~
27.
AM
POl
88
.Q 7: 2.SI
*Port Townsend Garage
\
PAGER NUMBER
t:j..z ? E" .3:.?' I~ IN
Burled Service Wire.
Work Order
OUT
PERMIT .;:..,
(0- 3~(,;:: ....-.-
@ Peelflc Northwelt lkll
P8000 le.61l f
No, f; x-..:'U (
Complete by ___
WORK LOOATION ( ,
Add,ess_ It.{q 1)_~_________
Olty /-IIl'llL.C.1< County .lli'r-t:" SteteWh-,
Name~Rb~1J 5 ~"!~'---_
ORIGINATED BY _R~,Csj\J).~_ Date ~J,1:'l)
New Ii1.'I SIO NO.t>LCJ~ Due Date tll./.5:$
Repair 0 Tel. No, Tempo'ized~
Rearrangs DSIPNo, DuaDalo_
Type of S<lrvice I Fa
eBl. Colo~L~!.:....~.
CONTRACTOR'S ACCEPTANOE
Firm
Signature
Tille
Unit Price 0 Cost Plu, 0
Date_
FlatSum 0 $_
l
Bill to: PAOIFIC NORTHWEST BELL
Atlention
Address
Oily_____.
Zip
APPROVAL Fcr Flat Sum/Cost P'u, $
Recommended
Approved by
Date ___
Date ___
Ref~;~~~~ Quantity
PERMIT REOUIRED
Received from
Jurisdiction
DYes 0 No
Verbal 0
No,_Dals_
~
COMPLETED BY
Call
Date ___
for Sarvlce Connection
~--
. - ------ --- -.-.
---
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Sketch Worlo: RElquifad - IncludtO! Length~, dePths, wire si7e a"d arnOllnt
l.ndl~ete,Nor!h
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~io!~; -"hl~ SIo:P~h-;;;no: b;;;:;-;;~;;;;pr;~;t;ii~~~i'id::.lails~.I~~1;;i-r15IM conlraclor's rcsponSlbl\\ty 10 properly 10cOlte wM: it, me field.
OR,QINAL COPY
~
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I'EJ{I~IT tlO._~~..:..~...::..?:C_;l..
FIWICIIISE NO.
FEE PAID __Yes __No
OFFICE USE ONLY
COUNTY ROAD NO.1S.~2e9_
ST AJE LOG NO.
MILE POST 12.:&)00.2$
OFFICE USE ONLY,
JEFI'[I{SON COUNTY'
DEI'AHTMENT OF PUULI C \'IORKS
Jefferson County Courthouse
Port Townsend, \lA 90360
APPLICATION FOH INSTALLATION OF UTILITIES
I
~
PUG\1.:"T POWER LINE HQTRS.
~';1 11 ~C'.1T C-ome-..-ifRoacr-----
==ll',,/:f.:'!.,~rrn[illfid'_If..{J~'-9~@===~=___==:=
Name and Address of Applicant:
AWlication is hereby made for a permit to construct, ul'erate and mai,ntain_______._
~-P1l..1 '-.1<0 ~
The utility installation is located (attach map or dra\~ingLL~!I:'_..1:;?_.:.:..__===~
~I~-DI~_~~?~..J::!..~~II~ Ot:L.P__7..:r~___..__..___________.
Applicant agrees to perform the work in strict compliance vlitll the terms and conditions
set out herein, and states that Applicant has read and vlill adhere to the general provi-
5 ions set out on the reverse side 1I f th i s form and any spec i a 1 provi s i OilS attached here to.
Applicant Signature~e~ Date: (.-2.1-88
-lob -#- 88--0(,084
/ / I / I / I I I I / I / I I / I I I I I I I / I I I I / I I / / I I ~~
, ,I' E R M I T A Irlf'Iiill!JJ~lblW
Subject to the fOllowin\l"terms and conditions, PERMISSION IS IIEHEBY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above.
Tilis permit is conditioned upon Ilpplicant's compliance'with Jefferson County Ordinance
2-01 and WAC 136-40, inc'iuding amendments thel'eto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
the AppI icant has received instructions to
, telephone ___.__
No work sha 11 be done under this permit until
proceed from __.__,__,___
APPHOVED By:-LJ~
IOTE SPECIAL PROVISIONS ON REVERSE
Date: 6-2,7:~~
PERMIT INSPECTION REPOHT
UTlLlIY DAMAGE IS COSTLY.
Aork covered by permit has been completed satisfactorily..
\lark is not completed.
Recommend perm i t be canee 11 ed.
_ Traffic controtadequate; ___inadequate,
IlEI.!AHKS:
HISPECTE~J--;;A_~_K~_ Date:-LO-20-~L.
CALL 48 BOU RS
BEFORE YOU DIG
1-800-562 -6478
......~,:_..f_O.'!!l..!!.~___.,__"'~. MO"'
L
~
LcnCfdl P':OthhlllS per Je(fer.~cn COUIlty 01'1.111,. ..\1 :l.UI drill h'i'lC 1 Jb..lO.
,1. All work Ilene under \dld fr4nr.hhc \lldll lie dOIll! III d thorOll~h dllll "'C1rkmdllllke mdllller, In the I.lyllllj of Iln(h:r(lrOllllllIJllH:HIIC~ dllll cdl.llc~ dll<l the
conHructlon or oUler fdCllttle'o dnll tile 011l!lIlu!l of trenche~, the tWUlcllnll urnler' county rOdll\, r!(jllt\'Uf.lood1 (If (lllll:r 10"'lly prOp\.'ltlC\, tll~ 'l'OlltCt'
ShAll lUte such tr~rtChes, ditches and lUl1l1el~ tn SUCrl d Ioody dS to lnlertef\.' dl little H pOHlhlc I.ltlll'ul,lk lr,I~,'l d'lll ,>lldtl ta~e all II,,\.' dllll
ncCeHar'J prl!caution~ to quart! ttll!.Hme so that Ildt111CjII or Injury Sh,lllllnt OCCllr or ,Ifl\(! hI rl',I~lIn 01 such I<IH~; dH.llolll'n~ <1111 01 \U~h trcJlCII'.'~1
lJttCtles or tunnels Me left OIlCfl at niljht, till! qrdlltl!C shd11 Illace W'lrnlnlJ lilJltts dtHI baITlc.hlc\ ,Il \u'l\ d Iio\lllil" ,IS to 'Jhl' allequdlc WMlltlll/ 01
slIch work, fhe grdfltel! sh,'ll bl! liable for Jny Injury to ~llr\tln or pen OilS or llAmM}l! Ifl IlrUI1t!rty SuHdlnell IhroUIJlI I{\ c~o'('\C\~IJl'H or ne'Jl~ct, or
throu~h any fatlure or ne91e't to properly guard or ljhe wdrn1tIlJ of allY trenchc~, llttclle\ or tUllllch llu1j ur m"ll1tJlIiell lI1 thc ljrdntt!t'.
2. fhll grantee, tts succeHors or H\tljn', \h~ll Corlllll'I\CI.' con\trllctlull ullder \uch Ill!.mit ql'~Iltl'tlllf UII! Cuullty [lIqhll'l'r withlll till' tlnll! penoll HHrd
In \uCh permit ~nd 'hill 1 IM~e completed ~lId h~vl! In OllerdtiOIl su~11 plll'lIon of the SI~lem of ImllrU~I.'I"l'nl~ 11\ Indy be SI'cdfle<l In \uch pelmlt ur Ole
rights theretn conferrell upon the gr4fltet! sh~ll cedle ~1I11 tel"1lllflAll' tn\ufdr H ulloccuplcll streen, rOllll\, etc" ~rl! (.(Illl~l'rIlId.
3. The 'lr.ntel! shill I lCdvl' 411 streets, hfUlIlCS, oI11eyI, rtMlls, hl'lhw.11S, rIIJ"tl.of.w~y llud utht!r coullty lll'ol'en!l'~, oIfter ldylll1J 4ml IIlHal111l'J
m41n\ dnllllolll<j construct ton 'WUrk, m4ktu9 rell41n to e4uil~nellt, elc" In H IJOlld 4nd \'lfe conllll!ou 11'1 4lt re\IJects H lhey wllre tJefore the tl-'I"l'tlC~.
lIIl'nlofSUChlOOrkbytllegrdntel!, tl\ll!leflt\Orcol'ltrdctor\,4ndallreco.'dedmonumentswhlchhdVl!beclldt\turbCdlll'dt\pldcelltJythl!wurklhdlltJe
flHet to the speclftcation' dnll.pprovdl of the County Engineer.
4. In case of any dJmage to said Slreet\, avenue~, alleys, l'odd\, h11lhwdyS. rtljrlts.of....dl or nthel' COllllty prOI'l!rtje~, or to P~vl!ll or ~urfo1cc<l ro~ll.
...ay~, turn.outs, lJutter', I1ltche\, wooll or concr'ete "'dl~~, drdln plpl!S, Ildnd or elllb,ltlklllent r~l~s, lJr1d9l!S, l"eHll!~. ",hdf~l!I, 1~rlllln9\ or tIIO'lun1enl\
by the I]rantee, the SAid ljr~ntee agrees to rep~l.. such ll~mdljl! At the earlie~ttlnle !lO\S!hle dt ltS OWll cost allll e~IJl'lIse,
5. \lhen thl! County En!llncer detClmlnes thJt an emerljency sltudllun dOI~~ exist, he mdl order dnd h~~e done driy ,1(111 dll WOf~ cOIl~ldered IIl!Cl'Hdry to
rUtore to a safe condition any such street, a~enul!. dlll'y, nhld, 1lllJltyjay, r!\lIlt-of-wAy I'll' otlie" COullty property lell by till! (lI'AlItce or dlJent~ !n ,I
conll1tloo d~ngerou\ to life nr propl!rty. HI! md1 Cduse to bll 'CllldCCIJ or reset recl/rllell "~lnUlllelll\ 11 d I)ranlell Idlh to rCll1dcc nr reSl!t \01"'(1 ...!thln
a ruson~ble t!lne dfter cOl1lpletton of constructton. Ihe grantee, upon delllJnd, Shdll pdy to the COunty dll cosn IIf Such cumtructtol1 Of ll'IJdlr drnl
0' doinl]suchl<ork.
6, All conHructton or InHdl1<1tion of 1l141flS, vdlve~, pipe\, poles, cJtJles, lines ftttln9 Jllll f'lctltties, Ser'Vltl!, repdh', or relOcAtloH of the
same, perfumCd 410nlj, o~er dnd/or under' tlte COltllly rOdds, l'tlJhtS.uf.yj<lY or other cOlmty propcrt tes slJ!JJect tQ \~ Id I rdrlc/tt \e SlI411 Ill! llf.llll' hI \uch
d ilia n Ill! r d S no t to 1 n t l!" f e rl! '01 1 th t he Cons l ru C t I un. 0 pe I'd tl un dill! IIld In t endnc e 0 f 0 trll~ I' utI' t t II! ~, pub I ic or p r1 v d tl', l!l'd 1 '1 ~. dr dIn d \Ie III tc tie s 41111
Hructures lOCAted thet'cin, nor with Ole 91'd<1ll\<] or In'llrOVl.'lncllt of \uCh county rOdlls, rlCjhls.of.wJY or Olllllr COurlty Ilr'UlJertil!~.
1. The owners of 0111 other util itll.l\, publ!c 01' privdtl!, Installell tn such coulltl rodth, rl'JlltS.of....~y or otller coullly Ilt'Olterltes pdor In t in'l! lo
the Hnes dnll fdclllttes of the IJrdntee sllall have preferellce dS to thl! IIl/S it 1011 (\II~ 10c~t1oJl of such ulllllfl!S so jn~t"JJed ",lth r/!~II/!ct t<1 ti,l:
grantee. SlIch prefereltce 1/1<111 CQIJtfnvf In tile tVl!nt of the ncce\lity of reloClltlll1) or ChdrlljllllJ the gradll or 'lny SIICII coUntl rOad or r1ght.of-dY.
fl, Hie grantee, H fdr AS prActlcdble, shd11 construct fll!W utlllty fdcllitle~ lInden/ruund. [dens lOll of Overlll!dl! f"ctl1tle~ folluwlny Hrl'l!tS,
avellues, wdyS, boule~at'ds or thorou<]hfare\ shall bt' uudel'taken u1IIy wltll tlte dp!JI'(,lVal of the County [o!linl:er; 1'llUVllJ[D, hOwtver', tlllll Sollll dl'lJrll~dJ
sh~ll not be unreASOndtlll Pilthhcld. Grantee Itull convert e~IHlnlJ ()~el'!I(!,l(1 facilities lo ullderqrOlllld factlitles dS Ilnd ""Iell equll~llt'nl l'elllaCl'II'l!nl
h unllerU\en, or iojtlCn other exlstlnlj overheall utIlities dre pldel'll ullllt!r9rOUII(I, IInle\s such rl!llldce1fll!nt Is unSAfe, inWdctltdl, or l'~onnrll'cdl1y
unreasondble. tInt! e~teuslon policies and proce(lurl.'\ I!It.1blt~ltl!illJy thl! Cjrdll!ee, and unlfonnly ~Pllll~ll thl'ooCjh IlS ~l!rvlcl! drl!d, ~hall bl.' the
HandHd tn,detcrmlntn9 whdt h "prl\cttcdl, lrr.tlractical 0.. econorllically Ulll'eaSondble" Il!lller this ordJndllcei provhled tlldt nn neyj o~~rhedd utlllt1
f~tl1hle\ \/1<111 be conSlrllctell or estAblishcd In dlly <lrCd 1et Hillt! for PUllltc 1i4r~, \clluul, 1114YCjruulld or Hllletlc fltl11 Pllrpo~es,
9. ,~~~C':':I pro~.st;::: ..'~ .....
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,f3e.Lov<l e~;"-;-""'J :5h'O"'Lpe~ J)~-+bt'.
2_ /41..L. V;"-;-VlR..8€i:::. ,4'Rel'l:5 ~1-fr1<.1... J3~
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PUOET
POIIIER
JOB TITLE/LOCA nON ." '[:"c,LlI
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co co NAME WO NO
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PRINC'PAL COMPANY:
ElPUGET
o PNB 0 CUSTOMER
JOINT FACILITY CONSTRUCTION RECORD
(J'PUGET
o PNB
o TEL
OTV
,:t,V(,. ':.l':'~J!;'i
CONFIRMED
BY PUGET
ENGINEERED ~',,,,
AS.BUILT
ENGINEERED "', ,.,
'~":":I'-r.<.ol:...AS.8UILT
ENGINEERED
AS,8UILT
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CONFIRMED
BY TV
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ENGINEER
UANTITIES
OUTS' DE DEVELOPMENT
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CITY COUNTY CC' "",,','
o USE ACTUAL COSTS (DETAIL ATTACHED)
... oun
DATE COMPLETE
,
COUNTY ROAD NO, b:?JJD~
S'fME LOG NO, . - - ---
MILE POSTo"'Cf60.1.\9~
OFFICE USE ONLY.
,ILFFEI<SON COUNTY
llEPAHTNLNl OF PUBLl C \,JOHKS
l'Efum NO, ,,,:B':'~~.2.~_:J
FR/\NCIII SE NO.
FEE PAID Yes--No-
OFFICE USE ONLY
deffc}rson County Courthouse
Port Townsend, HA 91136D
{\.!'fL..lt:..A~[1(lN_cQ~~l/l_loh{\J,!(~!._9F__,!JTJ0JJl.S
Name and Address of Applicant: ---mi-~t~-~t~~~;-sM~~~nt-------------,--------,----
-_:~Ie;b~d~~-,~wa::-:)~3:1Q::-:: :--.... ~,--::-=~_=:':~,:-::::=::"::':..- ,.
Appl ication is her'elly made for' a permi t to construct, opc;rate and IlIaintaill__I'~a.~e__ ~il.b],e"
~.QDg_,~_ej~-,=--m,~,a_sLs_e_Lat tac;_h"E_._S~,,~c;I1..)_____,_____________,_.. '_'_ _____.____._____________,
The utility in;,tallatioll is located (attacll map or drawing), _~e~a.~__~~r:El~~,_se~,__a.~!a,c,~e_9,
Applicdnt agrees to per'form the \'JoY'k in slt'icL cOlllpliilllce \'iith the tenlls and comlili()n~;
se t au L here ill, and s ti.ltes tha t ^pp"1 i Cdtl thus feud and \IIi 11 Jdilere to the qCIWl'ill prov i-
sinns ~;l.~t out 011 tile n~ve\""se side of 1I1is forlll and dny ~)peci(.d provisions dLtached l-lcfeto.
Applicant Signature: Terrie Comstock Date:__._.M~~_Jl~__.1211,?_,_._____
--------Pol'CTow'lse,ia;f..o.' lllF7~92r3---
1/lII/lLLLL/I/I/I/lI/lI/l1 III
f_.LR~l...I
Subject. to the following terms and conditions, PERMISSION IS HEHEBY GR/\NTED to I\pplicant
to construct, oper'ate and maintain util i ty facil ities as n~quested above.
This permit is conditioned upon Applicant's compliance ,fith Jefferson County Ordinance
2-Bl and WAC 136-40, including allll,ndlllents tlll'l'eto, the general [Jrov'isions set out on the
rever'se side 0 f th i s form and ilny ::pec i a I prov i s ions attached hl~reto.
No work shall be done under this pel'nlit ulltil tile API,licdnt has received instructiolls to
proceed from _ _ '" H _ " , telephone . _ _,. .
AI'PIWVED BY: _,"JJ~~~_____':~-~_~~~___~_______,,_ D~t~:~~-;~:;~~Be ___..
-*: see.. -spef::.;,qL P.<.ou:s,'o.v.s a,...,. R~ve.e...s~
I I I I I I I I I I I I I I I I I / I / / I / I I ILL ( LLLLLL./ I I I / U..LL
!'.~'iJ..LJli.S!'I~I__IQ.~Jl~'Q.R_~
UTILITY DAMAGE IS COSTLY,
CALL 48 HOU RS
BEFORE YOU DIG
1-800-562 -M78
/WOl'k cover'ed by p"rlilit has beell completed satisfactorily.
,Iork is not completed,
Recommend per/IIi t lie cance 11 ed,
_ Traffic control._ adequate; ___.inadequate.
REI~AHKS :
INSPECTE~I~;;~1i~~i~___ ~~~~~~~~_;;~$~=
~
Gener" Pro~hlon' pllr Jelfllr,UIn COUllt~ Ordl,,, ~Il 2.fll dud ~Ar. 1]/;.,10,
I, ^II ...or~ donll ul)d~r ~.lld frJnchl~1l ~hdll lil! llullC In d Ullllo)U'JII d!l,l w!lJ'~I1I~!lII~1! I!ldm.cr, III the 1"yhl'J 01 Ullllcl"II'IlJlld ~llj,,~lllll'~ ~11<.l ~,ll>le\ 'II~,I \1<"
conHJ'lIct ion or othcr fole lllllt~\ Mid tht: O~ll!llhH.I of lrt:nchl!~, lI,,~ tll!lllel 111<1 \I!U!er ellllllt~ rU.llb', . 11Jlil~ -ul -"4Y \II' (lUa:r I u"..t f I" u~~ll Ie'" I "~ 'I' "III'~t'
~11Jll le,l~t.' ~\lch trenchll~, Ilitdle\ ~lId tll1\1I1l1\ in Hlell ~ "~j d\ tll \lltCl'lll"C ,l~ little d; I'llHllJl" ,,'[Ii 1'1I!,ll~ l,',I",1 d,n) ','1dl1 tJle .111 .,j"c d".1
ncCe~\Jry Ilrcc'lItlon~ to ~lIJfd tlle,\'''''c SO tllJt 11d1l0l~C OJ' lnJuJ'y stM\111111 IJC(,IIJ' 1.10' ,lrl\e IIi '1~,',lJn n~ \ucll "1Il'l, ollHI ..lo,l'" ",'v lJl \u,l, t""IIL""""
ditches or tunMls .re left UI'IH\ dt nilJlIt, che IJlllntee ~hllll lildu' ..Mnlr\l) 11')lll~ IIn,l LdITI(,hh'\ dl ',Ill/; ~ 100!Sltllm ,,~ \" 'JI,,' d']I:'I.'Jtt' ".Il"'!"! "t
~UCll wor~, Till: yrdntC(! ~rl~lllJ<: lldb1l! for ~ny InJljI'Y to 1l1:"~<Jll (II' I,er\lll'\ IH' lIJm"'lI~ tH pnJl'el'ty \~~IJll\l:d II'rO,I')1o ,t\ '"l"'~e~',!",~~ iiI' "."Jlnt, or
throul)1I 'n)' fd llure or nc~\IlCl to l'lrtJIH:rly 9"drd 01' <jIVIl \'jdr'1I11l1) ul IIl1f t, l:rh,lil:~, .11 CUll:', or tunlll: 1 ~ <iLI<j w' 1II,llntJ 111i:J IlJ thl' (Jrollltl:c,
2, fhl! ~rdntee, lt~ \llceC',\or~ OJ' J;~l'Jn\, ~h,l\l CU/II""'I)CC COIIHruOI,)I1 u'lller ~lld\ j!l!ll1lit 'If'dlll!'!l lq the (uulltj!llfj"wcr ,,1111111 ttll' tln,c Ilcrlod ',toll!:'d
In \uch lli:rlllll And ~lId\1 Ild~1! CI1111l1t:cl:1I dn~ hd~t) IIl1lperJC!U!\ ~,,~II pOl'tl(l<, of 111l~ \y\tl'ln ul l",pruYl:ml:l\t~ n\ IIldl !"-' ;1'Cl:!IIt~d 111 ~lICh pCl1!\lt VI' lIll'
rl\lhtS thllrllln con fen-ell upon thl: grdnllll! shdll Ccll\C ,\(\u tll!llill\dtll In~olM d~ IlnOC(I,!lit:d Hfeet" l\"...l~, 1!t1..., 010'1: !:""ct'l'lIcd,
3, Tht: ~r,ntl:l! ShJll le~vc Itll \tr'u'!l~, d~enIIC~, dl1l!Y~, rOd,1S, 1I1'1I)w'IY~, fI~r.t,'lIt.w~y MIJ otller CUI,"ty IJlupl!rLll~~, dtt~I' ldilllOl dOlll IIIH~11IJl')
main, Jn~ delny cunHructian \oillrk, IIl~UI1(j 1'~\lJlr; In CIllli~~Ilt:l\t, ~tc., 111 a~ I)OU\l dn~ ~,lft! CIJlldllloll In dll t'C\I)Ctl~ ~~ tll<~f w,..re ~~IL)"c llii: i.\~II"l:JI(C-
nlCnt of ~uch wOrk by thc ')rdl\tCI:, Il\ ~IJt!nc~ Of COlltt,IClor\, dluJ dlt I'llconled thUlIUIIIl!nt~ whlell/l'\'1: t!l,,~n JI~lll..~\!J Ill' dl>j!ld~e,j 111 O,C wu,', \11.1\1 Lc
rt:~llt to the Wlltlflc~tiol1~ dnd dPPl'OYdl of till! COlol\tJ (n(jllle(~t',
4, In cIIse of .n)' dJllldgl! to saId st!'ect~, a~ellul~S, d11eys, l'Ud!l\, lliqhw~y~, rl')t,tS-uf-wdy ur utht~!' emollty \!I'Ujlcrtlc\, or tu IId.Cll or ~urt.'ce" rOd>!-
"ay~, turn-ollts, yuttcr\, lIitche~. "ood or cun,retl' ..,\ U ~, dr,l In liluCS, I""lol ai' CHi~oIll~lrIo~tlt I'd II;, III' i,j'JC'i, LI'Il\t1I!~, ..11M''''!'i, 1,1I1\Il(llJ~ or "'o'IL,lIIent~
by the grantee, tilt! Sdld \lr~ntce a9!'llc~ tu rCpJlr ~I,~II oJdmd~c H till! l'IIr1 ic~t tllll\! IIU~~I!!lc ~t Il~ OW" ,o~t dnd t,.!Jl'II~!!.
5, IIhen thl! CIJunt)' Eng!neer detctTIIlnes thdt ~n l'II1l~",wncy ~ltll<lt!<I" Illl'!1, eAIH, IIC 1I1,IY o...lt'l'
re\tort.' to d ufe conditIon dill' ~or.h street. a"I:I"JC, dlley, f()"d, Id<jlh"dY, 1'l<lht.o('''JY or
cond 1 t 1 IJn ddnqc!'O\l~ to 1 I fc or prO[lcrly, 1111 nlJj CJu~e 10 h,! ! cp! .1,:(.'11 ur rc~ct reC'I,'Jcll
.1 rt!a~ondblc lIme .ftcr cUHipletion or eonHructlOI1. lhc (jr,llltCl!, llPOl\ \lelllJlllt, ~1i~11 !"Iy tll
of doin(j such wor~,
''''illdIJileJf'loltllldl1wu.\(lln\ldl!l"L'JOI"I.C\\dryto
CCiI,utl' IJt\lperty lei t ~y LIIIl 'Jf'dlltl'l: ur d')c<,"t\ ltl ~
! I d lJrJntc,~ 1,111 ~ tu ,'P:II,IL'C Of rc)et \''''It' .., U,l n
county ~ \ 1 CIi',t\ ut SIJI.II (lor,'it,'11ClI\ln or ! '....1 i f dllll
b. All COnHructlon 01' In~tdll.1tiOI1 of mdlns, Ydlvl!~, 111l.1C), polll;, edlllo:\, 1jlle~ fltl1n'I dl\Ol fdC\lltlcS, ;1~rY'(I!, reIJJI,', or rclvCdllOll ot tilt'
~'me, performed dlolllJ. O~'tr dlld/Ol' und!!l' the cOllllly l'Odd\, riIJlot\-Of-w~1' nf olller county III"l!iJe"tlll) \ul;]cct to ~,lj,1 !rJl1l.tll~1: sllJl1 I..., ,!(JOI\' III ',uL'h
a m~nner ~s not to Interfere with tllc con>lJ'uetlon, o[>erJthm Jnl! mdlntl~lh\lllC QI DcllIlr Iltll!tie',. j.uLlll Ill' I'rh,I\c, ,bdl"~. <h'~;llJlJI! ,11((111", d'lll
structure\ 10C.1Ct!d thlll'cln, nor ..ll1l tIle ~rJdll1'l or in,pro~et"cnt cd \~tll (ounLy rUJd~, rt~lit~.Qt,..d~ or utile!' C(,\llIt) I)!"illcrtil!~.
7, ltIp. o..ncr\ of all uUlcr ut\lltlc~. putl\1C Of IIr1vdlC, iolHdllcd 10 \uch CUL,tlty rOlHI~, r!'Jhts-OI'W,\1' 0)1' Olller '-'OlUltj' pr(llJcl"llc~ 1"';01' In tWle tu
tilt.' llne!li dnd f.clllth'\ of tile IJrJlltec 511.111 liolVC III'derellCt.' d~ (ll tllc I")~ltl()" Jill! loc,:tlullul \utll ull\ltle> ~u 11I\t,d\IlJ with rC\!ll'd tll tI",
9rdlllce. Such l'rdcrencl: ~hdl1 continue In the ncnt of tilt.' 1\,:ce\\lty of retllcdtl,,~ or ,h,lI\'JII1~ Uie \p',Idc uf Jtw ~\lcl, Uhlllty rO~lj III rl<jht-t)f'''dj,
8, !lie 9rdncee, d~ fu d!li 111'J.ctlcJL11l, Shdll tUIIHf'lel tlcw utll\tv ','el11t1l)~ '1IHlcnlt'uund. [AtCIlSloll of o~ertleall fJdlllh'; tollu,<lr\l) ~l.r('ct'"
'~lmut'~, "'~j~, !!l.1l1h'o"')~ or tliur"u!)hl~rCS ~h~11 lie undCl"L"~cn unl} w1tt, thc ,IPlll'l!v~l 01 the [11l1l11y [n~lll~cr; 1'lWVlllfO, l'U"~~er, tll~t ~dlJ "1'I!lu~Jl
sh.l1 r,ot Ill! onre~~onJlJly witlL~eld, Grantce Slldll C'}II~ert l~~i~ll')q n-jl'ttle,ll! f.lcil1lle~ to undt~r'lrounJ IJcilltle, II; ~n.,j ..llj~lL equ11illlt'nt rcpldL'.!",ctlt
l~ ulIJl:rtd~lln, l)r ..hen otlll!r t.'Al~tln<] o'lerhcd~ Iltlljtl~; ,Ire plJc\"t IIIH!Cl'P'uu!I(I, ,,"ll''i~ ~'lcli rel,1JC\!II'1!nt I~ \lll~dtl', 11:llrdrtltal, Of CC'Jtlu"'ll~ll,/
ullrcHonJ.L\ll. t!nc l!~ten~IOIl pOllC1e\ Jnd prnec,1,jI'cs Il~tdltlhtil!'! hy llle 1jI',lIll,~e, dill! unllO'Inly dllllllCl1 th"Ou~l\ 1~, ~I:r,,;l.t~ Jl"Cd, SIIdl1 Ill! t11~
Hdn~~rJ in detct1nlninq wildt is "prd~tlcdl, lIIlPrdCti'<ll 01' eco1101111c~11y IHlrCdSorJdtllc" unJ('I' thl> OrdJlllllltCi I'rOVlIled tlldt no new O_cl'l,t!dll ot1l1ty
I'd(.illtlc~ SIIJ11 be COIl!litJ'ucteJ Or c\tdlJlhhed In dny dred ~ct d\lde fOl" Ilublic !inr." ~ctIIJul, Illdy<]rl)lI!HI or Hllletlc flclJ 1~"rIiO'iC\,
9. Spec 1,1 ?ro~ISiofl~:
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C'O..v,I~; i-1"'ON rlr <:'0"",,1" IQ,. 0'0/\/ of :ro~ .
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I COU~1Y ROAD NO. 6".609
I . STATE LOG NO.
I . MILE-POST t2.I!.2:-TO",::::::::::"
1 9FFICE USE ONLY
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PER~MlT NO."il'l'-.~
FAA lCHISE NO.
FEE PAID _Yes _No
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. WA 98368
APPLICATION FOR INSTALLATION Of UTILITIES
Applicant: ,Contraccor:
Name ,rq.;y,p<; ):::;';.= ;.,,:;/,:'- (I'/'/I~'\rf~,lame D ,e,k :;;/;(1/d,'.
>l ( I)o;-;J'/; ,
Address ..,-tjc' I! 1 ~,{el' <:;/ hddress Hor:l/(1C';'
P",T I I" ft' 1'1'" c'lId
Phone: ,'?'r; ,;- -::J ')L~ (') Phone:
Application is hereby made for a pennit to construct. operate and maintain
(~P,"" (lvl .s1,CJ(/!.J,,1- c,~:._( 1J/"nl<~1 .<:;1 ;0 /1/<,>'<7// t." 7",',-{ I);k.p
~;frr/d ...t'LUi",,)t!i. IV( tj ,<:':,,(.j l' ('71 #'1 uk,/g::J
The utility installation is located (attach map or drawing) tl;P co1 lkyjIM')~tJt?
'7") '';'11, "I ,,-1,' (li1d "'6<'1- CI,..", ,c>{3 fi .
Appl icant agre~s to erfonn the work in strict compliance with the tenns and conditions
set out herein. and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this fonn and any special provisions attached hereto.
Applicant Signature;~!,'d;t/J l~ ;~".-1'/ Date: ,.s~"'-fI/fR
;/ . ,/
U I If I If {II///III If I If 1/ If III If 1111_
PERMIT . .'AOOO~ ~
So'l"t to tho f 011 ",.. "rn' ... ".'hi 0". "","Sf ON " ",REBY' . . . to' Ap, ",,",
to construct, operate and maintain utility facilities as requested above.
This pennit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-Bl and WAC 136-40. including amendments thereto, the general provisions set out on the
reverse side of this fonn and any special provisions attached hereto.
No work shall be done under this pennit until the Applicant has received instructions to
proceed from' , telephone
APPROVED BY: .-<')--<'~ K-,L~ Date: 5'"- Z 7- [;3~
[RJ NOTE SPECIAL PROVISIONS 011 REVERSE
T7 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Iff I Iff f I I
PERMIT INSPECTION REPORT
;('work covered by pennit has been completed satisfactorily.
Work is not completed.
_ Recorrmend pennit be cancelled.
_ Traffic control_adequate; _inadequate.
REMARKS:
INSPECTED BY:--<'l o.:l!-j(:,L.A, Date: 10 - 20-B2
1.800.424.5555
~
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tieneul p~~hlon' per Jef(erSOn Count)' Drill } 2.81 and W,\C 136..0, .
1. All war'" done under U/Ill franchise sh.ll be done 1n I thoro1l9h ~nd work:ntnllke manner. In the lI)'Int; of under\lround plpellnn and (llllis .nll Uu:"
conUnlctlon of otller httl\ltln and the opening of trenchu, tile tunntlln9 under county ,o'lll. '!lihts-of'WIY or otller count)' properties, tht gr.nlet
sh.l1 leave such trench,.:" dltchu Ind tunneh In such' \lay AI to inttrfere u l1tth U possible with publlc t,ntl .nll \'1'11 Uk. 1\\ due 11'I0
nec.uur)' pre"ut\on~".to guard lhe ume so thlt dall\Dgt Dr Injury sh,'1 not occur or .rhe by nnClr1 of such ",orki and ...here .n1 of 'Such trtnchn.
ditches or tunneh art hft optn at n1ght, the g,lntel shall phct ",arning 119hU Ind ba,rludu It Such" posHlon u to ght adequate \Ounl"" of
such wort. The 9rantee Sha11 be llabh far any Injury to penon or persons Dr damage to p~perty sustained th~u\lh lts careh:SVleu Dr ne\llect. or
throuqll .ny hllul't or nec;lect to properly quard or qhe \larnln; of Iny trenches, d1tctles or tunnels dug or II\llnUlned bl lI'\e !lrlntn.
2. Tlleqrantee,ltssuCCeuorSOrlSSlqns, Shin ctm'lence construction under such pel"!lllt granted by the County [n91neer\llthln the tl~ perlodsuted
in such permit Ind Shall hive ctnlphted .nd have in operation sucll portlon of the slsttlTl of lmproyemenU u NY be specHhd In suCh permit or tile
rights therein conferred upon the gr.ntee shill cuse .nd tennll'llte 1nsofar.s unoccupied streets, rOlds, etc., Ire c~ncerned.
3. The gr.ntee sha11 hne ,11 streeU, henues, ,l1eys, roads, hlghwIYS, rlghU.of.\lIY Ind other countl propt:rtles, .fur laying Ind lnsu111ng
1I&1"S Ind doln\l constructlon wort, Ntlnq repllrs to equipment. etc.. in u good Ind ufe condition ln .11 rUaects IS thel \len before the CO\'1'flenee.
ll\ent of such wort b)' the 9rantee, lts .genu or contractors, and all recorded monumenU whlch have been cllsturbtd or dhphced bl the wor~ shall be
reut to the specifications andapprtlval of the County [ngineer,
4. In cue of any dall\lge to Slld streets, Ivenuu, a1\eys, roads, hlgh....1S. rlghU.of.\lal or other count)' propertles, or to paved or surfaced rold.
\IIIYs. turn.ouU. gutters, ditches, \lOod or conCrtte \laUS. drain pipes. hand Dr embankment ratls. brtdgu, trutln, wharveS. landings or monurroenU
by the grantee, tile sald grantu agren to repair such dll'llge at the ur1hsttlme poulble It tts own cost and upense.
5, V'len thl! COI,t1'\t)' [n!11n~rr detl!l"TI':lnu thtt a'l t"ltr9t'lc)' situation dou ..1st, he mal order Ind hive done .nl ,nd ,11 wort, co~s'd!red nteuury to l
rutol't to. ufe conditl01'1 .n)' such street, I~en..e, 11\e)'. rOld. highljay, rlght.of.....l or other count)' property left bl the 9renttt or .genU In.
condition d.nqe~"S to life or propert)'. He lI\'y tI\,IIt to be rephced or ruet recorded Il'(ln~nU If I 9r.nttt falls to nplace or ruet Urtol! \llthln
I ruson.ble time .ftercCWl1plettonofconstfVct10n, Thegrlnttt,\,Ipondt1'lllnd. shill pi)' to the county.ll cosU of suchconstruet1011 or rtpalr.nd
of doing SUCh wort.
6. 1.11 constructlon or Instillation of NII'Is. nhu. pipes, polts, cables. llnes flttln(l Ind flcllltles. service, repalr, or relocatlon of the
UM, perfonned .10ng, over .nd/or undtr the count)' rOldi. rlghU'of~w" or other county propert',es subject to sald franchise shill be done In \\Ich
. lII.nner IS not to Interfert \ljtth the conitrucUon, operatlon .nd llI~htenlnce of other ut1litln, pub11c or prhlte, drllnS, dr.ln.ge ditches .nd
Itl"Ucturn 10cated thereh. nor \ljlth tlle grldlng or tlnprov~nt of such county rOldS. rlghU'of-\II11 or other countl properties.
,. Tnt. ownerS of .11 othtr ut\lItles, p..b1lc or prlv.te, instl1led 111 Such COl.lnt)' rolds, -rlghts.of....,y or other count)' propertlu prlo~ in tIll'll! to
the l1nu .nd fldl1tlu of the grantee shill h....e preference IS to tht pos\t10n Ind 10cUlon of s\,lch utllltlu so Instilled \IIlth rtspect to the
gr.ntee. Such p!'tferenct sh.11 contInue in the Ivent of the necusUy of relocltlng or changing the grade of In1 S"ch county raid or rlght-of.ljIY.
B. The grantee, IS fir IS prlctlcab1e, shall construct ne. ..t11U)' f4Cl1ltles under9round, btenslon of overhead hdlltlu fo11o.lng streeU.
'ven..U. WI)'St bol,tlev~rds or thOrtll,t!lhflru shill be undertlken only \lith the approval of the Count)' [n91neeri PROVIOEO, howevlr, thlt said 'PPrtlvll
shill not be ..n!'tuonabl)' \IIlthlleld. Grantee shill convert uhtlnq overhead hc1l1tles to underground facilities IS .nd ""tn equlpment replacement
11 undertlken, or \!llltn other uhtlng overhead utl11tlu Ire placed undergrol,tnd, unlns s..eh replacerrent 1s unsafe, l"'PrlctlCll, or etonOll\I(111)'
. unruson'ble, LIne t~tensloll policies .nd procedures eSUbl"hed b)' the grantee. .nd unlfoMllly Ipplled through iU nrvlce Irtl, sha11 be the
stll\~lrd in dttenntnlng .Illt h .practlcal, ~l!Ipractltll or IconCWl11ul1)' unreasonlbll. under ellll ordln,tnCt'1 prD~lded tlllt no ntlll overhead utl1\t)'
flcllttlu shill be constru('(ed or utlbllstled In In)' .rea set aside for public part. scho01, pl,y!lrtlund or athletic field pl,trpasu.
9. Spec1l1Prtlvlslons:
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A~,ile.lli;~"'''''''f'..."j-eD IN (", t.;r-T~ ,I'l-IVO S;--//f....L-- .13~
p"'7'G/1eo w:1-j-I (", OF A Sp),II-.T c."""cI2e;''',' c)-I5S
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CITY of PORT TOWNSEND
(Building Permit Application) WATER SERVICE PLAN
1,0 Show streets surrounding hlock in which lots :Ire located.
2.0 Show nc:U'cst waterline and sile.
2.1 Show route of proposed waterline (0 property.
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The ahove prop~d waterline-wfu use f:>"t,c, feet of~pipe...2-tees..9.-crosses,.ilihYdrnnts,
-=inch saddles....=tnpj)ing sleeves,~inch valves. Ditching and hackfilling will he
accomplished hy {),d,- <;;,~/d< ' Pipe and fillings will he installed hy
(Contrnclor or City)
S c:>w--Q... , I t is estimated that the cost will be S to he borne
(Contractor or City)
hy applicant 0 assessment district 0, The city has agreed 8' has not agreed I8J to bear
S ~ of the costs incurred,
(Owner/Contractor)
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JEFFERSON COUNTY
DEPARTMENT DF PUBLIC WORKS
1820 JeUerson Street
P.O. Box 1220
Port Townsend, WA 98368
{206] 38~'9160
N~ 0875
Di.wriclNo.
PERMIT
In accordance with all applicable Reyjsed Codes of Washington and amendments thereto, and subject to all the terms, comli.
tions and provisions writlcn or printed below or 011 allY part of this form
PERMISSION IS HEREBY GRANTED TO Robert G. Zimmerman
M Install additional pieces of culvert to existing approach at 2722
Thorndyke Rd. to widen approach.
County Road No, 418708
Franchise No.
Milepost 2. 75
No work shall be done under this permit until the party or partics to whom it is grmllcd shall have cOllllTlunicated with and
received instructions from
This permit shall be void unless the work herein contemplated shall have bcell completed before Se pt. 16 . 19 89
Datcdat September 16 .19 88
~~~~@wm
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1..800.424.5555
~
GENEllAL "IIOVISIONS AI'I'UCAIlLE TO ALL PEIlMITS
Thi~ permit issubjccl tn all .11lPlicllhlc prO\'isions of the Itel/hed Codes of Wil~hillglllll,C~CCpl thill any pro~'i,hll1 in this <ll:!fCCrncnt !lot cOl\shtcn\ with
such rcsllhllinll shall he cuntrolling.
^ bond in the 1I1llUIllllllfS
is required fur the protection of t\II': CllUl1ly ilS set forth in the terms of the bond
In accepting this permit the petitioner, his successors ilnd a"igm., llgrccs 10 protect Jcfrcr~on COlllllY and save il hllrrn\css from all claim'. actil.lllSuntl
damages of every ~iml ilml description which may accrlle to or he suffered hy ,lilY persoll or IJ<:Tsnlls, corpuration or property by rca,on or the perfor.
mance of IIn}' such work. c1mructcr of materials IIsed or manner of installatloll, nminlcnul\cc lint! O\lCr;llioJl or hy the improper tK:t.:UpiIlH':Y of right of
way or public placl; or puhlic ~tr\lClUre, llnd in case UtlY suit or nction is brought ugaillst said Jerrer~oll County for damages ilrisillll out of or by re;ISOIl of
llny of the above Cilu~es, Ihe petitioner, his sueeeSS{lfS or llssigns, will UpOIl notice to him or them of commencement of such action, dcrellllthe same al l
his or their own sole cost and e.wcnse llnd will slItisfy uny jlldglllent,lrter thc sahl suit or w.:tio1\ slwll have finnlly heen dcterminell if udvme \0 Ihc Jef.
ferson County.
During the progrcss of the work sueh barriers shall he: erected amI nwinlUincd as I1my bc IIccessilry or ilS ll1:\Y hc directed I'm the prutection of thc
ITn\'cling puhlic: the harriersshilll he properly lightcd ilt nigh\.
Except ;IS hcrein lluthori/cd, no exc:IViltion shall he made or ohSlilcle placed within the limit-'i 01';1 cOllllty roall in such a manncr us \0 illlerl'ere with
the travel ovcr said roml.
Exccllt as herein authuri/_ed, 110 cxca\,atioll shall he 1IImle or ob'itacle 111aced within rom HI feet of lhe edge of the pavement,
If the work done limier this pcrmit interkrl's in any W;IY wilh the drainage of the county road. the grantee shall whully ami ill hi~ own expense makc
such provision as the engineer lllay direct tlllake care {If said druinage.
On compleliun of said work herein colltemplated all ruhhish alld debris shall he immediately removed amI the roadway and roadside slwll he left neat
and presentable andsiltisfactory to the engineer.
All of the wurk hereillcolltemplateushall11e dOlle tinder lire .mpcrri.,iull and Jo the ~:Ithfaetinn of the ('ounty Engincer and the entire expense tlrsaid
supervision shall he burne hy Ihe party or pnnies 10 whom this permil is issued.
The Depanmellt ur Puhlic Works herehy reserves the right to orller the change of loeatiotlllf the removal of any structure or strllctureS amhmiled hy
this permil ill llllY time, said change or rell1ovalto he mllde atlhe sole expellse of thc piuty or panics \(l whom this permit is issued, or their SllcceWlrs
nmlassigns,
All such changes. reconstruction or relocation hy the grantees shall he dOlle in sllch manner as will eilllse the least illterferelH.:e Wilh any nf Ihe Coun.
ty wor~ and the County of Jefferson shall in 110 wise he held liahle rm nllY danwge \() the grantee by reaS(lI\ of any sllch work by the COllllt)' uf Jeffer'
son. it agents or rellrescnlativcs, Of by the exercise of allY righls by the County \lpOIl roads. streets, puhlic places Of structureS in qucstion.
This permit or privilege shalll10t be deelnctl or held to he nn exc1l1si\'C one ami shall not prohihit thc County from granting othcr permits or franchi~e
rights of like or other nalUre tllother public or privute ulilities, nm ~hal1 it Jlr~~'cllt thc County fromll~ing uny (If its roads, ~treets, Of public places, Of af-
fect its right to full supcrvisiml and control over all or any paTl of them. nunc of which is herehy surrcndered.
The \)epanlllclltllf Public Works lIlay revoke, amend or cancellhis permit or any of the provisions thereof at :IllY lime hy giving writtell notice 10 the
permittec. The permittee shall inullellilltcly remnve all fucilities frolll the right of wuy. I\ny racilitic.- relllaining upon the right of WilY 30 days :lrter writ-
tcn notice llfcuncellatioll shull he relllo\'cll hy the ("OIl1l1Y at the expell\e or the per11lillee,
The PlIrlY or parties 10 whollllhis permit is hSlled shall main\:lin at his or Iheir sole expetl~e the ~Ir\lcture or ohject fm which this permit is gruntcd in
II condition salisfaclory III the Dcpartment of Puhlic Works.
SPECIAl. PROVISIONS:
';~\I'\_:-1h'I;/(~1).~ <;'>i~'" i \
l~\r!\~ll~i.IUU ':1 \1[;\\
In accepting this permit the gTnntce, his Sllceessors und assign" :lgree thalllny damagc or injury done to the property of the grantee or illl~' c....pcnsc
incurred by himthrnugh the operation of a contractor. working I'm the County Of illlY Collnty clllpluycc shall be at the sole cxpense of the grantcc. his
sllccessorsandassigns.
,theundersigned,herehyaccePlsthispermilsuhiect Iothelerms
,lllll conditions as herein set fmlh.
Dolled this :'1.. 7 'd (.lay of '~;"'~~- L___
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fcc Puid_ Yes _ No
RnclplNu _ ~
^ddrc.\s Rcquc~l_ Yes.1:::::"No
Mile POSl
1820 Jelllllson Street
P,O. Box 1220
PorI Townsend, WA98368
(206)385-9160
AI'I'UCATIllN FOIl l'EllMIT
To Department of Public Works,
Jefferson CoUnty, Washington.
Tile IIl1dersiglled '\2. b ,...;.'\-
hereby afJp/~ for fJt!mli.~si()1I 10
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SKETCH:
Oil COIlIII.\' Road:
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27:<.'l..
ISltll~tll't/If'I(''''''\I'''l'lmll1!1''I.illHI
allt! (/grf!e~ /0 do tile work ill accordance l\';tl1 .\'ollr rules and regulllfiolls and slIIJject /0 YOllr inspection and approval.
Dille A-..,.q- ',,"", 199~
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IS,gfl,llur~ ,",r;\rl'1i,anll I("llnlratlllf)
_} , (If ilpplicalll i~ a coparmcrship, set forth names of copartncrs)
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l'IIUIIC No._<f-~l....:......k..
Phone No,
100% Recycled Paper
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DiSlriCINo,
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DEPARTMENT OF PU8L1C WORKS
Pern,i, No. () 87 :;,-
Supcr\'isor's l{cllOrl No.
Supervisor will make detailed report with his recommendation on this application. Whenever fJos.\ible show sketch oJ propm'ed
work. Supervisor will alw make additional refJorts atlll final rl.!fJurt gil'ing date oJ completion oJ work 011 this form.
l)relimi~ury Ueporl:
T/foR.~/O'-l\I...E \<.~. - m.p. 2.75' Rl.
Ff'JD ;:,ec"':''''5 ON S'~-'-rl $"CE 0;' d-PP"OHCH h,4uE: Be.eN !)1I-""r19~D
B'1 """,'1..;+'1 :C;..J5}-,q'-t,~r-tON (/1-.;5~W1~O)
F-Xln-''''j A-7'Pi?o/'/c.o't' I<e.cO'"'''1?Nl> t<l-p;)'~OlfAL. oP "".DeN,'''''}.
Dale:
gh,/sp.
, I
Signed:
....J~ I<~
Finulltcporl:
I'ERMIT INSPECTION IlEPORT
---'--- Work cO\'ert~d h)' permit has hccn complcted
satisfuctoril)',
_ Work is not completcd.
_ ItecommeluJ permit he cuncelled.
_ Truffic conlrol- adequule_
.. inudequute_
REMARKS
null':
Signed:
111,"11'1('1'111'11:"",1\('.
,~
'COI~NTY RCAO NO. 306309-
ADDRESSING YIS'N'O
MILE POST - -
--
PERMIT NO. ?f-/-.J;l-I
FEE PAl o...f;;s _No
OFFICE USE ONLY
l!J..ok-;t .2'('('5" t~ '
OFFICE USE ONLY
I"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. WA 98368,
CHECK ONE:
--8 RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is herby made for a permit to construct,
Please describe loaction (attac~ map or drawing --..... .
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out herein, and ~ny s attached hereto. .
Applicant Nam. ,Contractor Nam~~Oriv,~^. (' ~ '1, 9k-r ,
Address P.O,' 't Address PO, t'~ (;~~ .
.6))11 Q('.O,"" ~fl-:,'1' q~":{jC.,
C1Lt thLC5con, tractor Signatur"\, ~
Date' ";.j{).'i?~ _ Date~ >;'~ _~hone~~:3~/~
Note: Indemnity provisions of paragraph"2 'and'3 .on 'reverse side. ' . . . '", " ..
PE R M I T fuwww@~~\ili
Subject to the terms and conditions on the reverse side. PERMISSION IS IIEREBY GRANTED to"
Applica~t to construct, operate and ma'intain a road approach,aI! requested above,~And .aI1~..
speciallprov~&ions attached hereto.' . .. L, ., .~. ;.' .;, : ';':. .
..,', .'. r.. . ~ ".
No work shall 'be done'under this permit until the applicant orcontractprhas notified
~ telephone '
APPROVED ,BY,
!JA"~;/,,~L.,~
/-2.1 ~fi/i';
~- ~
Date
~,! j'" .
.J " =' p
.:,,',
PERMIT INSPECTION REPORT" . · fJ,
~work' covered by permit; has been completed
satisfactorily.' , ' ' .
~ork is not completed. ,
~ecommend pennit be cancelled.
_Traffic control - adequate
inadequate~
1.800.424.5555
REMARKS
INSPECTED BY: Uri ~~ \00,-,""Y DATE' (0-1- 'g",s
form 113-0 (RovA 2-j!2f
n
~
~
GENERAL PROVIS IONS
I. THIS PERHIT IS SUBJECT TO RC~ J6.75.110, .IqO AND .150 AHD ""ENDHENTS THERETD.
2. THE GRANTEE, ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY AND SAllE IT HARMl.ESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERY KIND AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERSOH.
PERSONS, OR PROPERTy BY REASON OF THE PERFORMANce OF MY SUCH WORK, CHARACTER OF MATERIALS USED OR HANNER
OF INSTALLATlOHJ IN CASE. ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAl1AGES ARISING OUT OF OR 8'1 .
REASON OF ANY OF THE ABOVE CAUSES, THE PETlf.lCNER, ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE OF COMMENce..
HENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENse AND SATISFY MY JUDGEMENT ARISING THERE FRO" IF
DETERMINED ADvERSe TO JEFFERSON COUNTY.
3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD pARTV TO PERFORI1 THE WORK AUTHORIZED
~~O~~~~f~~R~~[D ~~~H[~~:D A~~R~~FE~~ ;H~A~~u~~V T~~ ~g~~~g~~~1~7T~O~H~ T~Rge7~'~~~~ ~~ T~A~:~~l~~'2~G:~~eE~O
4. ~v T~~iA~~R~~l~~ ~~Ni~~ ~g~~n~g~~~~o~~Q~~~~C~~~= ~i;~:: ~aogAy~R s~:ttu;~~~C~H~H~~R~E~~I~H~Q G~~n~_
LATlON AS HEREIN PROV1DED.
S. DURING THE CONSTRUCTION OF THE fACILITY, THE GRANTEE SHALL COMPLY WITH THE MANUAL ON UNIFORM TIUFf:IC CONTROL. .
DE'J'ICF.! FOA STREETS AND HIr.HW,\V! PUBLISHED BY THE U. S. DEPARTHfNT OF TRANSPORTAT ION.
6. OM COMPLETION 0' SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL B! IHI'IEDIATELY REMOVED AND
THE ROADWA'" AND ROADSIDE SHAU BE LEn NE.U AND PRESENTABLE AHD SATISFACTORY TO TH! COUHn. . . .' i
T. THE .cOUNTV RESERVES THE'RIGHT"TO ORDER THE CHANGE 0' LOCATION OR THE REMOVAL 011 ANY STRUCTURE 0" STRUC'TURES
AUTHORIZED BV THIS PERI1IT AT AAV TIME, SAID CHANGE OR REMOVAL TO BE KAOE AT SOLE EXPENSE 0' TH~ PARTY OR .'~ .'.
PARTIES TO WHQH TillS PEMIT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS. "
.. ..- 8.. ~~~ ~~~~T c~~~~~~ER~~~~N~I~Wr~~N O~A T~~Lgg~~:~~ s B~o~~~AZ~A~:~;E:~~~LC~~N~~N~Hl~t. S~HN~ :1~:E:E A~€~J Lt r~:~~l!
, . __.~ ,. FOR ANV DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BV JEFFERSON COUNTY, ITS AGENTS OR REPRESENTATIVES,.
...'; OR BV, THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES 1M QUESTION.. _
"':-"',.;'.' 9. THI! GRANTEE SHALL NOTIFY THE COUHTV'S REPRESENTATIVE UPON CWLETION 0' THE WORK UNDE" THIS PERl1lT SO "THAT
l7. . . A FINAL INSPECTlOH CAlI BY HADE.
, "
2.
E
:t..
, ,
SP€CIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
o I. A COpy 0' THE PERHIT SHALL BE ON THE JOB SITE, "AHD PROTE)TED FRO" THE ELEHENTS, AT ALL TIHEt DURINCI THE
. ~ ',', CONSTRUCTlOH AUTHORIZED BY SAID PERMIT WITHIN THE COUHT't S RIGHT~OF.WAV.. ' '. .. I ...:.:.
o 2. 'THE APPROACH SHA~E CONSTRUCTEO IN ACCORDANCE KITtt TH~ ATTACHED DESIGN PLATE Tvpe--..l:.=.i.----.:. :
APPROACH. . fT. LENGTH OF -4- tNCH DIAMETER CULVERT PIPE SHALL BE PLACED lit .
DITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS .\5 SHOWN ON
D~~E~i~G A~~ ~~~f~~~D~A~~R T~~0~p~:~e~1E S~~~~E~~Y I~N1~c~~e~~~E R1~~~.~~~w:~0~:t~ ~g~T:~Lp~:MW~E~~AH.
lID 3. THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEaUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT ANY HUD TRACKING ONTO THE COUNTY ROAD. ANV MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMI1EDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
~ 4. IF NECESSARV TO INCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED fROM BOTH SIDES OF THE
e~r~~A~~ALL T~~T I~~I ~~:~7}~:~Eo~U~~~~~y 0~O~5R~~~~~~~~wl~~BER OR 01 SF IGURING OF ANV FEATURE OF SCEN Ie
o 5. WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:ooA,I1. AND 4:00p.l1. UNLESS OTHERWISE AUTHORIZED BV THE
ENalNEER.
o 6. A sURETy BOND IN THE AMOUNT OF S , WRITTEN 8V A SURElY COMPANY AUTHORIZED TO
00 BUSINESS IH ntE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANV AND ALL OF THE
TERMS AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE IJHTlL ALL \IlORK UNDER THIS PERI1IT HAS
seEN COMPLETED AND APPROVED BV THE COUNTY.
o 7. BEfORE AAY LOG HAUlINa OPERATIONS BEGIN, A SURE TV BOND IN THE AMOUNT OF s.__~ SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNrv AGAINST ANY DAHAGE TO THE COUNTY ROAD AND TO INSURE
COHPLETE REMOVAL OF THE APPROACH AND CLEANING UP OF THE RIGHT-Of-WAV To THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEA" UP WORK SHALL BE SECURED 8EFORE THE BOND HILL BE RELEASED.
o 8. SPECIAL COHSIDERATlONS
".
Form 113 b
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~~1c~&~DcJ~ vI) ,
:OUNTV ROAD NO.
;TATE LOG NO. 3~5'7CJY
IILE POST ~,,,9 ,~,
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT DF PUBLIC \~ORKS
Jefferson County Courthouse
Port Townsend. I/A 98368
PERMIT NO. 7i'lf)-Q-1
FEE PAID .J:)es _No
OFFICE USE ONLY
5.):,-;,j'I,/'/1"o,',,;/(,
CHE:CK ONE::
o RESIDENTIAL
~ APPLICATION FOR ROAD APPROACH
I:B COMMERCIAL
(~~:;(..-;'I~_~"t....
A pplicatidn is he~bY made for a permit to construct, operate and maintain a road approach.
Please describe loaction (attach map or drawing) (~r~,'V,..;.\.!,,_.:_.I.. 1,/;:. ;'~1. "'. SOI;.,..;..j r.( r;.,...k.... ;......~...L
Oh ~-\,...' \(It'k..., i~':1\~\" Rr.,\.~, i\'~)?\'(h';,\" i.. t"l\ \~\'~"J~ ~i:A~ ,\'i' ('<l'':",'~:" rv".\s-\ "1\1')" VI,,'.Y';"'~i\'
o..);,;.{~ rL)\...._h.li'_ pl"""-' ,-.;t..(",...\..\ t'~:\,'''' :" L) .,.......L.I,\ ...... i~" t.,Mf~ I:"~ ,.,\-\.-~,L',:,.,
Applicant agrees to perform the work in strict compliance with the terns and condi.tions set
out herein, and any special provisions attached hereto.
Applicant Name rf) ~Jt:' r:'e~-,(,,)t(.I::;S . Contractor Name
Address p, C, fl;cf :::?/~, Address . "';,,,"',.. (I <, (~f'r:>L ,,~, J.
r~.\(
if,,+ (,;"."k>j,' lull 9,'131'-/ "'.')~:E,'14
Applicant Signature ')''l~fL., /f,-u..iX'__ -r;"'!,'Ct1-{' Contractor Signature
Date. /OJ'7 { 'rl ,-''0----',. t~_,:,";,4"., Date
Note: Ind~ity proviSions of paragraph~ 2 :.:and 3 .on' reverse side.
SUbje&[ffiJJ@~~J~ conditions ~n :h~ :e~e~s: side, PE~ISSION IS HEREBY GRANTED to
Applicant to construct, operate and ma'intain a road approach as requested above, and any
special provisions attached hereto.
No work shall be done under this permit until the applicant or contractpr has notified
, telephone
APPROVED BY:
/l~K~
'Date
/0 -9- 'd7
PE~IT INSPECTION REPORT
~Work covered by permit has been completed
'satisfactorily. '
_work is not completed.
_Recommend permit be cancelled.
_Traffic control - adequate
inadequate_
CALL 48 HOURS
BEFORE VOU DIG
1-800-562 -6478
REMARKS {
,.,
INSPECTED BY~t\,rt_r:,~' ( 0r;.~j DATE:~-6
n
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..
GENERoIL PROVISIONS
I. TIllS PERMIT IS SUBJECT TO RCl/ 36,75,1l0, .]qO ArID .150 '''0 AMENDME~TS TNERETO.
2. THE GRANTEE. ITS SUCCESS'<lRS MD ASSIGN~I AGREES TO PROTECT JEFFERSON COUNTy AND SAVE IT HARMLESS FROM ALL
CLAIMS. ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH HAY ACCRUE TO OR BE SUFFERED BY ANY PERSON.
PERSONS. OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USEtI OR KAttNER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNT'f FOR DAMAGES ARISHj(j OUT OF OR BY
REASON .OF Mh' OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION. DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY NiV JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3. IF THE GRANTEE ENTERS INTO ^ CONTRACT OR AGREEMENT HITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
BY THIS PERMIT, THE THIRD PARTY, AS A PART OF THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEE, AGREES TO
IfiDEMN I FY, HOLD HARMLESS AND DEFEND THE COUNTY IN ACCORDANCE WITH THE PROVIS IONS OF PARAGRAPH 2, ABOVE.
q, ~~\~:~A~~R~;T~~ ~;Nm ~g~m~mo~N~O~~Q~m~~m m~l~ ~D~AV~RS~~I.tU~~B~~C~HM~R~E~~I~H~O G~z:m_
LATION AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE MANUAl nN UNIFORM. TRAI=I=IC r.ONTROI
DEYIt:FS I=OR STRFFTS AND Hfr.HWAY.l: PUBLISHED 8'1' THE U.S. DEPARTHENT OF TRANSPORTATION.
,6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REItOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISfACTORY TO THE COUNTY.
7. THE COUNTy RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REHOVAl. OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT ANY TIME, SAID CHAAGE OR REHOYAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO HHOI1 THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS.
~~~ ~~~~T C~~~~i~ER~mNm:fmN O~R Tn~LggCm~ S B~D~~EA~~A~~~~E~~~~LC~~N~~Hl~L S~HN~ Iif~n A~E~Ltl~:~~E
FOR My DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITS AGENTS OR REPRESENTATIVES,
OR BY, THE EXERCISE Of ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
9., THE GRAl'tTEE SHALL HOTlFV THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THe WORK UHDER THIS PERMIT SO THAT
~ FINAL INSPECTlCH CAf' .BV MADE.
, . 8.
-0 1.
@ 2.
~ 3,
0 q.
.0 5.
0 6.
0 7.
o B.
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BV AN (Xl
~D~~~~Ug~I~~EA~~~~nZ~~A~~ :~lgN P~~~I~Gel~~I~'T~~DC~~m~~E~I~~~~~~A~~EMENTS, AT ALL TIMES DURI~HE
THE APPROACH SHALl. BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE P_I, ,,/'
APPROACH. A~FT.LEHGTH OF 12-' INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN
DITCH AND LAID TO. A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
mE~~G ~~ ~~~F~~:D~A~&R T~io~P~~~C~~E S~~~~E~~V I~N~gcg~e~~~E R~~~~~~:.~~Om~ ~g~T~~Lp~~MmE~~AN.
THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEOUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT AhY'MUD TRACKING ONTO THE COUNTY ROAD. AAY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE II1MEDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARY "TO INCREASE SIGHT DISTANCE, 'STUMPS AND BRUSH SHALL BE REfiOVED FROM BOTH SIDES OF THE
c:r~~A~~ALL T~~T I:~I ~~~A~}~~~EO~U~~~~~y 0~0~5R~~~~~g;:wl~~aER OR 01 SF IGU~ ING OF ANY fEATURE OF SCEN Ie
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M. AND If:OOP'.M. lIfLESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
A SURETY BOND IN THE AMOUNT OF $ , WRITTEN BY A SURETy COMPANY AUTHORIZED TO
DO BUSINESS IN TUE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE
TER/iS AND CONDITIONS OF THIS PERMIT AND SHAJ..L REMAIN IN FORCE ltHIL ALL WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTY.
BEFORE ANY lOG HAULING OPERATIONS BEGIN, A SURETY BOND IN THE AMOUNT OF t . SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPLETE REMOVAL OF THE APPROACH AND CLEANING UP OF THE RICiHT-OF.WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURf,p BEFORE THE BONO WILL BE RELEASED.
SPECIAL CONSIDERATIONS
Form 113 b
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Cl~lY ROAD NO. s2. 75b9)
STATE lOG NO.
. .MI~E POST ..1:.!.LTO~
9FF I CE USE ONL Y
PERMIT Ntl..':i"l\'- S -/ ~ -/
fRANCHISE N9.
FEE PAID \L..Yes _No
OFFICE USE ONLY
~ooe~
,-""-
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 9B36B
APPLICATION fOR INSTALLATION OF 1ITILITlES
Applicant: (, Contr.l!c~or If .
Name \1.:.,,66.1>:\ I\.?'jl oJ,) J ~Iame 11& ~ OIv,vG4.. "-,,,II .<!{!...-'
'ddr ess P ". ,() '" r 3" d l-oJ ih=.f... /) 'de. <I- Co "'fJ Icd~ ff.( (
n U = -" a :So 1.. dress (,-"" ... 1/ .
r:?LfIIc,r,,,,,, , \.UA '1S'nob IlbtJR.<'5S ,S4Md "I.' A,I1,I1/ItA.;;f-
Phone I 7 b r; 7,.5 b 1... Phone: 7 G f) ::j,S-b'7-- a1 .3 '3'5' - ,;).106 ",-k.:.
Ap~lication is hereby made for I pennit to construct, operate and lI\ilintain
:~~'1 r~rnl<1ln'-,','(~';/, Tu (j-/.i!Ic. ()/U }04d ~;3/.rf ,:,J W/1j 3,->"
.d.~p 3hd ,,~ 4S '" b.4H /'-10
The utility {~sUllation is located (atUch II\ilp or drawing)
Applicant egrees to perfonn the work in strict compliance with the tenns Ind condition.
set out herein, end states that Applicant has read and will edhere to the ~eneral provi-
sions set out on the revers side of this fonn and any special provisions Iltached heretO,
, ~.~ ~(J
Applicant Signature:
Date: JYJ40 I~ /q$'.f:(
PERMIT
This pennit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-81 Ind WAC 136-40, including lmendments thereto, the general provisions set out on the
reverse side of this fonn and Iny special provisions ettlched hereto.
No work shall be done under this ~nnit until the Applicant hu received fnstructions to
proceed from' , telephone .
APPROVED BY: ./J,~ K~ !late: 5'- /2.-88
~~OTE SPECIAL PROVISIONS ON REVERSE
/ 1 1 1 1 I 1 1 1 1 1 1 ( 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 I, 1 1 1 1 1 1 1 1 1 1 1 1 I I I
PERMIT INSPECTION REPORT
@
:t. Work covered by pennit has been completed satisfactorily.
Work is not completed.
_ Reconrnend pennit be cancelled.
_ Traific control_adequate; _inadequate.
REMARKS:~' ~
INSPECTED BY: ,VlA\~P UJO./lt2
1.800.424.5555
Date:
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540"".1 Provisions fit" oJ,t(or,Of! Colii'll)' Onll ) :r.1I '1'I11 \.lAC 136.tO,
\.'i
1. A11 work don. I.Indt,. ..hI (,,",hll. ''''11 M don. tll . thorou;1l .nd "'Or~nllh Nlln.r. In thl h)'I"O o( un6e'1lrOllnd plPtllnu Ind ctb1n ani th,
CGnHI'\II:t1on 0' ott'tr "(111'1.. .nd ttlt OPt"t", of trentllu, ttlt tunn.1tnll und.,. COulltl rotdl. r11lIlu-oroll.Y or alh., (Ollntl prOPfrllu. V.. 9".nt"
."wIll IUw. such tr,nChes, tlltcllfs 'nd tunnth In III(h . WI " to Int.",,, n little IS ponlbll ...Itll Pllbllc: trtnl tnd IMlI t._. .11 "\I' 'lId
nICUU", pr'C;'vtlons to '1I1N! tPlt ..,... 10 th.lt d.llII\lt or Injury ."'11 fIOt occur 'I' '1'1.. lI)' I'Ulon of I\lth work; tnd 101111" '"1 0' Iwell tr"tnchU,.
IItehel Dr tllnneh Ire l,ft OPln It night. thll ,r.nt,. ''''11 phu ..",11t9 Ughl.S ,nd btrrltldu U luch. po,ltlon n,to ,h. ,d.qlllte IItImln\l ot
luth \ol101'''. The 9r.nt., shill be 1 "lilt for '"1 hJurl to "rlOn or person, or e1.N\I' to proptrt)' lultlln.e1 tl'lrou\ll'l IU Clr.ltun." or n.gl.ct. or
tl'lro"'91'l11l)' hfl",,.. or ".;l.ct to proper1)' '1I1nt or ,In ,"mlllg or 1111 ""'"CNI, dHCM! or tunlMh e1119 or ..Intll/'ltd by tilt !lrltlttt.
t. TN ,rlllttt. hi s",cuno", or uIIljInl, shill C~nCf cOllltrvctloll und.r IlIch PlMllt trant.d b, the Count, [n;lnnr within th. tI-e Ptrfod It.bd
III Such ,.,..It Ind 'hill h.w. COIIIp1tt.d .nd h.WI In oPtrlllon I\.Icl'I pOrtton of thl I,llM 0' I~rowf!llfntl U ..., be IP.clfltd In SUCh PI",lt or ,,"-
rl,hls thertl" conhrr'H upon tlwl ,r.ntH shill CtlU .nd \tl'1llln.t. hlof.r II l/Iloccupl,d ItrftU. ro.dl, .tc"'rt (onurn,d.
3. The ,rl"," Ihlll1t1W1 111ltrtttl, Iv,nutl, .11'11, t'Ofds, hlljlhwl'I, rlljll!tl-or.WI, ,nd ottltr co",nty propertl.., Ift,r h)'Inljl In! Inlulling
..111I .nd dolnljl cOIIUrvctlon work, ...fnljl rtp.l,." to ,qulp..rnt, .t(.. In n 900d '"d ..f, cOl'Idltlon In .ll "I;It(U II th.)' Wlr. btfor, thl cc""Ifnc,.
tltnt Of luch ..:Jr. bl tht ,rantrt. 1n .g.ntl or cOlltrlCtorl, .nd .11 "cord,d IIIOn""nu lIlhlch hi.,. bun dht",rbed or dhphCtd b, tilt war. sh.lI be
rll't to "h. SPfClflCltlonl .nd ,pprovIl af 1.1... Count)' [n\lln,.r.
4. I" (III of Inl eta....;. to uld It",.ta. .v.nlltl. .11')'1, roIdl. hltIw8,1. rl;htl-o'..., Or ot"'r COlollltl proPtrtl". or to plVld Or lurh"d rold.
"",1. turn'O\,ltl. ,,,,tt.rs. dltchel. wood or concret. ..1", dr.ln plPtl, hind ar ~blnklltnt rath. brldgn. trtlt1n, lIlh.rwu, hndlngl or ~"\IIlrntl
by tM ,rlntrr. ttlt Slid ljIr'"tu Igr'lU to r.p.lr IUCh dl/l"'\I. It the ..rll,sttl", poulbl, It 1tl Oll'l'l (ost .nd ,ap."u.
S. Vhtfl thl Count1 [n\llnnr citt,,..fn.. thlt .n ....."II.nc' IHultlon cSotl 'Iht, hi.., Ord.r tnd hlv, don, tnl tnd .11101I01"\ conlld.r.d ntetlu'l to
ruto", to , uf, (Ondltlon '11, such It""t, h'II",.. tll". ro'd. 1'11\11'1..." ,I\lht.elf.WI, or othtr (Ounty Pl"Cp.rt, I,ft b, th, gr.ntu or '\llntl 11'1'
condition Ihng.rouI to IH, or proptrt,. Mr NI CI"''' to bt "'plaClIl or "'lit ruorll.d "'n~l'It. it a '~'ntu fafll to "pllt. or nut ..... w1thln
. ",,,on.bt, tl~ tft,r (llIIIpl,tlon 0' tOI'lI\I"\I(tlon. T~ grllltu, IIpon ""nd, Ihall P'l to thl count, all COI\I of luch conl\ructton or "'Pllr ,nil
0' doing lloIch worll,
.. All COf'IItn.rctfCHl or fl'llta'htlon 0' ..Inl. ..1vII. plPlI, pol.., c.b'", 1Inll 'lttlng and hdlltln. IIrvle., "plfr. or ""otl\lon of tht
..... Mr'orllld .10ng, ov.r .nd/or uM.r thl Count)' roIlll, rlglltl,o'.Wl or othtr COIIII\)' proPtrU" IlIbJ.ct tl'l ul(! 'rJnehlu Ihall be ;lon. 1n luCtl
.. ."nner II IIOt foe Int;rfirti .Ilt, U... eonltructlon,.optrltlon InCl..tntrn.nCl or OUlIr Utl1ltl.I, Jubllc or prhlt" IIrafl\l. IIr.ln.VI dltchl, tl'ld .
Itf'\lC\ul"t1 loClted tlltl"tln_ toGr with tM ,r'dlll\J or 1~ro'l'tflllnt 0' 'llCh COU1It, ~dl. "1,tIts.Of....., or oth.r COllnt, proptrtlll.
7. n..'own,,,,, 0' tll It"'r lItllttl". P\lbllc tr ,rh.t" tl'llt.111d t"l",eh count, f"OIdl, ,.1,htl..o''"'''1 or .t....r COUntl 'l"CPlrtl" ,rlor 11'1 tl.. to
tht 11"" .1Id hctlftt" 0' thl ,r'l'It" .hlll hi", ''''''rtflCI II to t.... poSItion Il'Id 10(ltlon 0' 'ueh utlHtl.. so 'nstllhd with ,tlPltt to the
,r.nt". So.Ich Pl"tf'rtne. .fl.t11 contlnllt In tN: tVlnt of tilt Nunltl 0' "'outing or Ch.nvlnljl ttlt ,r.de 0' .nl 'IoIth cOIoIntl ro., or "ght.a'.w'l.
.. fll, ,r'nh.. II f,l' II practicable. ,1'1.11 Conltl"'\l(t MW utility bcllltl.. ",ndtrgl"'Ollnd. ht,nllon or OV'l'httd "c111tl.. 'ollowlngltrt.tl.
'Vll'lIoIII. .yl. boul.urdl or thorough,."! 11'1.11 be und.rllk,n onl, with tilt ,pprov.1 of thl Countl [nglnttrj PROWID[O, hOwlv,r. thlt uld ,pprow.l
11'1.11 I'IOt be un"'..01\.b1, wlthhtld. liranttt 11'1I11 cOI'IVlrt tlhtlng oVlrhud hellltl" to ltI'IdtMJl"'OlIl'Id ,,,llItl.. II and wtltn tq",lplI\Int rtPI"......nt
h und.rU.ln. or ~I'I ot....r .lht1nljl ovrrhud utl1ltlu ,r. phc.d und'MJ"ound, unl.n luch rtphe~nt h un"ft, bpractlcal, or lConornfCl1l1
UI'I""ol'I.bl,. LII'I' '_hllllon polfelu .nd proc.dll"" "t.blhh.1l b, th. ljIr'l'Itrt. 'nd unlfo~l, .ppll.d thro\,lgh IU IIrwler 1"", Ih.tll be tht
stan<<:lrd hi cittt",II'IIng wfllt h .P"actlcal. tlllpractlcll or 1C0nO'lllcal1yun"'UOII'bl,. under this antln.net; Pl"C,IIl.d thlt 1'10 HW ourilt.d utl1hl
,,,llltl,, '''111 .. Conltrvctl'd or IItlblhhtd tl'l.nl.r.. 1ft Ill" '01' publlC PIl'II. 'chool. ,hnroo..nd or tthl'tlc tltlel p..,!"flOI",
t, 'P"f""~",.,,.to,,:. :~~'lf\..
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c.ol1Iny"'ROAD NO.~
STATE ~OG NO.
MILE Pli~T _
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS FEE PAID _Yes ~o
Jefferson County Courthouse OFFICE USE ONLY
Port Townsend, WA 9B368 r:5 a Cl!1I'10!3 fj,,' OL 1lif
CH~CK ON~'.' APPLICATION FOR ROAD APPROACH -;-jc;or; ,g~o C/l."t'i"'~b.5J':::-
~ ~ l 7/J'C;O" -"." .
o RESIDENTIAL COMMERCIAL
Application is he' by made for a permit to construct, operate and maintain a road approach.
Please describe loaction (at.tach map or drawing) r/t/f ,b41J A-/{YR&>'/'Uf.f ':/..fTOJ n
=::.,. M/U ,~~'T /?"v ;',t,A<AJ€ r"'~ .a€..
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out herein, and any special provisions attached hereto.
Applicant Name /If, c,.... 1)#;c.,8,fCl!Jt-- Contractor Name .5.4~
It~ Address
I/Ntb 9?Jfr
Contractor Signature
Date
Note: Indemnity provisions of paragraph, and 3 on' reverse side.
.. " PERMIT
SubJect t.o the terms and conditions on the reverse side, PERMISSION IS HEREBY GRANTEO to
Applicant to construct, operate and ma"intain a road approach as requested above, and any
special provisions attached hereto.
the applicant or contract,or has notified
,telephone c5"&'~' J J as"
Date ~)~/,fl
PERMIT INSPECTION REPORT
,\QLJwork covered by permit has been completed
satisfactorily.
_Work is not completed.
_Recommend permit be cancelled.
_Traffic control - adequate
inadequate_
CAll 48 HOURS
BEFORE YOU DIG
1-800-562 -6478
REMARKS
Form 113-0 (RevA 2..82)
'I 0
INSPECTED BY: .ilhhi' CUOJ><<
DATE~f
~
GENERAL PROVISIONS
1. THIS PERMIT IS SUBJECT TO RCi! J6.75.110. ,140 MID .150 AND AMENDMENTS THERETO.
2. HtE GRANTEE, ITS SUCCESSORS MID ASSIGNS. AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FROM ALL
ClAIMS, ACTIONS OR DAMAGES OF EVERY KINO AIlD DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFEREU BY AtIY PERSOII,
PERSONS, OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USED OR MAlH/ER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS DROUGHT AGAHlST TttE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF TliE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL. UPON uaTleE OF COMMENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3. IF THE GRANTEE EIlTERS INTO A CONTRACT OR AGREEMENT WITH A TfllRD PARTY TO PERFORM THE WaR I< AUTHORIZED
BY THIS PERMIT, THE THIRD PARTY, AS A PART OF THE CONSIDERATION FOR ITS CONTRACT wITH GRANTEE, AGREES TO
INDEMNIFY, HOLD HARMLESS AUD DEFEND THE COUNTY IN ACCORDAUCE wITH THE PROVISIONS OF PARAGRAPH 2, ABOVE.
4. ANY BREACH OF ANY OF THE CONDITIONS AND REQUIREMENTS HEREIN MADE, OR FAILURE Ol~ THE PART OF THE GRANTEE
OF THIS PERMIT TO FINISH CONSTRUCTION wORK HEREUNDER wiTHIN 90 DAYS SHALL SUBJECT THIS PERMIT TO CANCEL-
LATION AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE MAtilJAutLllli..lfll.Rli.RAFFIC CONTROL
DEVICB FOR STREETS AND HlmfrtA:i1 PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY.
7. TfiE COUNTY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT ANY TIME, SAID CHANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AUD ASSIGNS.
g. ALL SUCH CHANGES, RECONSTRUCTION OR RELOCATION BY THE GRANTEE SHALL BE DONE IN SUCH A MANNER AS WILL CAUSE
THE LEAST INTERFERANCE WITH ANY OF THE COUNTY'S WORK ArlO JEFFERSON COUNTY SHALL IN NO WISE BE tlELD LIABLE
FOR ANY DAMAGE TO TUE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITS AGENTS OR REPRESENTATIVES,
OR BY rHE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS} STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
9. THE GRANTEE SHALL NOTIFY TUE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECT(ON CAN BY HADE'.
0 1.
~ 2,
J0 J,
,lKJ q,
0 5,
0 6.
0 7,
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN eX)
, ,
~o~~~~ug~ I~~E A~~~~kr Z~~A~~ ~~lgN P~~~l ~O:I n r~' T~~D c6~~~~y~E~ I ~~~~0~~~A~7EMENTS, AT ALL TIMES' OUR ING THE
THE APPROACH SH~BE CONSTRUCTED IN ACCORDAN,E WITH THE ATTACHED DESIGN PLATE TYPE_L~
APPROACH. A FT.LENGTH OF //' INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN
DITCH AND LAID 0 A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
67~E~~~~G Ag~ ~~~F~~~D~A~~R T~~o~p~=?e~~E S~~~~E~~Y IgN~gcg~~t~~E R ~~~~_~~:w~~O~: ~~ ~g~T:~L p~~Mr~~E~7AN.
!.I
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THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PA....EMENT TO
PAEVENT ANY MUD TRACKING ONTO HiE COmHY ROAD. ANY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY HIE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED FROM BOTH SIDES OF THE
e:r~~A~~ALLT~5TI~~I~~=~N~~~Eo~U~~~~~yO~0~5R~~~~~~g~:w1~~BER OR DISFIGURING OF ANY FEATURE OF SCENIC
WORK SHALL BE RESTRICTED TO HIE HOURS BETWEEN 9:00A.M. AND ~:OOP,M. UNLESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
A SURETY BOND IN THE AMOUNT OF $ , WRITTE~1 BY A SURETY COMPANY AUTHORIZED TO
DO BUSINESS IN THE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANY Arm ALL OF THE
TERM~ AND CONDITIONS OF THIS PERMIT AflO S~tALL REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
BEEIl COMPLETED AND APPROVED BY THE COUNTy.
BEFORE ANY LOG IlAULING OPERATIONS BEGIN, A SURETY BOND IN THE AMOUNT OF $. , SHALL
BE FURtllSHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPLETE REMOVAL OF THE APPROACH AND CLEANING UP OF THE RIGHT-Of-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL Of ALL CLEAN UP WORK StlALL BE SECURED BEFORE HIE BONO WILL BE RELEASED.
o g. SPECIAL CONSIDERATIONS
/I?,P,
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Form 113 b
."
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TYPE C-I
COMMERCIAL ROAD APPROACH
I--!l(l' ----i
J
1
IZ"Clomin.cuyvert Exi'tin; ditch
Edgl of Shoulder
___~_:::.:. :=:-"':':'" _ _ _ _ L ~S~~d:.:::~~~ma~ be required)
-=------::.-=-=F-=-====-
t~ -_-- ---::---__T90;--
County Roo..!!,
Varin
<l.
---------------------------.----------.---
<< of County Road
Edge O',.hOUidel I
120m,",
~:.11~~~== I, H~~ ~~
Min.4" balla,' ? ~,
M,n,i'lop course Min,,2"CUI,e3
PLAN
SIGfIT DISTANCE REQUIREMENTS
POSTED SIGfIT DISTANCE
SPEED LIMIT MINIMUM DESIREABLE
.!ill!!:!..
25
30
35
40
45
50
160 FT.
200 FT.
240 FT.
275 FT.
315 FT.
350 FT.
200 FT.
240 FT.
275 FT.
350 FT.
410 FT.
475 FT.
NOTES:
1.) Culvert shall meet minimum specifications
for HS-20 loading. Approved types include:
1) concrete
2) corrugated metal
2.) County road shoulder shall be left at
existing profile.
APPROVALS:
County Engineer
Date
Chairman, Board of
County Commissioners
Date
Form 113-d
~
COUNTY rWAD NO ...llo_~?
STATE'LOG NO.
MILE POST _-=fo--
OFFICE USE ONLY.
Name and Address 0 f App1
dEFrtI<SIJN CUUNIY
IJEPARTMUH OF PlI~L1 C ~,ORKS
P[I~M I T NO. u-~Z---:J.::!.1-
FIVINCIII SE NO,
FEE PAID Yes---fro
OFFICE USE ONLY
defferson Coun ty Courthou$e
Port Townsend, HA 9836[1
E\~i'.1JS!1IJ..QfL.~()B..JJ1~1~AL,~!\.TJ,()..rLQr...,~T.IIJl.!~.
P\MF :-1. 1. i(,.':T
Application is I,ereby made for a pennit to construct, op(,rate and maintain.._'__
T 0_ TR !2N (1.1 'Y1_8.LO IY..[L-y:J.I...V~;'--~Y.:.SS':___!:!:_J!:~._..::E....!.i.~....__r'!.,~:::~~::..___.__
..JJ!Jn.!J.:LJ' .,' ,~~:~)__:.~.yL__.I.lLjJ. _^!fl!Y_SJ):;T~ )!0,~'!::._" .__ ...___________ . '... ._. ._,..
The utility installation is located (attach map 0" drawing),'?.!-"ro...,_-=I~I!~1.C'IE:12__PJ:,!~(;
-.-----. -~.------_.__.. -- ....- _____ h__.___
Appl icant agrees to perform t.he \'Io,'k in slrict. cn'lIpl iilnce ,.Ji lh the terms iJnd condi t.ions
set out her'ein, dnd sLltes that App"Jicant hdS t"CiHJ and ~'dl-I ildher'e to tll(~ ~JpnCl'al pr'(wi-
sion$ set out 0/1 the I'Cverse side of L1ris fonll drld allY SIJE.!cia'] provisions illtdclled iWr'eto.
'-'--. - -.-----..-.. ------., _.._-'_..._..._-.~-_.-
App 1i Cdn t Signa lur~~./L-'~':y<,,,-==,,,,,_,_,,_,_ Od t.e: _fc"':..:::.!..!.::._,"'i!c:!....,.
,if:; ~~o 200 f?
~~OO.h, I 1/ 1/ 1/ 1/ U /I, /I 1/ 1/ / / 1/ I 1/ I I 1/ I
A E'~; ?-l'_JU1.J....I
Subject to the followin!j'terlllS and conditions, P[f~~lISSION IS IIEREIlY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above,
Th i 5 pe,'mil. is cond it i oned upon I\I'P I i can t'" COlllp 1 i ance with ,Jeffer'son Coun ty O,'d i nance
2-81 and WAC 136-40, including alllendnlents t.hereto, the general IlI"ovisions set out on the
reve"se side of lhis form and any special provisions attached hereto.
N,O work sha 11 be ,cIJlne unde~rhiS )ermit until t.he AppJ icant has received instl'uctions to
proceed from -6-,-A~Uf_../;,€MK..<-.J.~~_______...__..., telephone -....t:~.[:df7.~~,
APPfWVCD IlYG!'~~ _, . --2.e.t0l~,__._..,__..___,__... oate:_~p]~L...._
2 I I I I / I / z LU.J. I I I / / I / I I I I I I / i I 1/ I I z.L.LL I / I i I / (
!.'.c.Bt:!.!.Uli?l'Q:.:r..U!t'Llig'QB.l:
UTlLJrY DAMAGE IS COSTLY.
CAll 48 HOURS
BEFORE YOU DIG
1-800-562 -il478
form 114
'C Wat-k covered by permit has been completed satisfactorily,
~iork is not completed.
I<ecollllnend penllit be cunce 11 cd.
... Traffic control..iJ(Jequate; _,'inude'luilte,
I<E~IAf(KS: .
I NSP[CTE~'~~\\---"-"~'--:---V-"---~~-;;-:--~'-~7'''t-.-
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ON CKT MAP. 72. r -- -- - - -i~~-.-\" 1)
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CALL ONE NUMBER FOR UNDERGROUNO LOCATION ASSISTANCE, PHONE: 1-500 -- 424- S:;'jS:;S:;
THIS SKETCH IS NOT TO BE RELIED UPON FDR EXACT LDCATION OF PDWER FACILITIES
SCALE f" = lOO '
PUCET
POWER
WORK SKETCH
JOINT FACILITIES ARRANGEMENTS - OTHER UTILITIES
~T~~~UTllITY UNITl:D TEL
ENGINEER
JFC NO, Co ~
OTHER UTIlITY PT TOUJN, (A TV
ENGINEER
CONSTRUCTION
REMOVAL
OVERHEAD TRANSFORMERS RIIIfHE/INSTAll
U.G. TRANSFORMERS REMOVE/INSTAll
REARRANGE & TRANSFER DIST. CONDUCTOR
WORK ORDER NO, f',7()2:CXJ5
SHEET OF I OF----L-
LABOR CHARGES
ACTIVITY
RESP.AREA
i\fJ
EASEMENT
PERMIT AND FRAN
REIdO CO.
FOREMAN'S SIGNATURE
I FOREMAN'S SIGNATURE
CODE
ACOOl
10807
58304
58405
59335
CHECK
v-
I/"
v-
...---
DATE
2.--/1--07
POtECARD
MAPPED
COUNTY ROAD ND J358o~
STA"r:;: LOG NO. -'-----
MILE POST ___f6==
OFfICE USE ONLY.
PERMIT NO.Xt.:J_:LJ.::J
FHANCIIISE NO.
FEE PAID Y~=No
OFFICE USE ONLY
JEFFEl60N COUNTY
DEPARnlENT OF PUBLle HOHKS
,Jefferson County Court.house
Port Townsend, VIA 9B368
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~l'l'JJ.(;'!\'!lQt:!..iQ..R_ INS lALLA T19J1_..9LQTlhl!:l ES
Name and Address of APPlicant:___l;2rLjt-e:!;;[-'/!L.e:tJu.!.!::ce~,,_e~,,-OuLtL,JL,--,__-
:~-~1,Lc-;/[,z~~~t:ft~:_~~'f;~~~ -'T7X!..==~~~:~=:~=-=-'-
Application is hereby ilia de for i1 permit to construct, uperate and maintain,_..__..,_,_"..____,__
.:f{-'LIL'L~LryQJl{__Y.a.I.!.'_1_f.C,r::1i,,'2:L,___es.<_f.,L_eC..______.___,_---.------------.
___,_.___________,___,__,_.._.._________'_._.._.__....'.._' ~...----'-----..-----.--'-.-'------- ---, ,----------fJ--- ,,'
The utility installation is located (attachlllilpor draw'inu)__,.JthL:z:::"""'~1,---~)(L---
~~~,~-;;;~~:s':~:~~~e--;;;:-i;--~':~~- '~~~I~;/t~'~~-~~;~i;~-he"~r;;';~~;d-~O~(~i;~S-'
set out tlf!r'cin, dnd states Uwt Applicunt hil~; read anu will adhere to the ~lellerill pt'ovi-
sions set out on the,w,.eve., ;idenZ?form,'"","ml a; special proviSio.: attached Ile"eto.
Appl icant Signature~tfP/>>):3,._:<::. ;,;"..__ ___ oate:~j;)"f{_z.._...
~(mMIFffi11 I I I I I I I I I I I 1'1 I I I n Tfi'fj fflr I I I II
LA\lrlJliUlWlI~!W 'E__UlJU...I
Subject. to the followin~ terms and conditions, PER~IISSION IS HEHEUY GRANTED to Applicant
to const.ruct, operate and muintain utility fac'ilities as requested ilbove.
Tlii s permit is cond it i oned lIpon App 1 iean t.' s compl i ance "i th Jefferson COlin ty Ord i nallce
2-81 and WAC 136-40, including amendments tlll"'eta, t.he general provisions set out on the
reverse side of this form and any ~opecial provisions ilttached hereto,
No "ark shall be done under thi..:J~~~'it until t,',',f.',e Applicilnt has received instructions to'-
proceed from _4~~L_----'--Ic.c'U.M!..~___-__-':"""__' telephone _d8.Q::.d5E.5"
APPHOVED BY:-~;)G{)=r------'---;-~----------, Date:_~::i.~7 -.
I I I i I I I I I I I I I i I I I I I I I I I Cl.J...J...1..Li I I I I ( I I i I I I I I I
i'E RM I L1NSP EClI.Q.tU1.i:.!~QB,I
UTILITY DAMAGE IS COSTLY,
CALL 48 HOURS
BEFORE YOU DIG
1-S00-562 ~478
Ho,'k covered by perlnH'has been completed satisfactorily,
& ,lark is (lot completed,
Reco/l/l/lend pel'll/i t he cance 11 ed.
Traffic control ildequate; inadequate,
RENARKS: __c.u""lJ~f"c:'(JJ,l.-1."j,,~, ~i.~,,__1~t~L~.Lp-;~-L---__
INSPECTED BY'__J)!C',.k'--Ll),)LW.J(_____ Dat.e:iI--Se",Ll.:"6 _,
Form 114
~
COUN1Y ROAU NO. ~o /50
STATE lOG NO. -
MILE POST ...a.J:l:l.TO-=-
9FFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 98368
PERMIT NO. [(6'-.:2-1"1-/
FRANCHISE NO",:::
fi.E"PAID L..Yes _No
-<OffICE USE ONLY
(!,e'.f!= /tJ01.2--
APPLICATION fOR INSTALLATION OF UTILITIES
Applicant: Contractor:"
Name //!/f'It'l StJ.tlIAlI<E Name ;'1;7t?"('/jJN.9)-),.911) ((")#Jo:.:-
l.ddress 1".:h?OOJ.IA....'c'H,,"lc k)"(;I'O'(~ Ro.
{'))Ol/ "'r=:)..)/-",, /'.)/9. ?R.=l7{;
Phone: _ Phone: '7 t:. c: - .;;: (R <'/8
Application is hereby made for a pennit to construct, operate and maintain
I9F?''?Ul=-rvI J-)N;F /~r/L'((t:'SC~ i,,l,!{;Grc:. LlY--J(;'G"1fI.. W,"'),
Address
/ 1/;_/'
( P,/ <,r! co")
The utility inst~~lation is located (attach map or drawing)
~e.u ~ ~)
Applicant agrees to perfonn the work in strict compliance with the tenns and conditions
set out herein, and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this fonn and any special provisions attached hereto.
Applicant SignaturL:"" .-t2:~..v' to. 4/.,,-c' el,dL~-"i-- Date: / '7 ;:=;z::e f3b
/ / I I / // / I I I I I I I I I 1/ I ; ~ ~ ~ : ~ I I I /1 r~ww@lW0~wl I I
Subject to the fOllowing tenns and conditions, PERMISSION IS HEREBY GRANTED to App1jcant
to construct, operate and maintain utility facf1ities as requested above.
Thfs pennit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this fonn and any special provisions attached hereto.
110 i/ork,shall be done under this pennit u~tf1 the Applicant has received instructions to
proceed from, ' , , telephone .
APPROVED BY: .-II / Mt1t- /("..aw, Q/I Date: 2-- 2.3 -88
r=J NOTE SPECIAL PROVISIONS ON REVERSE
II I (I I I I / I I I (I III/ I II I / IIII I I III II I 1III11 III
PERMIT INSPECTION REPORT
@
~ Work covered by permit has been completed satisfactorily.
Work is not compl eted.
RecOOlllend penni t be canee 11 ed.
Traffic control adequate; inadequate.
- / - .--
REMARKS:
INSPECTED BY: ~,-u-Q. \,0(._(9 Date: LIe q. '\'1
1.800.424.5555
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Gener.' Provhlons pel' Jefferson County Or"l ) 2-a1 and WAC 136-.0,
1. All work done yndel' uld franchhe Ih.ll be done in . thorOu9h .nd workmln1th maMel'. In the hyln'l of underoro\lnd pipelines IlId utllu Ind the
constNcttofl of other hctlltlu .nd ttlt openl"g of t,",nehn, tile tunneling unde!' (Durlly rOld$, rlqllu'Or'd)' or olhtl' county proptrtlu, tht gUntu
shin have such trenchn. ditches and lunneh In such. ""I)' IS to Interfere u little IS POutb1, "Ith public trnel Ind ,n.ll Ukt .11 due Illd
necuul'Y IIrtCllltlons to gUlrd tilt U!!If: SO that dllT\!lgt or hjury shill not occur or arise by reuo" or such work; and whtre Iny of ,,,eh tr,"'chn,
dHehn or tunnels Irt left open It night, the grantee shill phce ,.arnlng 11911tl .nd b.rrtu~u H Such, posHlon u to ghe .dtquste ,.arnln; of
such IrIQrk. Thtgrantee sh.ll be I table far any injury to person or persons or damage to property sustatned through 1ts Clreleuneu orne;lttt, or
through any hllun! or ntglett to properly gUlP'd or gin '",rnlng of any trtnthu, d1tthes or tunnels dug or If\Ilnt.lned by the !]rantn.
2. The gr.ntet, fts sutuuors or ISslgns. shan to'flllentt tonstruttton under suth permit qranttd by tht County Enqlnnr _Ithln tht tt~ ptrlad Ulttd
lnsuthpenrllt.nd sh.lI h.vttlJllpletadlndhawe In operation Suth portion of the syHtIlIof lmpronlllfnts ISl!IIybt spetlfltd In Suthptnnltcr the
ri9hts thtrtln tonftrred upon the qrantte shall cene Ind ttnnlnlte luohr IS unottupltd streets. rOlds, .tt.. are c~nttrned.
3. Tht grafltn Shlll1tht all streets, IvenuU, Illeys. roads. htgh"IYI, rlgMs.cf-_lylnd ottler tounty propertlu, Ifter hying Ind lnstall1ng
Nlns Ind dolnq construttlon work, .....klng rtp.ln to equlpmtnt, ett.. in IS qood Ind ufe tondltlon In III rupetts U they _tre before tht ttmTltntt-
IRent of suth ..crt. by tht grantee. its .gtnts or tOntrlttors, "nd 111 retorded /IIonuments lOtIlth h.we betn dhtur~d or dhphted by tht lfOr. ,h.'1 be
restt to the spetHttltions .nd.pprovll of the County Engineer.
4. In cue of .ny dlmage to uld struts, Ivenuu, Illtys, rOldl, hI9hOllYS. rlghts.of-_.y or other tounty proptrtltl. or to p.ved or surhttd rold-
\IO'Ys, lum.outs, glitters. dllthes. wood or tontrtte _alks. dr"tn pipes, h.nd or embank/N!nt rills. brldgu. trestlu, \IOh.rvu, hndlngs or IIlCInufTltnts
by the grantee, the Slid gr.nttt Igrees to rep.ir suth dlmaqe at the e"Hut tllllt ponib1e at its ,010'1\ tost Ind uptnSt.
5. When tht County En;Inerr dettr'l!'.lnts that In fl"ergenty sHl/atton dOfS elllt. ht mly order and hht clont any Ind III ..:lrk conltl!tred nHesllry to
rutort to a $lie condition Inyluch street. henue. alley, rOld. hlqh"IY, rlght-of.wIY or othtr COllnty property left by the grantee or Igents In I
condition dlngerous to tift or property. ~t I"'y CluSt to be rtplaCtd or rent recorded IIlCIn\oll'oelltl If I qranttt hlh to rtpllct or rutt urre _Ithlll
I relSon.b1e tlrr.e Ifttr ctrrlplttloll Of ccnstnlctlon. The grantee, upon cl~lnd, sh.ll ply to tilt county III COSh of such cunHructlon or rep.lr Ind
0' dclng sllth \IOCrk.
6. An conHrllttlon or inst.llatlon af NIl'ls, 'IIhu. pipes, polu. cables, linu fittIng Ind htllltlts, urvlce. rtp,,'r. or reloc..tlon of tilt
UIIlt, Ptrfol"rl\td 110ng, ovtr .ndlor undtr the county roads. rlghu-of-way or other tounty properties subjltt to uld franchlu Ihll1 be done In suth
IIIIa.nnerunat to interfertllllthtlltconi\ructlon.operatfon .ndlll.lnten.nceofotherutl11tlu, publlcorprlvlte, drllns,dralnlged1tcllu lnd
stM.lcturtS loc.ted tlltrttn,norllllth the grldlng or Ill\proyemelltofsuthcount1rilids. rlghU.Of.wa.y or othtr county propertlu.
7. The,'Owners of ,11 othtr utlllt1ts, public or prlv.te, instilled tn such county ro.ds..rlghts.of....y or other count1 prapertl.s prlo~ In tlnoe ta
thl llnu Ind hciHtlts of tht gr.ntee sh.ll hnt preference u to the pOlltlon Ind 10tltlon of such utilities so InHllled 'IIlth rUpect to tl'lt
grllltte. Sl,lch prefertntt shill continue 1n the tvent of the neceu1t, of rtloc.tlng or Changing tht grade of any such county rc.d or rlght.of-w.,.
8. The grantee, II far as practicable, shill construct ne" utility fatUltl1l underground. htenslon of o~trhud (,c!lltles 'ollowlng struts,
avenues, ""yl. boultvarcls or thoroughfares sh.ll be undertl\en only wlth the Ippra~.l 0' the COl,lnty (n;lnetri PROVIDEO, hewtver, thlt uld .pprow.l
shall not be unreasonlbly wltllhtlcl. Grantee Ih.ll tonytrt t.htlng owerhud facilltlu to underground fat1tltles u Ind \IOhen equlpmtllt replacement
Is undert.ken, or wilen other uhtlng o~erhtld utllltlu art plated underground. unleu suth replatt/N!nt Is unufe, l~r'tttcll, or t'ConornlCllly
, unrellon.ble. LIne e.ttnston polleitS Ind prOCtduru utabllshed by the grantet, .nd unUonnly .pplled throllgh iu urvlce Ire.. Shi11 be the
HlnClr6 In deteP'lll!nlng II'~II h 'prlttlCll. lmprlttlul or tConCflllully Ullrusonlb1,' lmder this ordtunCf; provided that no ne.... Oytrhud utlllt.1
hcl11tles sh"l1 be constructed or utlblhhtd In Iny Iru let utde for public park, sthool, playground or athletlc field purposu.
g. Spechl Prcwhlons:
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COUNli ROAD NO.
STATE LOG NO.~
MILE POST Y2...TO":;:::::::::
9FFICE USE ONLY
"[RMIT NO. ]''1..'1--/./
JEFFERSON COUNTY FRANCHISE NO.
OEPARTMENT OF PUBLIC WORKS FEE PAID _Yes _No
Jefferson County Courthouse OFFICE USE ONLY
Port Townsend. WA 98368 't .
- APPLICATION FOR INSTALLATION OF 1JTlLITIES trJfd'jM- ,
I\PPl,'can~' Contractor: J! /J _1- I!--
Name ~ c.. flam" ?K~/*~.......d~1') r ...."'h"'(<<>>'J~
Address~~~ l.ddress ~hJa,.. / / ,"d .L
rI1:>/......,,~ If." ". I"'.JJt:l
/""": /
Phone: ~,"'-.i"~~ Phone: 7&;. ~--.?J'>fi'8
Application is hereby made for a pennit to construct, operate and maintain -TO ?uc,/t-
I /JA 7t€'R. L "II.. J'G U A toD t.~R.. T~'L":I .
The utility installation is located (attach map or drawing)
Applicant a9rees to perfonn the work in strict compliance with the tenns and conditions
set out herei n, and s ta tes tha t Appl icant has read and wi 11 adhere to the general provi-
sions set out on the reverse side of this fonn and any special provisions attached hereto.
Applicant Signature: ~ ~ Date: ~-/7-87
II I / I / I // I I I I I I I I I I I I II II I I I I II III I I I I I II I I I
~ fID!IDf{J)rmnnrcrm PER M I T
sWltrJftlflMhUlJ<iJJMing tenns and conditions, PERMISSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain util ity facilities as requested above.
Thi s permit is condi tioned upon Appl icant' s compl iance wi th Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this fonn and any special provisions attached hereto.
No work sha 11 be done under thi s penni t until the App 1 i cant has recei ved instructions to
proceed from , telephone
APPROVED BY: ...!\./~ J:;A-L9-f Date: 6-30 -,9,/
[J NOTE SPECIAL PROVISIONS ON REVERSE )J~ 'j."..~...,Oy.. b";Vd
I I I I / / I / I I I I < I I / I I I I / I I I I I I I I I /T I I I I I I I I I, I I I
PERMIT INSPECTION REPORT
1.800.424.5555
1St Work covered by pennit has been completed satisfactorily.
Work is not completed.
Recoomend pennit be cance 11 ed.
_ Traffic controtadequate; _inadequate.
REMARKS:
INSPECTED BY: ~ \0 Date: q 11 - ~'{
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. :OUNTY ROAD NO. 301309
;TATE LOG NO.
II L E POS T .J2...1d.
OFFICE USE ONLY
JEFFERSON COUNTY
'DEPARTMENT OF PUBLIC HORKS
Jefferson County Courthouse
Port Townsend. HA 98368
PERMIT NOs?- 7-,--).0- 'I
FEE PAID .k_"yes ~'Io
OFFICE...USE ONLY .
;:;7,'-;' /~:- t~.Z:c;, ~,sN
CHECK ONE:
EJ RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Applicatidn is he~by made for a permit to construct, ope ate and maintain a road approach.
Please describJl loaction (attach ~ap or drawing) o/? '11.0/1 (f '-0 r: eN {. 'JF"-
{,c^f,Gvt. ~!-'Il/tiz,^CMtI;lY t;"o' ro ~c f _/-=)1.C"'1.f. at"; CCI'I.Nt?~1. (//: I<rJ'o7G"-r f":'
/}^'O I rNl'';~1. I(.;,I""/';::~,,\. /f;!/.ILC.AU,l cr /r:T 1'7L~ c.......-v n/~' I. ,,-=-/=,- 11'/1.11//.7 :;ro;:=:"
0'': 1W/f)J fir; y,rv t9/l€ fllM,?;/~r <'O(.h7} a.....c (/.r(."~'1.
and conditions set
Contractor Name
<:.') ".: ~-'-,"'~...'-' '--,
Address
Applicant Signature
Date. 7':'/&-f';f5 . /,
Note: Ind~ity proy1sions
Contractor Signature
Date
:.and 3 ,on reverse side.
PERMIT
&tr\fllijllil~.m===
SUbject to the tenns and conditions on the reverse side, PERMISSION IS HEREBY GRANTED to
Applicant. to construct, operate and malntain a road approach as requested above, and any
special provisions attached hereto.
No work shall be done under this permit until the applicant or contractpr has notified
, telephone
APPROVED By:,jJ~ ~;L1-')
Date
7-2.0-88
PERMIT INSPECTION REPORT
CAll 48 HOURS
BEFORE YOU DIG
1-800-562-6478
'\
(\.,0
.-\tl' Work covered by penni t has been completed
~ satisfactorily.
_Work is not completed. .
_Recommend permit be. cancelled.
_Traffic control - adequate
inadequate_
REMARKS
rorm 113-0 (RevA 2-pl) i,
INSPECTEO BY: Ultc</Y i.U 1'--vY,V
DATE 11-7- ;lit
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GENERAL PROVISIONS
!. T",S PERM'T IS SU.JECT To ROA 36.7S.110, .IqO A". .150 A". AMEN.ME~TS T"ERETO.
2. THE GRANTEE, ITS SUCCESSORS AND ASSIGNJ, AGREES TO PROTECT JEFFERSON CaurlTv AND SAVE IT HARMLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERY KIND AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERsml,
PERSONS, OR PROPERTY BY P.EASON OF THE 'PERFORMANCE OF ANY SUCH WORK, CtlARACTER OF MATERIALS USElJ OR MAImER
OF INSTALLATION; IN CASE MY SUIT OR ACTION IS BROUGHT AGAINST nlE COUNTY FOR DAMAGES ARISUIG aUT OF OR BY
REASON ,OF Ap.jy OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE OF COMMENce..
ME~T OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY My JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY,
3. IF ,THE GRANTEE ENTERS INTO A CONTRACT OR AGREEHENT WITH A TtllRD PARTY TO PERFORM THE WORK AUTHORIZED
BY THIS PERHITJ THE THIRD PARTY, AS A PART OF THE CONSIDERATION FOR ITs CONTRACT WITH GRANTEE, AGREES TO
INDEMNIFY, HOLD HARMLESS AND DEFEND THE COUNTY IN ACCORDANCE WITH THE PROVlSIONS OF PARAGRAPH 2, ABOVE,
1I. ~~Y T~~;A~~R~~ T ~~ ~iN I~~ ~~~~{~~g~~o~N~O~~Q~~~~~~~~~ :i~~:~ gaD5Ay~R s~:~U~5B~~C~HiH~~R~E~~11Hio G~~~n~..
LATlON AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRAtlTEE SHALL COMPLY WITH THE tlAtiUAl ON UNIFORM TRAFFIC CONTROL
DEvICES FOR STRFFTS AND HIr.HWAYS PUBLISHED BY THE u.s. DEPARTMENT OF TRAHSPORTATlON.
.6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL BE IHMEiJlATELY REHQVED AJW
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO TilE COUNTY.
7. THE COUNTY RESERVES THE RI(iHT Tn ORDER THE CHANGE OF LOCATION OR THE REMOVAL Of AN\' STRUCTURE 0;:1 STRUCTURES
AUTHORIZED BY 1HIS PERMIT AT ~Y TIME, SAID CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO HHO/'t THIS PERMIT IS ISSUEOJ OR THEIR SUCCESSORS AND ASSIGNS.
~~~ ~~~~T C~~~~~~ER~~~~N~r~~CI~~N o~\n~LggC~{~~s B~O~~EA~~A~~~~E~~~~L c~~N~iHl~L S~H ~ ~~~E:E A~E~Ltr~:~~E
FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON CO LItTY, ITS AGENTS OR REPRESENTATIVES,
OR BY, THE EXERCISE OF AHY RIGHTS BY THE COUNTY UPON HOADS, STREETS, PUBLIC Pl.ACES OR STRUCTURES IN QUESTION.
9.. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THe WORK UNDER THIS PERMIT SO THAT
~ fl~Al INSPECTlOH CAll BY /lADE.
, . 8.
SPECIAL PROVISIONS
., .... .'..~ .#' APPLICABLE PROVISIQHS ARE DENOTED BY AN (X)
A: COpy OFT'H~ "p~~JIHsHALL BE ON THE JOB SITE, AND PROTE~TED FROM THE ELEI1ENTS, AT ALL TIMES DURING THE
CONSTRUCTION AUTHORIZED 8Y SAID PERMIT WITHIN THE COUNTY 5 RIGHT-OF-WAY,
THE APPROACH SHALL: 'BE CONSTRUCTED IN ACCORDANCE HITH THE ATTACHED DESIGN PLATE TYPE p... I
APPROACH. A~FT.LENGTH OF /7" INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN
DITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE liMITS AS SHOWN ON
~7~E~~G ~~ ~~~F~~~D~A~~R T~~o~p~~~e~~E S~~~;E~~Y I~N~gcg~~~~~E R ~~~~~~~:~O~:t~ ~g~T:~Lp~:HWiE~~AH.
lHE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEHENT TO
PREVENT MY' HUD TRACKING ONTO THE COUNTy ROAD. AllY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE II1HEDIATELY
CLEAr/EO UP BY THE GRANTEE OR HIS AGENT.
n
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@'3.
Gril.
IF NECESSARY "TO INCREASE stGHr DISTANce, 'STUMPS ANO BRUSH SHALl BE REMOVED FROM BOTH SIDES OF THE
e:r~~Ai~ALLl~~TI~~I~~~~7H:~Eo~U~~~~~yO~o~fiR~~~~i~g~~w~~~BER OR DISFIGU~ING OF ANY FEATURE OF SCENIC
5. WORK SHALL BE RESTRICTED TO THE HOURS BETWEEH 9:ooA,M. AND IhOQfJ',H. ~LESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
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06.
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A SURETY BOND IN THE AMOUNT OF $ , WRITTEN BY A SURETY COMPANY AUTHORIZED TO
00 BUSINESs IN THE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE HITH ANY AND ALL OF THE
TERt:lS AND CONOITIONS OF THIS PERMIT AND StlALl. REHAIN IN FORCE llHIt. ALL WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTY.
BEFORE ANY LOG tlAULlNG OPERATIONS BEGIN, A SURETY BOND IN lHE AMOUNT OF $_ . SHALL
BE FURNISHED BY lHE GRANTEE TO PROTECT THE COUNTY AGAINST my DAMAGE TO THE COUNTY ROAD ANO TO INSURE
COMPLETE REMOVAL OF THE APPROACH AND CLEANING UP OF THE RIGHl~OF-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURE,p BEFORE lHE BOND WILL BE RELEASED. .
8. SPECIAL CONSIDERATIONS
07.
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COUNT i HOAD NO.
STA' E, L\lG NO .jJ.J' 7(1 f!!
MICE' POST 1.00
OFFICE USE ONLY
PERMIT NO. ,'.?X~/J/' -/1-/
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. viA 98368
FEE PAID _Yes _No
OFFICE USE ONLY
APPLICATION FOR ROAD APPROACH
I..ors 1\<'" e.L.OC"c' c..
DIU, '1 'rtU'ol'-O;~ND ~6"UT~
... 9S0 -<.0 0-'2-0'
o
COMMERCIAL
and conditions set
Applicant Name I<Er.[ ErcK
Address sZOO [::,cI'CJ-\.DR.,
.l3RFlv\l:;'R1-/", N \ UJt>, ,
Applicant Signature 'iZ',3lZ,
Oate e,1~-8~ ~::;h,-c)2.. 311,05"%
Note: Indemnity provisions of paragraph 2
Contractor Name SAme. (c;E. L.p)
Address
Contractor Signature K~<-:-'!.!-,:',../(
Date e,-I~b-?E9 3'1?-0S'=11o
and 3 on reverse side.
SUbjeJl~~I~~conditions on :h~ ~e:e~s: side, PERMISSION IS HEREBY GRANTED to
Applicant to construct, operate and maintain a road approach as requested above, and any
special provisions attached hereto.
No work shall be done under this permit until the applicant or contract.or hflS notified
, telephone
APPROVED BY: .-J~x::-~
Date ,.j-/3-g:;--
PERl>IIT INSPECTION REPORT
~''o
'~~work covered by permit has been completed
satisfactorily.
CAll 48 HOURS
BEFORE YOU DIG
1-800-562 -6478
_Work is not completed. .
_Recommend IJermi t be cancelled.
Traffic control - adequate
inadequate_
REMl\RKS
INSPECTED BY ,~Cl.0-0~ 1.0 (. ,ii
DATE \ I' 1- 'l'~
Form 113-0 (RevA 2-,fl2)
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GENEH^L PHOVISIONS
I. THIS PERMIT IS SUBJECT TO RCW lG,75.JlO, .I~O AHO ,150 AND AMENDMENTS THERETO.
2. HIE r.RANTEE, ITS SUCCESSORS AND ASSIGNS. AGREES TO PROTECT JEFFERSON COUIlTY AtiD SAVE IT HARMLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION HHICH MAY ACCRUE TO OR BE SUFFEREtJ IiY ANY PEIlSQtl,
I'ERSOtl!i. OR rROPERTY BY REASON OF TIlE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATER lALS USW OR MANtlER
Of INSTALLATION; IN CASE ANY sull OR ACTION IS BllOUGtlT AGAItIST HIE COUtiTY FOR DAMAGES ARISING OUT OF OR BY
Rl:ASON OF ANY OF THE ABOVE CAUSES, TltE PETITIONER. ITS SUCCESSORS OR ASSIGNS Will., UPON NOTICE OF COMMENCE~
MENT OF SUCH ACTION. DEFEND THE SAME AT ITS SOl.E EXPENSE AND SATIsFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY,
3. IF THE GRANTEE EtHERS INTO A CONTRACT OR AGREEMENT wlTtt A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
~~Di~~ ~ F~:R~b[o ~~~M[~~~O A~SR~~FE~5 ~H~A~~U~~'( T~~ ~g~~~g~~~i I~~ TitO~H~T~R~~~~~~~~ ~iT~A~~~~1~~/2~G~~~~E ~O
~, ~~V T~~~A~~k~~ T A!:~ ~~N 1~~ ~g~~{~~g~~o~N~o~~Q~i~~~~~~~ ~i~~:~ ~eD~A'(~R S~~~tU~~B~~ciH~H~~R~E~~1 iH~O G~~~r~~ ~
LATION AS HEREIN PROVIDED,
S, OUH I NG THE CONSTRUCT! ON OF THE FAC I L1TV I THE GRAtlTEE SHALL COMPL V W IlH THE t1AliUALQlLW:L1lQllI1J.RAf.E.lUOJilRQI..
Q.f.Y.li;.FS FOR STREETS AND HIGHitAY.5. PUBLISHED BV HIE U.S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID \'jORK HEREIN CuNTEMPLATED, ALL RUill\lSH AND Il[BRIS SHALL RE IMMEDIATELV REMOVED AND
THE ROADWAV MD ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATlSFACToRV TO THE COUNTY.
7. TItE COUNTY RESERVES THE RICittT TO ORDER THE CttANGE OF LoC"TION OR THE REMOVAL OF ANV STRUCTURE OR STRUCTURES
AurtlORIZED BY THIS PEkMIT AT ANV TIME, !lAW CHANGE OR HEMOVAL TO BE MADE AT SOLE EXPENSE OF THE PAIHY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, UR THEIR SUCCESSOflS AIW ASSIGNS,
8. ALL SUCH CHANGES, RECONSTRUCTION OR RELOCATION BV THE GR..\NTEE StiALL BE DONE IN SUCH A MANNER AS WILL CAUSE
THE LEAST IIHERFERANCE WITtt ANV OF TtIE COUNTY'S WOkK AND JEFFERSOU COUNTY SHALL IN NO WISE BE ItELD LIABLE
FOR ANV DAMAGE TO TltE GRANTEE BY REASON OF ANV SUCtt WORK BV JEFFf:.RSOt~ COUNTy, ITS AGENTS OR REPRESENTATIVES,
OR BV ruE EXERCISE OF ANY RfGHTS BY TIlE COUNTY UPON ROADS, STREE1S~ PUDLlC PLACl;.$ OR STRUCTURES IN QUESTION.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S RE'PRESENTATlVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN By MADE,
0 J.
~ 2.
~ 3.
~ 'I.
0 5.
0 U.
0 7.
SPECIAL PROVIS IONS
APPLICABLE PROViSIONS ARE DENOTED BY AN (X)
A COPY OF TtlE PERMIT SHALL liE ON TUE JOB SITE, AND PflOTE~TED FROM THE ELEMENTS, AT ALL TIMES [lURING T,lit
CONSTRUCTION AUTHORIZE.D BV SAID PERMIT WITHIN TUE COUNTY S RIGHT-OF~HAV. ",,' . i. ""~I.II;'_
THE APPROACH SH~LL BE CONSTRUCTEO IN ACCORDANCE WITH THE ATTACtiED DESIGN PLATE TYPE~_T~l-.:.LJJ;:..J
APPROAC~t. A ,~_FT.I.ENGTH OF_---L~_INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN
OITCtt AND LAID TO A TllUE LlIIE AIID GllAUE, THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
'O~~E~f~~GA~~ ~~~f~~~D~A~~R T~~O~P~~~~~~E S~~t~E~iv I ~N~gcg~~~~~E R ~ ~~~_b~~w:~O~:t~ ~g~T:~L p~~MWiE~7AN.
TtlE APPROACH SHALL BE SUFFICIENTLV SURFACEO BACK AN ADEQUATE DISTANCE FROM THE EDGE OF TUE PAVEMENT TO
PR[VENT ANV MUD TRACKING ONTO THE COUNTY ROAD, ANV MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELV
CLEANED UP BY THE GRANTEE OR ttlS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS AIm BRlJS~l SHALL liE kEHOVED FIlCM BOTH SIDES OF TltE
~~r~~A~~;ALL T~~T I~~ I ~~~~n~~~E o~tJ~b~~~y 0~O~5R~~t~~~~g~:wl~~BER OR D I!iF IGUR ING OF ANV FEATURE OF SCEN Ie
WORK SIIALL BE RESTRICTED TO HtE tlOURS BETWEEN 9:00A.M, AND I.J:OOP.M, UNLESS OTHERWISE AUTHORIZED BV THE
ENGINEER.
A SURE TV BOND IN THE AMOUNT OF t..______~__.__, WRITTEN BY A SURETy COMPANY AUTHORIZED TO
00 BUSINESS IN TIlE STATE OF HASHINGrON, SHALL DE FURNISHED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE
TERM:> ArlO CONDtrlONS OF THIS P[RtlIT AND SHALL REMAIN IN fORCE UNTIL ALL WORK UNDER THIS PEHMIT HAS
BEEN COMPLETED ArlO APPROVED BY TIlL COUNTY.
BEFORE ANY LOG tlAULlNG OPERATIONS BEGIN, A SUf/[lV BONO IN TilE AMOutH OF ~_ ______, StlALL
BE FURrllSHED BV THE GRANret~ TO PUOT[CT HiE COUtHV AGAINST ANV DAMAGE TO HtE COUNTY ROAD AND TO INSURE
CUMPLOE REMOVAL OF THE APPROACtt AND CLEANING UP OF THE RIGHT-or.WAY TO THE SATISFACTION OF rHE COUNTY.
APPROVAL OF ALL CLEAN UP WORK StlALL BE !i[CURED BEFORE THE BOND WILL IlE RELEASED,
SPECIAL CONSIDERATIONS
c). ....
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PERMIT NO.
FEE PAiD "--Yes --":'No
~-..s-. c:~CE USE ONLY
OFFICE USE ONLY
, !
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 9B368,
f"'l
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
<.{? 7-: '1'1' 3
I . _ t ::.
~WWWIill~ \I:iliJ PE R M I T
Subject ~ the te~ and conditions on the reverse side, ,PERMISSION I6,IIEREBY,GRANTED to"
Applicant to construct, operate and maintain II .road approach as requested. above,?.and ll~Y
special ,provisions attached hereto. '. .. ,_, ..., .: ".', .
,I '. . :0 . . ~ I . t... ~ ..;.... ~. :
No work shall 'be done'under this 'permit until 'the applicant or'contract~rh.s notified
.1 telephone .
APPROVED/BY: -0/~ i('..J!~,./1
,'!i"" ., ,.. " ,,<, - ",'
9~i.'O-S7
Date
. .',',:1
.Ji' :>-1'
i'I.I',
CALL 48 HOURS
BEFORE YOU DIG
1-800-562-6478
PERMIT INSPECTION REPORT,"" " r'
\\).vJwork' covered bY~ermi:t :ha~ 'b'e~n' ~6mPleted
--c-- satisfactorily.' , . , I
-,--work is not completed. .
_Recommend permit be cancelled.
_Traffic control - adequate
inadequate_~
REMARKS
Form 113-0 (AovA 2-jl2!'
INSPECTED BY: _ ~ Y\.l.i~ IlJ>----,V
"
DATE II, '7, 'is
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GENERAL PROVISIONS
I. THIS PERHIT IS SUBJECT TO RClI 36.75.130, .IqO AIID ,150 AHD AIIEHDHEHTS THERETO.
2. THE CRANTEE~ ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FROM ALL
CLAlr"S~ ACTIONS OR DAMAGES OF EVERY KIND AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERSOH.
PERSONS, OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK~ CHARACTER OF MATERIALS USED OR MANNER
OF INSTALLATloru IN CASE AHY SUIT OR ACT10H IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR 8Y
REASON OF ANY OF THE ABOvE CAUSES~ THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL~ UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AHD SATISFY AHY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
'3. IF THE GRANTEE ENTERS, INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
BY THIS PERMIT~ THE THIRD PART'f, AS A PART OF THE CONSIDERATION FOR ITS CONT,RACT WITH GRANTEE.. AGREES TO
INDEMNIFY.. HOLD HARMLESS AHD DEFEND THE COUNTY IN ACCOROAHCE WITH THE PROVISIONS OF PARAGRAPH 2, ABOVE.
4. ~YT~~~A~~R~~T~~ ~~N1~~ ~g~~{~~gnc:~o=~Q~i=~~~~i= =~;~:= ~D~;.Y~RS~:Ltu:~~~C~H~H~~R~E~~I~H~O G~:~~~_
LATION AS HEREIN PROviDED.
5. DURtNG THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE &liUAl ON UNIFORM TRAFFIC CONTROL
DEVICES FOR STREETS AND HIGHWAVg pUBLlSHED 8Y TH€ U.5. QEPARTHE.:NT OF TRANSPORTATION.
6. Oft COMPLETION Of SAID WORK HEREIN CONTEMPLATED~ ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REHOVED AHD
THE ROADHAY AHD ROADSIDE SHALL BE LEFT NEA' AND PRESENTABLE AND SATISFACTORY TO THf COUNTY.
. , . .
T. THI! .cOUNTY RESERVES THE'RIGHT"TO ORDER THE CHANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE 0" STRUCTURES
AuTHORIZED 8Y THIS PERMIT AT Alft TIME, SAID CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE Ofl THE PARTY OR I'~ '/.
PARTIES TO WHOI1 THIS PERMIT IS ISSUED~ OR THEIR SUCCESSORS AND ASSIGNS. '
~~~ ~~~~T C~~~~~~ER:~~~N:I~~~~~N O~R T~~Lg~~~}~~ S B~O~~E A~~A~n~E~~~~l C~~N~~N~Hl~L S~~ N~ ~~~E=E A~ENLtl~~~~E
. FOR AnV DA.MAGE TO THe GRANTEE 8'1' REASOH OF ANY SUCH WOR.IC BY JEFFERSON COUNTY, ITS AGENTS OR REPRESEHTATJVES1
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.. . ~
9, THE GRANTEE SHALL HOTlFY THE COUNTY'S REPRESENTATIVE UPON COKPLfTlON OF THE WORK UNDER THIS PERtUT SO'THAT .. ...
A F1NAL INSPECTION CAN BY HADE. ' .
'SPECIAL PROVISIONS
APPLICABLE PROVISIOHS ARE DENOTED BY AN (X)
o 1. A COPY OF THE PERMIT SHALL BE ON THE J08 SITE, 'AND PROTEpED FRO" THE ELEMENTS. AT ALL TIMES DURINQ THE
. ~ .! CONSTRUCTION AUTHORIZED &'1 SAID PERMIT WITHIN THE COUNTY 5 RIGHT"Of~WAV, . .: .. I ,:;.:.:.
~ -2.".THE APPROACH SHALL alE CONSTRUCTED IN ACCORDANCE KITH THE ATTACHED DESIGN PUTE TYP! - i)-I ..~ 1:,;\
APPROACH. A----L..-FT,LENGTH OF 7 INCH DIAMETER CULVERT PIPE SHAL~~ " '.
DITCH AHD LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURfACED TO THE LIMITS AS SHOWN ON . .
~~~E~~1':G A~~ ~~~F~~~D~A~~R T~~O~p~:~e~~E S~:~~E~~Y I~N~gCg~~~~~ER~~~~~~~~H:~O~:t~ ~g;T:~L P~:MW~E~~AN.
THE APPROACH SHALL BE SUFFIClEHTLY SURFACED BACK AN ADEQUATE DISTANCE FROI1 THE EDGE OF THE PAVEMENT TO
PREVENT ANY HUD TRACKING ONTO THE COUNTY ROAD, AllY I1UD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANTEE OR HI S AGENT.
4. IF NECESSARY TO INCREASE SfGHT DISTANCE, STUMPS AND 8RUSH SHALL BE REMOVED FROH BOTH SIDES OF THE
e:r~~A;~ALLT~~/~~I~~=~7+~~bEO~Ui~~~~yO=O~~R~~~~~~~:Wn~BER OR DISFIGURING Of ANY FEATURE OF SCENIC
5. WORK SHALL BE RESTRICTED TO THE HOURS BETHEEN 9:00A.M. AND q:OOP.M. UNLESS OTHERWISE AUTHORIZED aY THE
ENGINEER.
6. A SURETY BOND IN THE AMOUNT OF $ ~ WRITTEN BY A SURETY COMPANY AUTHORIZED TO
00 BUSINESS IN THE STATE OF WASHINGTOH, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANY AND AU OF THE
TERMS AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED 8'1' THE COUNTy.
07.
BEFORE AllY LOG HAULING OPERATIONS BEGIN, A SURETY BOND IN THE AMOUNT Of $ , , , SHALL
BE FURNISHED BY THE CiRAIlTEE TO PROTECT THE COUNTt AGAtNST ANV DAMAGE TO THE COuNTY ROAD AND TO INSURE
COMPLETE REMOVAL Of THE APPROACH AND CLEANING UP OF THE R1GHT~Of~W"Y TO THE SATISFACTION Of THE COUNTY,
APPROVAL OF ALL CLEAN UP WORK SHALL DE SECURED BEFORE THE BOND WILL BE RELEASED.
SPECIAL CONSIDERATIONS
08.
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Form 113 b
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COUN1Y--;\WA1; NO':' ....
StATE LOG NO. 3~
MILEPOST <2cXJO_
9FFICE USE ONLY
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 9B36B
APPLICATION FOR INSTALLATION OF UTILITIES
~~~~icant!~ 0,., t;-~; I.C 9J" ..-.:~ ~~~;ractor: (J,," ^)..A
Address ~ t) / -< t? /...., ",-j /l4,f,"Nf?;;/~~~dress
,(") 'd _',./;/ 0;
r ///., r,..~. ~ '_ '~YI/.... ,.
Phone: ?k:;;-'2,f)(',~ Phone:
Application is hereby made for a permit to construct, operate and maintain
1'/~"r/'~ /,<~-,~,j/ ....,'''''-./'A "fl, ~ ," .J/'r~.'Y' .::e.r/',- ,';Ip!"""Q.
Go' _ / .., ), Ai- I ,J I v
~ rK-t ~'7 . .-://1 7"' ,?,;;7!( . ~, .. ~ I --:J':. -" I:"'T -r; /I A I _~ ;:;1..- . .
The utility installation inocated (attach map or drawing) ."( '> / / p/_ I.A )14~1/
~/-l, "'J1/l?' (.-f-" ,,'
Appl icant agrees to perform the work in strict compliance with the terms and conditions
set out herein, and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this form and any special provisions attached hereto,
, . al~"'(C~"
ApplIcant SIgnature: ,0 ".' r. r, r, /-1~' '1
Date: (0<,,:;/: / f - 1'7 ?7
I I I I / I I I I I I I / I I I I / I I I I I I I / I I / I / / / / / / 1/--/--/ I / / /
PER M I T !i;\UlruQlill~~WJ
Subject to the following terms and conditions, PERMISSION IS HEREBY GRANTEO to Applicant
to construct, operate and maintain util ity facil ities as requested above.
Thi s permi tis condi t ioned upon Appl i cant's comp1 iance wi th Jefferson County Ordi nance
2-81 and WAC 136-40, inclUding amendments thereto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No work shall be done under this permit until the Applicant has received instructions to
proceed from' , telephone
APPROV~Y: .,J /./;:;;1- K^-j~ Date: /o-;<j-8,
l~ NOTE SPECIAL PROVISIONS ON REVE~SE
// III I I I I I 1/ I / III I I II I I 1/1 I I I 1/ I I I ///1 / / I 1/ /
PERMIT INSPECTION REPORT
1.800.424.5555
Work covered by permit has been completed satisfactorily.
Work is not completed.
Recoomend permit be cancelled.
Traffic control adequate; inadequate.
REMARKS: ~'-~\ ,O,M -;-),.
INSPECTED BY: ~LcJ~;) ~ .)~c.,-p Date: II- 7. g-;f
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G~ner~l ProvisIon' per Jeffenon County Ord1 } 2.81 and WAC 136.40.
{.
1. All work done und~r uld franchise ,hall be done in a thcrcugh and workmanlike manner. In the laying cf undrr!)round pipelines ~nd c.bles and th~
con'tl'\lctlon of ether facilities .nd the cpenln!} of tr~nches, the tunnellng under county road'. rlghts,c'.way or oth~r cc~nty prolifrth" th~ grlntee
sh.ll leave '~ch trenches, dltchu and tunneh tn '~ch. w~y IS to interfer~ IS ltttle as pontble with public travel .nd 'h.lI Uke .11 d~e .nd
nec~n.ry prec.~tlon' to gu.rd the ume '0 th.t darr.tge 01' Injury shall not occur or arhe by reason of '~ch ....orki and where any of '~ch trenchu,
dHches or tunneh are left open .t n19M, th~ 9rantu 'halt place warnln9 ltghts and barricades at ,~ch ~ po,Hton as to 9lve .deq~lt~ warnln9 0'
s~ch work. The grantee ,hall be liable for any Injury to person or person, or dama9~ to property 'ustaln~d throu9" Its ctr~le"nn' or neglect, or
tllro~gh any f"llure or neglect to properly 9u.rd or give warnln9 of .ny trenches, dltchu or t~"neh dug or mollntalned b)' th~ IJrantee.
2. The grantee, Its 'uccu'ors or .,,19"" shall Com1ence construction ~nder s~ch permit 9ranted by th~ County En9In~~r ",\thin the time p~rlod stated
in such permit and ,halt h~vl! canplet~d .nd have In operation '~ch portion of the syst!!ll of improvements '" mol)' be specHied In sucll p~rmH or the
rights therein conferred upon the grantee shall ce"'~ and terminate insofar'" unoccupied streets, ro.ds, etc., are concerned.
3. The gr.ntee ,hall leave .11 streets, avenuu, al1~)", road" highways, rlghts-of-w.y and other county propertlu, .fter la)'lng Ind Install in!}
main, and doln9 construction work, making rep.ir, to equll):Tll!nt, etc.. In as 900d and ufe condition In .11 respects as the)' ....ere t>efor~ the C(JTtnence.
ment of such work by the grantee, Hs agents or contractors, and all recorded monuments ..hlch have been disturbed or displaced by the W\lrk shall be
ruet to the ,peclflc.tlons and approval of the County Engineer.
.. In case Of any daNge to said streets, avenues, .lleys, road" highways, rlghts.of.....ay or other county properties, or to paved or surfaced road-
way" tum.outs, !Iutt~r', ditches, wood or concrete walk" dr.ln pipes, hand or embankiTll!nt rails, brtdges, trestle', wharves, landing, or II'IOnuments
by the !Irant~~, the said grantee agrees to repair such c!am.ge at the earlle5ttlme possible at its own cost and upense.
5. \/hen the County Engineer determines that an I!Inergency situation does uist, he may order and have dor,e any and all work considered necessary to
restore to. safe condition any such street, avenue, alley, road, hlghway, rlght.of.way or oth~r county property left by the grantee or agents in a
condition dangerous to life or property. Il~ !flay cau'~ to be replaced or ruet recorded ITlOnlllll!nts If a grantee falls to replace or reset 5a:T'll! withIn
a reasonable time after compl~tlon of construct10n. The grantee, upon demand, shall pay to the county .11 co,ts of SuCh construction or repair and
of doing 'uch work.
6. All constructlon or installatlon of ",alns, valves, pipes, poles, cables, lines fitting .nd facllltlu, servIce, repair, or relocation Of the
Sllne, perfo~d .10ng, over and/or under the county road" r1ghts.of-II~)' or other county properties Subject to Slld fr.nchis~ shall be done ln such
I manner as not to interfere with the construction. operatlon and maintenance of other utilities. publ1c or private, dr.ln" drainage ditches and
stl'\lctures locat~d therein, nor with the gradlng or Improvement of such county roads, rtghts.of.way or other county properties.
1. The OWflers of all other utllltles, public or private, Installed In such County road', rlght,.of.way or other county properties prior In tl~ to
th. llnes .nd facllities of the trantee 'h.ll have preference IS to the posttlon and location of such utll1tles so Installed wIth respect to the
grantee. Such preference shall continue hi th~ event of the necessity of relocating or changlng tht grade of any such county road or rigllt.of-...y.
B. The grantee, as f.r as practicable, Shall construct new utility facflltles underground. E'~tens10n of overhead facilities fol1owfnq strrrts,
avenues, ways, boulevards or thCrgughfares shall be undertaken only with the approval of the County Englneeri PROVIDED, however, that said approval
shall not be unreasonably withheld. Grlntee shalt convert u15ting overhead facllitles to underground facilltie' IS and ....hen equipment replaCl!!llent
is undertaken, or wilen other ulstlng overhead utilities are placed underground, unless such replacement 15 unsafe, Illllractlc.', or economically
unreasonable. Line e~tenslon polichs and procedures established by the grante~, and uniformly applied throu9h Its serv1ce area, 'hall be the
stanc!lrd In determining w~at is Mpractlcal, Impractical or econQ:l\lcally unreasonableM under th15 ordinance; provided that no ne'ol pverhead utility
facilitIes shall be constructed or established In .ny Irea set aside for public park, school, playground or athletIc field p~rposes.
9. Spec!alProvlslons:
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JEFFERSON COUNTY :,-1~~?~fl
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SPECIAL PROVISIONS
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
pO, Box 1220
Port Townsend, WA 98368
(206) 385.3505
Gary A. Rowe, Direc/or
Robert G. Nesbitt, RE., County Engineer
1. AppLLcunt must' push or bore under road.
2. Shoulders ancl e1L-teh arcas must be rcs-torccl
~o orlgLnaL conclLtLon.
1000/0 Recycled Paper
!d'r.r;!l:,i
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COUNTY ROAD NO.~
STATS-'roG NO.
MILE POST
OFFICE USE ONLY
PERMIT NO. '57 ''/''1 - (
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. WA 98361\
FEE PAID _Yes
OFFICE USE ONLY
r:fi a d!"'/M3 '...tq
...
CHE:CK ONE: APPLICATION FOR ROAD APPROACH ~ ,,8cWt)
o RESIDENTIAL ' Q{ COMMERCIAL ' '
Application is hei:ade for a permit to construct, operate and maintain a road approach.
Please describe loaction (attach map or drawing) r/t/f ,fl4/J A-1fRt:>A-Ctr',! t:/.5T!.n
c-.J;, ,M/U ~~'T ;"v ,Rg,A::Aft; r"!", ~. " '
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out herein, and any special provisions attached hereto.
Applicant Name N, t r ;:;#/CLlf'aJ t-- Contractor Name .5.4,qc
Address It~ Address
/lNIb
Contractor Signature
Date
Note: Indemnity provisions of paragraph, ;and 3 .on:reverse side.
nm ' ',' PERMIT ,,'
SubJect to the terms and conditions On the reverse side, PERMISSION IS HEREBY GRANTED to
Applicant to construct, operate and ma'intain a road approach. as requested above, ?and .any I
special provisions attached hereto. " , . , .: .:~. , ..,
sha 1 be done under this permit until the applicant or 'contract~r has notified
><J~ ~.,) telephone ' 8.f:S -35"()5""
Date ~1~:f'l '
CAll 48 HOURS
BEFORE YOU DIG
1-800-562-6478
i-'
PERMIT INSPECTION REPORT ,
'\ " . '"
~work covered by permit has been completed
satisfactorily. . .
~Work is not completed.
_Recommend permit be cancelled.
_Traffic control - adequate
inadequate_
REMARKS
INSPECTED BY: ,\)(\..~...o, \ ~ w-J) ''. DATE /1- 7 - 'g'b
Form 1I'3~o lRevA 2-.82)'
~
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~ 2.
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0 5,
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0 7.
GENERAL PROVISIONS
1. THIS PERHIT IS SUBJECT TO RD. 36,75.130, .1~0 AND .150 AND AH'NDHENTS THERETO.
2, THE GRANTEE, Irs SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMl.ESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERY KIND AIlD DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERSatl,
PERSONS, OR PROPERTy BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USED OR MANNER
OF INSTAll.ATlON; HI CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS 'HILL, UPON NOTICE OF COMMENce-
MEIiT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADvERSE TO JEFFERSON COUNTY,
3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TtI PERFORM THE WORK AUTHORIZED
BY THIS PERMIT, THE THIRD PARTY, AS A PART OF THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEE I AGREES TO
INDEMNIFY, HOLD HARML.ESS AND DEFEND THE COUNTY IN ACCORDANCE 'rIITH THE f'~O\lISIONS OF PARAGRAPH 2, ABOVE.
q. ~~y T~~~A~~R~~ T A~~ ~~ N i~~ ~g~~n~g~~ o~Neo~~Q~i:~~~~~~ ~i~~:~ ~&D6Ay~R s~:ttU~~B~~ciH~H~~R~E~~liH~O G~~~~~~~
LATlaN AS HEREIN PROVIDED.
S, DURING THE CONSTRUCTION OF THE FACILlTY1 THE GRANTEE SHALL COMPLY WITH THE l:1A1iUAl ON UNIFORM TRAFFIC CONTROL
DEVICES FOR STREETS AND HIr.HWAVS PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL. BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY.
7, THE COUNTY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AuTHORIZED BY THIS PERMIT AT ANY TlME1 SAID CHANGE OR REMOVAL TO BE MADE AT SOL.E EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED1 OR THEIR SUCCESSORS AND ASSIGNS.
8, ~~~ t~~~T c~~~~~~ER:~~~N~I;~cr~~N O~R T~~Lg~~~}~~ S B~o~~E A~~A~~~~E~~~~L c~~N~~N~Hl~L S~~H N~ ~~~E:EA~E~~Ltl~;~iE
FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION,
9. THE GRANTEE SHALL NOTifY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
It FJNAl. IHSPECTJOH CAN BY MADE.
SPECIAL PROVISIONS
APPLICABL.E PROVISIONS ARE DENOTED BY AN (X)
..!
. ;i '..." .
~o~~;~ug~I~~E...~~~~~ i z~~Ai~ ~~lgN pI~~1 ~O:I ni~' T~~D c:;~~~~lj~E~1 ~~~~O~~~A~:EMENTSI AT Al.L riMES DURING THE
THE APPROACH SH~.E CONSTRUCTED IN ACCOROAN~E WITN THE ATTACHED DESIGN PLATE TYPE L/
APPROACH. A FT.LENGTH OF /,> INCH DIAMETER CULVERT PIPE SHAL[B'E PLACE~
DITCH AND LAID 0 A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURfACED TO THE LIMITS AS SHOWN ON
67~E~i~~G A~~ i~~F~~:O~A~~R T~~o~p~~~e~~E S~~~~E~~Y I~N~gcg~~~~~E R ~~~~~~~~w:~O:: tE ~g~T:~L P~;MW~E~:AN.
THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THe EDGE OF THE'PAVEMENT TO
PREVENT ANY MUD TRACKING ONTO THE COUNTY ROAD. ANY MUD TRACKED OtHO THE COUNTY ROAD SHAL.L BE IMMEDIATELY
CL.E~NED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED FROM BOTH SIDES OF THE
e:r~~A~~ALl.T~6TI~~I~~~~7}~~~Eo~U~~~~~yO~0~5R~~~~~~g~:wl~~BER OR DISFIGURING OF ANY FEATURE OF SCENIC
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M, AND q:OOP,H. UNLESS OTHERWISE AUTHORIZED BY THE
ENGINEER,
A SURETY BOND IN THE AMOUNT OF $ , WRITTEN BY A SURETY COMPANY AUTHORIZED TO
DO BUSINESS IN THE STATE OF WASHINGTON, SHALL BE fURNISHED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE
TERM!; AND CONDITIONS OF THIS PERHIT AND SHALL REMAIN IN FORCE UNTIL AL.L. WORK UNDER THIS PERMIT HAS
BEEN COMPL.ETED AND APPROVED BY THE COUNly,
BEFORE ANY L.OG tiAUL.lNG OPERATIONS BEGIN, A SURETY BOND IN THE AHOUNT OF '_ I SHAL.L.
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPL.ETE REMOVAL Of THE APPROACH AND CLEANING UP OF THE RIGHT-Of-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURED BEFORE THE BONO WiLL BE RELEASED.
o 8. SPECIAL CONSIDERATIONS
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Form 113 b
.....
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COlhm ROM NO d'/'1o.~ g
STATE LOG NU ,--- ,--
MILE POST ?-,'Z~io_ -,-
OFFICE USE UNLY,
dElTERSON COUNTY
IlEPART~IENr OF PUOU C I,ORKS
l'Ef~MlT NO, g 2 9:3,~__
FIUINCIIISE NO,
FEE PArrl Yes----No
OFFICE USE ONLY
\Jeffel~SOrl County Courthouse
Port TO\;/Isend, f/A 9836[1
W2'" c:: i"'"
1,.,-: 11,.la h _"
,~. . ';.', ' .. .
;tJ::'\ T'~
I:, c,Y &i.Lli=J}l!JliUQB.JJ'l.Sl~g.I\J)U_ fi.QL__~I.I!Jl.lJ;.s_
,','";,
Name iI ndAddr.~sS~f, ,~~p,V sant: -,-PUQEr-ROWi!ER_W\!E_ HQYRS.____________'
'!f'/-,:,:,':,_L ':~ !:',i.:./ ::=--=P:J~~~;~~~~~~~ ~~::aB==========-====--h-'-'
Application is herelly IIldde for d permit to constr'uct, operate and milintai"-_m..____,,_u
-0UJL PQL~,___.:._________________________,___._________
The utility installation is located (attach map Or drawing),__O_I0_....LU_C::)I___.0,Lf::)::'.J
-Q-E---bA..P-Db.JcD~_ ___"_______ ___,__.., "______________ _..___ _ ________.__
App 1 i C,Hlt agrees to perform the wart ins tri c l comp 1 i a nce \"i th the [(mils and cond it ions
set ou t liet'(~ in, "nd s td tes tha t App 1 i Cdn t has read and wi 11 adhere to the (Jenerd 1 lJr'ovi-
sion, set out 011 tlie ,-everse side or tliis t01'l1l aI/(/ dny special provisions attdched hereto,
--..- -"--'---'_.~---,- "--.".- ...._--~._-. --".-.-
Appl Icant Signature:___,il.i~~~4~~:__,~"",~___ Date:1J.::dL::12_7
rl?fCl~l/lf~f~C./1+:?7f?FICfiSIIIIIIIIIIIIIIIIIIIIII
UB.JLU
Subject to the followingtfmlls and conditions, PERflISSION IS HEI{EUY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above,
Th i s permit is cond it lone" upon Ilpl' Ii can t' scamp 1 i ance I-d tl1 ,Jefferson Coun ty Ord I nance
2.[11 and flAC 136-40, including illllendments the,-eto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto,
No "ork shall be done under this permit until the Apl)l iCdnt has received instructions to
proceed from , '.. ,,' te'l ephone " '
APPROVED OY :_:2J~~::--~====-_,___,___ D:~e~=2~:~;~2-_n
VTT7 I I I I I I I ~ I I I I I I I I I I I I I I I t. I I I I I I I I I I I LLLL '
PERMIr INSPECTION REPORT
UTILITy DAMAGE IS COSILY, ----_____
CAll 48 HOURS
BEFORE YOU DIG
1-800-562~478
~~0flor-k covered by permit has been completed satiSfactorily.
flork is not completed.
Recommend parmi t b(! callce 11 ed.
-, Traffic contraladequate; .._.inadequate,
REI-lARKS: ,
I NSPECTE~-~~:~1J.;:~~=~0~~~_=_=~-~~,!: _U='7-=-~!_=
. . . - ".._"..."-"'_.__..._,,.~-._,-,,-,,-',."~.
JOINT FACILITIES ARRANGEMENTS LABOR CHARGES
- OTHER UTILITIES ACTIVITY CODE CHECK
CONSTRUCTION ACOOI
JFCNO, REMOVAL 10807
lTHER UTILITY OTHER UTILITY a.H. TRANSFORMERS (Remove/Install) 58304 X-
U.G. TRANSFORMERS (Remol/e/lnstall) 58405
ENGINEER REARRANGE & TRANSFER 018T, CONDUCTOR 59335
\LL FOR UNDERGROUND LOCATION ASSISTANCE, PHONE:
THIS SKETCH IS NOT TO BE RELIED UPON FOR EXACT LOCATION OF POWER FACILITIES
5LJ.J"" 90.=0
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N~ I=I=~
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" .5/'6" D(DI0 6L.lY CD"
" GIC:ID.oG,:'.,e7G:;,-ISI241
\ \
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JEFF, CO,
P.J6ET ID lUST, 61~Y i=bL.::: CYJ
LLE.S T 61 DE of t:cAEoB reD.
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SCALE
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~E?_ OVEf'c.LOA,etD 5K:VA OH T1Z.F
JJ/IO iCVA TiC.'7"', FU55D@.' ("T
TRF NO J03"i:.l"'C.-J51<:.<\('1L
SEe VOLT
~OIJNTY' ROAD NO, 3032.,03
STATE LOG NO. ..----
MILE POST _f6:::'=
OFFICE USE ONLY,
PERlm NO"Jc.:.c_&..:LJ:_::..7
FHANCII I SE NO,
FEE PAID ,__YeS--t{o
OFFICE USE ONLY
clEfTEHSON COUNTY
lJEPARTNENT OF PUBLIC \~ORKS
,Jefferson County Courthouse
Port TO\;nsend, VIA 9836B
[\PPLJi.1)l1!2~LlQB,J NS I~.hl~n.Q..riJ)L.lJ!lIJJJf.S.
Name and Address of APPlicant:__U;_'4ii;G~j~li/.-t!!~)F~'1_,,('-:"/.&_.z0'i______u_,.__
:-:{~::oI~l~(::j;,:jiJjfL___::=::-:_ ::=if!P--;;L_._:::~'?.-"IXi!..:=~::-'-
Application is hereby Illude for a permit to construct, operdte and maintain_'_I(;.r:-k_6.~~__
~=~::~jt::;:::;;J.:::~~~t.-:::~!~~~~~~(~~!:=:~~~""':0t.~~~:~~:~~_~=~=:.:'
lhe utility installat'ion is located (attach lIIap or draw'ing).,.,,<L.cL.....a-~,f;<.d..,-----,
Applicant agrees to perforlll the work in strict cOlllpli"nce Willl the terlllS and conditions
set out herein, and st"tes that Applicant has read and will adhe"e to the <jeneral provi-
sions set out all tile reverse side or this form dlHl dllY special provisiolls dttilched hereto.
App li can t Signa ture: LI)..,"-',(L~-,-~:-'rL..----------------- Da te: ....JJ_::.J.,~-=--li"_______,
I IIII I I I I IIII I I I I I I I I I I I I I I I I II II I II I I I I I I I I
?_LIl..!iLI.
Subject to the following-terms and conditions, PEHNISSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain utility facilHies as requested above.
Th i s permit 'i s cond i t i oiled upon Ilpp 1 i Cun t' s comp 1 i anee wi th clefferson Coun ty Ord i nance
2-81 and WAC l3(i-~O, including amendments thereto, the <jeneral provisions set out on the
reverse side of this form and any special provisions attached 11ereto.
No work sha 11 be tlone under this pe1"lllit until the Appl icant has received instructions to
proceed from ____.____~-u-u,--'-' ,___.._________, tl~lephone ___.,____.._'UH_'.
APPRO~r9~!l~'7 f\ il~~rl1J(LC:.l_ __ . u~...w-1______._u___ Da te:...E.. _:!d.1f~__
l ,,_'i,t,ih; ";~/f';;;~" T<> (;'A L" 'lIt ~t;J vt;;;~y.-;.K.
(i. ~ ,M
I'ER~l.I..J!~ECT I Ot:!. HEI'OI3I_
UTILITY DAMAGE IS COSTLY.
CALL 48 HOU RS
BEFORE YOU DIG
1--800-562 -6478
Work covered by perm it has been c;ompl e ted sat is factorily,
Work is not completed.
Hecollllllend permit he cancelled,
_ Traffic control_adequate; ___inadequate.
RE/.1AHKS:___,______,____________
INSPECTED BY:_____________u________ Date:_________.
Form 114
~~~~
7
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, FO,R,"1"E;}Q0.1..:,L'_-..,-,..
~
,{_ ,1m ROAD ND.,~/7~(
IS'rAlE'LOG NO..
I MILE posT
! OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC ~~ORKS
Jefferson County Courthouse
Port Townsend, VIA 98368
PER~IIT NO.J~:- 7- 5-,:;<'
FEE PAID vYes _No
OFFICE USE ONLY
CHE:CK ONE:
G1 RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is herby made for a permit to construct, operate and maintain a road approach.
Please describe loaction (attach map or drawing) ll"'~fe LtH.V~,E;~ ~ 1=~~MOtJ"\"
\
(.., ~O~!,-, +\tN;)E;~.s.o~ ,,"oc.
Applicant agrees to perform the work in str' compliance with the
out herein, and any special provisions a ached hereto.
Applicant Name OL..\ ST~f' G r:.V\~ Contractor Name
Address f'~ ti.":o~ 12... Address
fI:?..., \ ~EA>e.
Applicant Signature
Date
terms and conditions set
Contractor Signature
Date
Note: Indemnity provisions of paragraph, 2 .and 3 on reverse side.
PERMIT
Subject to the terms and conditions on the reverse side, PERMISSION IS HEREBY GRANTED to
Applicant to construct, operate and maintain a road approach as requested above, and any
special provisions attached hereto.
No work shall be done under this permit until the applicant or contract.or has notified
APPROVED BY: r?<l;rld:'lA~~
,;I(: Z:>?~(" F\ ~O'" \~
I telephone
Date
I / 0 ~ ji;f;,
I
~w~~@~~~
PERMIT INSPECTION REPORT
Work covered by permit has been completed
satisfactorily.
~Jork is not completed.
,~lliJ) Recorrunend permit be cancelled.
_Traffic control - adequate
inadequate_
REMARKS /111<.. 5tUAI!> IJ/!<' ~,e'D A-u,&-'r'
INSPECTED BY, fVfLI~ tJl)AJ} DATE~J'
CAll 48 HOURS
BEFORE YOU DIG
1-800-562-6478
Form 113-o(Re\"A 2.132)
~
GENEllAL PROVISIONS
-'-
1. THIS PERMIT IS SUBJECT TO nC\~ 36.75,130, ,1~O MID ,ISO Arm AMENDMENTS THERETO,
2. HIE GRANTEE, ITS SUCCESSORS MlO ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY AND SAvE IT HARMl.ESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF I::VERY Kltm Arm DESCRIPTlotl WHICU MAY ACCRUE TO OR BE SUFFEREU BY AllY PEUSQIJ,
PERSONS, OR PROPERTY BY REAsorl OF THE PEPFORMANCE OF ANY SUCI1 WORK, CHARACTER OF MATERIALS USED OR MArmER
OF INSTAllATION; IN CASE ANY SUIT OR ACTION IS DllOUGtH AGAINST TliE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUSES, HIE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL. UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY,
3. IF THE GRANTEE EtHERS INTO A CONTRACT OR AGREEMENT WITH A HtlRD PARTY TO PERFORM THE WORK AUTHORIZED
BY THIS PERMIT1 THE THIRD PARTY, AS ^ PART OF THE CONSIDERATION FOR ITS CONTRACT WlTti GRANTEE, AGREES TO
INDEMNIFY1 HOLD HARMLESS AND DEFEND THE COUNTY ltI ACCORDANCE WITH THE PROVISIONS OF PARAGRAPH 2, ABOVE.
4. ~~Y T~~~A~~R~~ T An ~~ N r~~ ~~~~{~~gn o~N~o~~a~J~~~~~i~ ~~~~ l ~ ~806Ay~R s~:ttU~EB~~ciHiHi~R~E~~1 iHio G~:~~~~ - 1
LATlON AS HEREIN PROVIDED.
5. DURING THE cmlSTRUCTlON OF THE FACILITY, THE GRANTEE SHALl. COMPLY WITH THE MAtiUALOtUlli..lfQBlLJ.RA.EElC......tOliIRO.L.
DEVICES FOR STREETS AND HI Gtft(A)'.S, PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6, ON COMPl.ETlON OF SAID WORK HEREIN CONTEMPLATED, ALl. RUBRISH AND DEBRIS SHALL DE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESE~ITABlE AND SATISFACTORY TO THE COUNTY,
7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CltANGE OF LOCAT ION OR HtE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT AtlY TIME, SAW CtlANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS ArlO ASSIGNS.
8. ALL SUCH CHANGES, RECO/lSTRUCTlON OR RELOCATION BY THE GRAtITEE SHALl. BE DONE IN SUCH A MANNER AS WILL CAUSE
THE LEAST INTERFERANCE WITH ANY OF THE COUNTY'S WORK MID JEFFERSml COUNTY SHALL IN NO WISE BE ttElD LIABLE
FOR ANY DAMAGE TO ntE GllANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
g, THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN BY MADE.
0 L
--- 0~2.
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SRECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
A COPY OF THE PERMIT SHALL BE ON THE JOB SITE, AND PROTECTED FROM THE ELEMENTS, AT ALL TIMES DURING TijE
CONSTRUCTION AUTHORIZED BY SAID PERHIT WITHIN THE COUNTY'S RIGHT-OF-WAY.
!~~R~~~~?AC~JI~L'i~~_~~~;~~~~~~ ~~ ACCORDANCE WITHI~~~ ~1l~~~~~ ~~~~~~/~~~~ ~~~~rnE PLACEDlrr-
DITCH AND LAID TO A TRUE LINE Arm GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
O~~E~f~~G A~~ ~~~F~~~D~A ~~R T~~o~p~~~e~~E S~~~~E~~Y I~N~gcg~e~~~E R~6~~~6~~w~~0=: tE ~g~T~~L p~~MI~iE~7AN,
THE APPROACH SHALL BE SUFFICIENTLY SURfACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT ANY MUD TRACKlllG OtlTO THE COUNTY ROAD. Atl\' MUD TRACKED ONTO THE COUNTY RUAD SHALL BE IMMEDIATEl.Y
CLEANED UP BY HIE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS Arm BRUSH SHALL BE REMOVED FROM !lOTH SIDES OF THE
e~r~~A~~^LL T~~T I~~ I ~~~~ 7}~:'6E o~U~6~~i/~o~5R~~~~i~~~~wl~~BER OR D I SF IGUR I tlG OF AllY FEATURE OF SCEN IC
WORK SHALl. BE RESTRICTED TO THE ttOURS BETWEEN 9:00A.M. AND 4:00p.M. UNLESS OTHERWISE AUTHORIZED BY THE
ENGIIlEER.
A SURETY BOND IN THE AMOUIlT OF $ , WRITTEN BY A SURETy COMPANY AUTHORIZED' TO' , I
DO BUSINESS IN TltE STATE OF WAStilNGTON, SttALL BE FURNISHEO TO INSllRE COMPLIANCE WITH AN,Y AND ALL OF'THE
fERM5 AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN It I FORCE UNTIL ALL WORK UNDER THIS' PE~MIT,HASj ;'"
DEW COMPLETED AND APPIWVED B'( THE COUNTY I -' "- 'c
BEFORE ANY LOG HAULING OPERATIONS BEGIN, A SURETY BotlD IN THE AMOUNT OF $.___._, SHALL
BE FURllISttED BY HtE GRAtlrEE TO p/lOreCT THE COUNTY AGAINST ANY DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPLETE REMOVAL OF THE APPROACH ArlD CLEANItIG UP OF THE RIGHr-Or-WAY TO THE SATISFACTION OF THE COUNTY,
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURED BEFORE HIE BOND WILL BE RELEASED.
SPECIAL CONSlO'RATlON~---=-~t~"',)-,- "-1\)__'>\ 04:,1\-"'.) A
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i)lJrITY ROAD N9. 337=~
ArE LOG' rIO,
LE POST --=,TO_
OFFICE USE ONLY,
JEFFERSON COUNTY
DEPARHlEIH OF PUOLIC tiORKS
Jefferson County Courthouse
Port TOI'inSend, flA 98368
PERrm NO.f((,-7-/<f-/
FRANCH r SE NO.
FEE PArD _Yes _No
OFFICE USE ONLY
APPLICATION FOR INSTALLATION OF UTILITIES
'I/--J' (
'I Name and Address of Applicant: !)dI1-.,:_ f_~ ,P ')!krL.P (L;_)
1" ('j, \~~, ("'Ii / ;;-" '7 7
nj I ;"If I"" (,,;. I,."" "7'';):') 70
II ' /'
Application is Ilerebymadefor a permit to construct, operate an? maintain 'hi> ),,'-'-'(;/
I f!""?l11'muf1rJ'r~('of/l>/>1 (!.-,;;/-;?/.-r '1'<; ',\-'N(I, 3,)" l/..~Pp
I ~~ l' ,.c ? '-- ',/ t II
C;'.vi ,){.,," i 1- .('.1,1, / /--lc;n.t r.'/11 ~ /'1',1('"/ (J(/,7/y7 ,.
ITh:, util ity ins;,lla_~on is located (attach.m~ o~ dra~,i~9) t;1'-'??;7,/-I-.:-- 1';/ j]JC,q(
,Sf- '1'0 1+1 -,.) L ) ,(./ ) F,>,- '1 i' 2 )-:_I~ . " I .
!Applicant agrees to perform the V/ork in strict compliance vlith the terms and conditions
!set out herein, and states thatAppl,icant has read and vlill adhere to tile general provi.
I'sians set out on the reverse ~iae/of tlli"S }9rn~"an~d a,ny special provisions attached hereto.
/ I ' ;;// ~/ / /
IAPPlicant Signature: "-i;,~?}t///!/~J< z,n Date: /7';::Yf{~ '
I ( / ~ ' C;" /-/- / /) '/-;,/ '
I /__? (/,0-'
I I1II III/III 111/ III
I A PERI1IT
Isubiect to the folloV/in~rterms and condltlOns, PERfHSSrON IS HERmy GRANTED to Appl1cant
to construct, operate and maintain util ity facil ities as requested above.
, I Th i s permi tis cond it i oned upon App 1 i cant's comp 1 i ance vii t~ Jefferson Coun ty Ord i nance
12.81 and ~IAC 136-40, includin9 amendments thereto, the general provisions set out on the
re'/erS2 side of this form and any special provisions attached hereto.
INo,'"ork shall be done under this permit until the Applicant has received instructions to
i proceed from , telephone
iAPPROVED BY: /;;f;rc;LJ~ Date: 7 h,'6" h"=:.
! ~V / /
I
illl/II //111/111111/11/111 11111
(' , ! /
cd- / /., 1/,6p,
I
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ITlLITY OAMAGE IS COSTLY,
PERHIT IrISPECTION REPORT
i CALL 48 HOU RS
[BEFORE YOU DIG
! 1-300-562 ~478
X Work covered by permit has been completed satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control_aclequilte; _inildequate.
REHARKS: ,
INSPECTED BY: Dru.vR. IJ)cuJI
Date:
3/'1 /6 ~
, ,
~
~
JEFFERSON exxAiTY
DEPARTMENT OF PUBL I C WORKS
FlU:
ACTION REQUEST
REQUESTED BY; f<;c/-I-,j-C'") .4LLf'N OATE- 9-'2-R-88
ADCRESB. ? 0 R.e5;oL~ "r, ,-/,/, PHCJ'<E NO, - <f37 - 9 J 59
pnQ-r' LV\Dl...bW ALT. PH. NO.-
NAT..- 01" REQLEST- [3-fN PERSal 0 BY f'H(M: 0 BY LETTER TAKEN BY- s4<...
PERTAINING,.o. o OFFICE OENG/SURVEY ~AD MAINT. o EQUIP. MAINT. o SOLID WASTE
REQLEST F'OR - t); i-u-J <=./ e",N " Nl
LOCATlO<- ROAD NAME n1~'I<i"1IZJR..i) L-tf ROAD NLOmER S/2909 M,P, ~Q_
PRO.JECT. PROJECT TITLE R~ECT NWDER.
Ar'i>~"'C.1-I (?e"~:+-
P"R. L...,)I--(1W .
Ne.~("::..s -I....
Hi20",!JI
OESCRIPTIO<- /Ill). /h.LI"N h1l-5, IIV''; >-A-L-Le,f) rt ..-vew
1-10. 0 Rii '1 .4r +~p fEN D 0/= Mocll~NO Pi/'R.\"! L/J. J'''';
/~P RO~b t.<..H'7V j).~-J.-('~I A--Rt.h.....N~ ~e. ClAt....t>t>-S4c
'Be cleANer:> ~o -I-~,," -w,4-"r'ee. ('rl-N ",.-rILe /-j-
c",\veR.-r- +t, -rht:' 1)K,>4;rl4?", ~.E:rl5e",e'N-'-.
ATT Ac-t NAP CR SKETo-t
REFER TO.
Er'l-Ji?L
A- 54-1'''
eh'II;i)
RESPCfiD BY.
RESPONSE.
/lJ ~/' ! I/?/{{i
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(
REVIEWED BY- DATE-
c:c:HTACTED REQt.ESTER 0 IN PERSCtoI 0 BY?t-O-lE 0 BY LETTER CONTACTED BY.
RE~TIQl'\l.
PREPARE EST I MATI: FOO.
ROUTE TO..
o DIRECTOR
o ASSISTNn'DIR.
o ROAD SlFERVI SClR
INITIAL
o CClNSTRUCTIOO ENG. _ 0 ACCOl.I'lITANT
o PLANNING ENGINEER _ 0
o ADMIN. ASSISTN4T _ 0
L
~
~
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
Reuipl NQ
Fee Paid_ Yes __ No
1820 Jellerson Slreel
P,O,Bo~mO
Por1 Townsend,WA 98368
1206)38\'9160
^ddre~s Rcquc:s\_ Yes _ No
Mile POM
API'L1CATION FOR PERMIT
To Department of Public Works.
Jefferson County. Washington, B
- The undersigned .:Ji.MS ~ 'I- /J~~& ~ow~
hereby, appiJ/--- for permissioll to
I (Af!pllflllll..-illlll'lm/lt.jull.....halh'..J\III'\/lld,,1
_ 1A/5rlt-1A-- /2 r( CA>r Cot'Jcee-re c..ve. vGtt. r ACtosS
Of( I (IE. 4CC.eSS TO /}ccoM/1D/t-re,cXS/ s r/ A.J J'
DR.AINo.y!:. f)/TC-I-I- Ft-o IJ (N((l.,j., Zo r W,P8)
SKETCH:
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Nt" ~~I vt"''4
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between ,/
Cb i ~ 7
(,~lalfnl'U''''' rfUII IUN/ or mil, {lllillll
::rT~l" ,", OW," "",,"w;,":;r.." 't::.;jo.;;;::.'_~
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(If applicant is a copartnership. se"orth ",ames of cpr~r/nersl 'I J j I
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Phone No ~'S 7 - W C)'!
100% Recycled Paper
Ad(ht~~
Phone No.
~
JEFF'E~ COLI.ny
OEPARTflENT OF' PUBL I C WORKS
FILE
ATITOfifllEfTIlFST
REQUESTED BY. r';" fY\ I I-€- J),' "" <'1 " DATE - n el- <, 1: S
ADOOESS. / () () 5 '-'\ M n II 0'+ 11 ,,- PHC"lE NO, . 7 9 {,. L/o'l?
7,...,'," n ^ Y1 \^J", c., )\.3"Q.n ALT. PH, NO.-
NATURE OF REQL.EST: 0 IN PE~ 0 BY Pl-iC.NE 0 BY LETI'ER TAKEN BY-
PERTAINING TO. 0 OFFICE 0 ENG/SURVEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOL.ID WASTE
REQUEST FOR' r, r ",",: -rn ,II ,- " ; '" r I' ,,,'\1 ('" III e-l"(- -10 EO.., m "'1 -/-
LOCATlcrl- ROAD NANE .<;'" ,,., n ,,," .,.. Vv- ROAD NUMBER ;10(, "10 'I M,P, _ -
PROJECT- PROJECT TITLE
OESCRIPTlcrl- ''"'""f) 'r" ; '" n: r e,
,- , '
'-r,,"'- npr p",,,,e,,,-)-;
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Dr" {J"" j/"-."t-I
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RROJEcT NUMBER-
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YY1 &(
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ATTACH MAP OR SKETOi
REsPOND BY, Iii:?!/.; - /u?~;/",lr
REFER TO-
REVIEWED BY- DATE.
CCX'>ITAcTED REQl.ESTER 0 IN PERSOO 0 BY PHONE 0 BY LETTER CONTACTED BY,
PREpARE EST I MATE. F~-
ROUTE TO.
g )!-'REC1'OR
~ ASSiSTANT DIR.
o ROAD SUPERVISOR
__INITIAL
o
o
o
ACOOLliT ANT
o
.D
o
CONSTRUCT 100 ENG.
pLANNING ENGINEER
ADMIN. ASSISTANT
L
~
~
COU~TV OF JEFFEIlSON
STATE OF \~ASIl1NGTON
In the Mattcl' of
IlESOLUTJO~ NO, 95-88
Estnbl i:.;hment of <l
County Rood: ...
Otto Street x.
\mEHEAS, it appearing to the Board of County Commissioners tllnt.
notice of hearing with t'e:jpect to IIResolution No. 91-88, Intent to
Establ ish a County Road" hus beci} posted' and puldi~lhed to the time and
in the mnlllltH' provided by luw. proof of such posting and pUblication
being now on file heroin, and snid Board having other evidence
ndducl:d, and being fully udvised in the premiscs docs now find and
determi ne tiln t. tlw publ j c wi 11 be lHJnc f i tcd by the (lS tab I i shman t us n
put't of the County Rond System:
NOW TIIEHEFOHE. BE IT HESOLVEU, nlld it is hereby OIUlERElJ THAT:
That road known as Otto Stt'cet, f['om milepost 0.44 to
milepost 0.4::1, .lyinf~ in Section 21, Town~ldp 30 North, Ralli{e
1 \~est, \~.M.. County of Jefferson. State of Washington,
be and the same ure hereby established.
APPROVED this 11. #dUY &4J~/....",..t'Lra33'
JEFFERSON COUNTY
BOAIW OF COMMISS[O~ERS
~~L~) _
B. G. Brown. Cluii rmnn
y?'
.alM~?'I'J~dfi-'
LaITY ,:9'fJellllison, Member
.~$t~~tZL~t!j;~t'-~'---
Geon~e C .~own, Member
SEAL:
ATTEST:
110 :/~" {?~U
~ Gragg / ,/p1i
/Clerl< of the Board Vv'
STATE OF II'ASH1~GTO~
COU~TI' OF JEFFERSO~
In the matter of
x
Updating the Officiol
County Rand Log
RESOLUTIO~ ~O,96-88
h'HEREAS. the [01 lowing !'and hns been established to be 0 County Rond. ilnd,
\,'lIEHEAS, the fa 1.1 owl Ilf: rand j:,;; to be rnn i ntoi ncd 0 t puuli c e"pensc I nnd.
WHEREAS, the Officiol County Rood Log is filed in the County Engineer's
Office,
1;0I~, THEREFORE BE IT RESOLVED that the County Engineer is hCl'cby directed
to rnnl<e the following tldditJOll3 or corrections to the Officiol County Rond Log.
Ranel
~
Rand
~[Ime
Scctionl Milepost
Town:,;;hin/Rom~p. Begin/End
I ntersccti on
Gr.8:'~J !J
Ot to Stree t
S21 T301; lUl,' 0,.14 0,49
Otto St. (Co,
Rd, ~o, 6880191
m,p, 0,44
continuation.
ADOPTED this ~l.l?"dOY 0(, ;"/;;r:;-;;:~;"FC>,1. -', laSe.
I
JEFFERS01; COU~TI' BOARD OF CO~I~lISSIO~ERS
JP~~,~/
B,C. Brown. Chnirmun
"~
- (/,,-~/ Cl-;t: d-r; r
Member
SEAL:
ATTEST:
l "
~, .' /' ,>/ c.. ,_~/ "
( (//0//...// .",' t. ,_;:!;--/<,-I/~'~
Jp"rdine Brogg , ! /0
/ Cl erk of the BODr'd
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JEFFERSON CDl.I-iTY
DEPARTNENT OF PUBl. Ie WCflKS
FlU: 9'2,250?
ACTION REQUEST
REQLOi;STED BY_ WAYNE MORAN
ADOREss. 760 CHIMACUM RD.
OATE. 8-30-88
PKlNE NO" 385-7291
CHIMACUM ALT, PH. NO,
NAT~ OF REQC.EST. 0 IN PERSa-I ([] BY PttC:NE 0 BY LETTER TN<EN BY. S. KILMER
PERTAINING.TO.. [JOFFICE DENG/sURVEY DReAD MAINT. o EQUIP. MAINT. 05OLI0 WASTE
REQU;:ST FOR- RON
I..OCAT I CN. ROAD NME
CHIMACUM ROAD
ROAD NctornER 932507
M.P.
PRO.JECT. PROJECT TITLE
RRO.JECT NLtoWER-
OESCRIPTICN- IVHA'1' IS ROI'7 AD,IACF.N'1' '1'0 '1'HF. DR ROIII'\I:;R'1' SCHT.IIDF. SHOR'1'
PLAT? Sll-T29-R1N
ATTACH MAP at SKETOi
REFER TO.
EILEEN
RESPO"U) By-
RESPONSE. NO RIGHT OF WAY lvAS DEDICATED IN THE SHORT PLAT TO CHH1ACUM ROAD.
THE ROAD WAS ESTABLISHED IN 1885 AT 60 FEET (IRONDALE VIA CHAPMAN'S MILL
TO CHIMACUM CORNER) .
REVIEWED BY. DATE-
CCHT'AC1'ED REQ(..ESTER 0 IN PERSO'I ~ PHJNE 0 BY LETTER CONTACTED BY. ~~
RE~DATlai.
PREPARE EST I WAn FCR.
ROUTE TO..
D DIREa""
o ASSISTANT DIR.
D ROAD stFERVl SOR
INITIAL
o c:or-!STRUCTION ENG. _ 0 ACo::x..NTANT
o PLMl'-JING ENGINEER _ 0
o ADMIN. ASSISTNiT _ 0
L
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JEFF~ ~TY
DEPAR1"NEf'(1" OF PUOL I C WORKS
nLE 507 <fOr
ACT! ON REQUEST
C 7!tlC ~ !-lthf7MEt( OATE-
70 (?}/.)~ t.l 1'(/' / PKlNE NO,
<l-1I'/I'!V/)7 ,t3,d/ ' ALT. PH, NO,
NATl.IIE OF REQlEST- 0 IN PERSa./O BY F't-tCHE 0 BY LEITER TAKEN BY.
PERTAINING ro. 0 OFFICE 0 ENG/SUR'VEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOLID WASTE
REQLE:ST I'OR - cf'.r:. /'J.!) :5 / ~/) -5! 9 ;()
REQtRSTEo BY.
CI /1 ~ )1:';-
I ,_ "') Ir-'l-
I I t:f
;;.;{,:, (,
ADDRESS .
LOCAT I ai. ROAD NAME
PfiO.JECT. PROJ'ECT TITLE
DESCRIP'Tlai.
ROAD N~ER
M.P.
RROJECT NWDER-
ATTACH MAP CR SKETCH
REFER TO. If~b
I
RESfl"CII4D BY.
RESPC:NSE.
~ ) t, I ~t
JP11/\!IZ'
REVIEWED BY- DATE-
CCHTACTED REQl.E:STER 0 IN PERsct'-I 0 BY PH)NE 0 BY LETTER CONTACTED BY.
RE~Tlai.
PREPARE EST I NAn. ~-
ROUTE TO.
INITIAL
o
o
o
o CXX'iSTRUCTICX"..I ENG. _
o Pl...AN>lING ENGINEER
o ADMIN. ASSISTANT
o ACC'()l.JiTPNT
o
o
D I RECiar
ASSISTNIl' DIR.
ROAD Sl.PERV I SOR
_I
~
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[I,'):, '-,
JEFFERSON COU NTY
OEPARTMENT OF PUBLIC WORKS
Fcc I'aid_ Yes _ No
Rl"I:e1rt Nu
1820JetlersonStrelll
P,O. Box 1220
Port Towl1send, WA9836B
12061385,9160
Address Request _ Ycs_ No
Mile Post
AI'I'I.ICATlON FOIII'EIlMIT
To Department of Public Works,
Jefferson County, Washington,
The undersigned A\? f 7c')?'", )"",( (t )11- /;. / iJ. ,.",1
j ,/ ~ / 7 /7/
herebyappl_ for permi",,;on to C)" ru, I 1J.L,,7 S!tou,(."Le1. <. 11"",,) -c,{) (ly-z)!,<;'IT<::/
/,lpl'Ii'lmr '\lild''1ml~'Jilll'\''';;::;I''lI'l\h''\'''''''}
.;( 06'(.Qlj tv ,"<)..1 "I- )It(1LL~(' f.; d,t--t,t-;J1.,ciur>/ c1.Itlc.C'>-t"'! t>/
'-4_<-:le Lc! (,eR /l6 _:,,-,<1-6,.1/ 11: -$/1/ < i,l.)'" '61 ,<!-e./Z-t'Cl\-- --Co '}!.e-<u-
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<11/a U',u'<L,1f(l 0 Rd, (Ij _1A..c -<I'"t'\ 0/
between Ht/tiL.1 (/4 t/--'nt.L';_'~(.lt(.~'rl (.t.,-.,.,k./
--J.L~ at (; L-() (it-.LP:; ,
tSlm"/If'l1lt'{C'lf/\\\/ln'lmmil<'/N,iml
(1m/ agree_ to do lite work ill accordance with your rules (l1Il1 rl!gu/atiOf/S alld subject to YOllr ;lIspecliofllltUl approval.
Dme 9- 7' S' , 19~
.pc"-'>:Y.l.d4
;: !:vM),f, A~!./ :/c.uo7.-.Le,;d {cAd,A
I~W'e"f'\rl\II':lIlll 11.'01111:1'1011
" (If upplicant is a copartnership, set forth names of copartners) /I ,&
'~~Io/D I,) olr,4-4ll.
A,I,"", ez
Phone No, ,? x!;;- - ,) I) {) cl
100% Recycled Paper
f:J jJ/.>j
;/
,\d,jr~"
Phulle No.
~
DisrricrNo,
f,
.Jeffersoll Cn.
DEPARTMENT OF l'UIlLlC WORKS
Pt'rmit No, it-
SUJlcnisor's nClIllrt No.
Supervisor \Viii make detailed report witlll1is recommc1l(/miofl on this applictllion. Whenever {ws.\ihle .\IUH.... sketch of proposed
work. Supervisor ~'I,'i11 also make addilimwf reports ({fit/final report gil'iflg dale ojcomplelion oJ work 0" this/arm.
Preliminary Repurt:
lYe)~ co';"'vee P.D,
//1, p, ;. O{ /.r.
TArs 1$ 4' ;--/.e. lEND of COAk;R.erC :5;DG:lJ,.Lt.J~ ,',..; j::>,4<J{5j)
S?fcl "'<-\) C2.-R., _
il.e.Co",,~e~'" 01 <YJ cvr-' k:, ge .Ke/~"h"/lCI:> w:'fY/ 15" cl2C<SIf-I':P
SIA'2.Fk;"/5' ,<(-.AJI::> 6' /1:5 ;>/''<!-'-I CO"'c.,z.ere.
(Jal.:
9 IS- ~-2
Si~l1cd:
Finl.ll Report:
I'EIlMIT INSI'ECTION IlEI'OIlT
~ Work ~pff'mh:-has been completed
satisfactorily.
_ Work is not completed.
_ Recommend permit he cancelled.
_ TrafFic cOlllrol . adequate_
.~ . inadequate_
IlEMAIlKS ~l-fJo,e1C "'1-'.5 DOl" e. /> I? ,'di<- Ie
50 /l/D f! eP-rn/f U/t'I-s .::z:-ss"(e",,,
B:lle:
9 -16 - S.g
Signed:
Ul \ \1l'1('I'1I1\ llll~.l'(".
~,~-K~
i<e.c,'eu,'",!
14 p"r2.m.'1-
/.!)~";<~
,~
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HYDRAULIC PROJECT
APPROVAL
(R.C,W. 75.20,100)
(A,C,W. 75.20.103)
r:il September 13, 19BB
(....ppllcanl.n(l~ldr.re<lolh'.ll.I.,n.,(co.,nponcluc.J
DEPARTMENT OF WILDLIFE
800 Capllol Way North
Olympia, Wuhlnglon 98504
(206) 753.5897
PAGE 1 OF _ PAGES
GEl ":i:fferson County
G!l STREET OR RURAL ROUTE
" P.O. Box 1220
r,;;] CONTACT PHONUSI
~85.9166
[j] CONTROL NUMBER 75716
ilil
l!JA
CITY STATE ZIP
Port Townsend, Hashington 9836B
lliJwA~~named Tributary, LudlO\'I Creek, p~~~AtY S~und
[ii] ~~~~~~R
2BN
RANGE (E.WI COUNTY
IE Jefferson
TIME LIMITATIONS:
[!J THIS PROJECT ~"y BEGIN
, Immediately
[!] AND BE COMPLETED BY
, Novmeber 1, 19BB
IIlIS..APl'RO,VALILTD-BLAVAILABLLONJHLJOB-5LTLALALl.JIMEUNILlIs..eROVISION:Lf.OlJ.OWElLIlLIHE..1'ERM
TEE AND OPERATOR PERFORMING THE WORK.
THE PERSON(S) TO WHOM TIiIS APPROVAL IS ISSUED MAY BE HELD LIABLE fOR ANY LOSS OR DAMAGE TO FISH LIFE OR fiSH HABITAT WHICH
RESULTS FROM FAILURE TO COMPLY WITH THE PROVISIONS OF THS APPROVAL.
FAILURE TO COMPLY WITH THE PROVISIONS OF THIS APPROVAL COULD RESULT IN A CIVIL PENALTY OF UP TO ONE HUNDRED DOLLARS PER DAY
OR A GROSS MISDEMEANOR CHARGE, POSSIBLY PUNISHABLE BY FINE AND/OR IMPRISONMENT.
ALL HYDRAULIC PROJECT APPROVALS ISSUED PURSUANT TO RCW 75.20.100 ARE SUBJECT TO ADDITIONAL RESTRICTIONS, CONDITIONS, OR
REVOCATION IF THE DEPARTMENT OF FISHERIES OR DEPARTMENT OF WILDLIFE DETERMINE THAT NEW BIOLOGICAL OR PHYSICAL INFORMATION IN.
DICATES THE NEED FOR SUCH ACTION. THE PERMITTEE HAS THE RIGHT PURSUANT TO CHAPTER 34.04 RCW, TO APPEAL SUCH DECISIONS. ALL
~tYDRAULlC PROJECT APPROVALS ISSUED PURSUANT TO RCW 75.20.103 MAY BE MODIFIED BY THE DEPARTMENT OF FISHERIES OR DEPARTMENT
OF WILDLIFE DUE TO CHANGED CONDITIONS AFTER CONSULTATION WITH THE PERMITTEE: PROVIDED HOWEVER, THAT SUCH MODIFICATIONS SHALL
BE SUBJECT TO APPEAL TO THE HYDRAULIC APPEALS BOARD ESTABLISHED IN RCW 75.20.130.
THIS APPROVAL PERTAINS ONLY TO THE PROVISIONS OF THE FISHERIES AND WilDLIFE CODES. ADDITIONAL AUTHORIZATION FROM OTHER PUBLIC
AGENCIES MAY BE NECESSARY FOR THIS PROJECT.
1. Bank protection material shall not appreciably reduce normal watercourse
capacity or configuration.
2. Bank sloping shall be accomplished in a manner that will prevent the release
of overburden material into the water.
3. Bank protection material shall be clean, angular rock or other mat~rial
of a sufficient size to prevent its being washed away by water actlon.
Ri ver gravel s shall not be used as exterior armor.
4. Alteration or disturbance of the bank and bank vegetation shall be held to
a mi nimum.
5. Overburden material resulting from this project shall be deposited so as to
not reenter the 'later.
SEPA: Exempt
Field Investigator, Tim Rymer, 457-0353
cc: Mi ke Ragon, Agent
OEPARTMENT OF WILOLlFE
'- ~ ~ C7 . '....JJ Rr>"'-
C> c::::::> ~ DIRECTOR
GAt.l '1' (Hh_.,.of8!L..:l!).
'..~..r~:,~_
[f7 WRIA
Og
~
(;12 <(03 .JfTC(
Guz /?dl
September 13, 1988
Mr. Bob Nesbitt
Jefferson County Public Works Office
Jefferson County Court House
Port Townsend, Washington 98386
l
"'" Emile Road, formerly Fish Harbor Road
Dear Mr. Nesbitt,
I am writing at the request of our insured, Mr. Goldmanis, who
OWns property in Government Lot 6.
The road
right of
Cogger.
waiver, which
way through
Jefferson County is claiming additional
Government Lot 6, was granted by Alice
I find that Alice Cogger never owned Government Lot 6, but had
title to other property in the area.
Government Lot 6 was owned by the Bergeson Family from 1893,
until 1985.
I have enclosed copies of the pertinent deeds.
Please call if there is any information you need.
Very truly yours,
JEFFERSON TITLE COMPANY, INC.
John C. Nesset. President
JCNlmh
enclosure
cc, Sven Goldmanis
P.O, Box 2S6 . 2205 Washington Street, Port Townsend, WA 96368 . (206) 385.2000
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120- JSO DEEDS
I . 'I 1st
Filed March 13, 1947.
John E. BerBeson,
to
~'he Public.
AFFIDAVI'l'. Dated March 13,191.7.
.J
Stste 01' Vlnshinp,ton,
SS:
County 01' Jefferson,
John E. Bergeson, being first duly sworn on oath, deposes
and says; that he was the owner 01' the followinG described lands,
to-wit:
J
The South half (sb.l 01' the Southwest (~U1lrter (S'II~l of the North-
west Q,uarter (NVlk l 01' Section 4, 'l'ownshi p 2~ Horth, HanBe 1 Vlest, VI. M.
That he acquired title to the above describad real estate from
Alice COGger, n widow, by deed dnted March 8, 1916, recorded in
Book 85 of Deeds, page 203, and at the time of acquiring title to
same, was an unmarried man, said property beinp, hin sole Hnd separate
estate. 'i'hat by inadvertance and mistul:e hio nllllle wos SI,OVIll in that
certllin deed ns John E. Borr,erson, and that J'ohn I';. Ilerr,esonhuul.x are
one and the same person. and John E. 1J0rr,er[;on,
This a1'fidavi t is made and exacu ted in aid of title to the
above described reel property.
tJOltll E. BUl'gunon
Subscribed and sworn to before 11I0 Lhin l)th day ot tl\arch, 1<)1,'1.
William J. Enfiuld
HoLHI'Y Pub] J" in IInd 1'01' I.,ho
State 01' VlaBhinr~ton, residing
at Port 'roY/noend, Vlaohington.
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0/1'.:;'
FROM
TO
JEFFERSON COUNTY
Department of Public Works
Courthouse
PORT TOWNSEND, WA 98368
(206) 385-3505
SUBJECT: OITtl ~e6~r DATE: Bft0f/.8a
FOLO+ Pt.6I!S€' iSGr 07T6 .sT1U61 &z./}f)GO ~$;Jf)l'~P up r'/26rv1 ~
Sb~N Ro ~n; TD f /AlCU<D/NG- rLtJyD Klm8A'-'-'" PRlVev-;JJy,
1J~1l~
;6-171 hd!"'" 7;-~:If: d
.;;2/ - 30 - I U)
J.eejd ~6 ( ~, (JJ( ~v~dP~ ~ -h o1J A, ~~ f21)
PLEASE REPLY TO - SIGNED ~e::;za, ~
REPLY O,ro
"",o' I", i'o,.-,-
$" F{<.OM (Yl; Ie Po:;,'!'" 0,31,7 (se,o-J RD.)
O. '-IS? (5, ~Dc;.f of k;",aALL':=, D~;\Je W'lV).
fo
;Je.e.r> J-c e~;-""'BLis" +-4;-s. '5"-C.;-I-~,j A-:' /! C<j"'N7-Y
;<'0 A-b .
SIGNED
Ilcm_F72\;i WhcelcrGrollplnc, 1978
THIS COPY FOR PERSON AODRESSED
L
~
~
In the Matter of
Intent to Establish x
A County Road: x
otto Street x
County of Jefferson
State of Washington
RESOLUTION NO.~~
WHEREAS, after due consideration, it appears to this Board
of County Commissioners that it is in the public interest to
maintain as a part of the County Road System:
That road known as Otto Street (m.p. 0,44 to 0.40), in
Section 21, Township 30 North, Range 1 West, W.M.,
Jefferson County, State of Washington.
and in contemplation of the language of Statute R.C.W. 36.81.010,
NOW THEREFORE, BE IT RESOLVED that this Board of County
Commissioners does now declare its intention to establish Gaid
road, and
BE IT FURTHER RESOLVED, and the County Road Engineer is
hereby directed to examine said road and report his opinion as to
whether this road is practicable, as to the necessity of the
road, as to the proper terminal points, general course and length
thereof, and all other facts, matters and things which will be of
importance to the Board, and that such reports be filed as soon
as possible.
ADOPTED this
/,.;2QJ
Hearing is to be held
1988, at ~2l~ a.m.
SEAL:
ATTEST:
J.
. ';?
\... "?~~,~( (!:;:Z;/:.ort,;,
J rdlne Bragg ~
~lerk of the Board
day of ~_____. 1988.
at the Courthouse, ,;:? G 1;,~r
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
~~U4V)
B.G. --il-rowi,;Chairman ---
~- #) .
",i;{;(;[ ;"'YK-k7/?----!
Lar y~Dennison, Member
---<t~'-t.-de (jA8-c.t.'.::<-"~---------
George C Brown, Member
FOR PU8~~C~TION
DATES 1 11 -
q--2L--
BY M!d03rl'tt-
DEPARTMENT OF PUBLIC WORKS
JEFFERSON COUNTY COURTHOUSE
PORT TOWNSEND, WA 98361
~'
:\,y/J0:/?1
~~'~"~.:f4!
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':~,l!!'\~~
J(~~'
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 385.9160
September 12, 1988
Gary A. Rowe, P.C., Director
Rober' G, Nesbitt, P,C., County Engineer
Department of Natural Resources
Olympic Area Office Route 1, Box 1375
Forks, WA 98331
Attn. John Calhoun,
Re. Temporary Road Approach Permits Off Upper Hoh County Road.
Dear John,
In regards to your letter of August 9. the county has reviewed
the proposed locations on the Upper Hoh Road, county road number
914207. The county will grant approval of two temporary road
approaches for access to Capital Entrance Timber Sale with the
following terms and conditions attached:
1. A $200.00 bond/check is required for logging approaches.
This money will be returned at the completion of work.
2. An Application for Permit is enclosed and shall be submitted
before any work begins. This requires a $25.00 fee,
3. The approaches shall be constructed to a minimum of 30 feet
in width.
4. Removal of a large tree and stump to the North of the
approach on the West side of Upper Hoh Road shall be
required to obtain minimum sight requirements.
5. No work shall be done until applicant has contacted
Jefferson County's representative, who on this job will be
Mel Fraker at the county shop on Upper Hoh Road. His phone
number is 374-5118.
If you have any questions regarding these conditions, please
contact me at 385-9160
Sincerely,
/J~K~
Scott Kilmer
Planning Engineer
'-- ;-'::. '-', -[ ~~ (...') 7
100% Recycled Paper
~
C/::" "1/ jp,1 'f-
'~..-
~~ WASHINGTON STATE DEPARTMENT OF
~ = Natural Resources
......
f3f.1if;U UOYLL
Cnrnn"il:~SI()n~r 01 Public l_(H'i(J~;
Olympic Area Office
Roule 1, Box 1375
Forks, WA 98331
August 9, 1988
Jefferson County
Public Works Department
Court House
Port Townsend, WA 98368
Attention: Mr. Scott Kilmer
Dear Scott:
RE: Temoorarv Road APoroach Permits Off Uoper Hoh Countv Road
The State wishes to receive a letter from Jefferson County that will secure the
successful purchaser of Capital Entrance Timber Sale, a temporary road approach
permit. IDeation for the permit is approxinately 300 feet from the intersection of
the Upper Hoh Road with Highway 101, as sha.m on the enclosed sketch. Note that
the sketch shows two approaches opposite each other. For our appraisal purposes we
would like to have the tems and con:litions of the permit included with the letter.
If you have any questions, call me at 374-6131. Your cooperation is appreciated.
Sincerely,
a4,?'~
Alex P. Nagygyor
Natural Resource Engineer 1
For:John Calhoun
Regional Manager
I'., ;, ,~'
:L~ J
1 j ni:i~:
.J;::~:; FC~;.:~;.: ::,) ;\.1 (;:::. u;",~ T~{
i:~\IGlN[::~:;\:S Of.':-::CE
Equal Opportunity/Affirmative I,ctlon Employer
~
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JEFFERSCI'I c::ol.I'oITY
DE:PARl"MENT OF PUeL I C WORKS
FILE
Ui~ a,~ON REQUEST
Iljl tJj, V/n~ f'tO<E NO,
~, J.A.J-~ CifJ(gS ALT PH. NO,
NATlIIE OF REQt..EST. 0 IN PERSai 0 BY ~E Dl3v LETTER TAKEN DY.
PERTAINING.TO- OOFFICE OENG/SURVEY DReAD MAINT. o EQUIP. MAINT.
REQUESTED BY-
q-r~t'1
137-;WO
DATE-
ADDRESS .
,.c~..M.----
D SOl.ID WASTE
REQUEST f'ClR.
5"01004' M,P
AlT ACH MAP aI SKETCH
cJeo-1r
:;vee:t r/J /olft:tteJL ()Q'
RESI'alSE. Fe"./(' e /-1:1'/1{, /f.I2 S '>'6 Be ,',J
c;,/leR <'!>1Ac.'i-ui<-Q....S ON '71; S 5;-/2efJr-
17(' Nerr-t2- R!w J ,'Ne
RESPOND BY.
L:N 6"
frNi)
//Vii-II
/il-L
~;)eA-R.~
i-n
REV'EWEO fS'(.~ OATE. 9- n_ -8 R
cafTACTEO REQl...ESTER 0 IN PER.5oa'i 0 BY ~E 0 BY. LETTER CONTACTED BY.
RECXJM.tENDAT 101.
PREPARE EST I MAn:: FOO.
ROUTE TO ~
o DIRECTa<
o ASSISTNIT OIR.
D ROAD SU'ERVI $OR
INITIAL
o CONSTRUCTIOO ENG. _ 0 ACc:oc...NTAI"IT
o PL.AMiING ENGINEER 0
o ADMIN. A.55IST~T _ 0
~
~
CO\JN\~.ROAO NO .s?t.?3t> ~
S-,')\(i't'LbG NO.
MiLE POST
OFFICE USE ONLY
,JEFFERSON COUNT't
lJEFARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. WA 98368,
CHE(:K ONE: ' APPLICATION FOR ROAD APPROACH
o RESIDENTIAL . Q{ COMMERCIAL
Application is hei:ade for a permit to construct, operate ~nd maintain a road approach.
Please describe loaction (attach map or drawing) r/u~ ,b4/J /t1fRt:>A-CII'.! t:/.5T!/1
dr ,MIU ~~'T ;"v ,R.E.A::Al€ r"!", ~. n
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out h~_rein, a.nd Elny Flr';!~5.e.l !,~O\7.~.sicns !'.ttac!-.!!d her~t").
Applicant Name N, t r 1j/IC./Jf'a:J t-- Contractor Name .5-4,qc
It~ ' Address
/lNIb 9PJC1
Contractor Signature
c:'17- t31'l/ Date
t:ote: Indemnity provisions of paragraph..2 :and '3 .on :,reverse side.
lWfIIJW!E1ID ',," PER MI T,: : , ",
SubJect to the terms and cI)nditions Or). the reVf!rse s.tde, .PERNISSION IS HEREBY Gn.."\NTED to
J\pplicant ,to construct, operate and malntain a .J:'oad,approaoh.as,.requested .above,~and :al1~1
special provisions attached hereto. ", ,':; ,",' " ; ":,"::' ,
'l,t"
PERMIT INSPECTION IlEPORT"..
CAll 48 HOURS
BEFORE YOU DIG
1-800-562-6478
~ork co.,;e~ed by permi't has been completed
- -satisfactorily.' . . .
__"'o!''k is not completed. .
_Recommend per.mit be cancelled.
_Traffic control - adequ~te.~
inadequate_
REMARKS
Form 113.0 (RpvA 2-.A21'
INSPECTED By:./):.-nd-/I.k', DATE'9-R-Q2
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~
~
AileD Bros.
to._ lilt
LESTER ALLEN
Contract lower
464 Taylor Cutoff RoadlSequim, WA 98382fPhone: (206) 683-7906
Ii
~"
November 17, 1987
~\
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.J U 0
.----_..-._.,_._---._~.
"",
Golden Spring Int'l.
ATTN: Milt Philbrook
P.,O. Box 186
_~ort Gamble, WA 98364
RE: Tarboo Job
Made five turnouts on county road and
pushed out larger stumps along Tarboo
Road as requested by County Engineers.
5, hours @ $85.00/hour
TOTAL OUE to Allen Brothers
$467.50
$467.50
Thank you.
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Jacqueline Russell
Bookkeeper
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'lID togg)ng~ IUt
, 1;1464 Taylor Cutoff Road(Sequim, WA 98382(Phone:
November 11, 1987
Golden Spring Int' 1.
Attn: Milt Philbrook
P.O. Box lS6
Port Gamble, WA 9S364
RE: Invoice for Road Work _ Tarboo Lake
Fire trail push back job
SO hours @I $S5. OOlhour
$ 6,SOO.00
County road job - straighten and cut bank
7 hours @I $S5.00/hour 595.00
Cranston main line road built
7 hours @I $S5.00/hour 595.00
Allen Brothers main line road
5,200 feet @I $125.00/station 6,500.00
TOTAL OUE to Allen Brothers Logging $14,490.00
Thank you.
qC\ ((i'~L. ..,~'R,v...L,-...J,-Q,-
Jacqueline Russell
Bookkeeper
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(206) 683-7906
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Street
PO, Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A Rowe, RE., Director
Robert G. Nesbitt, RE., County Engineer
MEMORANDUM
TO:
Board of County Commissioners
Robert G. Nesbitt, r.E. County Engineer pn~
FROM:
DATE:
August 16, 1088
SUBJECT: Montgomery Street
I have inspected the constructed section of Montgomery Street in
Irondnlc. The street was constructed for an additional 0.09 of a
mile with a cul-de-sac at the end. All work waG to county
standards.
I therefore recommend to the Bonrd of County CommissioncrG that
the county should accept the road.
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STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the Matter of:
><
Changing the Name ><
Of a County Road ><
Resolution No. 65-88
WHEREAS, the Jefferson County Board of Commissioners has
been petitioned to change the name of McLeod Road, County Road
No. 641609, located in Sections 2 and ~, Township 29 North,
Range 1 West, W.M., as shown on attached E><hibit "A", and
WHEREAS, a majority of property owners using said road are
in agreement regarding the name,
NOW THEREFORE BE IT RESOLVED, that the road shall be named
Matheson Street.
ADOPTED THIS
d<&C"-DAY OF k?'U'J
- cl
JEFFERSON COUNTY BOARD
OF COMMISSIONERS
, 1988.
ffAi&A.~?t.J
B.G. Brown, Chairman
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rdine C. B ag ~~
erk of the Boarcf'J.::
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Larry ~~nnison, Member
~
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George C (.JBrown, Member
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JEFFER:Sai ~TY
DEPARTMENT. OF PUBL I C WORt<S
FlU: ~'Jr.c/J
ACT! ON REQUEST
REQ..,STEO BY -dtA'" ~' xt:t.~ A J -
ADORESS. ~T." /:?~ / "0 '-'/4-1.-<_I'-I'.,t..dI
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NATlIlE OF REQl.EST. 0 IN PERSai ~ BY Pl-tCf'{E; 0 BY LETTER TAKEN DY.
PEFiTAINING TO. DOFFIa: 0 ENG/SURVEY fi2I ROAD MAINT. 0 EQUIP. MAI~T. 0 SOLID W,ASTE ;/
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LOCATICN- ROAD NME: ROAD NlJ.fBER M.P.
PROJEcT- PROJECT TITLE AROJEC\. NWDER.
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o ROAD 9U'ERVl SOR
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o pLANNING ENGINEER _ 0
o ADMIN. ASSISTANT _ 0
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JEFFERSON COUNTY
Department of Publtc Works
TRAFFIC SIGNING PLAN
Project No. t'ln 17
Road Name: jII~ R 0" ;)
Road Lo~ No. ~9~~~M.P._____to M.P.
-SKETCH.
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COMMENTS:
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Prepared:
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Approved:
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O, 80x 1220
Pori Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, p,E" Director
Robert G. Nesbitt, P.E., County E.ngineer
August 23, 1988
Ms. Audrey Seidel
Hiller Drive
Hadlock, WA 98339
Dear Ms. Seidel:
After reviewing your request to keep chickens on the right of
way, the Board of County Commissioners has directed Public Works
to advise you that the request has been denied; therefore, your
License to Use County Right of Way will stand as issued, and it
is required that the chickens and coop be removed from the right
of way.
The Public Works Department will evaluate the right of way area
to determine an equitable division of the area for use by private
property owners.
Sincerely,
.P~~
Robert G. Nesbitt, P. E.
County Engineer
xc: CR 574309
<::~
100% Recycled Paper
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JEFF~ ~TY
DEPAR'1l€NT Of' PUDLo I C WQ1:KS
FlLE
ACT! ON REQUEST
REQU;:STED BY. /~ /"b,(;,,,, / ;,., ,,,,...-"'-'! OATE.
ADCREss- 7<)6) 0/ ("":h-tL .,:')a.v (Lei PH:t<E NQ,
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DATE-
LETTER CONTACTED BY. ~~
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REcx::JKENDAT 10'1.
PREPARE EST I MA'TlI: FOO.
fD.ITE TO.
o DIRECTOR
o ASSISTN-rr DIR.
o ROAD SLI'ERV' SClR
INITIAL
o CONSTRUCTI~ ENG. _ 0 ACa:>l.JiTANT
o PLAl'IiING ENGINEER _ 0
o ADMIN. ASSIST~T _ 0
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PUBLISH: August 24/ & 31, \988
c I? #'6.1,/31:";':;' ?
County of Jefferson
State of Washington
In the Matter of x
Intent to Establish lC
A County Road: x
Montgomery Street x
RESOLUTION NO. 84-88
WHEREAS, after due consideration, it appears to this Board
of County Commissioners that it is in the pUblic interest to
maintain as a part of the County Road System:
That road known as Montgomery Street (m.p. 0.00 to 0.13),
lying in the plat of the Harrisburg Addition as recorded in
Volume 1, Page 21 of Plats, records of Jefferson County,
State of Washington.
and in contemplation of the languago of Statute R.C.W. 36.81.010/
NOW THEREFORE, BE IT RESOLVED that this Board of County
Commissioners does now declare its intention to establish said
road, and
BE IT FURTHER RESOLVED, and the County Road Engineer is
hereby directed to examine said road and report his opinion as to
whether this road is practicable, as to the necessity of the
road, as to the proper terminal points, general course and length
thereof, and all other facts, matters and things which will be of
importance to the Board; and that such reports be filed as soon
as possible.
ADOPTED this ,~-<?;t day
of /.{''j",uF, 1988.
the Courthouse / L2.-dy?.?/9.f rP '
Hearing is to be held at
1988, at /t?,'.;/.<;- a.m.
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
64&.",,)
B.G. Brown, Chairman
SEAL:
/'f/f~d'.(' r!- 6;.t'-&'~'<---
George . Brown, Member
.. \.
:OUNTY ROAi(NO.~'l
;TATE ,LOG No..
llLE POST ~
OFFICE USE ONLY
I
PERMIT NO. 5''I:-'8-.:?-.;I--,
FEE PAID vY:s _No
OFFICE USE ONLY
c.;h(lI..r..1:J '74(7- ~".O':/~.se.
APPLICATION FOR ROAD APPROACH ~d" ~ '
o COMMERCIAL 1Il'~/,"','--/~r., /'/ca~'c.- ";~i/11'{'!''''J;''''~~ ~~r
. I'i- da/~ ....,./7r.1 j-/"")7~, . .
A pplication is, herby made for a permit to construct, operate and'maintain a road approach.
Please describe loaction (attach map or drawing)
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC UDRKS
Jefferson County Courthouse
Port Town~end. HA 98368
CHE:CK ONE:
[}(RESIDENTIAL
Applicant agrees to perform the work in strict compliance with the terms and conditions set
OOlt h~:;:e~n, .::.nd. a.......y special provisions attac~ed hereto.
Applicant N~me /",', /,..., (, n (\ ,1-" /.' -\ ('<. ,', ,." ,-'n Contractor Name
Address J~ c.? /.:s ("I >" :~ .'.~ C;' Address
(~J',""/'//_~'/-1-,;f/ I.~/~ C?p.?'7,~
Applicant Signature /4~ ~~-?3-;&;'~-r.-,. Contractor Signature
Date- ,<""//'.1 I 7':;/ ,. , , "Date
Note: Ind~ty provisions of paragraph,2 '..nd 3 ,on 'reverse side.
i,
AOOO~
Subject 'to the terms and conditions on the reverse side, PERMISSION I
Applicant ~o construct, operate and ma'intain a road approach as requested above,
special provisions attached hereto. ,
PERMIT
No work shall be done under this permit until the applicant or contractpr has notified
telephone
APPROVED BY: ..-ZJA'Arl-T-' ;/.p~
Date 8-17- 'B 8
PERMIT INSPECTION REPORT
CALL 48 HOURS
BEFORE YOU DIG
1-800-562-6478
Aork covered by permit has been completed
~ satisfactorily.
~ork is not completed.
_Recommend permit be cancelled.
_Traffic control - adequate
inadequate_
REMARKS
Form J 13-0 (Rev A 2~.B2) ~
INSPECTED By:/in'zr-J(,L DATEK'-2-2-88
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GENEIlAL P~OVISIONS
1. THIS PERMIT IS SUBJf';Y TO RCIi 36.75.130, .1qO A.IO .150 AtlO AMERVME~TS THERETO.
2. THE GRANTEE, ITS S!;CCESSORS A~D ASSIGNS, AGREES TO PROTECT JEFFERSON COWlTv AND SAVE IT HARMLESS FROM ALL
CLAIHS, ACTIONS orl DAMACiES OF EVERY KINO AND DESCRIPTION WHICH MA)' ACCRUE TO OR BE SUFFERED By ANY PERSON,
PERSONS, OR PROP~RTY BY REASON OF THE 'PERFORMANCE OF ANY SUCH WORK, CHARACTER Of KATER1ALS USElJ OR MArlNER
OF INSTAlLATlO~t; IN CASE AllY SUIT OR ACTION IS BROUGHT AGAINST THE COUtiT'f FOR DAMAGES ARISING OUT OF OR BY
REASON ,OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE OF COMMENce..
HENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISfy AH'f JUnGEHEHT ARISING THEREFROM If
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3. IF ,THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT HITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
~~J~~ ~ F~~R~br6 ~~~M~~~D A~~R~~Fe~g ~H~A~~U~;/~~ ~g~~~g;,;:~~ I~~ T~O~H:T~R~~~~~~~~ ~~ T~A~~~1~~#2~G:~~~E ~o
, ,
If. ~~Y T~~~A~~R~~ T ~~ ~~N 1~~ ~g~~.}~~~~~~N~o~~Q~~~~~~~i~ ~i~~:~ gaD~Ay~R s~:LtU~~B~~C~HiH~~R~E~11Hio G~~~~E_
LATION AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACIUT'(, THE GRAtlTEE SHALL COMPLY WITH THE twill"l O!-l UNIFORM TRAFFIC CONTROL
Df.VIl:fO:; FOR STRffTS AHD HIGHWAYS PUBLISHED BY THE U.S. DEPARTMENT OF TRAHSPORTATlOH,
,6. ON COMPLETION OF SAID HORI( HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL BE IMHEDIATEL'f RE/'KlvED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT HEAl AND PRESEtHA8LE AND SATISFACTORY TO THE COUNTY.
7. THE COUNTY RESERVEs THE RIGHT TO ORDER TH.:. CHANGE OF LOCATlotl DR THE gEMOVAL OF AJolY. STRUCTURE DR STRUCTURES
AUTHORIZED BV THIS PERMIT AT ANY TlKC# SAID C~GE OR REMOVAL TO BE twlE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED# OR THEIR SUCCESSORS AND ASSIGNS.
~~~. ~i~T C.II~~~~~fR~~~~N~r~~ll~K o~\~~Lg~~~}~s B~O~~E A~~A~~~~E~~~~L cg~N~~l~L S~H ~ ~~E:E A~E~Lt I~:~:E
fOR AAY DA/'tAGE TO THE GRAHTEE BY REASON OF ANY SUCH WORK 8Y JEfFERSOH COllfTY# HS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PU8LIC PLACES OR STRUCTURES IN QUESTlCH.
9., THE G~AHTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THA~
~ flRALIRSPECTlON CAf' 'BY MAOE.
. - 8.
SPECIAL PROVISIONS
, , APPLICABLE PROVISIONS ARE DENOTEO BY AN (Xl
'-D"~:1:1"I'A",~OPY,',~_O,F!.'TH~iIPERHH SHALL BE ON ,THE JOB SITE, AND PROTE~TED FROM THE ELEMENTS, AT ALL TIMES DURING THE
d 0"'. t-oI'lSTRUCrrdN!t~uTHORIZED BY SAID PERMIT WITHIH THE COUNTY S RIGHT-oF'"WAV. .. . .
B,~~:J:~t t~~~~~~~i s~~~~ ,BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE p-J
'.'APPROACH; A.~FT.LENGTH OF I?.... ' INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN
DITCH AND LAID TO A TRUE LINE AHD GRADE. THE APPROACH SHALL BE SURFACED TO THE L"1ITS AS SHOWN ON
~7~E~~a"~~ W~F~~~D~A~~R T~~o~p~~~e~~E S~~~~E=iy I~N~gcg~~~~iE R~l~~~~"1I:~O~: t~ ~g~T:~L p~Hl~~E~~AN.
[53.
THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEHEtH TO
PREVENT ANY MUD TRACKING ONTO THE COUNTY ROAD. ANY HUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMEDIATELY
CLEANED Uf' BY THE GRANTEE OR HIS AGENT.
[3-q.
IF NECESSARY "'TO INCREASE SlGHT DISTANCE, 'STUMPS AND BRUSH SHALL BE REMOVED FROM BOTH SIDES OF THE
e:m~A~~ALl: T~~T I:~I ~~:~~}~:bE ~U~~~~~V O~o~~R~~~~~~~~~wr~~BEROR DISF IGU~ ING OF ANY FEATURE OF SCEN IC
5. WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:ooA.H, AND ~:OOPIH. l.JIUSS OTHERWISE AutHORIZED BY THE
ENGIIIF.ER.
.0
06.
A SURETY BOND IN THE AMOUNT OF $ , WRITTEN 8Y A SURETy COHPAIlY AUTHORIZED TO
DO BUSINESS IN THE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE
TER"S AND CONDITIONS OF THIS PERMIT AND SHALL REKA1N IN FORCE ltITlL ALL HORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTY.
BEFORE ANY LOG HAULING OPERATlONSBEGIN# A SURETY BOND If! THE AHOUNT OF S . SHALL
BE FURNI SHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPLETE REMOVAL OF THE APPROACH AND CLEANING UP OF THE RIGHT.OF-HAV TO THE SAlJSFACTlOH OF THE COUNTY.
APPROVAL OF ALL CLEAN UP HORK SHALL BE SECURE,p BEFORE THE BOND HILL BE RELEASED.
SPECIAL CONSIDERATIONS
07.
08.
Form 113 b
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JEFFER:5CN CXM.ZiTY FI L.E
OEPAR1l.ENT OF PUBL I C WORKS
RF.QU!STE:O By_ J'ERfl-\f
_so_ ~>JoJ
ACT! ON REQUEST
CL6'Meo.lS
cr\zo\BB
DATE-
PH:lNE NO..
ALT. PH. NO,
NATlItE OF REQlE:ST. 0 I N PERSall 1;& BY ~E 0 By LErrER TAKEN BY - & l
PERTAINING To. 0 OFFICE ~ ENGISlJRVEY t;[ ROAD MAINT, 0 EQUIP, MAINT, 050<"10 WASTE ;
REQU,:ST FOR- ~IP,tV Sekt- eoc~ 1ZGC.0~e... Su..,ei l'o,.r.S
LocATla<- ROAD NAIoE: SE?A:t- RoCK.. ~ ROAD N ER V",2.'lO"'r M,P, 0,00 _ e.D
PRO.JEcr - PAO.JECT TITLE
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\-lA",I.JI-U-lE _
132CAolSE '* DIU tJ~.
REVIEWED BY. DATE.
CONTACTED REQl.E:STER 0 IN PERSO'-I 0 BY PHC:r'IIE 0 BY LETTER CXlNTACTEQ BY.
REoor.tENnATIa<_ ,'S,UPF '*--S,(IP =1 C;8'l1~ ::~ 7<~ _<~~_
/VJe. )./-fli/lL/.vb Lr::#I<, I JJ FClzMF.]) /}N:rT' U9 .,., '&r i2
'T1-f1:;-' 73?/V~ .c.~Ve>- I'7I'11U-tnS.
~ARF. ESTfN,(n-:-FOO_ ,
ROUrE TO. INITIAL
0 DIRECTaI 0 CONSTRUCTION ENG, _ 0 ACa:>t.,'n ANT
0 ASSISTANT DIR. 0 P~ING ENGINEER_ 0
0 ROAD 8lf'ERV I SOFI 0 ADMIN. ASSISTANT - 0
L
~
~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Courthouse
PORT TOWNSEND, WA 9B36B
(206) 386.3505
OA,TE
Il-it-e7
TO
80-6 ,Nt>S'/3rrr C2...-/
,9<<>7r Kn,mbt1-
SUBJECT
:3 C/.J "'''''~r'i!- ,i?~hJ.)
/(6-V/if,../ TillS" 11.41 ues-r "TV ""66 "'If!)! ft/6- 1'/2/=11/ /0.
P.O"K/ NO. 5"75?0? fk;OR;rr RIltL0 ?Rio,e; ry lJtI/"l{e '1MI' iYI~
fl1'?, 0.0<::. fa C).7'2. 197 33,13 1986
0,18 fp /.7-0 ~:2.5" Z5'.70 /98<(
/,7.0 1-0 /.'15" SID 20.2-9 198{
.:::c:-: ...u;LL ,/3e. i:>OJI\Y} fi:z,OR;-/-il::.5 ;500'\.1
S"i<.€... -k Do fj,,--:::, f<,o;4-p /l-j'1'9-//<J.
; <40' <-L Be:':,
a~
---,
RcordorlternHF3BO \.:. WhoelorGrouplnc, 1982
FOld Al (-) To Fit Gray,lle 2Nl(lw Envelope. EW90W
L
~
~
Gary RO\....e,
Director oC Public \;orks
Department oC PubLic \;ork5
Jefferson County Courthouse
Port Townsend, Ii^ 98368
Dear Sir:
October 28, 1987
I am sending you the enclosed petition wi.th the request that you
consider it carefully when you arc planning the road construction [or
this area during next spring and summer.
Thank you.
\~e are grateful [or the topping \....hich was recently applied to
Schwartz Road but feel that i.t needs much more in the near future.
Yours truly,
'{!'(a "-;1,1/1,'; ",- ,-~.-; ;',,J ,1", .-";Iv'
Hargarct E. Provonsha
cc: Jefferson County Cornrni5si.oner's office
Earl h1cJ15, Director of Road ~laintenancc
IP~f
/'tft,Y)(1(If."
'" ,.;
J":I ,,,"",
../
,/
If r' / ,..P"~ I ,
,j ,.,. "_,,J!
~
:~'j 1::.' if' """ "'Ie fI''\\
b' '" ~" '~,J>!C::.! 'I, [;, IkJ
MAR 1 6 1988
"F::r-::=r::nSON COUNT'.'
t.::\\:G1IN~.:[:R~3 O!=~'=ICE
Ga ry Ro\",c
Public lIorks Diroctor
Dept. of Public I,'orks
Jefferson County Court 1I0use
Port Townsend, I'A 98368
Dear Sir:
G(L
ffrIJ
flarch 14, [988
~largaret E. Provonsha
1380 Schwartz Rd.
P.O. 1I0x 97
Nordland, IIA 98358
Last October I sent you a petition from residents and landholders
along Schwartz Rd on Narrowstone Island, which requested
surfacing of the north end of that road.
As spring approaches, the many potholes filled with muddy water
remind us of the urgency of our situation and we appeal again for
careful consideration of our need, as you plan for the year's
construction.
Thank you.
A copy of the above-mentioned petition is enclosed.
Yours truly,
:I/!ru~f M.Jf t:~i2,-<Y- ,'-I ,--,1_1[.,1/
Nar~rct E. Provonsha
~
lie, the un~ersigne~ property-owners along the distal 3/4 mile
unpaved portion of Schwartz Road on Harrowstone Island, Jefferson
County, in the State of I,ashington, respectfully petition that
that portion of the road be surfaced. Schwartz Road is rapidly
being developed by these and other lan~holders and is the largest
piece of unsurfaccd roadway on the island. In its prescnt
condition it is extremely dusty during the dry season and muddy
during the wet. lie feel that this road should be brought up at
least to the standards of other similar high-use roadways in the
county.
"J ) ,;)
~C}j;~ C-l ,'9::1.-~A.-Ij-rl-~ju__
('1;ffl'C<1 tl/t.Cf--,1J.~~L'<-r'
,/ t;:;;;~~1
Jl;I:'dl5~~
/' r,)c, ''-':/;"IL ~r;;".J7
- , 'liLY/0r':7 2;;;
fs!!:;)fiJ:~
;ff,C;-!-5I-j ,0 0;~(/<~
XIN/ ;flr4, I(/<tm'
I ": ~-:c)
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lib-I
/r3{.?
("''10
p;o
7t!J I
7?-7
';/- to
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- r::;~(/.fJV<7-d<:
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<:;'.:d... L-L6.....r.1 z...
::)~ 17 wi'~~T~:~
II
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J f ~(t:r!,;:;l 001:'.:.1;7
Defal-t~.eA," of Hir,ilwa)'D
Mill! Pos t No. () () 7J Stat.e J.ot;!: Nl.I1iler
Road N.r.e 5r/hu)ti1ITz.-- F,n.
Comty llood lb. 5161() 1 ~ Operator J(f5
. HlGII\IA"! ~IJ.NlaNQ ~URVE"!
TRAFFIC OOUlrr
, Reading
No. Date
/ 5' ~II
Z. ':"/1---' /0: {I
\) 5"~I?:J lo:<io 34-5.
I
\,..1
Average Day
Averege Week
DaiJy
Ttiafric
'9-
.I
Com' utations
lwl
IlB
n
~
(
i
:" )
J E :(t:r~Q 0:n:-.:1:.7
DeralbeL~ of Hir,ilways
.I
.I
HIOII\IAY ~IJ.NlIINQ ~URVEY
TRAFFIC COUlrr
Mil.. Post No. O. '03' State lDi: Numer
Road Nan! 5 (! h tJ II/ZT; 72. Jl
Comty Road ltl.< 1<i()CJ' ~erator J:A
I
":J
, Reading Time cOWlter Daily
No. Date or dav Readin~ T$a1'1'1o Computations
1 5-11 /O;I/<) oaJ -0-
2- ~)-I'I/ . IO:~7_ "15 is-
.3 5-1"? lo~J,.r;- lSID '0'
(g3:5',
--
-
:
I \':J
Average Day
Average Week
'I
~
JEFFERSON COUNTY DEPARTMENT DF PUBLIC WD~KS
PRIORITY PROGR.WIING :5 -I '!;o-8'6
\M5lilli ().7D DATE q-n- 2.b
STATE LOG I.aJ:ZlifLL[x' MILEo='TO LOG MILE~TUDY SEC. LENGTH \,~ ~,
IDFNTlFICATlON
ROAD NAI1E (,' ," vJh~"'1 'ROAD I
! '
'",^,SIFICATlON
ARTERIAL PRIMARY IDts:eN: co.n.&, 60 "~IIl. . , . . . . . . . . . . . . . . . . . . . . . ,
ARTERIAL SECONDARY (Dt5ICI'l, UlIlltr 400 A..T, J-H-ll o..t 400 ACT, ,.n'6. SO "1'111 . . . . . . . . . . .
ARTERIAL COLLECTOR IOtSICN, H2-J, to ~o M~II k"ull 40 ll~tI liul'Slnuall . . . . . . . . . . . . . . .
ACCESS LOCAL IDUICHI 2'20.2, lS "PH Il"ul; 25 "PH llui4cntldl. . . . . . . . . . . . . . . . . . . .. ;?:. \ {;J - ')..-
TERRAIN ll.Vll, RURAL[~'( RESIDENTIAL 0 SURFACE TYPf. ,<:,,1"'_1'0'1'-91'<.-
CONOITlON RATING
SURFACF
SERVICE RATING
~ MAIL IlOllTt@:iCllOOLBUS l'Oj ~ IlAIlUT tlDI
CU~IU:HT"'OT~.TOl'A1.SEIlV1CtlV<T1HGIHOU
SHOULDER - SURFACE - S HDULDE R
.1-/,_1,'10
.......-
("cru"t. .( AI;nlAL ~ ~AL "'''-)
..c. 1101 . 1..'.5.T. '6'l\. CAAVEL Il) . SUI\I'ACt W1DTH.J..:..::.... $HOUI.(l[ll 101101'11 ~t SAte SPEED ,e...) T 2
~UJJ' 0Wt SlOt -
!5
2-17
. . . . RATltG ~
RIDING QUALITY OtsClIlPTION Of Ol:flCIEtlCIES
QUALITY l:&cllhnt
Sli'lht "lbr.uon.1'Id nOlU
PQ$SIBU: TO ""INTAIN SAn SPEED IVITIHG POlin'S
"
"
/:""'10""-1
,
""'"
hlr
Ver)' poor
Hodu.u ,,\br.tlon , I\OU', ..l.nor ....,. or JOo.lncI
Contldu.bl. ....'j'or lOo.lnc.,I'ICd.ut. nurlft'l
.!lort
bcnu". I'd)' or )ollnc.; "CIIII'" .tlUI~
dforet or, h.urdo". crown wh.n IC
HOTCl MAXll'lll4 utln tor LlIlSLlRFACtD AOAD I. 2 Inu U AD'l' 11 ruter th.n 2!1 ....hich.
( :TURAL Q.lALlTT CtSCAlP'flON or DEfiCIENCIES
CUNDITlON tacdhnt
DI'J\INAGE
""'"
hir
lI'r)'POllr
Dlnr... ~ttunl on 1.u th.n ~, or "Ctlon hnqth. re... p.ttchu
Dhttln patternl on h to 2~\ of Iltction l.nqttl. A....uq. ..ununucI
dlon. blltnOt "ntCOnOlnlc.1.
DLlln.. p.o.turn. on 1II0r. th.n 2S\ 01 ucnon l.n'lth. hcuu.... lI.unt..n.nc..
bUill'. <Iutun. Stvu.. hU"ln". ruttln'l or bruit-lip. wuunu tlconttr"c'
Bon on ~n ur .nt bUI~,
IIOTC, lrocluocl. .ho"l~tr .....llt)' In .".I....oon.
OUALln
tlcdhnt
""'"
Dl:SCA1PTION OF OtfICIENCn:S
"TltG-lQ..
IVITIIC POINTS
"
U
(10')
RATltG~
1VI1'ItiGPOIN1'S
10
,,')
TOTAL CONDITION RATING -.".':,;f'.. SS, ~(
RATltG~
01:-
"',' i'l -' I, d I'"
n'
~.a, f.. ~. ct 0
A r... nlnor lpot o"uflo.. IH(lbIClll~
In!r",,,~",fH tuttu: Itofll,..q.... Hllqht of <lr.'" Un., ch..nn.1 t;:rou"ucdon Ind
I In t...lw lI.ndlrlJ th.a wo"llJ ~ 'I If nb..llt.
rU'l"~nt o.orfloll Ind tr~lflc lItop".'J" In ..od"r.u Honn.
yu)' poor OVorflll>l .noj tufhc HOpI''''''' C.nnot .cc~d"u rlln"off or .".n aLi'lht Itom.
100000l Jncl1.><l. ..tent "I ch"nntl UO~luh ",," slop.: .hlSlon In ~".I\jHIOn,
Flir
"""""
PRIORITY RATING (O.)DOCU-CO"OI1'IO!lIVl'tIHC.IXI5~~IIIl:t kArl!lC'~UJ.1S), . . . . . . . .t'., .r~ . . . . '/....-~, :~t. . . . .
~,
~'
,,~, '1\ v'
I
11/
\"
~
~
lDE/illillAIlaJI
,"OAD NAME -::.c~~~OAO I
(
JEfFERSOII COiI/ITY nEPAR1MENl Of PU~L1C WO~KS
PRIORITY PROGRAII'IING .d "
llilEY..5J1lli 0.70 DATE :!14 ffi
STATE LOG I~LOG MILE~O LOG MILEo,i7S1UOY SEC, LEhGTH
S IIOULOER - SURfACE - SHOU LD ER
:
LLASSlfICATln~
ARTERIAL PRIMARY lOtSllill: (8-21-11, ~O Il~ltl, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ARTERIAL SECONDARY IOllolCNI UnoJu 401.1 A~T. J~;!J'JI "nr 401) All'll f..n.lo, ~\l111'1I1 . . . . . . . . . . .
ARTERIAL COLLECTOR IDL~ICNI J'''~'l. ttl ~c .'11'11 kuul, 41.1 '11'11 kUUltnll..11 . . . . . . . . . . . . . . .
ACCESS LOCAL IDESICNI ~'UJ'l. l~ Ilfoll Mllul, 2~ H~lr "tUlllmtUlj. . . . . . . . . . . . . . . . . . . . .
TERRAIN RURAL 0 RESIDENTIAL 0 SURfACE TYPE
"L I::>'
CoR. l!.'>T
2..
qL
CooorrlOH RAmG
SURFACF
SERVICF RATING
MIL IlOt1tI:r@SCHO:;L1I05 12C.J ~ MkrJ."T tllll
-'I'crrALSEHVICEIlATIN"INDlX
CIIIlIU,U'I' AOt \~.c.:
A.D
'.c. (lOI ., L.a,s,T. (~,.. GM'ILL IlJ /~~~..r:~L "IOll! \? .. ~t.Er... WIDTH z..... :~"';I'U;O '2.5:T' I) '" .. RATltG :J).r
V \ ~ ONE SUi!: - _
RIDING ~Lln OESCIIIl''I'ION Of' OU'lCW4Cll:S
QUALITY 1::Iull.nt
f'OSSlbl.1: TOKAINTAIHS.o.rt SPUt.: kATIII<.OI'OlNr;'
Sll~ht ~Illutl"h an.! I.loa...
"
".fy Poor
~Httu ~JLutlon ~ t.<la~; mInor ...~.. IIr )1I~ne.
Cllnlld~utlh ...... or )oun.:.., ft,g,jt:Ult: u.urin~
.'fort
henu~", to....)' or )Olln""" II!'lf':"'.lilY" ~U"'t1l\q
It 111ft; ur, tw.urdou5 C'r....n ..1'''11 Ie
HOTEl HAJllMUM utln Ie.r ON5UkFAC1:C NOAO 110' Intli 11 ADf 11; runr tt..n 2$ ~.IHClu
AA T I t<;..JQ.....
(, .,dCTURAL OUALITY 01:SCNIP'l'10N cr DEFICHrlC'lts
CONDITION ~C'tlhnt
DRAINAGE
AATIIN ..OUlTS
""'"
DIUUh (l.tt~rn' IIn l"h tI'lh 5\ of IC'l:t1on hl\9th, r... patch..
Dhtru. ~attrrn. on h te. 2~, o( nctlon hl'l9th. AVt:uql .,unhnlnClI
dlort, tout I,Ot IlnIClIn"",ICII.
Dlltu~. Poittcrn. on I,llr~ t/,un ,~, III .~ctlon hmqth. l:xcnil~t: ....Int"n.u'c..
tatr"'.t: ,1I.tnu. StVt,. "t..VIO'l. ruttloq IIr br...k-up. W.uunl. reconnruc.
t1onoh.r. Ut .nt bUl..
(0
RAWG W
rllr
@
VttrPoor
lfOTEI Includl Ihould.r <jul1ul' In ,VIIU<tIIOn.
~.u.lTY DESCIIIPTIONOf C1:rJCItUCI1:S
hctlltnt Ilena
~ Ah"",ln"r'","tohrllo"llful>I"",.
kATII... POHlTS
10
o
lnlt~'lut:nt tr.al!1c HUI'I""I"", 11"'1<JIII 01 'lullt lIn~, el,"',n.l eto.'...etlor, Ind
I In. 1.00:10" HlrodHd tt..l "eould ....1 If hbullt.
.'rlt~~<",l ov"rfl...", ..oj tr~I(Il: 'tol'I'~'I'~ In ~.II~"I.tll '10",,~.
v~rl' poor o..'ttlll\l .nd tUI(I~ .l"'I'P~'l~, ~lrlnOl lela"',OJutr run'1I11 of IVltn ~llqnt Hu,"""
I Inelud. ..ttm eol ..h~nr"l Ill)U~lo ~rod .101'" rruuor, In ,,~.lu.liOn.
h1r
(\)
RAT"G~_
S ~I
TOTAL CONDITION R\TIIIG
R""""
PRIORITY RATING (O,201IOJ.COtltllT)C'!I kA.fINCIXISI~V:l'L .....'rtu'..~UI.1~>. . , ::: ',li. , . 'f.. ',', , , . , , . , , , . , ,
3~.LjS
(
Form IS?
L
~
IOFNTlFICATlON
I ROAD NAME ~~ ROAD #
I
JEffEkSOl1 COIIlI1Y DEPARTMENT Of PUBLIC WDrtl:S
PRIORI1Y PROGRAMING
\IDEK.5Jiill DATE 'ti"Ul1 G'>
SWE LOG # LOG MILEO.17TO LOG M1L[I,W STUDY SEC, LENGTH
,I A~~lfICATlON
ARTERIAL PRIMARY lDt51';1I: Ib-22-u, (,1.1 ~~llJ. , , , . , . . . . . . . . , , . , . . . . . . . . . . . . .
ARTERIAL SECONDARY IDLSIC'~1 UrW~r 40\1 "liT. )o;l/oJ,...m 400 ^tJ~1 1.-22,(" ~u "~tH . . . , . . . . . . .
ARTERIAL COLLECTOR IDtSlCN; ).~~.). u.. ~'.J I1l'h ~"l.'l 41,1 "I'll ~.udel'ltl.11 . . . . . . . . . . . . . . .
~~~~~NLDCAlt~C"-;;~:;;('I' """ '''''''''~~~;D~N;;A~~' . . , , , 'S~~F~C~ 'T;P~
SFRVICF RATIN,
... MAIL ~ttOOL IllIS IHi) . MHJ:1' 11(,11__'
CONDITION RATING
SURfACF
CUNIU:IITIlD1' ~~
!
e (^CToJAI.. \ trb ~1\J^L It.C1\iI\t. -, r::. )
...c. llO}' L.Il.S,T. Ill) . CkAVll.. )J . SUI'JA(;L WIVl'tl~' ~lllilJl.or~ WIOTtl 'liM!: S~LtD ""';-2
Orn:SIDL - -
RIDING
QUAlI TY
~Lln
OtSCkll'TIONOrDtI'ICIWClLS
~O~Slbl,[ TO """IIIT"III 5...ra: SPLlO
hcdhnl
vir)' Poor
511o;ht Vlt.rttl(olo .114 r.tl\~~
MO.lllt.llll Vlllt.ltlCll'l ~ I\IlH,,; IUllor ....t \.If )0"1l~'
Conud~r..tlllIr '''''y Dr )<oJUfI':l'l r.o.Jt,.UIIr nllrjSrLn'l
~I fon
[.~~,uv" ''''Y or )o..n..:..: '"..:..~)IV.. 'Ul!rUlq
.Uort; or. h.urdoll~ l.'r"~n ..I...n Ie
It01'E, Il.UtllUH utln tc..r UN5UkF...CtD MD"'O 110 2 Int. If "'0'1' u
ruttr Ul4n 15 ".tllclu
..UCTUPJ.L QUALITY OLSCIIIPTION cr otrICtw:ttS
CONDITION [a1:.11.nt
DRAINAGE
"""
DhtUh pattern. on h., lll'r. 5, of ucuon hh'ltll. re.. patl:llu
DiHr~,. p<luuns on 5, tt. 15' of n~llon l'n'l~ll. AVllruq, ulnunane,.
.ttort. bllt f,Ol ...ne~or.oolc.l.
0151'.... p.iltun. on ..un \1..11 ~5' ol '~I:tlon hnqLll. l:x1:~nlVl' ....lllt..n.llcl'.
[.~ru"" iJl_He... S"Vtrl! "1!,vl"~, rll~llnq or br..k-lIp. "".rr.nu r.con_Huc'
t10nOIl <II, III ..nt bUIlo.
YUy'oor
NO'I't. lnl:h,ld. .hollldU ~1I.11t'f in ,v.lu.lIon.
QOALIT'l' DtSCIIHTION or t;trlCILtKII:~
hetH.nt 110001
t;OOd. A r... ",In..r 'I-<'~ ov.dlo_ IH,,!.ll:11l'
llll'~-t""nt tultl~ nOI-I"~">' 1t1!1'lla <>1 'Iu<l" 1tn~, cl..nnlll t'nlu-UCtion ami
I In, L"I"... .undHiJ th.1 "'';ollld ",.l It ,..built,
t'rl''''~''''~ ov..rfl"" .oJ U..lfn' ,tlll'l"'I'" In ..0<.lvI.tl! HorlO.,
\1"1 poor O\I"rtlo" .nd tr<lfflt '~"'H,.q~, ~allr,o~ .cct.r.oJ"U run-ot'{ or ey~o dllJnt n"l'9I.
01"[, Include U~Vll~ "I d,.nm:l Itll""" ..".1.101'" .Hu.lon In I!V<lIUallon.
TOTAL COIIOITIOII RAlING
SIIOULDER-SURF ACE -SIIOULDER
\\7
4"-
I!\
. , , . AATlt(; 23-S'
MTHK; POUlTS
"
1\
<!f)
RATIt-G2-
AATlIlGPOINj'S
10
II
(!)
AATII...-lQ
MTll~ POINTS
"
RATI/G~
l-f?75
3'6'~
"''''''
PRIORIlY RATING (O.10IlOJ-rolllJlTICm kATlljCIXlSl~...:..t kAflll','''Jl'~~), ., ,.. Po' '>~., ?t~~~,.".....
Form I~?
~
~
~
IDENTIFICATION
'OADNN1E ~ \l.uJAftrz-ROAO #
JEFFEkSUl1 COlll111 DEPAR1MENl DE PUBLIC WD~.S
PRIORIlY P,ROGRArI'IlNG , \ I
b'QEK..Sl!U.l DATE -+ 2b Rg
SlATE LOG A LOG i1lLEI,WlO LOG M1LE1,'\-SSlUOl SEe, LEhG11
SHOULDER -SURF/lEE -SHOULDER
DAS5IFICATION
ARTERIAL PRIMARV ID1:51(;1I, t1H2-I., to!) 11~lf;. . , . . . . . . . . . . . . . . , . . . . . . . . . . . . .
ARTERIAL SECONDARY IDLSJGNI Ur.d.r 40\1 ":Jr, ).~l'Jj uVH 40t! "ll~; t.-n.(" !Iv "~1Il . . . . . . . . . , .
ARTERIAL COLLECTOR IDt:!dC.lu )'~~-J. tt> :0', Hi'll ~ll..ll 4t.o 11~1l Io.ul3tmtl.1I . . . . . . . . . . . . . . ..
ACCESS LOCAL tDESIGN; ~'HH, J!I 1'11'11 ,..1'1. ~:. 'It'll hud~utul). . . . . . . . . . . . . . . . . . . , .
TERRAIN ~ RURAL~ RESIDENTIAL D SURFACE TYPE
Uo
G.R.
SERVICE RATlNGf"\
... "",ILItOVTt&I.Ctt()(lLtlU512C.J'M~r.rr1l1J.
CllkkUlT...tIT '6'1'
.TO'fAl.SEA...ICE......"!N...IHIll:X
qo
CONDITiON RATING
SURFACE
~(,I,CTiJAL I.I;1\1AL "C1\I...t. ~t;;'"
'.c. (lO) + L.8.S.T. (bl . Gkl.Y[L III . WIIIA(,'L WIUTtt t bHWWr.k WIDTH . S.oU't S~ttD ~ T' 1)
- ON1:510L - -
,...AATltG~
RIDING
QUAL IlY
QUAUT't
DtSCIIII'TiOtl 01' ocnCIt:HCII:S
"oJ~Sllll,1: TV """ltoTAIII Stir!: !OFttO
MTlHGI'OlmS"
10
t:xe,lhnt
......
511...h~ VlbutIO".nJ "',,'it
"
r'\I Mo.I,'Uhl Vlbr.uon ~ noa.; ,unor h'~ or )CHlel
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IIffort
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PAlIiG~
( .,uCTURAL QUAL1tY DtSCIlIt'tIOtl Cor OtFICW.:ltS
COND IT ION b.ed hnt
1IA11~POlt11S
10
......
DUun. r..ttun. on I"H U,f,lo ~\ Qf ueuon ht.qth. re.. patch..
DIHru. f'HtllnJ on ~\ tt. 2~\ of .~ctlon hn'lUl. o\v~u'le 1l.l1nunante
.liort,L"tl.otunrtOnCICIltol.
DLHrt". p.utun. on 1II0H U,.n 2~\ 01 ."tUon I.n'l~h. t:_t..UV~ lII"lnun.nt..,
t.\rU'" lhHrtoo. s..vu.. "..V in,!. ruttln'l or btl.l-Ilf', wur.nt. rlcon.trllt-
tHIn Olo.h lit eM bU;lo.
PAWG IS'
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V"y'ool
NOTt' Includ. .hollld"r "".lll)' in ....I".llon,
DRAINAGE
QUALITY D[SC~Ii'tlON or O[flClWCIL:!.
t.te1l1nt Non.
kA'rllt~ .OINTS
10
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TOTAL (ONDITION RATIIIG
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DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
PO, Box 1220
Port Townsend, WA 983,68
(206) 385.3505
Gary A. Rowe. Director
Robert G. Nesbitt, PE., County Engineer
September 23, 1988
Ms. Audrey Seidcl
Hiller Drive
Hadlock, WA 98339
Dear Ms. Seidel:
After revimling your request to keep chickens on ,the right of
way, the Board of County Commissioners has directed Public Works
to advise you that the request has been denied; ,therefore, your
License to Use County Right of Way will stand as issued, and it
is required that the chickens and coop be removed from the right
of way.
The Public Works Department will evaluate the right of way area
to determine an equitable division of the area for use by private
property owners.
Sincerely,
.4M~
Robert G. NesbItt, P. E.
County Engineer
xc: CR 574309
PWA 02
100% Recycled Paper
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OUILCENE, ~JA
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Sept. 26. ! 988
,Ifp 2 I, m8
>,.., i",)~' /,)
[Iear County COffin! i 5='1 oners 1 CCllnt Y ROi:ld Cr'el" For'efflrm I and r- e 11 ow 1 i\l: Payers:
How long will ta:1 pClYE.'rS tolerate tlH~' aC~5trL\ctivE cal1ditions caLlsed by raad
reSLlr+a::ing techn1ques as those LIS1ed on the Center Road t.his 1 iiSt SLImmer?
We reall:e that many .factors go into detcrminlng the procedLw'es for any
county e~:pendltLlret and cost and available ma::hlnery are two of them, HOWEVER,
many pE'c:p 1 e WOlll d be del i ghted to see are-budget i n9 of county funds or a change
pr'lorities to in::l'l.;1de asphal t r'esurfacing ri1ther than ltshot and cover'!.
After the August resurfaCing, my 1987 vehicle had to have tar removed from
painted, Chrome, and wh:>el surfa::es. Even to date, I am receiving chips into
tne palnt, down to the primer!! is my Windshield next? (.md these are all
expenses tnat
incur and must ~ay for without the hel p of county reimbursement
or taxes.
M~!ybe if we pool ed the money we have iipent to' restore our car's and other
vef1lcles froIT, damages caused by loose ro.:ks and ta.r, and combIned it with tl)J:L
cost of "srlot and covern, it woul d equate the cost of asphal t covering? I sure
the inconvenience or a,ggrava\:.ion Which resul ts from tar and rocks
of my car t or week 5 ,d ter road restcrati ons.
Please consioer alternate meHlods in which to maintain our highwClYs.
truly appreciate the time, effort. and concern that our county eIT,plo'(ees rlc<ve
: contributed to road up-keep. Now, hol" abol.Jt t.aking thi~ effort just one more
: stePl ,1.no ::onslderlng an alterni-te ITiEthod of 1e5:5 destrLlctlvE road flld:lntenance.
Sincerel Y I
'7(~~1~~O
,-) ( 'vJ-'
, l'";I,tq
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H..~y L. WyitU;
'.0. Box 101
Qu.Uc.....WA 9t376
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JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jel1erson Strecl
P.Q,Box1220
Port Townseno,WA 98368
(2061385.9160
DislriclNo,
N~
PERMIT
0893
In accordance with all applicable Revised Codes of Washington ami amendments thereto. and suhject to all the terms. cundi,
tions ami provisions written or printed below or on any parl of this fmm
PERMISSION IS IIEREUY GRANTED TO Jim Olsen(Olsen Short Plat #2
to Install a road approach to Lot 2 of Olsen's Short Plat #2 off of Old Gardiner Road.
501109
County Road No,
Franchise No.
Milepost
No work shall he done nnder this permit until the party or parties to whom it is granted shall have communicated with and
received instructions from
This permil shall be void unless the work herein contemplated shall have been completed before
Dated al October 12 , 1988
-
1-800-424-5555
By .-!J~ ~
,19
~
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GEI\'EIlAL 1'llOVISIONS APPLICABLE TO ALL l'EIlMITS
This permit i.~ subjcl.:llnall illlplkahlc prtJ\'i~il)m uf the Rc\,j~ctl ClI\b of Wa~hil1gl()t1, CXl.:Cpt thai uny jlrovi~i()n 111 this agreelllent flol con\i~ICnl with
MICh resolution shall he clIlltrolling.
A bond il1lhc all10unt of S
is required fur the 11HllCI.:tit1l1 of till.: courH}' us set forth ill the Icrrm 01' the hond.
During the progress of the wor~ such h;lrricrs shall he erected and maintained as lIIay he llcl.:cssary or as I1my he directed for the protection uf the
traveling public: the barriers shall he properly lighled at night.
In accepting this permit the [1Illilhlllcr. his SllcceSSlIrs and assigns, agrees III prolect Jdfcr.~(lll County amI S,I\'C i1 ]wrmlcss from ull claims, llcliom and
dllllmgcs of every kitu.! and description whidl may accrue 10 or he suffered hy nn}' persoll or persons, corporation or properly hy rea'lOIl of the perfor. 1
Inallce of nny MIdi work. charucter nf l1lmeri;lls u'led or manner of ill'ltallation, l1laintellimce and operation or by the improper (lccllpanc~'l)f right of
WilY or public place or puhlic structure, utlll ill ca~e any suit or action is hrllUght ngain.'1t suid Jeffersoll ('ounty for dam:!ge... ari'ling mlt of or hy rea'lOlI of
any of the above causes, the petitioner, his SJJcceS'Illrs or assigns. will upon notice to him or them of COlllmeneement of SUl:h nction, L1cfcnLlthe S<lme tit
his or their own sole eLl~t ami e.\lll.:nsc UII\I wlll.satisfy nny judgment arter Ihe said ,suit or al:tioll shall have finally heen determined if adverse to the Jef.
ferson ('oullty.
Except as herein authorl/ed, no e.~cllvllti{\n '111<111 be lI1:lde or ohstade pl.lced within the Iimils of a county road ill such a manner lIS to interfere with
the travel over sait! ftlill!.
Except as herein authuri/ed, no excavation shall he made or ohslacle placed within four 1,1) feet of the edge of the pavement,
If the work done under this permit interferes in any \1'llY I\'ith the drainage of Ihe cnunty rollll, the gr<ltltee ~llllll \\'hlJlly arul at hi~ own expense nwke
sllch provision ns Ihe engineer llIaY direct to take Cine of 'i,lid drainnge.
On completion ufsaitl work herein cotltemplated 1I11 rllbhish ami dehris ~hall he inlllledill(ely remll'ied llUlI the roadway Illlll r\lilthide shall he left neat
and l)rc.~l'I1Jabk ,wd SalislilClOl}' 10 Ille ellginet'r.
1\11 of the work hercln contemplated shall he dOlle tinder the sllpervi~i()n llnd lothe s:ltisfat:lion of the County Engineer amI the emire cxpense of said
supervision shall he borne hy the party or panics 10 whom this permit is is._lIed.
The Deparllllcnt of Puhlie Works hereby resene~ the right to order the change of location or the rel11o\'.11 of all}' .muel\lre or structures allthori/cd hy
this permit at any time. saill change or remomllo he made mthe sole e.xpcnse nf the pany or :'arlies to whom this pcrmit is isslled, or their sllccessors
illldu'Isigns.
^1I sllch clmnges. reconstruction or relocation hy the granlee\ shall he done in such mallller us will calise the least interference Wilh ,lny of the ('oun.
ty work and the County of Jefferson shall in no wise he held liahle for any damage \0 the grantee hy reason of UllY such work hy Ihe ('oullty of kl'fer.
SOil. it agents or representatives, or by the e.\crcise of any rights hy tile ('ollnlY lIpOll roads, ~Heels, puh]ic places or strllclllres in <Illest ion.
This permit or privilege shall not he deemed or held tn he un e.\elusive OtiC and ~hllll nOlllrohihitlhc COUlllY from granting other permits or franchise
rights of like nr other Tl<llllre to other puhlic or privHte utilitlcs. nor shall it pre\'elllthe ('ounty from lI,ing any of its wads, slreets. or puhlic places, or at'.
fect its right to full supervisioll anti contrnl over all or any part or them, llone of which is herehy surrendered.
The Departlllelll of Puhlie Works IllHY revoke. amentl or Cilllcelthis permit or illlY or the provisions thereof alllny time hy giving writtellllotice III the
permittce. The Ill.:rmittee slwll immediately remove nil fndlitie!i frolllthe right of way. Any facilities remaining llplltltlle right of\\'ay 30 days arter writ.
ten Ilotice of cancellation shall he removcd hy the COllnty al the expen~e of the permiuee.
The ]Jarty or partie,> to whom this permil is hSlled slwllmailll:litl at his or their sole expe11!ie the structure or ohject for whit:h Ihi\ permit i.s granted in
n condition satisfactory to the Depllrltnellt of Public Works.
SPECIAL PIWVIS]ONS:
1. This is an existing approach. Permit is Being applied for to obtain permit
number for short plat information.
!rl~,5,.~V~ij\~1(tfl ~
". ~U \,!l!".li1ll111 (1J
]n accepting Ihis permitlhe grantee, hi!isucce.ssors.llld assigns. agree Ihat any damage or injurydllllC tlJthe propetty of the gWlltee or allycxpcnse
incllrred hy him th,TOUgh the operillion of II COnlr.lctor, working for the Coullty or imy ('OUIIIY employee shall he at th~ !illle expense of the grlllllee. his
successor~~~~)- _ /7/J ./
/~~-t ~ ~ ,the u"t1",lg"ctl, hc"hy,,,ccptsthl'p,,,rnlt ,uhjcct to,hc"mts
llnl! collllitiol1s a.s 11l'rcin set fOrlh. Iv-! (7'.A.
1l.IY nf Oo.C.
Dated this /,<
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JEFFERSa-.l counv
DEPARTNENT Of' PUBL I C WORKS
"';-.082...0")
FILE
ACT! ON REQUEST
REQUESTE;D By. 7NI!.5 LH!!Sr"I2U-l
I-
t:.J(DI.Ow .#"': -I'll, F'HCl'<E NO,
Ptl4r ~~L.W ALT, PH, NO,
NAT.... OF REQ(.EST. ~ IN PERSa>I 0 BY PHCNE 0 BY LETTER TAKEN BY.
PERTAINING TO. 0 OFFICE 0 ENG/SlJRVEY .0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOLin WASTE
REQUE:ST FOR- '7i1.A FP/C. ,.s/G~5
LOCATIa-l_ ROAD NA/.E: iM(J0W &'7 R.. ROAD NLt.lBER M,P,
PRo.JECT - PROJECT TITLE /" 1 I,~ flit ) ROO.JECT N....BER,
DESCRIPTIO"'lI_ ,,? rue-Sl' ("IJG I 'AJD '/ S/C:n.I /JA/J) ((. ~L> '/h1lr // SIG# aLl
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DATE.
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RESPQIlSE -
-----~_.__.---,._---
REVIEWED DY. DATE.
CCI'lTACTED REQlE:STER 0 IN PER~ 0 BY '~E 0 BY LETttR a::lNTACTED BY.
REcx:3N.tENDAT ION.
PREPARE ESTIMATE FCR.
ROUTE TO.
o DIRECTOR
o ASSISTANT DIR.
o OOAD SlFERV'SOR
INITIAL.
o CCNSTRUCT.oo DKi. _ 0 ACCX>l..t-.TANT
o PL..At'oINING ENGINEER ~ 0
o ADMIN. ASSISTANT _ 0
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OEPAR"nENT Of' PUBL I C WORKS
FILE
f:j" . '1 ,/,0 YiJ 7
ACT! ON REQUEST
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NAT1..fIE OF REQlEST. 0 IN PERSC1'4 00 DY f't-ta\IE 0 DY LETTER TAKEN DY.
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REQUEST FOR- C:~A .I~"'J?~-', rn ('~~4 .-c-7~u/A ;:;;::J
L.ClCATIQl- ROAD IWo4E .,;2/I~;;;e ~-ROAO N"""'ER ~-oIf'M,P,
PRO.JECT- PROJECT TITLE Jtjo7bl~ECT NLf,tDER-
DATE.
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OESCR I PT I u...
ATTACH NAP OR SKETO-I
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RESPOND BY.
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c::c:nrACTED REQtE:STER 0 IN PERSO"-I 0 DY PHC:W>lE 0 BY LETTER CClf',ITACTED BY,
REa::I44ENDAT 100.
PREPARE EST I NATIr . f'af .
ROUTE TO ~
D DIRECTOR
o ASSISTNlT DIR.
D RClAD st.PERV I SCR
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o ADMIN. ASSIST~T
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DEPARTMENT Of" PUBL. I C WORKS
F"lU: 601$"0f!;
ACT! ON REQUEST
REQ~STED BY_ ~ \ \ AN ~ A I-< E..-R {""DATE. ~ R S _ l cf I 1
AD<lRESB- ;5, j)1~~Dv'~Q.l 1:1. PH:lNE NO,. 1C>,/01 ,/AA
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NATlH: OF REQt.E;ST. 0 IN PERSON 0 BY f't-O.IE 0 BY LE1TER TN<E:N BY. ~~
PERTAINING TO. 0 OFFICE 0 ENG/SURVEY % ROAD MAINT. 0 EQUIP. MAINT. 0 SOLID WASTE
REQ<.E;STFDfl_ ft'JdIT,o,j"'L- :>'j..J,.J9fV1 p_ ~.2-S '5,]>,.)0
Lc>cATIQI_ AClAD /W.E S,.D, xo')"'Rj ROAD NUolBER' (::;D 15'>8 M,P, 3 ~1 To ,~ 30
PRO-JECT. PRO.IECT TITLE AROJECT NlHBER.
CESCRIPTIOO. Tt-I-'".R.L l-\AJ~ <B~~...J :<.~ v'<'I'-A, AcuJ....JT~
Fll"" TH I" L" <: <\T, D...::l IN I'; JI"'-A-h A~ (2.':;Ct"'Ti:)
A rl\,"lLI",,-\. J::tt~ -:bA\=..t\!-7-, J2..E::J-"':i 50,
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REFER TO- 4:=-1::0 b
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RESPONSE.
F\..:>d .5....
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/If'pRoveD /6-'/2--88 ~'j-;(.;~.l{~/
REVIEWED BY. DATE.
cx:::NT^CTEO REQlESTER 0 IN PERSCf14 0 BY ~E 0 BY LETTER c:oNTACTEO BY.
REC'OMMENDAT I Q'I1.
CD "",-,~0-. -n0
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/ '
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PREPARE EST I MAn . f'CR.
AOIJI'E TO.
o DIRECT""
~ ASSISTIHr DIR.
o R:lAD Sl.PERV I SOR
INITIAL.
o CONSTRUCTfOO ENG. _ 0 ACcot...NTANT
o P~ING ENGINEER _ 0
o ADMIN. ASSISTANT _ 0
.~
JEFFERSON COUNTY 60{ SOB
Department of PublLc Works
TRAFFIC: SIGNING PLAN
Pr'ojeci: No..'1js>
Road N"'"e:_-;:;',_~~_~ytl'-~__Roacl Log No._f~.!..5DB _M.p.,~_~2_t:o M.P'_Q~~_
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COMMENTS:
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111~ C.V~J:)\T'o":'S.
l-I....~ t:>. Itl> Tol!.'1 o~ IH_U,;)€.~"TS
1\0.> t:.FF6f-T I,., .PL...,,J~A-'TL-
Prcpnred:
dat" \0 "'10 ,1989
~~~~-~T
Approved:
Cla:':g:~. ~
by Ai. -1
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Pori Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P,C" Dlrec/or
Robert G. Nesbitt, P,E., County Engineer
MEMORANDUM
TO: Board of County Commissioners
FROM: Gary A. Rowe ~~ ~
DATE: October 14, 1988
SUBJECT: SR20jAirport Cut-Off Road Intersection
I contacted the State Department of Transportation regarding
improvements to the above intersection. I met last week with
Brain Ziegler and Ray Martell of the Port Angeles project
Engineer's office.
They have .,reparod a schematic plan for improvements to the
intersection. I have made a copy and attached it for your
review. The plan would bring SR20 into Airport Cut-Off Road at a
900 approach approximately across from the entrance to the
Courtesy Ford entrance.
The schedule for the project could be to have the construction
done this next spring along with planned improvements to SR20
from this location South to Discovery. If the improvement gets
tied up in right-of-way negotiations, the project would be
constructed separately at a later date. The Department of
Transportation is preparing its bUdget and needs a commitment
from the county on whether to procoed.
This commitment takes tho form of participating in the cost of
the improvement which is estimated to be $329,100.00. The
county's share is estimated to be $131,640, or 40% of the cost.
Additionally, at the time of construction, a turn lane for Fred
Hill Matsrials should be constructed. This cost is not included
in the above estimate. Tho cost for this improvement would be
borne by Fred Hill Materials per a previous agreement.
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ACTION REQUEST
REQUE;sn:D BY_ \.hh/7 7;;/74''7
ADOOESB. J3W h'b.<hy.s .</vew
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DATE.
/<2-/3-88
pt-Cf\IE NO..
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NATlflE OF REQlE:ST. 0 IN PERS04 Way PHONE 0 BY LETTER TAKEN DY.
PERTAINING TO. DOPPICE: DENG/sURVEY ~ROAO MAINT. o EQUIP, MAINT. DsoL'O WASTE
REQUEST FOR.
l.OCATI~. ROAD NAI€ /M<./n=::?<"4//~?J. ROAD Nl..Io1BER -09/(7/'/ M,P.
PROJECT. PROJECT TITLE RROJECT NlAotBEH.
DE:SCRIPTIC>>.,I. d~t":/ &-J.1'/~.- ~ ~~~..,,("./ d.,- /r~ --"a~~ C-4.L
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P,E., Director
Rober' G. Nesbitt, P.E., County Engineer
October 31, 1988
Department of Natural Resources
Olympia Area Office
Route 1, Box 1375
Forks, WA 98331
Attention: Rod Larson
Re: Martin Hill Sale #49128, County Road Approach.
Dear Rod,
In response to your letter about the above referenced road
approach we have the fOllowing information:
After talking to Bob Birkland, it appears that the new road will
use the existing approach on to Tarboo Lake Road. Because the
approach is existing, there will be no access permit requirements
and no construction,bond required. However, Jefferson County
will hold the purchaser of the timber sale responsible for the
maintenance of Tarboo Lake Road from this timber sale to Center
Road, (approximately 0.40 miles).
I apologize for the delay in this information. If you have any
more questions, please call.
Sincerely,
.-j ~- l!.J!wYJ
Scott Kilmer
Planning Engineer
CR355709
PWA 04.50.06 Natural Resources
100% Recycled Paper
~
..
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WASHINGTON STATE DEPARTMENT OF
Natural Resources
BRIAN BOYLE
Commissioner of PubliC Lands
September 12, 1988
r.~ Ii;,' R::" r~ [' ..:.'
If\(,.t;;;,~[;, \. _....
Olympic Area Office
Route " Box 1375
Forks, WA 96331
SEI' 1 ,j 1~3G
Jefferson County Public Works Dept.J~FFER2r:I": C'.YJ;'~'i'Y
Court House EIIJGINE"i'"S OFFiCr:
port Townsend, WA 98368
Attention: Mr. Scott Kilmer
Dear Scott:
Re: Martin Hill Sale #49l2B County Road Approach.
The state needs permanent county road approach on the Tarboo Lake
County Road, section 29, Township 28 North, Range 1 West, W.M.
This approach is to be constructed by the purchaser of our Martin
Hill Sale. The approach is on land owned by Golden springs
International, Inc. over which the state has secured an easement
(Jefferson County records page 308-311, volume 252 of deeds.
Auditors file 312924.)
To complete the appraisal, I need a letter from you stating the
conditions under which Jefferson County will issue a county road
approach permit to our timber sale purchaser. Please make
specific reference to the following items:
1. Specifications for said approach (Include any standard
drawings or details)
2. Amount of fees to be paid, if any
3. Special conditions relatjng to constructing said approach,
ie., flag persons or signing
4. Amount and type of insurance required
5. Presence of any franchised utilities
6. Any other requirements
A map is enclosed to assist you in finding the desired approach
location.
Equal Opportunity I Alllfmative Action Employer
d
Page 2
Mr. Scott Kilmer
september 12, 1988
Your earliest response is appreciated since the appraisal is due
October 15. Please accept my apologies for such short notice.
Sincerely,
tctlUJ.j Ir-~
Rodney Larson
NRE II Right-of-Way
Land Exchange
For: John M. calhoun
Regional Manager
olympic Region
n
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Enclosure
cc: App. #49128
#49128
~T4. n: Qt" WASllISGTON
DEPARTMENT OF NATURAL RESOURCES
Application No. ..,......................'m............,
Nam, of Sa\, ...'...'m...........................,......'
CounlY
JefferSOn
IU""'!l"'"
Reg; on.... ..,..~,l.Y.ll!p.,i,~................................,
TOWNSHIP,........?~,.. ",NORTH. RANGE,....!, ,.'...m...(~~ (W,) W,M,
frr'1',,",II<.H 1>" ,,;,,/ <,
{l1f,o.t6
COUNT Y
RO~D
A PPROAC.H
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GOLDEN SPRINGS ItnERNATIONAL GRANT TO STATE
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LOCATIO<. RCAD NAME Be;.: U,-,- r h;CvJlITI1J:.'r'ROAIJ NLMDER M,P,
PROJECT. PRO.JECT TITLE A~ECT NUMBER-
DESCRIPTIO<- /H~4.0 vI!:
4-1 8/21/51110(-, f
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/OS.,/6t.,C' U61/1AJc'
.dr /^'~~c TfQrJ
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./?
----
REFER TO-
'0 /S' jg r
, .
RESPONSE- ~J<'r~rr~Q /.Yt!.p,4 (!IN 1"Z.8..8~ "j:;FA ueH-,-cL€ CO"ne.~ +0
1- ';""'p fRo,../! R!'p Nl:k RD, (a:Rll-ve.. "eo,;....) ~!'!of2e_ cNreRi"') I-he.
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REVIEWED ""'.. " 51( OATE. ;- ?f? -Jj!J
'"' '
a:NI"ACTEO ~STER 0 IN PER5O'I 0 BY fJt-tCWE 0 BY' LETTER CONTACTED BY.
RECCM.ENDAT IOf.
"---....
PREPARE EST I MATI FOO.
ROUTE TO. INITI,.J
o DIRECfCR -' 0 CONSTRUCfION ENG. _ 0
o ASSISTNlT DIR. 0 Pl.AM'.IlNG ENGINEER 0
o RCAD SU'ERVISClIl _ 0 ADMIN, ASS ISTNfT" _ 0
ACcot.NTANT
~
~
JEFFE~ ~TY
DEPAR"IloENT Of' PUBL.I C waB<S
FI u: /"1 ro;' -') ,/."')1//17
REQlE~D BY- 13, {(,J. 0~;,r~~~r~~'/~~~ST DATE- ~J.t)k!_ <"._
ADQRESS. {,(1 (')(.--/ r?, /,o.<tJ?',<:U"",,,,/?<o/,PHCt<ENO,' ,qs,:J -0,.../)
y/, /, . ((/;'1 <;, 6'3~;;? ALT, PtL NO,'
NATl.I=IE OF REQlEST. [2] IN PERscr.t 0 BY f'tiCt'{E 0 BY LETTER TAKEN BY-
PERTAINING TO. DOFFIa: OENG/SURVEY 0. ROAD MAINT. o EQUIP. MAINT. DooLID WASTE
REQUEST FOR- "",V' f" ,r,ft, ~4'''''-:) ,ti/ ,-7,/&"'" ,'4" "'/ e,/
LOCATlai. RlAD ~'~l::'f:;:(iv'3t...f0.-:~~~IJ~':~""'/ROAD NLMBER M.P.
ATrAOi MAP at lAU:TOi
REFER TO. r~/t..l!~
C( )/ e:f!<;
AESf"a'j;O BY-
C'
RESPa'4SE -
! /- f - r;?:
(~~
[I, '(-""[..
REV I EIlED DY. KI'I''<-( {)-'e a -;; OATE. 7 - - 8'l?
o::HTAC'T'ED REQlESTER 0 IN PERSCfi. 0 BY PHO"IE 0 BY LETTER CONTACTED BY.
REcx::M.EHDAT I (Ii.
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15 Or /C. IJtJw
PREPARE ESTIMATJ: Fm.
ROlTJ'E 1'0 *
o DIRECTOR
o ASSISTANT DIR.
o OOAD SLf'ERV1 SCR
INITIAl.
o c::oNSTRUCTION ENG. _ 0 ACCOl.J'l,lTANT
o pLANNING ENGINEER 0
o ADMIN. ASSISTN-IT _ 0
_J
~
JEFFER5O'I CX>l.t-ITY
DEPARTMENT Of" PUBL I C WORKS
E:=LS5 \"'1
II Jib /1218
, ..
REQUtST1;;D By_ VI..
ADQlo:ss .
A(;:(ION REQUEST
1:. <\ ~ L. LJJ~~ OATE-
-
Pf-D"\IE NO.
---- A1.T. PH. NO.'
NAT""" OF IIEClUtST. % I N PERSON 0 BY I'Ha<E 0 BY LEITER TAKEN BY _ F A 1'-<-- ~ \ 1>-
PERT"IHING lO. OOFFICE 0 ENG/SURVEY 111 ROAD MAINT. 0 EQUIP. MAINT 0 SOLID WASTE
IIEClUtST F'OR. to,Q Qf' ~...D ::2 '''' i;) 2- 'S...l;1 v-.-i?:>b L-
LocATIQI. """,,,/WoE: N ;")~cc>,R NIl 11~I!-RO~ NLIo1BER ~2-S"S,"I MP, 0, g::,
PRoJECT. PRoJECT TITLE ARQJECT NLNBER.
DESCRIPTIQI.
- ~'t"-C~\ l;,.
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-;')'I~ 5 I..\'!- ~~( I "ts:.
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=:
~
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) RESPCf'4D By,
ATTAOi MAP C>>t SKETOi
REFER TO.
RESPCfiSE. I \ \ 't'L i\ ~ ~
S)'l~ t>..,.:,n 1<..0<\(',
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REVIEWED BY. DATE.
cc:t(T'AC'TEO REQUESTER 0 IN PERSCfi 0 BY P'tICfo4:E 0 BY LETTER
REc::c:tMZNDAT 100.
PREPARE EST I MATI: . FeR .
fDJJ'E TO.
o OIRECTOR
~'STNlT .DIR.
o ROAD S<.PERV I SClR
INITIAL
Q. CONSTRUCTION ENG, 0
_,.eo PL.Al'..NING ENGINEER _ 0
_ 0 ADMIN. ASSISTNiT _ 0
ACc:ol.I'iT ANT
L
~
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JEFF'l:RSQ',I ~TY
DEPAA'll€NT Of' PUBL Ie WORKS
riLE (//.. /< r-?J''-~)'~'';;-
ACTI ON REQUEST
REQtESTED BY. SU:>Ti liLLMAIJ DATI:- 7-5"-f5'
ADllREss- ~ o.'Box. 258''2_ PHJNE NO..
Sr- S"'-<'iIINbol c.A QOJ.4S ALT. PH. NO,.
NATl.OlE 01' REQUEST. J:J IN PERSCN D BY PHCIlE D BY LETTER TAKEN BY. t:...~
PERTAINING 10. 0'OFFICE ~G/SlJRVEY 0 ROAD MAINT. O.EQUIP, MAINT. 0 SOLID WASTE
REQLEST f'DR.
LOcATlCfl- """" NAIoE: Griffith"s Point Rd. ROAD N......ER S9?009 M,P,
PRO.JECT. PAO.IECT TITLE RROJECT Nl.totBER.
DESCRIPTICfl- Hill the county replace the road approach at this property (Hy, Tax 90,
32-30-1E) that was removed then the R. J.D. was fonned and county improved road? Caller
says all other culverts and road approaches were replaced by the county. This was
done several years aqo.
-_ n
(',~: \1 ....,.,\
ATTAOi MAP CIA SKETCi
REFER TO- -'J7lh 71: <~ I I
.t.,'.,.'" \ \
"., '~':. <,~
\ \ RESPaw BY.
\.:~:j
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REVIEWED BY- 6,_/i.uo._I(S. OATE. /1~/ff-'6<(;;'
IQL
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RE c::x:>>.wENDA T I 00 .
PREPARE ESTlMATJ:.Fm.
ROUTE TO...
o DIRECTCR
o ASSISTANT CIR.
D ROAD 5LO'ERV I SOR
INITIAL
o c::c::lf'.lSTRUC'TION ENG.
o PLAM-lING ENGINEER _
o ADMIN, ASSISTANT _
o ACCOlIiT ANT
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L
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CHUCK (l,\K1\E
Dlfl'l!or
."'1......'"
STME ()F WA,HINGTON
DEPARTMENT Or- COMMUNITY DEVELOPMENT
PUBLIC WORKS DIVISION
Nimh .1\ Colwnhi,l IJlIildin,~, MSiCH-51 . Olympi,l, W,,~hin,l.ilnl1 IJlj5(}.J..1151 . flU") 511(}.{).Jlj(J . SCAN l.! /-f).I'/1)
September 28, 1988
Mr. Robert Nesbitt
Jefferson County
Public Works Department
P. O. Box 1220
Port Townsend, Washington 98368
Dear Mr. Nesbitt:
The Public Works Board has completed the task of evaluating the
1989 loan applications for Public Works Trust Fund financing. I
regret to inform you that your road application was not among
those selected for inclusion on the list to be sent to the 1989
Legislature.
As you might guess, the Board received more requests for financial
assistance than it is possible to fund. Over $57,800,000 was
requested in the 103 applications submitted by local governments.
Applications for the next funding cycle will be available in the
spring of 1~89. I urge you to refine your project and approach the
program agaln. The Public Works Unit staff would welcome the
opportunity to meet with you and assist in the refinement of your
loan application. Please call Bob Brandow at (206) 586-0490 or
SCAN 321-0490 to arrange for a mutually convenient time to discuss
your application.
Sincerely,
uk, a ' I~;--U<J
'V'
Pete A. Butkus
Public Works unit Manager
PAB: j es
cc The Honorable B. G. Brown
Chairman
Ar{h,l(>()lo~y and HI~I(lric Prt'wtva!lo(1 . Cornrnul1ily ~l\rviw" . Enll'r/.\l'nly M,Il1,II:l'rIW(11 . Fire
Prol('niQ(1 S(>f\'lce,> . lOC,11 Dt'Vl'loJ1IllI.'nl ,lf1d HOlI\lllg . lOl,11 GOVf'rnnu'nl S('t\'i(!'~ . Public \Vork"
,<;';,~ )
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lllm./ 9 rgaS
~
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\{~)c: .:5 0 ~:'-; '10 , 0 2-
(j
STATE OF WASHINGTON
COUNTY OF JEFFERSON
RESOLUTION NO. 6B-8l1
In the mattsr of:
Adoption of the
Six Year Transportation
Improvement Program 1989.1994
We, the Board of County. Commis.
sioners,. Jefferson County, Slale of
Washington, having consulted. the
PRIORITY PROGRAM ARRAY, do
hereby approve. and. adopt the
following attached SIX YEAR
TRANSPORTATION IMPROVE-
MENT PROGRAM far the years
1989.1994.
ADOPTED this 5 day of July, 1988.
BOARD OF COUNTY COMMIS-
SIONERS
B.G.. Brown, Chairman
larry W. Dennison, Member
George C. Brown, Member
ATTEST:
Jerdine C. 8r<;'99
Clerk of the Board
246
Affi~vit of Publication
STATE OF WASHINGTON)
COUNTY OF JEFFERSON)
FRANK W. GARRED, being ~wotn, ~OY1 ho i~ lho publilhllf of
lho Port TownlllndfJIlIlIlf\on Counry Leoder, 0 w6l1klr
newlpopllrwhichholboonollobJisnlld, publilhodinlhuEnglilh
lal\guage end circulatod continuoully 01 0 weakly nowlpopllr
inlhll town of PorI Townlond, in IOld Courlty ond Slole, ond for
genoral eireu/olion in saideaunly far more lhon li~ (6l monlhs
prior 10 the dale of thll first publicalion of the Natico horoto at.
tached, and thot the loid Port Townsend/Joffllrion Counly
leador wos on lho 27th doy of Juno 1941, oppro~lId as 0 legal
newlpOpP.r by thll SUPllriOr Court of loid Jofforson County, ond
thot onne~ed is true copy of the
Resolution #68-88
Adoption of six year trans-
portation improvement
program - 1989-1994
ositoppooredinthereguJarondentirlliUlJeofsaidpaperitself
and not in 0 lupplemenlthereo/ for 0 period 0/
-O~__conlecutiveweoks,beginningonthe
-~-~_d'Y'1 July _, 1L~~
"d,"d"9"'h,~~hd'Y'f~1~_.
88
19~__, and thot loid newspaper wal regularly dillribulod
to its subscriberl during all oflhis period. That tha full omount
ofS~~aibeenpaid;nrull,attherateorS5.50per
"'"m"", f" "~~", Q; t?
------~(;2~
Subscribed and sworl" to bofll"o n',u 'his._~l..-t:..f:1_day of
-_~lY___, 19_88
~~.t:~0=~J.4 ,',. A/I
'-d N'ltorYFual'':inon}7;;',~
'NOI!'ill1]lfl,', rellding ot Hodlock
I
~
~
~'-s
United States Department of the Interior
.
TAJa- _
PlllDEIN
AMDllCA_
IIl1RE..\lJ OF 1.,\:\0 ~1'\NAC;EMI':"n
OREC:O:\ ST,\TE OFFICE
P,O, BOX :.!!lli!i Ool:.!r, :\1-: ~IL1LT.,()~IAJ I STREET)
IIOlfl'I.A,\'I), ()RE(;():\, !li:!O~
- -
- .
l~ In:!'!.)' REFEK TO:
9641 (942)
October 21, 1988
Me. Ga ry Rowe
Jefferson County Public Works Department
P.O. Box 1220
Port Townsend, WA 98368
Dear Sir:
The enclosed diagram(s) indicate cadastral survey field work completed by this
office from October 19B7 through September 1988.
The diagram(s) are for informational purposes only. The final field notes and
plat have not yet been prepared. If you need any information on any of these
surveys, please feel free to contact this office at (503) 231-6987.
Sincerely,
(t'~;'c' '?/7-'C&/?:'-<,~___
Wayne M. Gardner
Chief, Branch of Cadastral
Survey
Enclosures (as stated)
!l:;<j, 11: o!''''~: ~~, It-:,' n
w'"1i It\m \.tt9 .a..f:' 1,1 1~ fha U
OCT 2 G 1988
JEFFERSO"J COUNTY
PUBLIC iNORKS DEPT,
Q
~
Field work done FiscAl Year 1<:IRR
For Bureau of Indian Affairs
01 vmoic Peninsula An2encv
Jefferson r.onntv W;l~h; n~ton
o OriRinal Corner
o T,o('::tl r.nrnpr
Niles Surveved 1. 25
Group No. 404, Washington, Surveyed by Nark D. Dixon and Daniel E. Weller
~
us, DEPART',IE:n OF THE I~;TERIOR
BUREAU OF LA~D ,',IA:iAGE:,IE:1T
TOWNSHIP DIAGRAM'
TownS!ltp
24 NORTH
R~nl!:e
!orleHcHln
\VILLANETTE
JSlate
liASHINGTON
13 liEST
-133_
I
-1.34_
I
Field work done Fiscal Year 1988
For Bureau of Indian Affairs
01 vmpic Peninsula Agenc y
Jefferson County t Washington
o
o
Ori!;!.inal Corner
Local Corner
. Oris!inal. Cor~er Remonllmp.nted',
~ Miles Surveyed 2.75
Dixon, and Daniel E lieller
Group No. 404, liashington,Surveyed by flark D.
~
HOMER SMITH INS. INC. 02-0494
THIS CERTIFICATE IS ISSUED AS A MATTEA OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE. DOES NOT AMErlO.
EXTEND OR ALTER TiiE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
f?i'i~~NY A FIRST NATIONAL INSURN\ICE COMPANY OF !\MERIC
INSURED
BAYSHORE ENTERPRISES, INC.
POBOX 1159
PORT TOWNSEND, WA 98368
f~+4~~NY B
f~Fi~~~~Y C
f~+4~~;NY 0
c?N~~~'Y E
THIS IS TO CERTIFY TliAT POLICIES OF INSURANCE LISTED I3f.LOW HAVE BeEN iSSUED TO THE INSURED NAMED ABOVE reR TIlE POlley PERIOD INDICATED,
NOTWlTttSTANDlNG ANY ReQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RES[lECT ro WHICH 'fHIS CERTIFICATE MAY
BE ISSUEO OA MAY PERTAIN. THE INSUflANCE AFFORDED BY THE POLICIES DESCRIBI;:O HEREIN IS SUBJECT TO ALL THE TEAMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES.
CO
LTA
TYPE OF INSURMICE
POLlCV tJUM8Ef4
ALL LI~\ITS IN THOUSANDS
CP 8438078A
---- Sl~OOO
$ 1,000
$ 1,_0_00
~_1,000
$ 225
$ 5,
9-8-88
9-8-89
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERAr:ONSILOCAT!ONSIVEHICLESIAE3TRICTlO,'';SISf'ECIAL ITEMS
301 LANDFILL ROAD
PORT TOWNSEND, WA 98368
'\"'\Tu
JEFFERSON COUNTY
COURTHOUSE
PORT TOWNSEND, VIA 98368
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAtlCELLED BEFORE THE EX.
PIR.\T10tl DATE THEn.EOF, THt ISSUING COMPANY WILL ENDEAVOR TO
MAIl. 45 DAYS WnlTlHI NOTICE TO HJE CERTlf'lCATE HOLDER NAMED TO THE
LEFT. BUT FAILURE TO MAiL SUCH NOTICE SHALL IMPOSE NO OElLIGATION on
L1!19ILITY OF.~~!:..O...!:!l~~PAtl!,_!.!.~_~~~NTS ~~~_EPHE~EtITATIVES.
'\I(rrl/:O_~;';/A"~l.L
, -;V~) Ldc.L_
~-;
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;.~~~~C
V!.\\;r:'\
IF'0,'<
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E" Director
Robert G. Nesbitt, P.E.. County Engineer
August 29, 1988
Washington State Department of Natural Resources
Mr. Alex Nagygyor
Route 1, P.O. Box 1375
Forks, WA 98331
Re: Termination of contract #47288, Winfield Pit
Dear Alex:
As per our telephone conversation of 8/24/88, Jefferson
County is requesting that the Department of Natural Resources
terminate Contract # 47288, for the removal of 3000 cubic yards
of gravel from the Winfield Pit. In addition Jefferson County is
requesting that a new contract be issued for the removal of
19,500 cubic yards of material from Winfield Pit so we may make
the material available for the Upper Hoh road reconstruction
project scheduled for next spring.
Please send the necessary documents for application for the
new contract.
If you have any questions or need further information do not
hesitate to contact me.
Sincerely,
~('~
Project Engineer
xc: CR0749, corres.
PWA 02
ERR 05.40.18 "Winfield Pit"
100% Recycled Paper
~
'\"'- '\ 0::~~/
~\:/h~~4~.
Ji~~l~~
'fH.~;~
I'~"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 820 Jeflerson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. flowe, P,E., Director
Rober' G. Nesbitt, P.E., County Engineer
August 29, 1988
Washington State Department of Natural Resources
Mr. Alex Nagygyor
Route 1, P.O. Box 1375
Forks, WA 98331
Re: Termination of contract #47288, Winfield Pit
Dear Alex:
As per our telephone conversation of 8/24/88, Jefferson
County is requesting that the Department of Natural Resources
terminate Contract # 47288, for the removal of 3000 cubic yards
of gravel from the Winfield Pit. In addition Jefferson County is
requesting that a new contract be issued for the removal of
19,500 cubic yards of material from Winfield Pit so we may make
the material available for the Upper Hoh road reconstruction
project scheduled for next spring.
Please send the necessary documents for application for the
new contract.
If you have any questions or need further information do not
hesitate to contact me.
Sincerely,
ffi~
Project Engineer
xc: CR0749, corres.~
PWA 02
ERR 05.40.18 "Winfield Pit"
100% Recycled Paper
~
?tJ1s
~ffi@~~Wlli@
SEP 13 i888
IEFFERSOH COUNT'~
110~.'Rn nF GOMMISSIO~
EI2r-. 0.3,5'0
~ weNDY t-K)lOlN
D"N1Of
STATI. OF WASHINGTON
DEPARTMENT OF GENERAL ADMINISTRATION
onn or ST A IE PROCUR[MlNT
JIll Gfo/)('f,rl AdmmMrdtion Hwldmg. AX-!.! . OlympJd. W.J5hington 91.J504-ai22 . (206) 75HJl)W
TO: Authorized Political SUbdivision Organizations
FROM: ~illiam W. Griffin, Contract Administrator
~rchasing and Contract Administration
SUBJECT: 1989 PASSENGER MOTOR VEHICLE CONTRACTS _ MAILING LIST
DATE:
September 9, 1988
The State is currently sOliciting bids from dealers for 1989
passenger motor vehicles. Contract awards will include automobile,
police vehicle, van, light truck, and light utility vehicle
classifications.
In the interim, in the interest of reducing our administrative
costs, we are updating our political sUbdivision vehicle contract
mailing lists to include only those organizations who have an
active interest in ordering vehicles through the state contracts.
Specifically, if you need to receive the contract documents for
1989 vehicles please check below, complete the identifying
information requested and return this memo to the address above,
attention Al Pfaff, Contract Clerk (telephone 206-753-3942). Those
organizations who respond by October 31, 1988 will in turn be
assured of receiving contract(s) requested when initially released
this fall.
Thank you for your interest in our contraots.
-----------------------------------------------------------------
The contract(s) checked below are required:
(X) 215A-88, 1989 Automobiles
(N 215B-88, 1989 Police Vehicles
(x:) 215C-88, 1989 Vans/Light Trucks/Utility Vehicles
NAME OF ORGANIZATION
.).l;;'~..p.., &<<-7 rP.. 6bo MuL ,P~.1-
/:(1, &v, /.??~
~~rr 'T;,a/"S ,,~f vv". '?!?,of': tJ~
MAILING ADDRESS
AGENCY # ...JlJ-l2/!.rsa...... IT "<'k~7'
COMPLETED BY ill""I;1. d.j, iT
name
(~/tl :J/!f-94t'
telephone
/-' S ~p;l-" /fi'd"l?-
date
WWG:mp
...(;? )
d
,..('-/.,. >c c:' ,> . ::"'';;, ,.:.' ...3
State of Washington
Department: of Revenue AX-02
Excise Tax Division
Audit Procedures & Review
Olympia. Washington 98504
From:
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
Reg. No.
Date
DO NOT USE
Assigned To
Jer;~r~nrJ COllnty
P.O. Rox .l'^J
Port Towns211d, ~^
():; ](jf}
Date Assigned
Gentlemen:
Notice is hereby given
Description of Contract:
Contractor I S Name
Contractor's Address
Date Work Commenced
Date Work Completed
Surety or Bonding Co,
Agen t 's Add ress
Contract Amount
Additions
Sales 1'.<JX
'Iota 1
P.W.C. Number
Date
t;\"'outinq ilY'ld ((101 kino ~)f trinl10ws 2.t Cort'iH:tion
Tollsh(lrk Constr\.!C-::io~l Phone Number: 2Pfi-73?-L!r18()
<)n~ eus tom \rocdvlOtk
1132 V~;l Troj~n Rd.
Fort To~nsenrl. 14A qr~~~
8 -1- ~W
~-'H4-Sg
Date Hark Accepted:
~,-1' -ilP.
Intc00n Inller~nity Carr.
?\i~1~ n,J:. rXf}l"~S~',t.w.v
^tlant~, nA 301~S
$ ?C.Jl?n'-~
2G,S4'L1L:
','
Amount Disbursed:
Amount Retained
1 ,30S. GO
'~ !
?,Il'l(.J.1
?::. 1-1 R. 7 (,
..,
,
Total
~1.C~ 11.'!~\. 7/,
By
i!
;~
Disbursing Officer
The Disbursing Officer must complete and mail three copies of this notice to the
Department of Revenue, Olympia, Hnshington 98501, immediately after acceptance of the
work done under this contract. NO PAYfIENTS'SHALL BE ~IADE FROM RETAINED FUND until
receipt of Department's certificate, and then only in accordance with said certificate,
FORl'1 REV 31 0020 (2-81)
~
....5. ELEVATOR
A Illemb", pl/lle Cub,,, CmpOI.""n I.",,'y 01 ,om/Mn,u
':::::A:'/;.
SERVICE REPAIR PROPOSAL/ORDER
U.S.E.C. PROPOSAL #88-1887
FROM U.S.E. BRANCH.NO. 16
ADDRESS 2920 NE Blakeley Street
Seattle, WA. 98105
Cor tract No. Ref. 16-7165/0
TO Jefferson County Courthouse
Address P. O. (liJro>:'/112':2''O'IIif'/illrdll,"'r}
Port Townsend, WA. 98368
Date August 9, 1988
Shipping Address Jefferson County
Courthouse
Port Townsend, WA. 98368
Attention: Carter Breskin
Dept. of Public Works
UNITED STATES ELEVATOR CORPORATION, (hereinofter eai ied the Company) proposes to furnish
the labor and materials to accompl ish the work i iSled below. Piease note that this service
does not include the inspection or repair of any associated items.
We shall perform a 5 year full load safety test as required by
code.
See Attached.
All work shall be accomplished during the normal working hours of the
elevator trade, and we are to have the uninterrupted use of the elevator
while completing our work.
Price firm for 30 days.
RIj(~txxxWx:l:~xR
.
$1,007.00 plus Washington State Sales Tax
This proposal, including the provisions printed on the back hereof and any specifications or
other provisions attached heret~J when accepted by you and the Company, shall constitute the
contract between us, and all prIor representations or agreements not incorporated herein are
superseded. Upon approval, please forward us two signed copies __ thank you.
A,,,'tod '{ .d~-<,.'-'1'/
\ LEGAL NAME OF PURCHASER
By
By JEFFERSOO COlINl'Y BOARD OF mMMISSTONF.RS
ADDRESS
ByP.O.BOX 1220,_ Port Town"end. WA 98308 By
Title Chainran
.oate-8..=.22=.8.8- TItle
Date
-1-
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This quotiltlon Is subject to change or wlthdr'awnl without notice at clny time prior to acceptance by
our Corporate Office.
You agree to pay. 35 cln addition to the price herein quoted, the amoLlnt of any t.u bas~d upon the
tran~fer, u_~e, ownership or pcsscssion of the equipment herein described. imposed by any law enacted
after the date of this proposal or irnposed upon you by any existing law.
Payments shall be made as follows: 90 percent of the value of the equipment and rnatcri,lls ready iH
our shops or delivered at the building, plus the 1,1bor performed. as invoiccdj with the remaining 10
percent paid when the work is completed. We reserve the right to discontinue our work .H any ti:ne
until payments shall have been made as Jgreed and we have assurance satisfnctory to us that
subsequent payments will be made as they fall due.
It is agreed that our workmen shall be given a safe place in which to work, and we reserve the right
to discontinue our work in the building whenever in our opinion this provision is being violat<!!d.
Unless otherwise agreed. it is understood that the work shall be performed during our regular working
hours of our regular working days. If overtime work is mutually agreed upon Jnd performed, an
additional charge therefor, at OlJr usual rate for such work, shall be added to the contract price. The
work is limited to only that shown on the face hereof and does not include inspection, repair,
adjustment, maintenance or any service other than that which is stilted.
You agree that in case you do not take delivery i'lt the building of the equipment and lnateri.'l!s
covered by this contract '.vhen we notify you that they ."Ire ready, you will designate some local point
where you will take deliv1;!ry. Unless YOIl designate such point of delivery within a period of two
weeks, we may warehouse the equipment and material within or withollt our factory at your risk and
you shall reimburse us (or all costs due to extra hnndling and warehousins.
ShOllld we be delayed by any reason on your part, the entire contract price. less payments theretofore
made, shall become due immediately, and shall thereafter bear interest at the highest rate permitted
by law in the state where the work is to be performed or at two percent ovcr the prime rate published
by the Wall Street Journal on the earliest day of the month in which billing was made. whichever is
less.
It is agreed that all the equip1nent furnished hereunder can be re'noved without material injury to the
building, and we retain title thereto until final payment is made. with the right to ret.lke possession
of the same or any part thereof at your cost if default is made by you in any of the payments,
irrespective of the manner of attachment to the realty, the acceptance of notes, extension of time
for payment, or the sale, mortgage. or lease of the premises.
It is agreed that we ,1ssume no liability [or any loss ~ cost, injuries or damage to persons or property
except those directly due to our acts or omissions; i'lnd that your responsibility for injuries or damage
to persons or property while on or about the elevators is in no way affected by this contract. We
shall not be liable for any loss, damage, or delay caused by acts of the government, strikes, I"ckouts,
fire, explosion, theft, [Ioods, riot, civil commotion, war, malicious mischief, 'lct of God or by any
cause beyond our I'easonable control, whether before during or after the warranttperiod and in any
event, we shall not be liable for consequential da'nages. Should damage occur to our materi.'lls, tools
or work on the premises from any of said causes, you shall compensate us therefor.
We Sh.lll nnt be liable in contract or in tort (including negllgence) for loss of profits or revenue, I.,ss
of use of equipment or plant, cost of capital, cost of purchased or replacement power, claims of
customers of the owner, or for any special, indirect, incidental, or consequential damages.
You agree that the remedies as set forth herein are exclusive and our liability with respect to any
contract, or anything done in connection therewith, 'such as performance or breach thereof, or from
manufacture, sale, delivery, resale, installation or technical direction of installation, repair or use of
any equipment covered by or furnished undr:r the contract, whether in contract, in tort (including
negligence) or otherwise shall not exceed the price of the eq1liprnent or component thereof or of our
labor on which sllch liability is baser!.
We hereby guarantee the material and workmanship of the npparattJ5 furnished by us under this
contract against defects, wheth~r latent or patent, in ll1at~rials and worktnanship which may develop
within one year from date of completion, commencement of use, or work stoppage whichever first
occurs. We arc responsible f,)r the repair or replacement at our option of defective equipment
inst.llled by us and returned to our offices but not the coverins, uncovering, removal or replacement
of sllch equipment, or of work p~rformed by others. THIS WARRANTY IS IN LIEU OF ANY OTHER
I.IABII.ITY FOR DEFECTS. THERE IS NO WARRANTY OF MERCHANTABII.ITY OR FITNESS FOR
PURPOSE OR OTHER WARRANTIES, AND THIS WARRANTY MAY NOT BE EXTENDED EXCEPT
BY A SEPARATELY SIGNED WRITTEN AGREEMENT. IVE SIIALL NOT BE LIABLE FOR DELAY,
OR DAMAGES IVHI,THER GENERAL, SPECIAL, OR OTIIERWISE.
Caveat: Steel cylinders and piping placed underground may be subject to rapid corrosion due to
chemical and/or electrolytic action. Although the r.'lte of corrosion varies and special coatings,
linings Md cathodic protection when ordered specifically can be of assisti'lnce, they are not a
gu,1rantee that corrosion due to chemical and/or electrolytic action will not occur, Since we arc not
soils experts nor do we have control over the underground environment, this contract specifically
excludes liability for cylinder or piping failures caused in whole or in part by destructive environments
whether before, during or after the warranty period.
If any drawings, illustrations or descriptive matter al'e furnished with this proposal, they <Ire
approximate and submitted only to show the general style, arrangement and dimensions of the
mi\chinery offer~r!.
-2-
USE-60E
--,
~
FIVE (5) YEAR SAFETY TEST
We hereby propose to supervise and conduct the tests of safeties,
governors and buffers upon your elevators located at
Jefferson County Courthouse, Port Townsend, WA. 9B36~
in accordance with rule or code WAC-296-S1-090.
Such tests may impose upon the equipment greater strains than those
growing out of normal operation. Therefore, it is agreed that
in making inspection or tests of the governor or any safety devices,
U.S. Elevator Corooration shall not be liable for loss, damaqe,
injury or destruction or persons or property (except those of
U.S. Elevator Corporation) because of the action or failure of any
of these devices.
If repairs are necessary to 'obtain proper operation of the
equipment before or after the test to meet code Or performance
requirements, such work shall be considered as an extra to this
proposal.
~- '._'-~"'~"'~-~ "'~-'--"',~,,,",.,,,
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
RObert G. Nesbitt, P.E., County Engineer
August 31, 1988
Tollshark Construction and Custom Woodwork
1132 Van Trojen Road
Chimacum, WA 98325
Attn. Rick Tollefson, President
Re: Grouting and Caulking of Windows at Gorrections Facility
Dear Rick,
The work completed on the project as referenced above has been
inspected and found to be acceptable as of this date. Upon
receipt of your final billing, payment will be made with 5%
retention held until receipt of the Affidavit of wages paid and
released from the Department of Revenue.
Sincerely,
~J;~t
M. Carter Breskin
Property Manager
PWA 02
ERR 02.70.03
100% Recycled Paper
~
CER....IFICATE OF
. SUBSTANTIAL
COMPLETION
AlA DOCUMENT G704
Distribution 10:
OWNER
ARCHITECT
CONTRACTOR
FIELO
OTHER
~
o
01
~
PROJECT: Correct ions Fac i 1 i ty -
(name, address) Grouting and Caul king
of \~indows.
ARCHITECT: N/A
ARCHITECT'S PROJECT NUMBER:
TO (Owner):
r- Jefferson County Public wk1
P.O. Sex 1220
Port Townsend, WA 98368
CONTRACTOR: Toll shark Construction
Custom !~oodwork
CONTRACT FOR:
L
DATE Of ISSUANCE: 8-31-88
J CONTRACT DATE: 8-1-88
PROJECT OR DESIGNATED PORTION SHALL INCLUDE:
The Work performed under this Contract has been reviewed and found to be substantialty complete. The Dale of Substantial
Completion of the Project or pori ion thereof designated above is hereby established as !j - 3 0 - 88
which is also the dale of commencement of applicable warranties required by the Contract Documents, except as stated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Architect when
construction is sufficiently complete, in accordance with the Contract Documents, so the Owner can occupy or utilize the
Work or designated portion thereof for the use for which it is intended. as expressed in the Contract Documents,
A list of items to be completed or corrected, prepared by the Contractor and verified and amended by the Architect, is
attached hereto, The failure to include any items on such list does not alter the responsibility of the Contractor to complf'te all
Work' in accordance with the Contract Documents. The date of commencement of warranties for items on the attached list will
be the date of final payment unless otherwise agreed to in writing.
N/A
N/A
ARCHITECT
BY
DATE
The Contractor will complete or correct the Work on the list of items attached hereto within N / A
from the above Date of Substantial Completion;
CONTRACTOR
BY
DATE
The Owner accepts the Work or designated portion thereof as substantially complete and will assume full possession thereof
al 8,00 a.m. (lime) on 8-31-88 Idale),
Jefferson County 8-31-88
OWNER BY M. Carter Breskin, Prop. McflA.TE
The responsibilities of the Owner and the Contractor for security, maintenance, heat, utilities, damage to the Work
and insurance shall be as follows:
(No!c-Ownc,'s and Con!r.lc!or's legJI and insurancc coume/should delCrlll;fltl ,lOci revicw ir.sur,1tlce requiremenls and coverage; ConlraClot
Sh,lll secure consenf of surely company, if ,my.}
AlA. DOCUMENT G704 . CERTIfiCATE OF SUBSTANTIAL COMPLETION . APRIL 1978 EDlllON . AlA"
l&> 1978. THE AMERICAN INSTITUTE OF ARCHITECTS, 17]S NEW YORK AVE., ~.w., WASHINGTON, D.C. 2{)()()(,
G704 - 197B
l
days
~
~
BUSINESS RECOROS CORPORATION
,E,.e;e 03. ~O.o2,--
(/,yWi- f't!ti<-4<-~
V
THIS HARDWARE MAINTENAlICE AGREEMENT ilhc "AgrccmcnJ") is
JlAROWARE MAINTENANCE AGREEMENT
made and entered into thjs~ day of September
19~ by and between Business Records Corporation. a Texas corporation
having a principal place of business al 7800 Slemmons Freeway, Suife 6.10:
Dallas, Texas 75247 ("BRC"), and JcffcrRon C'.ountv
,a
, having a principal place of business aLlB20
Jeff(!rson Street Port TCM>nsend WA 98368
("C~slomer"). tn considcralion 01 the mutualcovenanls herein contained, the
partrcs hereby agree as forrows:
1. Term and TlIrmlnatJon. This Agreement shall become effective with
regard to the compulerequipment, hardware, perpherialcquipment and other
producls describCd in ExhibilA allo1ched herClo (lhc"ProducIS" )011_
iktober I , 19~, (Ihe "Commencement Dale"),
and shall cO,ntinue annually from lhe Commencement Dale, or this Agreement
m~y be te~mmaled by l~e ~arties as fOIl,ows: (i) immedialely upon delivcry 01
wflllen n~lIce by BRC o! lis mlent 10 termlrlate, il Cuslomer shal1 assign, delegale
or olherwlsclransler lhls Agreement or anyor ilS righlSor obligalions under lhis
Agreement, (ii) byeilher party, iflhat party delivers wriUen nOlice to theolher
party lhat the olher party is in breach 01 this Agreement and such breach
~Olinue~unremedie.dlorfortHiVe(45)daYSallerlhedeliveryOfthenotice;or
(IH) byellherparty,lfapanYdelivers wriUen notice to lhe other part y that an
assi~nmenl has be~n made 01 !he business of lhe other party lor the benefit 01
credllors, or a receiver, truslee m banktuPfcy or similar olficer shall be appointed
torakeChargeoltheprOpertYOllheotherparty,ortheotherpanYiSadjudged a
bankrupt,providedsuchasSignment,apPointmenlOrjUdgmentisnOlremediedor
reversed within twenty {20J days of delivery or the no!ice.
2. !MP~ BRC shall have the right to inspect any Producls berore
.BRC's obligations under lhis Agreemenl with respecllo any PrOducts shall begin,
If such Producls are nOl covered by an agreemenf lhal is in lorce. BRC may
pcrtorm such adjuslments and repairs as it deems reasonable and nece ssaryto
place any Products in good working condition. 1/ BRC determines, in its sole
discrelion, lhat any Product cannol be placed in good working condition lhen
BRC may exclude such Producls Irom this Agreement. Customer shall pay BRC
fo~ perlorming ~uch inspection services and lor all labor, materials and
adjustments reqUired 10 place fhe Producls in good working condition at BRC's
then applicabte rales for such servicllsand malerials. '
3. PrIce and Pavmenl. tn consideration for this Agreement, Customer
shall pay BRC lhesums described below:
A. An amount equal 10 lhe aggregate ollhe initialmainlenancc fees on
the ProdUCls as sellOrlhln Exhibit A.
~.. Any lees or expenses invoiced 10 Cuslomer by BRC pursuant 10 Seclion
C. II Customer selects any 01 the OPtions described In Exhibil B as an
additional service 10 be performed by BRC under lnis Agreemenl then
~~~I~~:~ri~~~1 i~alx~i~i~~~lliOnal sum equal 10 lhe aggregate of the ~Ption
O. . Any import duties or federal, Slate, municipal or olher government
eXCIses, saJes, use, Occupalional or similar taxes, insurance and other f ees
lhat BAC mUSI pay as a resull 01 ils pertormance of lhis Agreement.
~. . The payments described in paragraphs 3,A through 3.0 shall be
Invotced fa Customer and shall be due within lWentY(20) days of the date
such invoice is delivered. If BAC shall nol receive a payment trom Customer
by fhe dale such payment is due, Ihen Customer shalt pay BRC interest on
Stich,oVerdue payment at lhe higheSllevel 01 inlerestallowed bylaw. In
addition, Cuslomer agrees 10 indemnily and hold BAC harmtess for all COSls
involved in colfecting overducpaymems fromCuSlomer.
4. AesponslbUllIes 01 BRC.
A. Subject to lhe provisions of paragraphs 6 and B, BAC shall maintain all
Producls covered by lhisAgreemcnt in good working condillon. II Customer
shall elect to ship the Products 10 BAC then Cuslomer shall pay all costs 01
~~~~d~~~~~;le~Op:~~e'rro~ ~;u~a~~e~~~~e~~na~le ~~;~i~lId~i~i~~a,rj~s~ :IA~;
damage to the Products during such shipment, If Customer chooses to have
BAC maintain lhe Producls at Customer's facililies, then Customer shall notify
BRC of its request during BAC's normal WOrking hours by telephone or writlen
c~~~~~Cr~ion ~~d C.uslom.er shalt pay the associated travel expe~ses
i his Agreement
is in effecl, withoul charge, for lhe purpose or inspecling lhe Products and
providing rouline mainlenance of the PrOducts itlhe Produclls serviced on
site as parI 01 the conlract. If the PrOduct is depot repair, the preventive
maintenance is done at BRC lacUity.
B. Subiect to lhe Provisions of paragraphs 6 and B, BRC shall supply all
parts necessary 10 ma~ntain Products in a,ood working condition, rree 0'
charge. All parts supplied by BRC shall be either new slandard parts or parts
01 reasonable quality, and shall be substiluled and cxcl1anged lorlh e old parts
which shall become the property 01 BRC.
5. Responslbumes01 ClIstomer.
6. EX,clu.ded Servlc8t. This. nl d not require BRC fa repair
or replace {l)t1bbonsorOlhersuPPIIC hich ed repair or replacement as a
result of normal wear and tear, {ii)Produ ichhavp. been rcpaired,alleredor
t~~nsported by person~ other lhan lhose expressly approved ;n writing by BAC,
(Ut) Produc~s from which the serial numbers have been removed, defaced or
chang~d, (IV) Producls damaged as a result 01 accident, disaster, lhert,
vandalism, negleCl',abuse, use of any Product lor a purpose other lhan lhe
purpose lor which II is desi . .
mechanicalorcteclrica'de~ignarleralionOranYcOnVerSionbYpersonSolherthan
lhose exprmly apprc'o'cd III ~';rilillg b,t BRC, (vi) PiCduel:; u:;cd h, <lny person
olher .I~an Cusf~,mer's employees or persons under Customer's direcl
sUP~rvlslon, or {VII). EQUipment. thai in BRC's reasonable opinion can nol be
repaired to a malnlalnable condllion.
7. PISClalmer. BRC DISCLAIMS All WARRANTIES WHETHER EXPRESS
OR IMPLIED WITH REGARD TO ANY GOODS OR SERVICES PROVIDED BY BRC
PURSUANT TO THIS AGREEMENT. INCLUDING All WARRANTIES Of
MERCHANTABILITY OR flTllESS fOR A PARTICULAR PURPOSE,
8. CuslrJme~'s Rem~dles. If BAC shall breach this Agreemenl in any
ma,nner, Customer s exclUSive remedy shall be lhe further adjustment, repair or
mamlenancc 01 lhe ProducfS until the Products are in good working condllion.
Cusfo~er acknOwledges that it has sole control over the Products.
Accordmgly, BRC shan nol be liable 10 Cuslomer tor damages;n any way related
to or connecled wilh results oblained from or otherwise contribuled 10 by the
Products: . BRC's liabilil~ for ~ny. losses. or, damages. ot any nalure excepl for
personal to/ury, whelher dlrect,mdlTeCl or mCldental, ansing Irom its ~e~f,~,~,~,il,~~,~__
~
~
of this Agreemenf, shall be limited 10 fheaggrcgate amount 01 the fet!s paid by
Customer to BRC purSuant to this Agreement, BRC SHAll NOT BE LIABLE FOR
MY INCIDENTAL, SPECIAL OR CDI/SEOUENTIAL DAMAGES OF ANY NATURE
WHATSOEVER, INCLUDING, BUT NOT LIMITED TO, LOSS OF ANTICIPATED
REVENUES DR PROFITS, OR FOR ANY CLAIM DR OEMANO AGAINST CUSTOMER
BY ANY THIRD PARTY, IN CONNECTION WITH OR ARISING OUT OF BRC'S
PERFORMANCE UNDER THIS AGREEMENT.
9.~
A, General Conlldenltalllv. Customcl agrees that during the term 01
this Agreement it shall not disclose any inlormation, and shall lake all
reasonable precautions to prevenl disc!osure of any inlormafion, regarding
the content 01 this Agreement orperlormance hereunder to any lhird party.
B. Force Maleure. BRC or Customer shall be eXcused Irom peflormancl!
hereunder lor any period BRC or Customer is prevemed lrom performing their
respectlve Obligations hereunder In whole or in part as iI result 01 an acl 01
God, war, civil disturbance, court order, labor dispute or other cause beyond
its reasonable control. In addition, such nonperlormance shall not be a
ground for lermination ordelaull.
C, Waiver. Any waiver by either party 01 any proviSion of this
Agreemenrmust be in writing, and shall not imply subsequent waiver 01 that
or any of her provision.
D. Notices. Except as otherwise noted in this Agreement, any noflce,
demand or request or olher communication required to be gi....en by either
party to the other party pursuant 10 this AgreementshaU be In writing and
shall be mailed by lirst class, regislered or certilied mall, relurn receipt
requested, or transmitted by hand delivery, felegram or leicK, to tflc
appropriate addresses first set rorth abo....e, or fo such other add ressaseither
party may hereinafter substitute by written notice given In the manner
prescribed in this paragraph. Notice shall be deemed given three (3) days
allermailed, or at such lime as it is actuaJlydelivered to the addrcssee or
such attempted delivery Is refused by the addressee.
E. , .Complete ,AarBBmBn~. This Agreement, includin9 the attached
exhibIts, embodIes the entire contractual agreemenl 01 the parties with
respect to the subject maller hereol. This Agreement cannot be modified
exccpt by wrlllen agreement signcd by aU parties hereto.
F. !UI~ Customer may not, without BRC's prior written
consen(assign or otherwi!ie. transler this Agreement, or any 01 Customer's
lfigh~ or oblig;tions under this Agre.ement, to a third party, BRC shall have
therl~t to subconlract the pl!l'lormance of all services spccified in this
Aijreemcrrt..:.o a third party.
...... "
G. Gov..rnlng'hw. This Agreement shaH be conslrued and enforced in
accordance Wilhlhel3W.!i 01 the State of Texas.
'>-";"
Rev.lV87
L_
BUSIN
ECO~S CORPORATION
/1a.,~ ,!i~__
By:
its:
r-hnagcr of Field Services
Date: /0 - tf -$}8
CUSTOMER:
By:
~cwr a. R~
Director of Publ ic Harks
Its:
Dale:
September 28. 1988
8RC.48
n
~
~
Exhibit A
PRODUCTS
!Y~
No. of
Units
Serial
t:!Q!&,
Initial
Maintenance Fee
Location
$ 1,200.00
Optcch HIP
5 @ 2/,0. ea.
*- Cost for repair of all above equiIJrCot at BRC-i\c..Idison facility. If on-site service is
requested, custarer wUl be billed for all travel related expenses.
Jefferson County
Coonty Auditor
t820 Jefferson Street
Port To.mseoo WA 98368
October, 1, 1988 to Septeroer 30, 1989
exhibit 8
DPTlD~
OPTION A:
ELECTION STANOBY SERVICE _ $ 750 a day plus travel related expenses
Oefinition, On.Call Service to cover election tabulation. Specifications, including approximate dates for the above
service, must be provided In writing to BRC at the time of contract initiation. This amount would be billed at the
time of usuage.
;~
Exhlbll C
TRAVEL CHARGES
The following additional charges shall apply if Products are serviced at Customer's facility and those Products are not serviced on site as part
of the Maintenance Ageemenl.
~
IIffJ li9.(j;jt:.11InUIIICPIIOnS Commlssloll
Gettysburg, PA 17326
Application Return Notice for the
Private Land Mobile Radio Service
n
Jefferson County Public Works
Jefferson County, W1\
1820 Jefferson st.
P. O. Box 1220
Port Townsend, Wl\ 98368
I-.:~.-;:~;'-;~~--J
File No.
225309-PI, les
.-.-.-.---.----
INSTRUCTIONS: Your application (or station au/horization is returned (or tilD reason(s) cllecked below. Complete or
correct your application. fe-sign and elate your [Ipplicatiofl i1l 1110 spaco provided 0" the reverse side. Return tlJis and
all enclosures /0 tile above address. (See "NOTICE TO APPLICANT" on the reverse o( tilis (orm.)
IJ Your eligibility is unclear. Please provide a mere detailed descriplion of your activllies and how radle will be used
in connection with them.
I] If you are requesting authorily to acquire a station presenlly licensed 10 another person or en lily, you should check
"Assignment of Authorization" in item 32. Complete the application giving nil information pertaining 10 the new
licensee (including eligibility showing) and include a completed FCC Form 10<16, Assignment at Authorizatiun,
or a similar declaration signed by the presenl licensee, wilh your npplicntion.
[J Please advise lithe Control you show in ilern 18 is a Control Slatlen or Conlrol peint. For Conlrol Stations, cern.
plete ilerns 11hrul1 (except 7),t4 thru 17, and 2611rru 29, II the Central Station cernpties with the 20 ft. rule
as defined in Rule Sec. 90, 119(a)(2)(ii), complete only ilerns 1 Urru 5. Evidence of frequency coordination is required
for stations not meeting the 20 It criteria.
[J Pursuant to Inlernalional Treaty agreernenls, Canada objects 10 Ihe use 01 requested frequency(ies) at proposed
location(s) sel forlh on your application. Their objection Is based on anticipated harmful interference to --
------.---------.---.---.-------.
You may select anelller frequency from Ihe lable In Rule Section -.--. ...--------.
or you may make substantial engineering changes to your system to protect the Canadian station and request
reconsideration by Canada. If the anlicipated problem is not corrected, we cannot grant your request.
[I Systems licensing is a procedure which authorizes a number of land mobile stations (Bases, Control, Mobile Relay,
Mobile) in the same radio service to operate togetl1er under a sin~Jle license and call sign. Tllerero,re, your applica-
tion is being returned so that you may make a decision 110W you wish to license your system, If you do not wish
to license each slalion separately, you lTlay apply for up to six fixed stations per application.
xxx}{R! You MUST resubrnillhis application Ihrough your frequency coordinalor II you make ANY CHANGE Ie inforrna-
lion in items //1 througll 1/25, FAILURE TO DO SO SHALL RESULT IN DISMISSAL OF YOUR APPLICATION
AND FORFEITURE OF ANY FEE(S) PAID.
[J Itern(s)
corrected.
should be completed or
xxx xxI OTHER: Your request to conduct tests with CanacUan licensees is unacceptable. The
established procedure is for responding to a Cana(1.ian (loni.C'll i.s to reduce your
technical paramoters to the minimum levels and have the Commission resubmit to
Canada. If Canada still objects, then you may rQ(luesl: a formal test involving the
F.C.C. and the Canadian government. Canadian licensees are under no obligat.ion to
cooperate with you, arid such t.ests are not wi.thin the established Treaty agreements
the Commission has with Canada. Please reduce your technical param~ters to the
minimum necessary and resubmit.
1Ddlfi%o -/0 F(C 92/PP
ENCLOSURE SEE REVERSE SIDE
FCC 1034-G
July 19B7
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SAFECD
I(EE? nlls COpy
FOB VOurl flECOHDS
:;'~FECO INSURANCE COM>'J,NlE.:',
PACIFlC NomHWE~T. REGION
P. O. GOX 3'~20
SEATTLE. WA 9tll24
T~L1:FHO~)1: l20f>} 8(11.,'1.500
October 20, 1988
Your Agent: Homar Smith Insurance Inc.
02-0494
Your Policy: BA 8449238 3/22
Jeffer.on County
Jefferson County Cour.thouse
Port Townsend, WA 98368
Dear Insur~d:
Your insurance policy was issued on an estimated basis for the policy
period. In order to cancel your policy, we must determine the actual
earned premium for the period Harch 22, 1988 to October 5, 1988.
Please provide the information requested below and return to us in the
enclosed envelope within the next ten days. If you need assistance, please
contact your agent or call our ofUce at (206) 881-4636.
Please compl~te the attached auto or truck questIonnaire.
This infomatlon is furnished by
__-:.....__' phone _0
Thank you.
SAFECO INSURANCE COMPANY 0"' AHERICA
Helen Roark
Prflmlum Audit Clerk
Loss Contt"ol Department
jec/LeC
Enc.
(;1
SAfECO INSUAANCECOMPANVOF f\MERICA.
SAfECOUFEINSURA.NCECOMPA.NV
GENERA.LlNSURA.NCECOMPANVOFAMF.RICA
fiRST NAlIONAl INSURA.NCE COMPA.NV OF AMERICA.
SAfECOUA.TIONA.LINSURANCECOMPANV
SAfECO NA.TIONA.LUfE INSUIlANCECOMPA.NV
PRINTED IN U.S.A.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,Q. Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P,C.. Director
Robert G. Nesbitt, P.E., Counry Engineer
~~.-e-o /. 'It), 03
November 7, 1988
Mr. John Crawford
Executive Director
Washington Counties Risk Pool
529 West Fourth
Olympia, WA 98501
Dear Mr. Crawford,
I have compiled the claim activity to report to the Risk Pool.
Since many of these claims or lawsuits are pre pool, I don't
believe much is to be done by the Pool.
DATE OF INCIDENT
DESCRIPTION
10-26-88
PUD employee slipped on stairway
in courthouse twisting left knee,
spraining right ankle.
9-22-88
Planning Department employee backed
into telephone pole damaging pri-
vate vehicle while on county
business.
10-3-88
Board of County Commissioners
awarded bid to second low bidder
after error in bids was discovered,
apparent low bidder submitted
$39,000 claim for lost profit and
cost of preparing bid.
Additionally we have three lawsuits pending action for land use
related decisions prior to October 1, 19BB. They are Pacific
Northern Oil Company versus Jefferson County, Levine versus
Jefferson County, Protect Ludlow Bay versus Jefferson County.
100% Recycled Paper
~
At this time we are formulating a policy on automobile accident
investigation. If you have any policy recommendations please
pass them on to us.
Please call if you have any questions on the above incidents.
Sincerely,
4a<-t a. R---
Gary A. Rowe, P.E.
cc: Board of County Commissioners
ProsecutOl'
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O\-""',',~
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)l~tJ~'>
November 7, 1988
Mr. John Crawford
Ececutive Director
Washington Counties Risk Pool
529 West Fourth
Olympia, WA 98501
/:,-( I(~ ' ) / ~/O
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P,E., Director
Robert G. Nesbitt, P.E., County Engineer
Dear Mr. Crawford,
Re: Certificates of Additional Insured
Jefferson County owns and Operates a recycle center. We
contract with Bayshore Enterprises, a non profit corporation,
that serves handicap employees. The county owns vehicles and
equipment associated with this Operation.
We need certificates of insurance naming the following as
additional insured or certificate holder:
1.) BaYGhore Enterprises, Inc.
P.O. Box 1159
Port Townsend, WA 98368
2. )
Independent
Reclamation
9747 Martin
Seattle, WA
Paper Stock Company
Division
Luther King, Jr. Way South
98118
County owned vehicles enter onto Independent Paper Stock premises
to deljver recycled goods.
If there are any questions, please call.
Sincerely,
~~a,~
Gary A. Rowe, P.E.
100% Recycled Paper
.~' 0
--.------- ~
C"'.\J.~i::-;il-'
. ".' '\'{~~/.
;.:"!~tlT,
JEFFERSON COUNTY I
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slreel
P,O, 80x 1220
Pori Townsend, WA 98368
(206) 365-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
MEMORANDUM:
Works DePt~
FROM: Tom Morello, Jefferson C~unty Public
TO: Jefferson County Fuel Bid Participants
DATE: November 8, 1988
SUBJECT: Participation in WaShington State's Bulk Fuel Contract
Jefferson County is participating in Washington State's Bulk Fuel
contract in 1989 and will not be awarding a local fuel contract as
We have in the past.
If any agencies are interested in taking advantage of the State's
Bulk Fuel contract, contact:
Robert PaUlson, Jr.
Purchasing and Contract Administration
216 General Administration BUilding
AX-22
Olympia, WA 98504-0622
(206) 753-1040
100% Recycled Paper
~
(J.!(,Z;'=> a;j.j'o
INTERFACE
RISK MANAGEMENT CONSULTANTS
August 29, 1988
Mr. K. Bob Henderson
Safety Coordinator
JEFFERSON COUNTY
P.O. Box 1220
Port Townsend, WA 98368
Dear Bob:
I have inc~uded the safety inspection report for the three
Bayshore Enterprises ~ocations that the Jefferson County
Human Services Department had requested we conduct. This
inspection dea~t complete~y with emp~oyee related hazards and
potentia~ hazards.
We did not ask to see first-aid cards at the Recycling
Center. Also, because of the age and style of the bui~dings
involved, on~y the bathroom at the recyc~ing center was
handicapped accessib~e. All other buildings were not
handicapped accessible.
I trust that you wil~ discuss our report with Ms. Landvig.
If I can be of further assistance, please contact me.
Sincere~y, ;;?
li/~'L<I JtJ>q/
WEI Wood
Director of Safety
WW:pw
Enclosure
RECE~VED
[lUG 3 0 1988
JEFFERSON COUNTY
ENGINEERS OFFICE
P.O. BOX 3340 . LACEY, WASHINGTON 98503 . PHONE (206) 438-0880. 1-800.522.0880
jJfa.:; ':;j,;3o
INTERFACE, INC.
P.O. Box 3340
Lacey, WA 98503
Jefferson County Inspection Report
August 25, 1988
Bayshore Enterprises
Recyclinq Center (Land Fill Site):
Old Business
11-31 The extension cord, in the covered storage area near
the glass crusher, needs to be replaced.
New 8usiness
08-01 The used storage batteries, stored outside the
building, are blocking access to electrical panels and
meter.
08-02 One of the exterior lights in the outside covered work
area is broken out and should be replaced.
08-03 One of the four workers throwing glass into bins was
not wearing eye or ear protection. This problem was
taken care of immediately by those in charge.
08-04 There was a discharged fire extinguisher in the
upstairs office.
08-05 There is no up-to-date pressure vessel inspection
certificates for the hot water tank or the water
storage tank.
Bayshore Animal Shelter:
08-06 There is no up-to-date pressure vessel inspection
certificate for the hot water tank.
08-07 There is only one first-aid carded employee at this
location, and he was not present at the time.
08-08 The guard for the shaft of the euthanizer motor was
missing.
Port Townsend 8akinq Company:
08-09
08-10
08-11
A guard should be added to the wall fan.
The fixed ladder off the back dock has a broken rung.
There are no "A" rated fire extinguishers in the
building. Extinguishers must be provide~ for the
protection of the building, a wooden structure which
would require "A" rated fire extinguishers, as well as
flammable I"B" rated) and electrical ("C" rated)
hazards. Currently, only "S C" rated fire
extinguishers are provided in the building.
/(,,- ,Ii : -1'
{/ J 1)~1' I>(,ki-;c(
Will Wood "'-
Interface, Inc.
~
(-ft.! Plf25 OJ. ~/)
SAFETY MEETING MINUTES FOR
August 25, 1966
Member3 Present
Members Not Present
Alex Bradley
Bob Shold
Pa t vlhi teman
Michelle Grewell
Mike Ajax /~d\
Bob Henderson <U\,J
Tim Black
Ed Sasser
John Hess
Visitors
vJi 11 Wood
Minutes were read and approved.
Old Business:
~cndcrGOn is still trying to schedule more FirGt Aid Closses
and will spread the word when they are set,
The courthouse fire drill committee: Pat, Bob ~ and Michelle
met August 24, and roughed out an escape plan. They will
finalize this plan on the 11th of September and schedule a fire
drill.
New BUSiness:
Pat-Whitcman--will be installing a plexiglass barrier in front of
the third floor railing shortly.
Mike recommended no parking zones to the left of the exit
abutting the street for the courthouse rear parking lot. Sight
distance is a problem when there arc cars there.
Pat \~hiternan stated that he >/ould like to order safety decals to
place on the county recycle boxes which will be out soon. Bob
Henderson will look into this.
Michelle updated the committee on the wellness program.
Bob Henderson informed the committee of the upcoming Household
Hazardous Waste Day.
The committee discussed in Gome detail what Q complete risk
man.:lgoment program would entail. It's something that needs to be
developed, but it would need a fUll--t.ime employee to manage it.
Will informed the committee that it::; progrGss to date wa::; very
good, however thore is one area of concern th~t needs to be
addressed as Goon os possible. The County docs not have a New
Employee Safoty Orientation Program. This needs to be corrected
throughout the county organization. Miko suggested preparing a
safety packet to be handed out with other material::; such as the
personnel policy. This will work with office personnel, but not
with Parks and Public Works, which involve many pieces of
machinery,
The committee will develop a check--off sheet for office personnel
and Bob Hendorson will work with 80b Nesbitt.
Meeting was adjourned at 11:10 a.m. Next meeting: Soptember 29
at 10:00 a.m.
~
INTER~ACE, INC.
P.O. Box 3340
Lacey, WI; 98503
n
Jefferson County
Safety Inspection Report
July 26, 1988
Jefferson County Sheriff's Department
Jail:
07-01 1;11 the portable fire extinguisher inspection tags
have expired. These should all be reinspected.
07-02 I; written program describing arrest procedures,
searches, etc. corresponding to training received at
the police Academy, should be considered.
07-03 Some of the portable containers used for cleaning,
disinfecting, etc. were not marked or labled as to
t.heir contents.
07-04 Material Safety Data Sheets (MSDS's) were not
available for all the hazardous substances used in the
facility.
~?t:{()<h'rcf
Director of Safety
INTER~ACE, INC.
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':ol1cncn Count>' Public Workg Depl,
JEFFERSON COUNTY
SAFETY MEETING MINUTES FOR
September 29, 1988
Members Present:
Members Not Present:
Alex Bradley
Bob Shold
Pat Whiteman
Tim Black
Ed Sasser
John Hess
Michelle Grewell
Mike Ajax
K. Bob Henderson
Visitors:
Will Wood /;)Ui
The meeting commenced at 10:00 a.m. with the approval of last
meeting's minutes.
Old Business:
The Courthouse Eire drill was held recently. A report on the
success of the drill has been prepared, and when all members
have signed it, it will be presented to the Commissioners.
The smoke sensor in the maintenance closet did not function
properly, the Eire drill test switch did not work, and fire
monitor communications should be improved. Overall, the
drill went as well as could be expected.
Signs should be made and installed in the Courthouse rear
parking lot to denote no parking zones. This will improve
the sight distance problem that now exists. The hospital
annex parking problem still exists.
The plexiglass barrier for the third floor railing has now
been installed.
Household Hazardous Waste Day was a big success. Alex
reported that more than 100 families brought in hazardous
waste, ranging from DDI to WW II bottles. Those receiving
the chemicals took every safety precaution available. All
waste received was shipped to Arlington, oregon.
There has been good response to the wellness classes.
New Business:
It is pat's goal to get an emergency fire escape for the
second and third floors of the Courthouse as soon as
possible. He is going to look into the possibility of
getting one from an existing abandoned building.
The County needs a new employee safety orientation program.
A subcommittee needs to be named to look into this problem.
Due to low safety committee attendance, this problem was
suspended until next meeting. Pat will work hard to get more
members to the next meeting.
~
~
Safety Committee Minutes
september 29, 1988
Page 2
All new safety information received by the County, especially
K. Bob and Pat, should be made available to all County
employees in the form of hand-outs and brochures. A table
could be put up for this purpose in the Courthouse basement.
However, this wouldn't help those employees not working in
the Courthouse. The committee will discuss this question
further at a later meeting.
The meeting was adjourned at 10:35 a.m. Next meeting:
October 27, at 10:00 a.m.
~
,.
j';JE!!- (! 3, ;l, ()
Washington State Association
~ County Engineers
Salary and Working Conditions Committee:
Chairman: Marley L. Young, PE, PLS
Members:
Ken Main
Jim McAul iff
George Still man
DATE: October 14, 1988
James R. 8arker
Roy Allen
Randy Anderson
Murl Jones
Dan Hesse
Jerry Nicholls
TO: ALL PUBLIC WORKS DIRECTORS/COUNTY ENGINEERS
FROM: SALARY AND WORKING CONDITIONS COMMITTEE
RE: SALARY AND WORKING CONDITIONS SURVEY FOR 1988
URGENT - - YOUR IMMEDIATE ATTENTION REOUIRED! Pl ease del eoate if necessarv,
The enclosed Salary and Working Conditions forms for 1988 are basically the
same used in 1987, except we are asking more questions. The following
instructions should be followed in completing the form:
a)
Report wages paid by the hour: to convert monthly wages to hourly wage
divide by 174: or, the equivalent for those days worked less than 8
hours.
b)
The road mile portion at the top of the form should be converted to road
miles of 2 lane width.
c)
Your vacation and sick accumulation'may not exactly agree with the
questionnaire: but, answer the questionnaire as to what accumulations
are earned on the years stated on the form.
Your job title may not exactly agree with the job titles on the
questionnaire: therefore, select the job title that has a description
that best fits each of your job descriptions.
Mail completed forms to Marley L. Young, Mason County Engineer, P. 0,
Box 357, Shelton, WA 98584 on or before October 20, 1988
d)
e)
In summary, we encourage your timely response so as to make this report an
accurate and val id tool for your ready use. If you have any questions, please
give me a call at (206) 427-9670, Ext'n: 450.
--7J1~cit:'~ RECenrED
MARLEY L. MUNG, (I, PLS U
County Engineer OCT 12 1988'
Encl.
JEFFERSON COUNTY
PUBLlC,WORKS m=pT.
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ERCE
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(1) . Sepaute Department
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(2) Areas of Responsibility for
County Engineer/Dir. of P/W
in addition to roads
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COUNTY ROAD/PUBLIC WORKS DEPARTMENT
SALARY AND WAGE SURVEY
COUNTY
Total Road Budget Amt. $3,499,900 Total Dept. Employees 44
Road Maintenance Budget 1.8n2.7no Road Funded Employees -..11..-
Road Construction" 1.188.300 Number of Road Miles ~
:~~~~ ~ ~:~ _ ~~: _1j!:~~-:::. _~!?:!:5-,:_ 4.j~ t!~~ _*_~o_a_d_ _~~i n_~,_ _E_m~_l_o:_e_e_s_ _ _2_3_ _ _ _ __
Title
R"",ircd Union or
IIoor I y Ilage L icen&e or Non~Union l
<-I Certification
..--........-......_----- ------------..-
17.92 N/U
----------------- --------..--..--
-.._-...._---------- ......---------....
15.35 P. E. N/U
--oo_------..------ ----..--...._----
PUBLIC WORKS DIRECTOR
Non Statutory
PUBLIC WORKS DIRECTORI
COUNTY ENGINEER, P.E.
Statutory
COUNTY ENGINEER. P. E.
Statutory
ASST. PUBLIC WORKS DIRECTORI
ASST. COUNTY ENGINEER
In addition to other duties, responsibte
for dept. operations in absence of County
EnaineerJPubl ie Works Director
-..---------------------------------------- ----------------- -------------- --------
DESIGN ENGINEER
Responsible for engineering activity
during design
------------------------------------------ -----------------
CONSTRUCTION ENGINEER
Responsible for engineering activity
during construction
12.90
ASSOCIATE ENGINEER
Performs contract acininistration;
construction and/or design engineering
------------------------------------------
TRAFFIC ENGINEER
Responsible for all department
engineering functions
11.70
------------------------------------------
ENGINEERING TECHNICIAN IV
Responsible for given work; i.e., chief
of party, chief designer, chief inspector
11. 94
------------------------------------------
ENGINEERING TECHNICIAN III
Responsible for division of work.: i.e.,
instrllnentman, design draftsman, inspector
------------------------------------------
ENGINEERING TECHNICIAN II
General entry level engineering office
construct Ion and survey work
10.27
------------------------------------------
RIGHT-OF-WAY SUPERVISOR
Responsible for department right~of-way
activities
------------------------------------------
----------------- -------------- --------
RIGHT-OF-WAY AGENT
Assist Supervisor in Right-of-Way Activities
------------------------------------------
CHIEF ACCOUNTANT
Supervisor of the accounting functions
Responsible for Dept_ ACCOU"lting activities
11.47
NOTE: Do not include Equipment Rental & RevolVing Fund Employees.
Lice~se or Certification: PE; LS; EIT; LIT; CPA; BS; AS; College required.
*Tralned employee -- not including longevity.
ZJ
Title
------------------------------------------------------------ --------------
Hourly Wage
<bole')
Re<fli rod
Lica.e or
tertificati<<l
BOOKKEEPER
Head Bookkeeper/,Usists ACcOU"lt8nt
------------------------------------------ ----------------- --------------
10.35
CONFIDENTIAL SECRETARY
Secretary for Director/County Engineer
------------------------------------------ ----------------- --------------
8.22 '
SECRETARY/RECEPTIONIST
Typing; fl ling; telephone; works w/public
------------------------------------------ ----------------- --------------
7.22
CONSTRUCTION SUPERINTENDENT (MAINTENANCE)
Responsible for coordination of day labor
construction and inspection
------------------------------------------ ----------------- --------------
Union or
won.union
------------------------------------------ ------------.---- ---..---------- --------
EQUIPHENT SUPERINTENDENT
Manages department shop(s); responsible
for ll6intenance of equipment and
developnent of equipment specifications
SHOP SUPERVISOR
Responsible for maintenance of department
eqYipment in a central shop situation
------------------------------------------ ----------------- -------------- --------
------------------------------------------ ----------------- -------------- --------
LEAD HECHANIC
Responsible for maintenance of department
equipment in 8 division or district area
or shop; works as a mechanic
If), .1/
HECHANIC
Works ISlder the supervision of 8 shop
supervisor or lead mechanic
/li.vk1I-
/lUJL ;:
------------------------------------------ ----------------- -------------- --------
If. 9''2-
!{),p.-
------------------------------------------ ----------------- -------------- --------
BRIDGE SUPERVISOR
Responsible for 8 bridge crew, (bridge
foreman)
------------------------------------------
TRAFFIC TECHNICIAN
Responsible for placement ord maintenanc~
of road signs and traffic markings
1-----------------
------------------------------------------ ----------------- --------------
12.35
MAINTENANCE ENGINEER/SUPERINTENDENT
coordinate. actlvitie. of all department 14.15 N/U
maintenance crews
MAINTENANCE SUPERVISOR
Responsible for department crew(s) in a
division, district or arelJ
------------------------------------------ ----------------- --------------
FOREHAN
Responsible for IIn assigned crew in 8
division, district or area
------------------------------------------ ----------------- --------------
12.6,2
------------------------------------------ -----------------
CREW CHIEF/LEADHAN
works with and leads assigned crew 12.05
------------------------------------------ -----------------
MAINTENANCE TECHNICIAN IV
Operates bulldozer, grader, loader, 12.20
etc.
MAINTENANCE TECHNICIAN 111
Operates bock.hce, chipbox, sweeper,
roller, etc.
------------------------------------------ -----------------
11.74
MAINTENANCE TECHNICIAN II
Operates tandem axle truck
------------------------------------------ ----------------- --------------
11. 63
------------------------------------------ ----------------- --------------
U
U
MAINTENANCE LABORER
Laborer
HAINTENANCE TECHNICIAN I
Oper.tes .ingle axle truck g. 60 U
------------------------------------------ ----------------- --------------
------------------------------------------ ~---------------- -----------~--
SUHHER TEHPORARY/PARTTlHE LABORER Flagging 6.00 N/U
fl.gglng, _;ng, ~ attendants Dump Attendants 4.10 &3.80
------------------------------------------ ----------------- --------------
fC-P-;, 0.3.3'0
llCT 4 '
~ofltrson COunly Public Works Oopt.
JEFFERSON COUNTY
SAFETY MEETING MINUTES FOR
september 29, 1988
Members Present:
Members Not Present:
Alex Bradley
Bob Shold
Pat Whiteman
Tim Black
Ed Sasser
John Hess
Michelle Grewell
Mike Ajax
K. Bob Henderson
visitors:
will Wood U)U.J
The meeting commenced at 10:00 a;m. with the approval of last
meeting's minutes.
Old BusinesG:
The Courthouse fire drill was held recently. A report on the
success of the drill has been prepared, and when all members
have signed it, it will be presented to the Commissioners.
The smoke sensor in the maintenance closet did not function
properly, the fire drill test switch did not work, and fire
monitor communications should be improved. Overall, the
drill went as well as could be expected.
Signs should be made and installed in the Courthouse rear
parking lot to denote no parking zones. This will improve
the sight distance problem that now exists. The hospital
annex parking problem still exists.
The plexiglass barrier for the third floor railing has now
been installed.
Household Hazardous Waste Day was a big success. Alex
reported that more than 100 families brought in. hazardous
waste, ranging from DDI to WW II bottles. Those receiving
the chemicals took every safety precaution available, All
waste received was shipped to Arlington, oregon.
There has been good response to the wellness classes.
New Business:
It is Pat's goal to get an emergency fire escape for the
second and third floors of the Courthouse as soon as
possible. He is going to look into the possibility of
getting one from an existing abandoned building.
The County needs a new employee safety orientation program.
A subcommittee needs to be named to look into this problem.
Due to low safety committee attendance, this problem was
suspended until next meeting. Pat will work hard to get more
members to the next meeting.
~
Safety Committee Minutes
September 29,1988
page 2
All new safety information received by the County, especially
K. Bob and Pat, should be made available to all County
employees in the form of hand-outs and brochures. A table
could be put up for this purpose in the Courthouse basement.
However, this wouldn't help those employees not working in
the Courthouse. The committee will discuss this question
further at a later meeting. '
The meeting was adjourned at 10:35 a.m. Next meeting:
October 27, at 10:00 a.m.
Golden Spring International, Inc.
~
flay 9, 1988
Jefferson County
Dept. of Public liorks
Jefferson County Courthouse
Port Townsend, IInshington 98368
Dear Gentlemen,
lie have completed logging on our Quilcene timber land. lie mailed you $1,800
as assurety for our performance, since our logging is done, can \<,Ie get our
deposit back?
Thank you for your attention.
Sincerely I
!J iZfJft. ,0
Netta Liu
Vice Pres.
NL: tg
Encl.
""-'. ""~ ~"''' fC'''' 11 ~," ',..' f"'''-
1ft ~:: 'l,,<, (::", ~ ~j t;, U
i.~';'( 1 G 1988
~.l ~:Z~':F ;~::::: ::~;: ::' :"J C:) ~J l\jT'l
r"i\lc;dIJP-!::F(~, OFFICE
33515 10th Place South, Bldg. 10
Federal Way, Washington 98003 (206) 952,7766 TELEX, 556462 "GOLDSPRING" FAX, 927,4866
~
PERMIT NO. 'l'1..f/-&H
\ CG(JNT~,.. ~AI\O NO .3v.' '''~
STATELOG NO.
MIL!; POST ,,_
'OFFICE USE ONLV
\-
I
I
JEFFERSON COUNW
DEPARTI1ENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. WA 98368,
rv( APPLICATION FOR ROAD ~~
)4l COM.'1ERCIAL
APplication is hetby made for a permit to construct,operate 'and maintain a road approach.
please describe loaction (attac? map or drawing) Elu~ ,fUl/J ....,qr>Ro,!-clf.! tlJrf/)
r-.(~ MIU ./If:;~r ~.-.J tl'.e-,,<:P.I€ ,0(, t:J€..
'7 '
CHSCK ONE:
o RIlSIDENTIAL
APplicant agrees to perform the work i'n stric.i:' compliance with the terms and conditions set
out herein, and any special p:;,:)vis$::::.tl :.tt;J,J:..~.l i1~r~~O.
APplicant Name N, t'r 1)I1t-.8,fa:; I---
Address t8~.r If~
/,,&I!r ~tltf.1t1b
Applicany Si9nature
Date t//IO/J'J t~1. ~/9/
/ '
Note: J:ndemnity provisions of 'paragrallh.. 2
contractor Name_ .sl'/~
Adciress_
.~ -----'
Contractor sigtli;\tw::e
Date
:anC! '3 .on \.revc::ae side.
, ,','
lWftlIIB) --
SU~Ject to the terms and conditio~S 01) :h: :~e:s: side, PERiUSSION" IS HEREBY GRANTED to
Applicant to construct,. operate and ma'intain a Ioad ,,<,proach _as ..requested abOve, ,and ."'l:t. :
special provisions attached hereto. .': , ,", " : ': ":~: ,
:' 1. ~ .
PERMIT INSPECTION. ~P~RT' "" !~:'!.
CAll 48 HOURS
BEFORE YOU DIG
1-800-562-6478
. work co";ered by permit 'has been 'completed
-- ,"satisfactorilY.. .. . .
_work is not completed. ,
_REcommend permit be cancelled.
_T.!affic control - adequ~te
inadequate__
REHARJ<S
INSPECTED BY'.
. DATE:...--
Form 1\3- 0 lR" A Z-J32l'
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FROM CK.3</230!)
JEFFERSON COUNTY
Department of Public Works
Courthouse
PORT TOWNSEND, WA 98368
(~06) 385-3505
:;,~:C~ ~ ~~ fr., h':A~"
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TO J&V~~ ~d-
PLEASE REPLY TO - SIGNED
SIGNED
Itcm~F72 ,,; Whel!lcrGrouplnc.1978
THIS COPY FOR PERSON ADDRESSED
~
~
L
JEFFERSON COUNTY
Depa~tment of PublLc Wo~ks
TRAFFIC SIGNING PLAN
P~oject No.
f"',,"I U; P-- ~
Road Name:_~
__to M.P.
E..l(1~"1,t,)9
0.1+ tll:.l...D PjHl"'D
1'4~rAL.L. u.)1~1'" I
~,Oj,.oJ> ~~lOl.~~V'
J)
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'4C.,",P~ 0,':2.
use addLtLonaL sheets L~ necessary; LndLcate north by arrow
M.P. SLp,n DescrLptLon
-SIGN LOG-
SLze 'M.P. SL~n nescrLpt.ton
SLze
COMMENTS:
--P$ t '^ g ~ q: I L7'd Y "i:> 2.. 1 (:) 1
q:-l2o~-;;:'op t-0"'-Il".'RS.<:H.E-I,p ';-
.:520<; ..t. <:..\',<:>.,)
_"\,,,,'j-~d llG" /0'1 /8'i?,.
I I
_ w;:;,p hl1
Prepared:
dat"~t'
by ~,~~
Approved:
date.-Y'j",/R"r
b~~[3b<(~.JYr-
,1~
.19_&:3
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\.--. .
COUNTY ROAO NQ.~
ADDRESSING- ~YES NO
MILE POST q. '10 L,
OFFICE USE ONLY
PERMIT NO. .f~' /- J / 5
FEE PAiD V<es ~NO
OFFICE USE ONLY
C PL ...,-"-,"Z.,BS..C
25.00 ~
I"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 9B36B.
CHECK ONE:
o RESIDENTIAL
APPLICATION FOR ROAD APPROACH
00
COMMERCIAL
Application is he~by made for a pemit to construct, operate and maintain a road approach.
Please describe 10 action (8.ttac~ map or drawing) ("'r..I1-7,tAf' p,. ~!t4L A-cc€ c::c; ~I=f=.
/?,4\( 6',<l'{ R,.A-T"> 0'" fO."rH s;PF Allo"', 2.00 Etl5-r- o/=- ?A-I<!l-b..<.<: Bit\!
Rv w;r:,.".J -10 ~e 2,' -Ie i<P jO:N~~ ",,: r'" e,,;s;-;'1 /I;?f~~l1ctl
Applicant agrees to perform the work in strict compliance with the terms And conditions set
out herein, and ~ny special provisio!ls attached hereto.
Applicant Name!1h'/?,c /,.; I'/'tl/,/,?k'T)' Contractor Name <:fl-ot:i:>
Address ;PO 6't):x :2:.17' . Address chill1fk.I.A',v,
J.l'l-l)l-^,,-Ic.....
Contractor Signature .
Date ~~- CJ'IPI!J-
/;.}(i:.I'1vA-)-; "'?
R 0 f'ri).
Applicant Signature
Date /-,;, PI?
Note: Indemnity proviSions of paragraph" 2
:and '] -on treverse side.. .. ,', l:
PE R M I T il;\lU)IW[J{rI1l'\ii7iE1."'WJI~ii '!.
. .' , . ' /,,1 f U U1JlWt/L~IU) ,
Subject to the terns and conditions On the reverse side, PERMISSION IS. HEREBY GRANTED to"
Applica~t to construct, operate and ma'intain A,%oad approach.a~ requested ,above,~And ..aI1~.,
special ,provisio~s attached hereto.' . . :,1. ., ~'. ;'.' ,; ;' ';': .
. ~,', '. :. .:.. . '.... I' .;.' .
No work shall 'be done' under this permit until "the applicant or 'contractpr has notified
.! telephone .
Date
I~:l~ 67;"::
/J-rn-77f- K;~
APPROVED BY:
:> I;
~.: j"
"il'"
PERMIT INSPECTION !lEPORT'"
~Work covered by pemit'has been completed
satisfactorily. . .' I
.....:--J'Iork is not completed. -
--yecommend parmit be cancelled.
_TraffiC control - adequate
inadequate~
1.800.424.5555
REMARKS
INSPECTED BY'./.?, ~f( -rJ.. ."1 DATE' 1/~Z;2'S9>
Form 113-0 lR..,A 2-PZl'
L
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~
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GENERAL PROVISIONS
THIS PERHIT IS SUBJECT TO ReA 36.75.130, ,140 AND .150 AHD AM,"OMEN'S THERETO.
THE GRANTEE, ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNlY AND SAVE IT HARMLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERY KIND AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED 8't ANY PERSO".
PERSONS, OR PROPERTY BY REASON OF THE PERfORMANCE OF MY SUCH WORK, CHARACTER OF MATERIALS USED OR M},liNER'
OF INSTAlLATIONJ IN CASE ANV SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUSES, THE PETIT,IONER, US SUCCESSORS OR ASSIGNS WilL, UPON NOllCE OF COMMENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENse AND SATISFY ~y JUDGEMENT ARISING THERE FRo,", IF
DETERMINED AD\lERSE TO JEFFERSON COUNTY,
IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTV TO PERFORI1 THE WORK AUTHORIZED
~~D~~~~F~:R~~[o ~~~l1r~~:D A~~R~~FE~~ ~H~A~~U~~Y T~~ ~g~~~g~~~ 1~7T~a~H~ T~Rg~7~'~~~~ ~~ T~A~:~~r~~'2~G:~~eE:O
~Y T~~~A~~R~~ T~~ ~rNI~~ ~g~~{~~~;~o~Hea~~Q~~~~C~~i= ~~~~I: ~a~Ay~R s~:~tU~~s3~C~H~H~~R:E~~ltH~o G~::n~_
LATlON AS HEREIN PROVIDED,
DURING THE CONSTRUCTION OF THE FACILITV, THE GRANTEE SHALL COMPLY WITH THE MANUAL ON UNIFORM TRAFFIC: CONTROl
DEVICF~ FOil STREET~ AHD HIr.HWA't'!I PUBLISHED av THE U.S. OEPARTHCNT OF TRAHSPORTATlOH.
6. Oft COMPLETION 0' SAID WORK HEREIN COIHEMPLATED, ALL RUBBISH ANI] DEBRIS SHALL BI! IHHEDIATEL't REMOVED AHD
THE ROADWAY AND ROAOSIDt SHALL se LEH NEAT AHD PRESEtHABLE AHD SATISFACTORY TO THI! COUHTY. . . ~.'~'; ;
T.' THI! .cOUNTY RESERVES THE'RIGHT'TO ORDER THE CHANGE (I' LOCATION OR THI! REMOVAL 0' MY 'STRUCTURE 0,. STROCTURES
AUTHORIZED BY THIS PERMIT AT AH't TIME, SAID CHANGE OR RE/'tOVAL TO BE MADE AT SOLE EXPENSE 0' THI! PARry OR I~. .,
PARTIES TO WHOt1 THIS PERMlf IS ISSUED, OR TliEIR SUCCESSORS AND ASSIGNS.
.. ~.- 8.. ~~~ ~~~~r c7~~~~~ER:~~~N:I~~1~~Na~R T~~Lgat~}~~s B~O~~! A~~A~~~~E~~~~Lcg~N~$N~Hl~t. S~ttN~ ::~~E:E A~E~ltr~:~~1
... :-.. . <0 FOR AllY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK B't JEFfERSON COUNTY. ITS AGENTS OR REPRESENTATIVES,
:.~ . OR BY THE EXERC1SE OF ANY RIGHTS SY THE COUNTY UPON ROADS. STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION. .
-.~:" 9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON CONLETlOH Of THE WORK UNDER THIS PERl1ll SO'THAT
~... 'A FINAL INSPECTlOH CAH BY MADE.
.....-...
2. 0,1",
" @ 2,
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IE 4,
0 5.
0 6,
0 ],
lli(1 8.
SPt:CIAl PROVISIONS
APPLlCASLE PROVISIONS ARE DENOTED BY AN (X)
~o~g~~u~;lb~EA~~~~~rli~A~~ ~~lgHp~~I~O:I~~I~.~~~DC~~~~~~E~I~~~~O~~~A~~E~ENTS, AT ALl" ~IHE! ;DUR~NQ. THEt. ...._
. THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE WITH THI! ATTACHED DESIGN PLATE TVP!~ " :,.i.
APPROACH. A~FT.LENGTH OF -8- INCH DIAMETER CULVERT PIPE SHALL BE PLACE~.
DITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
~7~E~~~G A~~ ~~~F~~~D~A~~R T~~O~P~:~O~~E S~~~~E~iy I~H~~cg~~~~~E R~~~~.~~~w:~O~:t~ ~g;T:~L P~:MI~~Eb~AH.
THE APPROACH SHALL BE SUFFICIENTLV SURFACED BACK AN ADEQUATE DISTANCE FRO,.. THE EDGE OF THE PAVEMENT TO
PREVENT ANY MUD TRACKING ONTO THE COUNTY ROAD. ANY MUO TRACKED ONTO THE COUNTY ROAD SHALL Be II1MEDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARV TO INCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED FRO/'t BOTH SIDES OF THE
~:r~~A~~ALLT~~Tl~~I~~~~7};~6Eo~U~~~~~vO:o~~R~~~~~~~~wr~~BER OR DISFIGURING OF ANY FEATURE OF SCEHIC
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:ooA0I1. AHO q:QOP,H. UNLESS OTHERWISE AUTHORIZED BV THE
ENGINEER.
A SURETY BOND I.... THE AMOUNT OF $ , WRITTEN BV A SURETY COMPANY AUTHORIZED TO
00 BUSINESS IN TBE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE wITH ANY AND ALL OF THE
TERM~ ANa CONDITIONS OF THIS PERHIT AND SHALL REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AliD APPROVED BY THE COUNTy.
BEFORE ANV LOG HAULING OPERATIONS BEGIN, A SURETY SOND IN THE AMOUNT OF S~ . SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANV DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPLETE REMOVAL OF THE APPROACH AND CLEANING UP OF THE R1GHT~OF-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURED BEFORE THE BONO WilL BE RELEASED.
SPECIAL CONS10ERAflONS /J.-?/J!?I""1A-cH w:t...L {~e.. COAJ.5i..!.lAC"" e po 2S
W;DF;: ~ !<.l? j(l:-.......Je" Lu:j-H e.)(~S;-I'rJ~ rrPp/aOI'9c:.H.
Form 113 b
- . ~...._!- ~
/
~
COUNTI RO;'iJ NO.~
STATE LOG NO.
MILE POST ~TO .
9FFICE USE ONLY
PERMIT NO. '6Y -).-/~-3
FRANCH I SE NO.
FEE PAlO ~-rici
OFFICE USE ONLY
C e:.-c; -:;t 2 ->.fi-
JEFHRSO'R COUNTY
OEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
. Port Townsend, WA 98368
APPLICATION FOR INSTALLATION OF tlTlLlTlES
Appllcan t: /
Name ,OAi/:;.D v I~/poo
Contract.or:
Name \ ..k./,",rv / T.~. .//..-..1/
,/. ,/
Address /(1 /,.1 ;::'.,." \I, J ,'{!o<,-,/ Address
<-l~J
C/SI::rlt<Jc..l-<---=:-/ (A..)..""
phone: '"";I f'~' -<;r'c) {, rib phone: .~:?:;~ 3 h.~J '"1__
Application is hereby made fer a penn it to construct, operate and maintain
;::~ /.A.~'~ ..I '.....1 .~ -/,('J.. .D/~(~ rf\j (" c.')r"/} t'~I'? (A-ee';/
rot:...r:-/ a... 11,\ 8/1 / jI "
The utility ins allation is located (attach map or drawing)
1/) 6r1/'lo
o/,'~ ':','"1,,,
,
r,'l
Appl icant agrees to perfonn the work in strict compliance with the tenns and conditions
set out herein, and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this fonn and any special provisions attached hereto.
Appl icant Signature:
g,~) ~~/
{/
Oa te: B ;;"6, 8<1'
PER M I T 1,\\\!)\.\i)\I[ll~IJ~~\u
Subject to the following tenns and conditions. PERMISSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above.
Thi s penni tis condit ioned upon Appl i cant's compl i ance wi th Jefferson County Ordi nance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this fonn and any special provisions attached hereto.
No work shall be done under this pennit until the Applicant has received instructions to
proceed from ' telephone
APPROVED BY: /i u,:;/'/f- )<',,'~~.vl Date: z.-/6-8H
[ZI NOTE SPECIAL PROVISIONS ON REVE~SE
/11111/11111< II II I II II I I III I I 1/ I 1/111 I I 1//1 I
PERlHT INSPECTION REPORT
@
f-.W~rk covered by pennit has been completed satisfactorily.
Work is not completed.
_ Recoomend pennit be cancelled.
Traffic control adequate; inadequate. 6 8"
_, _ - ->;.( ,21- v
REMARKS: 6pe", "v.\' hAc> "'~, Re,e...J 0,4->-< rfeh
INSPECTED'BY: /.L~<_J!... ~' Date: 1/-2'2.-88
1.800.424.5555
L
~
~
General Pr01hlons per Jefferson CountyOrdl
\ 2.BI and \lAC 136.41;1,
1. All lIork done under uld fr<1nchlse shall be done In a thorough and workmanlike manner, In the laying 0' underc;lround pipelines .nd catlin and the
con'itructlon of ather facilltlu and the opening of trenches, the tunneling under county roads, rlghU.of...~y or other CO~l'Ity properties, the grantee
shall luve SuCh trenChn, dltchu and tunne1\ in SUCh a way as to Interfere n little u ponltlle with nubltc tra1el and sn.1I take all due al\d
necessary precautions ta guard the \ame ~o that dailllge or Injury Shall nllt occur or arhe tly reuon of such ...ork; and ..here any of SUCh trel'lches,
dItches or tunnels are left open at night, the grantee shall place warning I I~hts and tlarrlcades at ~uCh a posHton n to give 4deq~ate Ilunlng of
SUCh wor.... The grantee Shall tie I fatlle 'or any Injury to person or persons or damaqe to property ~uHained throuqn Hs carele\\nen or neglect, or
thl'Ollgh any f~!1ure or neglect to properly guard or give ...arlltng of any trenches, dHclles or tunneh dug or m"lntalned by the I]rantee.
1. The grantee, Its succenors or ass lqns, ~ha 11 CQrrll1ence construct Ion under such permit granted tly the County Enq I neer ...ltllln the time period stated
In SUCh permH and Shall h<1ve cOOlpleted and have In operatlOr\ SUCh portion of the system of improvemencs as moiy be specif1ed III such pemlt or the
rights therein conferred upon the grantee shall cease and temina te insofar as unoccupied streets, roads, etc., are concerned.
3, The grantee shall leave all streets, avenues, alleys, roads, hlqhllays, rlghts.gf....ay and ot her county properties, after laying and Insul\lng
m<1lns and doing construction ItOrk,m.lking repairs to equipment, etc., in as good and safe condition In all respects as they "ere before thecCWT1'11ence.
mo!~t of 5Uch \<tOrk tly the grantee, its a~ents or contr~ctors, ~nd all recorded monllments IlhtCh have been dtst\lrbed or dhplaced by the OlOr\ shall be
r~set to the specifications and approval of the County Engineer..
(. I 1'1 c~se of any damage to sa t d streets, avenues, a l1ei's, roads, hi qhways, rI gilts-of ,"ay or other coun ty propert I es. or to paved or surfaced road-
"'dyS,turn.outs, gutters, d1tches, wood or concrete "alkS, drain pi pes,handorembankmentral1s,tlridges. trestles,...harves, landings or IT'(lnufrll!nts
~I the qrantee, the s41d grantee agrees to re:l4 I r such damage at the earliest time pass Iblt at Its Olffl cost 4nd tApense.
i. '~hen the County Engineer detemdnes that 41'1 emergency situation does e.ist, he may order and have done allY and all work considered necessary to
restore to a safe condition any SUCh street, avenue, alley, road, high\<lay, rlght.of....ay or other county property left tly the grantee or agents in"
condition dangerous to life or property. J-le may cause to be replaced or reset recorded monuments If a grantee fails to replace or reset \aJ'll! lIithln
a reasonable time after completion 0' construction. The grantee, upon demand, shall pay to the COunty all costs of such construction or repair and
ofdo!nqsuch...ork.
6. All construction or inst"l1atlonOfmalns. valves, pipes, pales, cables, \lnes ftttlngand 'acilltles, service, repalr,or relocation of the
same, perfonnedalong, overand/or under the county roads, rights.of .way or other county properties subject to said franchlseShall be done In such
. manner as not to Interfere "Ith the construction, operation and maintenance of other utilities, putlllc or prhate, drains, dratn4ge ditCheS and
structures located theretn, nor ...ith the grading or Improvement of SUCh county l'oads, rights.of.llay or other county propertlu.
7. The o..."ers of all other utilities, public or private, Installed in such county roads, rlghts-of.way or other county properties prior in time to
the lInu and facilities 0' the grantee shall have preference as to theposltton 4nd 10cattol'lofsuchuttl1tles so installedlllth respect to the
gr~ntee. Such preference sha 11 continue In the event of the necess I ty of re 1 ocat Ing or chang I ng the grade of any such county road or right.of .way.
B. The grantee, as far as practicable, Shall construct new utility facilities underground. EAtenslon of overhead facilities 'ollowlng streets,
avenues, w4yS, boulevards or thoroughfares shall be undertaken only with the approval of the County Engineer; PROVIDED, ho...e1er, that said a:lpr01al
shall not be unreasona:!ly ...ithl\eld. Grantee shall convert e_lstlng overhead facilities to underground facilities <is and ..hen equlpmellt replacement
ls undertaken, or "'''en other edHlng overhead ulillties are placed underground, unless such replacement ls unsafe, IrTllractlcal, or economically
unreasoMble. Line e_tensiOIl policies and procediJres established by the grantee, and untfonnly applied through its service area, shall be the
stan~ard III detemllnillg \<lllat is "practical, Impractical or economically unreasonable" under this ordInance; provided that no new Overhead utility
facilities Shall be constructed or esUtlllShed In any area set aside for public park, ~chool, playground or athletic field purposes.
9. SoeclalPrQvlsions:
triverrrC'NJ)
{>..041:> Wr+!" SIlHLL Be trl7~l'Ie b
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IN ;.,."11
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Port
Ludlow NO 1
SECTION
JEFFERSON
9, T 28 N, R IE, W. M.
COUNTY, WASHINGTON
HOllTON OENNIS e. ASSOCIATES, INC.
CONSULTING ENGINEERS
IIlA.CM,II'1
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UNPLATTEO
5~al" I"~ . 100'
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COUNTY ROAD NO.~
STATE LOG NO.
MILE POST &03 TO,;?,ZI
9FFICE USE ONLY
'''".''IT NO.<;"T.-'/. _,('>.(
FRANCHISE NO.
FEE PAlO _Yes _No
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLI C WORKS
Jefferson County Ceurthouse
Port Townsend, \o!A 98368
APPLICATION FOR INSTALLATION OF IlTIllTlES
ApPlicant,u) , " Contractor: ~/ I r;-, "
Name fG)f,e, f:.eS[)u,ce::; Name <.,)hf~k i:;1//iiJ';'/hi:J
Address. 60 i11 'P&P'U();'~('15."ym,hddressYOI 00'1< 17q
.s~,:le*'1 . lI({~IIDd.: CZR339
Phone: '-Por! .<..vd/ou) C;?/.3bS Phone: _3 SS - O<fSo
Application is hereby made for a pennit to construct, operate and maintain 0 It :z: D..,
.S~(1i ;'lor v' Si'c;l e .5 e,<,Je.r
,
The utility installation is located (attach map or drawing) SOo';&, 'E'a<;-I- .5IJe
O..{ "Pcv'aJiSE' '7S("';I ~d _
App1 icant agrees to perfonn the work in strict compliance with the tenns and conditions
set out herein, and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this fonn and any special provisions attached hereto.
Applicant Signature: C, ~ tt-fJ Date: 7-/R- '815
PERMIT
Subject to the following tenns and conditions, PERMISSION IS HEREBY GRANTED to Appl1cant
to construct, operate and maintain utility facilities as requested above,
This pennit is conditioned upon Applicant's comp1 iance with Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this fonn and any special provisions attached hereto.
No work shall be done under this pennit until the App1 icant has received instructions to
proceed from , telephone
APPROVED BY: J\ ",4- K'..:L/) Date: 7'1,0,-88
['~:hOTE SPECIAL P'ROVISIONS Orl REVERSE
{I I II I I I I I I I~ II I I I I I {I I I I{ I I I II I I I I {I I I {I I I 1
PERMIT INSPECTION REPORT
1.800.424.5555
L
~ Work covered by pennit has been completed satisfactorily.
Work is not completed.
_ Reconrnend penn it be cance 11 ed.
_ Traffic controtadequate; _inadequate.
REMARKS:
INSPECTED BY: jJ ..uHt-I<A~ Date: /1-7 '2.-?,$\
1
~
~
General Provisions per JeHe:r\on County Ordl ~ 2.81 and ,"At lJ6-40.
1. All ..ork done under said franc:hlse shall be done In a thOrouqh and wor~manl ike manner. In the laying of under<;lround pipelines and call1eli and the
construc:tion of other hc:illties and the opening of trenc:hes, the t1.mneltng under c:ounty roads. rightli-of-..ay or other co..nty properthS, t~e grantee
shall luve suc:h trenc:hes, ditclles and tunnels in such a ..ay as to interfere as little as possible with flublic tra~el dnd snail take a\1 due a.,d
necessary precautions to guard the same so that dar:'dqe or injury shall not occur or arise by reason of liuc:h "orlq and "here any of such trenches,
ditc:heli or tunnels are left open at ni91lt. the qrantee shall place warn!nq IIl]hU and barricades at such a position as to qIYe adequate I14rnlng of
such ..ork. The qran~ee Shall be liable for any injury to perlion or persons or damage to property Suliuined tllroul)h Its carelessness or neglect, or
throllqll any f~nure or neqlec:t to properly quard or 9ive "arnlnq of any trenches, ditches or tunnels dug or maintained tly the l]rantee.
2. The qrantee. Its successors or assigns, shall ConT"encec:onstructlon under such permit granted by the County Enqlneerllithln the tilTll! ceriod sUted
in suC:h permit and shall ha~e completed and have in operation liuch portion of the system of improvements as may be specified in such per"lltt or the
rights therein conferred upon the qrantee lihall cease and terminate insofar as unocclJpied streetli, roads, etc., are concerned.
J. The grantee shalllea~e all streets. henues. alleys, roadS. hiqh"ays, rll)hU-of-way and other county properties. after laying and InHalling
mains and doing conHruc:tion IlQrk, making repairs to equipMent, etc., in as good and safe condition in all resoects as theY'olere before the cl,JT'l11ence-
~nt of liuch work by the grantee, its aqenU or contractors, and all recorded monuments Ilhich ha~e been disturbed or displaced by the 0101''' shall lie
reset to the soedflcatlons and approval of the County Enqlneer.
4. In cue of any damage to said streets, avenues, alley~. roads, hiqhways, riqllts-of-"ay or other county properties, or to paved or surfaced road.
Ilays. turn.outs, qutters, ditches, wood or concrete 'olalks, drain pipes, hand or embankment ralls, bridqes. trestles, ""harves, landlnqs or mcn....ments
tly the !)rantee. the said grantee agrees tCl re~air such damage at the earliest time pOHitlle dt its own tost and e~pense.
S. '.Ihen the County Enqineer determines that an emerqency situatlCln does exist, he may order and hdve done any and all work considered necessary to
restore to a sa fe cond it I on any such 5 tree t, a~enue, .\ 11 ey, road, hi l)hway, ri ght-Clf -way or other county property 1 e ft by the 9rantee or agents t n a
condition dangerous to life or property. fle may cause to be replaced or reset recorded rnonl/lllenU if a grantee fails to replace or resetHIl\t ..\thIn
a reasonable time after COl11pletion of construction. The grantee,uPClndemand, shall pay to the county all cOlitsof such construction or repair and
of doIng such work.
6. All construction or Installation of mains, val~es, pipes, poles. cables. lines fitting and facilities, service, repair, or relocation of the
same. perfClrmed along, o~er and/or under the county roads, righu-of.\;ay or other county properties subject to said franchise Shall be done in such
a manner as not to interfere with the construction, operation and maintenance of other utIlities, putllic or private. drains, drainage ditches and
structures located therein. norllith the grading or lmprovelllento fsuchcountyroads, rlghts-of.'olay or other county propertIes.
1. The o\ll1ers of all other utilities, public or private, installed In such c:ounty roads. rlghts-of-..ay or other county properties prior In time to
tht lines and facilities of the grantee shall have preference u to the position and location of such utilities 50 installed with respect to the
grantee. Such preference shall continue In the event of the neceultyof relocating or changing thtgrade of any such county road or rlght-of-"ay.
8. The grantee, as far u practicable. shall construct new utility facilIties underqround. htension of o~erhead factlities follOwing streets,
avenues, ..ays, boulevards or thorou91lfares shall tle undertaken only \;\tll the appro~al of the COunty Engineer; PROV 10EO, lIo"e~er. that Hid approYll
shall not be unreasona:!ly Ilithheld. Grantee shall convert e~httnq overhead facilities to underground hctlities as and \;hen equipment replacement
is undertaken. or w~en other existing overhead utilities are placed underqrOund, unlus such replacelT'ent 15 unsafe, irf1lrac:tlcal. or economically
unreasonable: \,ine extension policies and procedures established by the grantee, and unlfonnly applted through its service area, shall be the
St.AM.u.1:,i,ll."".m, ining .~nat 15 "pract,'cal, impractical or economically unreasonable" under this ordinance; provided that no new overhead utility
fl'lfr~l'\l'rf:?:lj~ffl{lnWiin or establ15hed In any area set aside for public park, school, playground or athletic field purposes.
9.,.. spec~a! iPro~;I:S.i~on;~ri! f ~. I ,
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PORTLAND. NEWPORT' EUGENE
SEATTLE. TACOMA' SPOKANE
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Jefferson County
BOARD OF COUNTY COMMISSIONERS
Pori Townsend, Washington 98368
. phone (206)365.2016'
LARRY w. DENNISON, DISTRICT 1
B,G. BnoWN, DISTRICT 2
JEFFERSON COUNTY counTHOUSE
NAT10tlALHlstOnlCSlIE
ponT TOWNSEND, WA5ltlNOTOtl
GEORGE C. BROWN, DISTRICT 3
MITIGATED
DETERMINATION OF NON-SIGNIFIANCE
AND 'LEAD AGENCY STATUS
DATE: August 22, 1988
PROPONEtfr: Jefferson County Public Works Department
PROPOSAL: The proposal is to grade apprOXimately 2,000 cubic yards of gravel
from an area adjacent to the existing channel of the Dosewallips River ,at the
Lazy "C" developnent in Brinnon. The excavation would parmi t flood waters to
flow through an old channel and thereby reduce the velocity of flow past a
bank downstream where erosion is threatening two homes and septic systerrs. The
excavated gravel would be pushed against the bank of t.he old channel.
MITIGATIVE MEASURES:
1. The area of willow and alder between the main channel and the proposed
overflow channel shall not be disturbed during construction.
2, No work shall be undertaken in the flowing channel of the Dosewallips
River.
LEGAL DESCRIPTION: The site is described as Lots 31-33 of the Lazy "C" Ranch
DivisOll I .11 thin the Northwest Quarter of Section 34, TCMlShip 26 North, Range
2 West, 111.
NOTICE OF L&\D AGENCY: Jefferson County has determined that it is lead agency
for the abcve-described proposal.
NOTIGE OF NON-SIGNIFICANCE: Jefferson County has determined that the abcve-
described proposal would not have a probable significant adverse impact on the
environment and an environmental impact statement is not required under ROW
43.21C.030(21 (c). This decision was made after review of a completed
environmental checklist and other infol1nation on file with the Jefferson County
PlaJU1ing and Building Department.
CCM<lEtfr PERIOD: This determination is issued pursuant to WAC 197-11-340(2).
Jefferson County will not act on the above-described proposal for at least
fifteen days frcm the date of this determination. Comments must be submitted
by WEDNESDAY, SEPTEMBER 7, 1988. Please subnit conunents to the Jefferson
County planning and Building Department (PO Box 1220, Port Townsend, Washington
98368) .
~~1()
B.G. Brown, Chairman
Jefferson COlUlty Board of Cotlunissioners
c: Washington State Department of Ecology
W--:tShington State Department of Fisheries
point No Point Treaty Council
Lazy "e" Ranch
Jefferson Gounty Public Works Department
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JEFFERSON COUNTY-CITY OF PORT TOWNSEND
SHORELINE SUBSTANTIAL DEVELOPMENT PERMIT EXEMPTION
WASHINGTON STATE SHORELINE MANAGEMENT ACT (RCW 90.58)
PROPONENT: JEFFERSON COUNTY PUBLIC WORKS DEPARTMENT
DATE ISSUED: September 19, 1988
CASE NUMBER: XMP88-0051
ARMY CORPS PU8LIG NOTICE: N/A
PROPOSAL: The proposal is to grade approximately 2,000 cubic yards
of gravel from an area adjacent to the existing channel of the
Dosewallips River at the Lazy "C" development in Brinnon. The
excavation would permit flood waters to flow throLlgh an old channel
and thereby reduce the velocity of flow past a bank downstream
where erosion is threatening two homes and septic systelns. The
excavated gravel would be pushed clgainst the bank of the old
channel.
The development is proposed to be within Oosewdllip~? Rivers
and/or its associated wetlands.
LEGAL DESCRIPTION, The site is described as Lots 31-33 of the Lazy
"C" Ranch Division I within the Northwest Qua!~ter of Section 34,
Townsll'ip 26 NOf,th, Range 2 West, WM.
FINDINGS,
1. The proposed development is found to be consistent with
Subsection 3.402(7) of the Jefferson-Port Townsend Shoreline
Management Master Pr'ogram. It is emergency construction necessary
to protect property from damage by the elements.
2. The proposed development is found to be consistent with the
following, applicable policies and performance standards of the
Jeffer'son-Port Townsend Shoreline Management Master Program:
Section 5.70, "Dredging."
3. The proposal is a substantial developlnent. It wOllld have a
cost exceeding $2,500, and would therefore normally require a
shoreline substantial development pernlit.
4. The pr'oponent has studied this sitlJation and discussed
alternative proposals with affected property owners and agencies
for several months. By the time an acceptable proposal was agreed
to, ther'e was not suff icient time to complete the shoreline
development permit process and perfol'm the work before the
Washington State Department of Fisheries closes the river due to
upstream salrnon migration.
5. If the work is not performed before winter flooding occurs,
XMP88-0051
frm_007a
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there is a high lil~lihood that damage could occur to two residences
and their septic drain'fields.
6. A menlorandum from the Jefferson County Planning and Building
Department to the Washington State Department of Ecology Shorelands
Division dated August 9, 1988 addressed the question of whether
this situation constituted an emergency under WAC 173-14-040(d).
No response was raceived from the Department of Ecology.
7. The proposal was reviewed according to the Washington State
Environmental Policy Act by Jefferson County as the lead agency. A
mitigated determination of non-Significance was issued on August 8,
1988. The mitigating conditions are incorporated into the
cond'itions of this exemption.
CONDITIONS,
1) This approval pertains to Jefferson-Port Townsend Shoreline
Management Master Program requiremsllts only. The approval of any
other agency with jurisdiction or any other required permits shall
be obtained prier to undertaking the project.
2) Worl~ within the jurisdiction of the shorelin~ progr'oln other
than described above shall receive separate review Blld approval
from this office.
3) No fill or other material may be placed in the waters or
intertidal areas of Jefferson County.
4) The area of willow and alder between tl,e main channel and the
proposed overflow channel shall not be disturbed during
canst r'uc t i on.
5) No work shall be undertaken in the flowing channel of the
Oosp-wallips River.
6) This exemption shall expire after' October 30, 1988, Any work
performed after' that time shall reqLJire a shoreline substantial
development permit.
NOTICE: This exemption does not axellse the proponent from
complying with other local, state, and Federal ordinances,
regulations, or statutes applicable to the proposed development.
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James W. Pearson, ~6sistant Planner
Je1ferSon County Planning and 8uiicling Department
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XMP88-.0051
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HYDRAULIC PROJECT
APPLlCA TIOH
(R.C.W, 75.20.100)
CEPARTMENT OF GAME
600 Capitol Way North
Olympia, WashIngton 98504
(206) 753'5897
DEPARTMENT OF FISHERIES
PLEASE PRINT OR TYPE
DO NOT WRITE IN SHADED
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FIRST
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General Admin. Bldg.
OlympIa, Washlnglon 98504
(206) 753.6650
[!QJ LAST NAME
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DESCRIPTION OF WORK, METHOD, AND EaUIPMENT
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fi!J OTHER PERMITS
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PROPOSEO FINISHING OATE
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IT IS UNDERSTOOD THAT NO WORK WILL
BE STARTEO UNTIL A SIGNED APPROVAL
IS RECEIVED
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G, Nesbitt, P.E., County Engineer
November 30, 1 ~ee
SECOND REVISED FAIR OFFER LETTER
Hr. Reed Charles Gunstone
P.O. Box 216
Port Townsend, WA 98368
Re: Point \~Ilitney Road Improvement, Projeet I~o. CR0528, Pareel
No. 528008
Dear Hr. Gunstone:
Thank you for' forwarding the timber appraisal by Mr. Webb
for evaluation by the County. After review of this information,
the County offers the following to purehase the needed right of
way:
Un-improved 0.007 aere (305 square feet,
more or less at $O.40/sq.ft., round~d)
Administrative Settlement
Merehantable Timber
$150.00
&; 43.00
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Total Offer
Partieulars of the property rights to be aequired are
eontained in the eonveyance you previously reeeived.
Payment for your property will be made available to you
wi thin 30 days after you aceept the offer and tender the
eonveyanee provided there are no delays in closing the
transaction due to title elearance. The date on which payment is
made available to you will be the possession date, and the County
beeomes the owner of the purehased property.
I hope everything is satisfaetory. If you need any further
information, do not hesitate to contaet me.
~k
Construction Engineer
xe: CH0520,Par.#52dOOB
PIIA02 V
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Slreet
P,O. Box 1220
Pori Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
November 30, 1988
SECOND REVISeD FAIH OFFeR LETTER
Hr. Charles W. Gunstone, Jr.,
and Irene Gunstone
P. O. box 216
Port To~nsend, VIA 9836B
He: Point Hhitney Hoad Improvement, Project No. CR052H, Pareel
Ilo. 52ci016
Dear Mr. and Mrs. Gunstone:
Thank you for forwarding the timber appraisal by Mr. Vlebb
for evaluation by the County. After review of this information
and the other information you sent, the County offer's the
following to purehase the needed right of way:
Un-improved 0.260 acre (11,325 square feet,
more or less at $0.45/sq.ft., rounded)
Administrative Settlement
Appraisal Reimbursement (Statutory Limit)
Merehantable Timber (Per Review Appraisal)
$5,U96.00
$1,461.75
$ 200.00
$4,154.15
Total Offer
$10,911.90
The above total amount is based on the appraised value of
the land as determined by Jefferson County through the appraisal
proeess, an administrative settlement, the statutory amount
allo~ed for reimbucsement for an appraisal, and the revised
appraisal of the merehantnble timber per the review appraisal
(ene losed) .
Particulars of the property rights to be aequired are
eontained in the eonveyance, and shown on the revised plan, that
you received earlier.
100% Recycled Paper
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Payment for your property will be made available to you
within 30 days after you accept the offer and tender the
eonveyanee provided there are no delays 'in elosing the
transaetion due to title clearanee. The date on whieh payment is
made available to you will be the possession date, and the County
becomes the owner of the purchased property.
I hope everythin& is satisfaetory. If you need &ny further
information, do not hesitate to eontact me.
Sincerely,
~~-
Construetion Engineer
Enelosure
xc: CH0528,P&r.1528016
PHA02
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TIMBER APPRAISAL
CR052tl
Parcell! 528016
Analysis and eorreetion of the timber appraisals by Hendriekson
and Webb for Pareel 528015 on CR0528, Point Whitney Road.
Hr. Hendriel<son appraised the timber On all parcels on this
project for the purpose of right of way aequisition in August of
1y87 and provided an update for parcel 528016 in May of 1988 due
to ehanging market eondi tions and a re-design of the project on
this pareel that eliminated the cul-de-sae.
Mr. Webb provided a review of Mr. HendriCkson's timber appraisal
on Oetober 24, 1988 at the request of the Gunstones, the owners
of pareel 520016.
In reviewing the appraisals, it is noted that the timber value by
grade are similar with any differences being attributed to time
diffel'ences of the appraisals. However there is a eonsiderable
differenee in the net stumpage eost beeause of two faetors. One
faetor is that i;ebb used $97.95 for produetion cost ineluding
timber tax and Hendrickson used $118.00 for production eosts for
Doug. Fir and $124.00 for Cedar. The second factor in the
differenee is that Webb used Hendrieksons volume from the first
appraisal of August, 1987, whieh ineluded the area of the now
eliminated eul-de-sae instead of the revised volume of the May,
1908 appraisal.
Using Hendricksons volume and Webbs values, the total value is as
follows:
Doug. Fir:
(10.8400.520$395)+(10.8400.26*$390)+(10.840*.10*$220)+
(10.840*.12*$12tl)= $3,730.69
Cedar:
(5.900*1.00*$350)= $2,065.00
Board foot volume
Delivered log value
Production eost
16,740
$ 5,795.69
$ 1 .422.90
Sub-Total
Timber tax @ 5%
$ 4.372.79
($ 218.64)
~ 4,154.15
TOTAL STUMPAGE VALUE (eorreeted)
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Washington State
Department of Transportation
Transport,llion BlJIldrr'lg KF.Ol
01 ,~~lp~,l W,1511l1lUtOIl 9A504.5201
!20tJj753.G)iJ!.'
Duane Berent.on
Secret,lryol Trun<;pmt,Jti!Jn
November 18, 1988
Chairman, Board of
County Commissioners
FAS status Report
November 1988
File: A-40
Attached for your information is the status report of the
Federal Aid Secondary (FAS) program. The total funds
available as of November 1988 are shown in Column 7.
The status report is supplemented by a
reflecting the amounts shown in Column 3,
1973",
computer listing
"Obligation Since
In accordance with WAC 468-18-080, funds allocated to a
county shall remain available for 36 months after the
allocation is made. Funds not obligated within the 36 months
shall be subject to withdrawal and redistribution to other
counties.
Special attention is directed to column 4, "Must Be Obligated
By 10/1/89". Column 4 represents funds which will reach the
36 month deadline October 1, 1989. We recommend that
counties with a positive balance in Column 4 take the
necessary action to obligate these funds by October 1989 in
order to avoid redistribution.
If you have any questions, please call your District State
Aid Engineer.
Sinrelr'
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1 STAN A. MOON (J.
State Aid Engineer
SAM:kas
TP
Attachments
cc: E., W. Ferguson
E. Geissler, CRAB
L. Porter, FHWA
Oistrict State Aid Engineer
County Road Engineers
RECEH/ED
NOV 1'1 1988
JEFFERSON COUNTY
PlIBLlC WORKS Di=PT
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STAlUSOf 'FAS' fUNDS
IIOVE!BER1!66
111 121 131 141 151 161 111
111+121-131 1511\61
COUNTY ACCU!ULATEO AOJUST!ENrS OBLl6ATED NUST6E 1!66 1!8! TOTAL FUNDS
ALLOCHllONS SINCEI!7l 06L16ATED ALLOCATION ALLDCATlON AVAILA6LEFDR
I!7lTHRUt!87 6Y1010118! OBLl6ATlDN
11I1111I1111 11111111111111 111111111 1111111111 11I11I11111 11111I11111 11111111111111111111111111
Aom 12,185,m 2,760,346 -l94,m Im,030 Im.llS 54,512
ASOTIN 1860,676 m,m 117,m 112!,177 11l2,O67 378,m
6ENlON '1,429,836 1,343,754 86,062 1lS7,610 1158,993 402,m
CHELAN 11,357,482 1,206,192 176,790 $139,727 1118,478 m,m
CL~LlA! m9,937 m,m 31",494 1109.971 1106,987 m,m
Cl~RK 12,2!7,BlS 2,190,203 107,622 1lS),m 1152,S82 414,163
CO~U!BIA 1721,681 11I,l70 90,lII 1103,502 1102,m 2!1,36!
COlLlTl 11,2Jl,l62 58,311111 1,130,Bll 61,Ob! 1lS1,)71 1150,016 lb2 , 4SO
DOU6LAS 12,331,437 2,t!I,467 131,!50 $291,099 1266,495 71b,l44
FERRI 11,424,01! 1,17),110 250,60! 1116,11b 1144,86! 511,b!4
FRANKLIN 11,7S6,165 l,m,6l6 -20,b!l $217 ,3~4 $215,410 412,071
6ARmLO $Q02,IM 163,667 416,2!7 mO,171 112!,502 678,170
6RANT 1),451.126 3,612,126 -110,6!8 m7,!1b Im,b17 m,m
6RAISIIARDDR 11,182.!!3 1,911,791 -436,798 1182,422 117!,506 -74,616
ISLAIID $928,0(13 1,013,003- -6l,000 m,m m,117 110,774
JEFFERSON '58J,(26 ~69,(8& J3,946 m,Ol! 174,368 161,m
UIIO $6, 07(',~55 -56,311111 5,l78,7!3 m,m 1174,m 1162,073 76!,!S3
1.11S,P S1, 9b8,~.Q2 1,419,103 m,l!! Im,m 1211.561 m,m
mrms ,e;7,477 1.0S!,m -211,772 '95,739 m,60t -22,132
'L1CUIAT '1,O~2, lb9 2,m,H3 -462,914 1261.342 s259,~05 57, ~73
LEilS 11.4S!,B72 2,067,145 -m,m 11S1,6&S 1lS1,100 ~293,bll
LINCOLN l2,bb9,221 3.2(14,954 -535,733 1417,88! 1421.844 304,000
NASON 1551,153 1,10&,m .m,156 184,m IS3,14l -84,m
Dr4N06A~ 12,7!E,m :,\02,899 m,b78 $377,782 1374,103 1,447 ,613
PACIFIC 18\5,166 ~lfJ, 215 -b2.V47 169,:70 16E, 472 l1S,m
PENOOmLlE fl!047,7Bl eS5,,65 Ib~,49b 1141.021 IIH,042 I14,m
PIEm ,~.. 578,126 ,,'6!,604 !oe,m 1200,m 1160,275 1.2b!,m
SAi:JUAN UQ3,35b &41,4!0 '14E,1l4 $53,(145 $52.510 -42,519
5r~6IT SI,53i.8Z7 1,l133,813 -34b,066 11!9.241 116!,7bb 41,941
Sr.A!,IIIA $ld,SI;S ~3~"BU -67,27B \5&,m $56,417 46,015
SNOIIO~ISH n,24i,Obb 2 ,o~~ I 603 &07,113 s2M,517 llO!.S69 lfn~,,549
SPor~ll, 1&,441,'66 7,154,777 -m,m 1479,'!0 1419,544 246,245
mIENS $:,602,718 ,,1!1.('93 H1,m 1278,161 1254,149 914,435
THURSTON ':, 00~ I ~98 ,,0J!,760 -n,2b2 Im,m 1lS&,429 279,420
i~HW'U! I4lS,50S 40),807 -28,299 150,457 150,006 72,1114
.AL~A W~LlA $2,123,352 1,343.180 760,172 1278,161 $274,391 1,332,724
iHmO! $l,nO,240 1.732,%4 57,276 $217,354 1229,514 504,144
iHm~N $2,962,445 1. ~~b,{)42 -403,m 1)9UOI '191,072 382,076
IAlIN~ n."40,9~5 :,,110,180 1JO,m 1443,lbI I4lB,511 1.013,02)
!OTAL 16,01:,048 10 $74,~%,923 lI,m,llS 11,95,,521 17,860,111 117,186,360
1,1'TNAHSFERWiEENCOUNTIES
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Jefferson County
Fire Protection District No. 2
P.O. Box 433 / Quilcene, Washington 98376
September 14, 1988
n
Jefferson County Dept. of Public Works
P.O. Box 1220
Port Townsend, Washington 98368
Dear Nr. RO\'I'e:
Your letter of 8/23/88 and attachment concerning petition for naming
certain roads within our fire protection District was reviewed at
our regular monthly business meeting held on 9/12.
As a Board, we wish to express our concern for naming road segment
"A,t, as shown on the attachment, ,rLindsey Road'!.
-'.Within Fire Protection District #2 boundaries there is an existing
road named "Lindsey Beach" road.
Time is of the essence in certain situations. We feel that confusion
could be possible either in the dispatch or response of emergency
equipment if road names are similar. In this case "Lindsey Road"
and "Lindsey Beach Road" are synonymous.
Sincerely,
~'nu~f/~
Thomas L. flurkowski
Chairman of the Board
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O, Box 1220
Pori Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Rober' G, Nesbitt, P.E., County Engineer
November 29, 1988
MEMORANDUM
TO: Board of County Commissioners
FROM: Gary A. Rowe, P.E. ~~ Q.12-
SUBJECT: Salary Administration Committee
As of January 1, 1989, I am removing myself from the Salary
Administration Committee and the Salary Review Committee. Since
I served on the Salary Administration Committee as a representative
of appointed department heads, my replacement should come from
these ranks. Since David Goldsmith served as my substitute on the
Salary Review Committee, he should replace me on that committee.
Thank you for the opportunity to work on the committee and
previously during the implementation of the system.
cc: Mary Gaboury
David GOldsmith
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MEMORANDUM
TO: David Goldsmith
FROM: Gary Rowe, Risk Manager
DATE: November 15, 1988
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Street
P.O, Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P,E., Director
Rober' G. Nesbitt, P.C., County Engineer
~
SUBJECT: Accident Report - Janet Welch
Will you please review the accident report turned in by Janet?
Does she have insurance? I have attached our new accident report
form along with old form turned in by Janet. Please fill it out.
Prior to approving a claim (if there is one), the review panel made
up of the Board Chairman, Prosecutor, Sheriff, Auditor, and Risk
Manager, will make a recommendation to the Board of County
Commissioners. Your input is appreciated.
100% Recycled Paper
~
COMPANY JEFFERSON COUNTY
ACCIDENT I~JVESTJGAllON REPORT
I CASE NUMBE~
DEPARTMENT Public Works
1. NAME 01 INJUREO
.vA
6. HOME ADDRESS 'J)I'I oCt(: ...}Il)t."j l.IJf.c..C(.,'
"/::'c'. /(/:"'1. T...."(
11, EMPLOYMENT CATEGORY
o Regular. lull.llme 0 Temporary 0 Nonemployee
o Regular, pal1-1lme 0 Sea~unal
13, NATURE 01 INJURY and PART 01 BOOY
).)//1
14. NAME and ADDRESS 01 PHYSICIAN
,AJj/I
15, NAME and ADDRESS 01 HOSPITAL
~//7
Ie, SPECIFIC LOCATION 01 ACCIDENT
(lou.,//'/l/,rl' n-1.ffflrl' /r,r
, J
ON EMPLOYER'S PREMISES? ,c, Yes 0 No
20, DESCRIBE HOW the ACCIDENT OCCURRED
ADDRESS P. O. Box 1220
LOCATION (il dlllerenlllom mailing address) Safety Coordinator
/I)f?7Ef Oil ~/r'
9, LENGTH 01 EMPLOYMENT
o less than 1 mo. -g' 6 mos. to 5 yrs.
01.5mos OMoreltlan5yrs
S'!:I-i(
10. TIME in OCCUP. al TIME of ACCIDENT
o Less than 1 mo. G 6 mos. 10 5 yrs
01.5mos o More lharl Syrs
IJ/II
12. CASE NUMBERS and NAMES 01 OTHERS INJURED in SAME ACCIDENT
17. SEVERITY ollllJURY
o Falalily
o LOSl workdays-days away trom work
o lost workdays-days of restricled activi~
DMedicaltreatmenl
o First aid
o Othel. ,peci~ it/Oil) r-
19, PHASE OF EMPLOYEE', WORKDAY at TIME ,tlNJURY
16. TIME 01 INJURY
A, 6 '/:7 ~~
'"'
(S..TIme within shitt
C. Type 01 shitt
o Durlng rest period
o During meal period
OWorkingoverlime.
DEnteringotleavingplall1
"APerformmgworkduties
OOlher
A. Injury Even! IJ / f1
21. ACCIDENT SEOUENCE. DeSCribe in reverse order of occurrence events preceding the injury and aCCIdent. Startmg
wilh the mjury ilnd moving backward in time, reconslrucllhe sequence 01 events thaI led 10 the injury.
B. Accident Evenl
C. Prer:edlllg Event ~1
D. Pfecedlllg Evenlll2. ~3, elc.
l
~
22. TASK and ACTIVIT'll al TIME 01 ACCIDENT
2J, POSTURE 01 EMPLOYEE ;'
r-,DO~
A. Generalr.ype ollask 1~)!l77='p q'IA {.,1-1.' ,\flf'( P/lt },'7
B.~Spec\IiCaCIIV\ty brL/Uf/)/tJ..:~ 'tl-ff't-E ({r1fJ;
24. SUPERVISION al TIME 01 ACCIDENT
C. Employee was working'
o Alone 15 Wilh crew or lellow worker 0 Other, specIfy
o Direclly supervised ONotsupervlsed
o Indirectly supervised ":EJ SupervIsion no! lcaslble
25. CAUSAL FACTORS. Events and condlllOns Ihat contnbuted 10 the accident. Include those
identilied by use 01 the Guide lor Idenufymg Causal Factors and COrlective Actions.
('IIA'.J[t.(::'::,::....Jl..-S5, tJldlJi S'r(~- 7;~'C Au i.F
26. CORRECTIVE ACTIONS. Those lhat have been, or will be, laken 10 prevent recurrence. Include Ihose
Inden\lfied by use 01 the Guide lor Identifying Causal Faclors and COrreclive Actions.
PREPARED BY~;' -( lu~ (,1.._ APPROVED
TITLE !l)(,.//' I C' II .-i ( I !' 'I .\(?(: \~ I ,"j t. ( r r- TITLE
DEPARTMENT 71 ~/I'IIJ! '.Jr.. :' 1~/,1,~ DATE ;/",''V APPROVED
.OATE
DATE_
Developed by the National Safety Council
TITLE
~
~
ACCIDENT INVESTJGATlON REPORT
I CASE NUMBE~
COMPANY JEFFERSON COUNTY
DEPARTMENT Public Works
ADDRESS P. 0, Box 1220
LOCATION (II dlllererlllrom mailing at1dress) Safety Coordinator
1, NAME 01 INJURED 2, SOCIAL SECURITY NUMBER 13' SEX IJH (,' I ',AGE I S, DATE 01 ACCIOENT
AlIII S:J(r./C}.70/.p- OM OF .32- 1/,;1.)..
6, HOME AOORESS l)t'l UtI'!.: ...}j,Jr/ ())(t.c'o' 7. EMPLOYEE'S USUAL OCCUPATION B, OCCUPATION at TIME 01 U;CIOENT
'(~t~ I II:. 1- T', r: /I)I?1Ee all''11..17<1 I:Nc SliM!
9, LENGTH 01 EMPLOYMENT 10. liME in OCCUP. at TIME 01 ACCIDENT
11, EMPLOYMENT CATEGORY o less lh3n 1 mo ~6mos.to5yrs. o less lhan 1 mo. G6mos, 10 5 yrs
o Reoular,lull.lime o Temporary o Nonemployee 01.Smo5 o More lhan SYIS. 01.Smos OMorelhanSyrs
o Reoular,pal1.hme o Seasonal 12. CASE NUMBERS aM NAMES 01 OTHERS INJURED in SAME ACCIDENT
13, NATURE 01 INJURY and PART 01 BOOY IJ/iI
1.)1/1
14. NAME and ADDRESS 01 PHYSICIAN 16. TIME allNJURY 17. SEVERITY 01 INJURY
,AJjrI c: Co A,M, o Falality
A. ,)'L/::; E~ o lost workdays-days away Irom work
'" DloSlworkdays-daysofresltiCledactivi~
1S. NAME and ADDRESS 01 HOSPITAL ca.. TIme within shift DMedicaltreatmenl
iJ//I C. Type 01 shitt DFirslaid
DOther,specify ti)(j~ ) r=-
IB, SPECIFIC LOCATION 01 ACCIDENT 19, PHASE OF EMPLOYEE's WORKDAY at TIME 01 INJURY
11 tlll.ll;: 1'1), rr r)'1-fPllrr- It: r- DOllling rest period DEnterinQorleavingplant
, J DOllring mealpeliod ~PerformingWOfkdllties
ON EMPLOYER'S PREMISES? ,C; Yes ONo OWorkingovenlme. DOlher
20, DESCRIBE HOW lhe ACCIDENT OCCURRED
15/lrt-/~~ IIJ", /} ,?( "PI'I)')<= ~, ,. I,) ';/It" I,<:/I'I/U: ~flF ro ,,>7'/~iI"-' IiIJ /.11
AfJ..:/J (lr-!~ "Ii. f-' 1
/,}/)~/ ~!I 'C/lMPU u,- Ron,
21. ACCIDENT SEQUENCE. Describe in reverse order of occurrerlce events preceding the injury ilnd aCCident. Slartlng
wllh the irljury and moving backward in lime, feconsllucllhe seQuence 01 events thaI led to the injUry.
A.lnjury Event (vi/'
B. Accident Event
C. Prer.edlng Event Nl
O. Preceding Evenl N2, N3, elc._
~
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A.Genera'~ypeollask (~Jt17F'p ~}/,P{.11'11 ",I1,.,tl'l hJ'7
B."speClllC activIty JJ/~'LI{)(- ('II-)~' \.tuFt. c:: ~,/lrJ'1
C. Employee was working'
o Alone 13' With crew or tellow worker 0 DIller. specify
25. CAUSAL FACTORS. Events and condl!ions IM( contnbuted to Ihe accident Include lhose
idenlitied by use ollhe Guide lor ldenlllymg Causal Faclars and Correc(lve Actions.
(~/?I..Y!..C::..~,....)t.:-S_<;1 {)/()IJr SE"c.:- 7;~'C AJ[~
23, POSTURE ot EMPLOYEE :~
c,,,o~
24, SUPERVISION al TtME 01 ACCIDENT
DOllecUy supervised 0 t~ol supervIsed
OlndlrecllysupervlsedlJSiJPervlSlonnolleaSlble
26. CORRECTIVE ACTIONS. Those that have been. Of WIll be. taken to prevenl recurrence. InClude Ihose
mdenhfied by use 01 the Guide lor Identifying Causal Factors and COHeClive Actions.
PREPARED BY'~' -( leX (, /.,'
TITLE !t)r;-/f", (;'(1.','( I i t/ .\(/{:l'ltil.(I"-
DEPARTMENT ({(I'IO! ,',.k (f..t),'~
DATE :/../ r;/ APPROVED
Developed by the National Salety Council
APPROVED
TITLE
,DATE
TITLE
DATE
1
~
~
Fet1eral CommunicallOl1s Commission
Gntlysbury. PA 17325
RADIO STATION LICENSE t:. R..., ~ R.
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FFEhSO'", tOU~TY Qf
Ra(jlo Service: I) L L 0 C A L
CallSigl1: L~ON;J 30
FWqU811CyAdvisory Number'
Number of Mobiles by Category;
n,;~cc,
1.';~1 I,P
GOVFHN~' NT
File Number:
?(-j'if.;:')
L1censo Issue Dale; ~ 5 1 'I 2 .,.
Liconse Expiration Date: tj ('.11 :! 7
:,:':
Vehicular' * ~ /. 5*. Porlable. *;. * -; ~''<: AircraH" ;l." 'k:4: 1< J Marino" * ~ *~ * t, .!:.~~:." *",~ *~
- Station TechnICal Specjfjcatjo~ ~---
FfNWllMIf!S Stallorl NOO!~rI O\ltPutPo~ "r(lUrld Antfigt
(MHzl Cla~' urlIls_l_ tll:l~l\lnillor (W'lltSI:-::-:-I-:-~ EII)va\lon To TIp
l'i4.115n[i,lF'; :' :;"' F; r. .0('1(':1 31l.0nn: t:l~ lnJ
1'j~.11500 IIFq :1 :20':'1 11\1.00,'1 :27~.OOG: 1211
lS4._'15Gfl F~; P J~;.:iF~ 11().C~,:'; )27S.?C:.: i ';21.1
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',: :',"'C JEFFERiU:', S') j ; ) POf.:T T(!WNr.;':t'!f)
OF OPfRl,Trr:;J I! Iii i i
4: ~A VIC1JEj,fF~f~SO~~ CCU,~,T~ Ii! i
ROt. POI'ITS:ikb1 ~EFf'rR)r.N ST ptRT T(:\I;.'\j:ilj~d1 ~'"' '?'16-~H~i-.~5i'; :1 MJ S H OLnCo.-; ~.IJ'
IAL COND: ~HE I~SUA~C~ OF SYSTfM ~IrF~~~ 1:::':i'!-SUL~~f:
~~S~S i,I;}L7UO :.'<; WGU701~ I
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120-46-1 \
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FCC 574.L
AUGUST 19115
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November 28, 1988
Ms. Alexandra Bradley
Human Services Department
Multi-Service Building
802 Sheridan st.
Port Townsend, WA 98368
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O. Box 1220
PorI Townsend, WA 98366
(206) 385.9160
Gary A. Rowe, P.E., Dlrecror
Robert G. Nesbitt, P,E., County Engineer
Dear Alex,
Re: Your Maintenance Request 11-22-88
Construction or purchase of office furniture of the type you
requested is not provided by the facilities department.
Sincerely,
I am also sending you the current maintenance request forms.
&Iir
M. Carter Breskin
Property Manager
PWA 02
ERR 02.50
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JEffERSON COUNTY ,~:ft~;~,'
,I'i''-'" .
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DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
PO, Box 1220
Pori Townsend, WA 98368
(206) 385.3505
Gary A. Rowe, Director
Robert G. Nesbitt, RE., County Engineer
MEMORAlfDUM
TO: Board of County Commissioners .~
FROM: Sob Nesbitt, County Engineer P'
DATE: October 3, 1988
SUBJECT: Brush Chipper
I have reviewed the bid submitted by Utility Equipment, Inc., and
find ever thing satisfactory.
I therefore recommend that the contract for the curchase of the
brush chipper be awarded to Utility Equipment, Inc.
100% Recycled Paper
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D 88 277'
STATE OF WASH I NGTON
OEPARTMENT OF NATURAL RESOURCES
BRIAN J, BOYLE, COlmnissioner of Public Lands
Jefferson Ceunty Publ ic Works Dept,
P.O. Box 1220
Pert TO\msend, WA 98368
DEPARTMENT ORDER
IT IS ORDERED THAT Contract No. 32-U47288 for removal of gravel
covering SW* SWL Section 35, Tmmship 27 North, Range 12 West, W.M., be
cancelled.
JUSTIFICATION:
The purchaser has removed tile volume of material specified ,lithin the
contract. In addition, purchaser removed and paid for an additional 1,440 cubic
ya rds ,
Dated this~day of L()~ ,A.D, 19,1'8'.
STATE DF WASHINGTON
DEPARTMENT OF NATURAL RESOURCES
~~g(~
Division of Lands and Minerals
App. No, 32 -U4 7288
0202A6~~
lFK [:.J,; r~ ll'~ E [)
NOV 28 1988
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37/l-~ I~ )
eXT z.y-z::.
JEFFERSUN COUNTY
PUBLIC WORKS DF.PT
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SUBJECT--.
, t ' :J.';..~_:'_ i _ I.-i.:'
TO
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SIGNED
Reonlerl1em_F380 <:SJ Wheeler Group Inc. 1982
.L...______.
FOld Al (-) To Fit Grayarc 2Nlow Envelope # EW9DW
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STATE OF WASHINGTON
BOARD OF NATURAL RESOURCES
ANNUAL INSPECTION REPORT
PERMIT NO. ),' (ii, ') MINE NAME
,/ COUNTY 1'AX NO. -1-12-
__/i/1;t.
1. INACCURACIES OF AND RECOMMENDATIONS FOR THE OPERATOR'S ANNUAL REPORT,
3. REVISED BOND - $ :1// t1
2. CORRECTIVE ACTION TO BE COMPLETED BY, /~~./4
x
ACRES, 'rurAL BOND REQUIRED,
il/,I./1
4. REQUIRED CHANGE (IF ANY) IN THE AMOUNT OF THE BOND TO BE COMPLETED BY:
5. REASON FOR BOND INCREASE: -t.~, /1
i{;;lllr- '..", .-- ('
n t!~:: ~i1 [~~ ~~
NOV 2 U 1988
JEFFERSOi~ COUNTY
PUBLIC WORKS DEPT.
RES 90-1501
1/84
lED
INSPECTED BY //': /i' I />".,
, DNR REPRESENTATIVE
[J ,,} 7r.'!'!" j / /, I " . .'( kr
1'n'LE
/1, II. ,;;"
DATE
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R'rATE OF NASHINGTON
DEPARTHENT OF NATURAL RESOURCES
ANNUAL SURFACE 'lINING OPERATOR'S REPORT AND ANNUAL Bu'LING S'rATF.MENT
SECTION A
PERMIT No.71\- l\ /I ('\ .~() LOCATED IN ,C/Y:.-,....,.,/ t COUNTY DESCRIBED AS
SEC.-L-TNN ~ RNG ~ MINE NAME (if anyl(1"",,,... a,....,.......;.1'7 .!',,/
/ /
COUNTY TAX ACCOUNT NO. DNR
---
OPERATOR: r!.,.("'r""'"
ADDRESS: /? t'\ J :::: .c
aI"" ~,r;;/.tl';I'C1~'",,_/ :.1.,,<,
AREA
... -.;:- I~. / j. ~
UNIT
/1"'0.,,1.
/
/)~ .,-1,
DISTRIr.T
//i/- rP,,-
:--; ~;...?,..-: ",.:.;
PHONE NO: .1::' r- //1':'/
SUBMIT NO LATER THAN:
,. FILL OUT AND SIGN SECTION B AND C. '
2. SEND A[,L 3 COPIES AND AMOlIrlT OF FEE AS INDICATED ON LINE C3.
3 . SEND COpy OF 81;2. X 11 SKETCH MAPS SHOWING I'rEMS B " 3, 4, 5, & 7.
RETURN TO: DEPT. OF NATURAL RESOURCES
OLYflPIC AREA
Rt. 1 Box 1375
Forks, \qA 98331
IN CASE OF QUESTIONS CALL: (206) 374-6131
.,. *.,. *.,..,. ** * *.,. *"k *.,. * *' * * *.,..,. * ** * * * * * * * * ** *.,. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.,.." * * * * *
SEC1'ION B
OPERATOR I S S'l'ATEMF:NT
1. TOTAL ACRES PERMITTED: I./! ~
2. DATE OF MOST REeF-NT f>IINING: I),..J~: /;:;),9
3. TOTAL ACRES DISTURBED TO DATE: .:.,-;t
4.
5.
TOTAL ACRES DISTURBED LAST 12 'lONTHS:
ACRES TO BE DISTURBED NEXT 12 MONTHS:
.hI I) .,.
[J - r~"'(";; Ii.' l.F~.,.. .~t'..lH"/(
)
,j,,,
" ftY)
,~.:.,lY\_.K4":
6. HAS RECLAMATION STARTED? NO ---L-- YES
7. NU/IolEER OF ACRES RECLAIMED
8. HAS RECL^,'ATION BEEN COMPLETED? NO...::!.- YES DATE
DATE
I ClmTIFY TO THE BEST OF /1Y
IS CmlPLETE AND ACCURATE.
J4.!.r;1i~o(tl..., iJ h,/ <'~'";f'
/
TYPED OR PRINTED N^,IE
KNOWLEnGE THE INFORMATION CONTAINED HEREIN
) ?/C./ '/"" /.7'./
;:,./,. ;-, .... -~,/,.-!..I~'..(//
OPERATOR r S SIGNATURE
* * * * II * /r *..* * ** II.. * II * * * * *** * * * * * * * * * ** * * /r * * * * *.. * *.. * * * ** * * * * * * **" * * * * * * * * * **" * * *"" *
SECTION C
BILLING STATEMENT
1. BASICFEE $250.00
2. A FEE OF SS.OO FOR EACH ACRE DISTURBED IN EXCESS OF 10 ACRES
DURING THE LAST 12 ~IONTHS S
3. TOTAL (LINE 1 & 2) $
S~I-7 (1/84)
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November 22, 1988
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Mr. Robert Paulson, Jr., C.P.M., Buyer
Purchasing and Contract Administration
216 General Administration Building
Al(-22
Olympia, WA 98504-0622
Dear Mr. Paulson,
1820 Jelferson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 385.9 t 60
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E" County Engineer
Enclosed please find the information required to include Jefferson
County in Washington State's Bulk Fuel Contract.
Sincerely,
If you need more information don't hesitate to contact me.
g/ClJ{iiI~CC. \i\.4<-cQc.r-
Thomas E. Morello
ERR 03.40
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'Mk(I'1I {"',-".::; 1'1( ",~J' W,,,C:l1i l,().~~~; 11).1"lll.~~: 17\ III
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Courthouse
PORT TOWNSEND, WASHINGTON 98368
6547
Phone 385.3505
Show this Purchase Order Number
01"1 all corresponderlce. in~Olces.
shipping papers and packages
TO tIJ~q ~
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'~i-2-Z-f7
YIJ;l?/eth t..OC-.fn/CWS. 'ff}S
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REaUISITIONEOSV
I'"'"''
1'0""""'
STOCK NO,JDESCRIPTI()N
I N7'lfE:S"ffi'lt'S~\ L-
r<> ' f7fJ:I?cp:.,;p..IjJUJ1CYc;LW/
LE>lDCD ~.lJSZ4J 750 ~>n::.
u..vUlJzx;:D &.flS, 1'1) OOO~L.'::.
D,eSc-z.. $L)Z$b"fs.m.$
!-/eml);C, 67 L 23, ow ~~
1.P!easeSerld_cOpIQsofyourtn~0Ice
2. Order IS to be entered In accordance with pflces. del'~ery arld speclf,catlons Shown above.
3. Nolilyus immedIately II you arc uflaole10 shIp as specl!lcc
L7!1'V-v A/ ~ w:. P.E.
~.J-.
~5o\J CetnJJ1-' G>J.{;./JJe;;
ORIGINAL
~
LOCATION
ANNUAL VOLUME
Brinnon Shop 500 gal
200 County Shop Road, Brinnon
Brinnon Shop 3000 gal
200 County Shop Road, Brinnon
Quilcene Shop 4500 gal
81 Rogers Street, Quilcene
Quilcene Shop 6000 gal
81 Rogers Street, Quilcene
Quil. Comm. Center 1500 gal
20320 Highway 101, Quilcene
Hadlock Shop 15000 gal
371 Chimacum Road, Hadlock
Hadlock Shop 17000 gal
371 Chimacum Road, Hadlock
Hadlock Shop 32000 gal
371 Chimacum Road, Hadlock
Hadlock Shop 3500 gal
371 Chimacum Road, Hadlock
TANK SIZE
1000 gal
500 gal
550 gal
2000 gal
425 gal
5000 gal
1000 gal
2500 gal
3 X 550 gal
Jeff. Co. Landfill 5500 gal 500 gal
250 County Landfill Road, Port Townsend
Courthouse, P.T. 8000 gal 1500 gal
1820 Jefferson Street, Port Townsend
'Hoh Shop 5500 gal
Mile Post 5.63 Upper Hoh Road, Forks
Recreation center 6000 gal 1700 gal
Lawrence and Tyler Street, Port Townsend
1400 gal
Hoh Shop 4500 gal
Mile Post 5.63 Upper Hoh Road, Forks
Hoh Shop 3000 gal total
Mile Post 5.63 Upper Hoh Road, Forks
Hoh Shop for both tanks
Mile Post 5.63 Upper Hoh Road, Forks
1000 gal
500 gal
300 gal
Clearwater Shop 250 gal 500 gal
Mile Post 3.02 Clearwater Road, Clearwater
Clearwater Shop 250 gal 500 gal
Mile Post 3.02 Clearwater Road, Clearwater
Clearwater Shop 2000 gal 500 gal
Mile Post 3.02 Clearwater Road, Clearwater
Clearwater Shop 1000 gal 2 X 300 gal
Mile Post 3.02 Clearwater Road, Clearwater
FUEL TYPE
leaded gas
diesel
leaded gas
diesel
heating oil
leaded gas
unleaded gas
diesel
heating oil
diesel
heating oil
heating fuel
diesel
leaded gas
heating oil
heating oil
diesel
leaded gas
unleaded gas
heating oil
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slreet
P.O, Box 1220
Port Townsend, WA 98368
(206) 365.9160
Gary A, Rowe, P,E., Director
Robert G. Nesbitt, P.E., County Engineer
November 22, 1988
Depurtment of Ecology
Mail Stop PV-11
Olympia, WA 98504
Attn: Lisa Randlette
Re: Grant No. G0088160
Dear Lisa,
I wish to report the activity for the quarter ending September 30,
1988.
The county requested and received Statements of Qualification from
engineering firms for the purpose of developing a Flood Plain
Management Plan for the Big Quilcene River and the Dosewallips River.
On September 8, 1988, four firms were interviewed and from this
interview u firm by the name of Geomax was selected to do the work.
Attached is a copy of the Contributed Service Report for this quarter.
If you have any questions, please feel free to contact me.
Sincerely,
~~d#
Robert G. Nesbitt, P.E.
County Engineer
no 03.10
100% Recycled Paper
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Exhibi: ii1;
CONTRIBUTED SERVICES REPORT
FOR PERIOD
Ilui . 19~ to 5~,,1 80 . 19..@::..
CONTRACT NO. (J..tJ;tJ8,E/6 tJ
CONTRACTOR rJl2:.f!.e:rS~rt (!4>U-rl-Yt
PROJECT Fl.,,)) 1"/-./><- 17a-.-<44,.""v<-T P/e..-, t!',.<9cJNr/'a~.,:?J:l".,(f'_tt;_
;' I / ..
This is a suc:mary of contributed services performed under the above project.
The amount is equal to the actual documented costs of such services performed
by an organization or persons participating in project and are available for
audit.
IN-KIND CONTRIBUTIONS
Ca teRories
Salaries & Wages (l)
(Including Fringes)
Material & SuppHes
Travel
Equipment
Other (2)
~
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SUBTOTAL
~'JZ v:
(l) Based on individual time sheets.
(2) If other exceeds $500, please identify.
CASH CONTRIBUTIONS
Name 0 f Or~aniza tion/Person
~
SUBTOTAL
TOTAL
I certify that the above listed contributed services have been made.
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JOB 1/ UNLHllT~D
CONTROL AT PORT TOWNSEND PROJ. 8NGR.: BRUCE LAURI~
PHi:PAR8lJ iJY: T.NOHELLO
--------------------------------------------------------..-----------------------
From 803 (4074tJ1.566,1:510511.0d;) To d03 (407481.5G6,1;10511.025)
DISTANCE
fR0I1 TO Fi:ET DIRECTIOn NORTHIHG E.~ST LNG
---------------------------------------------------------------------- ---------
---------------------------------------------------------------------- ---------
1 d03 d07 865.521 N 3 00 53.7 ~'l 400345.iJ89 10465.502
2 807 806 152.005 N 85 44 51.; E 400357.1 GO 10617.089
3 d06 800 405.939 S 41 54 03.4 E 407995.475 10941.621 ~
4 800 804 638.084 S 83 06 09.1 E 407918.646 11575.087
5 804 dOl 065.032 S 3 57 20.9 E 407055. til7 11634.796
6 801 803 1201.696 N 69 15 11.2 ;.1 407481.566 10511.025
PERIMETER = 4200.277
CLOSURE ERROR = .000
AREA =
878477.296 SQUARE FEET,
20.1671 ACRES
I JEFFERSON COUNTY PUBLIC WORKS
P. O. BOX 1220
PORT TOWNSEND, WA. 98368
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REGISTERED OWNER (LAST-FIRST-MIDDLE NAMEI
OWNER'S ADDRESS (STREET, CITY AND STATE)
PARTS OF VEtIlCLE DAMAGED
WAS THERE AUTOMOBILE LtAUILI ry INSURANCE
CovEIlAGE IN l.:FfECT FOil HilS ACCIDENT ON YOUlI CAR
NAME AND ADDRESS OF LIABl1.ITY INSUR~NCE POLICY ttOLDEH
~AME ADOllE!.S
.SIAIE
NAME OF LIABILITY INSURANCE COMf'ANY
NAME AND ADDRESS OF LIA!>ILITY INSURANCE AGENT
, CITY
,LIABILITY POLICY NUMUER
1ST INJURY
AGE
AOORESS
NArunEAND
EXHNT OF INJURIES
SEX
M F
DO
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MOTORCYCLE SAFETY; 0 HELMEr USED 0 ttHMET Nor USED
MOTORCYCLE SAFETY: 0 HELMET USED
o HELMeT NOT USCD
SltOW NORTH OY AflROW IN cmCLE
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VEHICLE N SEW
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PEDESTRIAN/PEDAL CYCLIST CLOTHING COLOR: I Do.". ~ 0 l'(;W 10 ...,.ro 10 ArmO-"[f,ICI,y{
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ROAD SURFACE
WEATHER LIGHT CONDITIONS
C"AIl I !JQO,l,nIGI1T
'~,~~~:.~A 1 0 OA'..m
20RAININO J DOUSII
J 0 SNO....IIIG ~ 0 ~1~~~i~bflJET
~ 0 fOG ~ 0 ~,~~~.~bRllT
!l 0 ~~~~~FV) I> 0 ~:~["E't~IGHTS
, 0 ~Jrll~Y
ROADWAY SUflFACE TYPE
0"0',"".;" D.O~.."
r~'IjJ."'''''' 0,0".,
00;"::.,:... n'R~::::, 0
TRAFFIC CONTROL
..0 ~,U"Cl~.O I lellle_ O"(j
01 DSIGrlALS
02 DSTOPSIGN
03 0 YIELOSIGN
o ~ 0 FLASlill~O REO
05 0 fLASHING/lMElEfl
D6DARS'GtjAL
o 7 0 OFFICLRIFLAG~AN
o d DOTtIEA,SPECIFY
ROAOWAY CHARACTER
:B::~:iS: :B;;:::'
lJJ' 0 :,':'~:",'. ,0 :::,;":,'
. '[l':;~::'~'" . 0:'::".'
,,--, ,~~,\_^-", -- ~
171 NO H'Afflf':
lI"..... COI~ IIIUl
TYPE OF ROAD
YElUCU IC"lC"O~l
~o , ~o 2 DH l,lD"EJ
DIDONEWA'f
(3. 2 ~tWOWAY
o 3 0 ~6~~RSIElLE
o 4 0 :tbb~T~t~~~E
o ~ DALLEY
o ~ D mkp~N
D,DOAIVEWA,V
ROAOSEPARATlON
D200lvl0E0
o _:..QUIIOlVIOED
DRIVER/VEHICLE ACTIONS
"o~:"'c~~ 2 IC"lt" DNtOll MOHtl
o I 0 GOING STIlAIGItT AI!CAO
~ 2 [ij' OVEATAKltlG ANO PASSING
o 3 0 MAKINO RIGln tUflN
040 MAi'lItjQLUTTURrI
o !I 0 MAPtltjG U-tUAt.
060 SLOV/lllO
o 1 0 StoPPED rOA TflAfflC
o 6 0 6:10:rJ~ S~b~IGtlAL
o 9 0 :lIOPP(OltIRQADWAY
o to 0 n~~I"~~~::E
~Lt,,~~~le" D~LJ
NO t "D ~
&;Q 1 ~DAY
D2DwET
03 o SNOW
o ~ DICE
o ~ 0 ~~~tl~Y
C,\!,~V:",,"~i"
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"t.-? '!f}~~" '\
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Rober' G. Nesbitt, P.E., County Engineer
Mel Mefford, Sheriff
PO Box 1080
Hadlock, WA 98339
Doar Me1;
As you know, tort claims around the nation arc reaching epidemic
proportions. Although Jefferson County has been fortunate in recent
history we are bordered by counties that have not. Recent history
indicates that public works departments have been the prime targets
of high dollar tort litigation.
This department, in an effort to nip litigation in the bud, is
adopting an aggressive accident investigation program. This program
is for all injury accidents on County Right-of-Way.
We are requesting that as of this date Bob Henderson be notified, 24
hours a day, of ~ injury accident on County Right-of-Way or any
intersection at a State\County road intersection. As you know, he
carries a pager accessible through Dispatch on the County Emergency
Services tone-out. If he is not near a phone he will have the pager
with him. He will dispatch himself and notify the dispatcher if he
is responding, based on his knowledge of the accident location and the
seriousness of the incident.
We believe this program to be a very necessary and worthwhile part of
an overall Risk Management program and thank you and your department
for your cooperation in it.
Sincer~~
~itt, P. E.
County Engineer
100% Recycled Paper
~
MOTOR VFHICIE PERMlI
I BSuED BY ~EFn:R9ON CXlUNTY
VALID CIi COlNTY ROADS LISTED IIEI..Oft'
lllSUl!:D AT PORT TcuNsEND. WASH I NGTQ'l
DATE /;;l -;2 -?%
_'T ISSUED TO 'PETE. L..;:;f.Jfit...GY
~// Cri.<.T6)1 ey 'Kot', 'PI. TtlWYISbx.c;[
/
IN ACC'ORDANCE Wlni CHAPT1."R 100, LAWS Of' ""7. PERMISSION IS tERE&y GRANTED TO CIPDlATE
'Il-E VEHICLE DR VEHICLES HERCIN DESCRIBED TRANSPoRTltCi -1-.,
ITEM. 19' G /I b w.:LoI.Mt..EJ- 53 ' (n It 1.0"'1 17 I AQ/L ,
.-~ G(ti~fS J;t, . rp or. 1tl ~ CwrYft W;. 2!i~:/ !d:
VIA CXll.M"Y IlOAO <) :Dlsco/Je'j 1(1../ Cryu- G20zt 121). CFvt6i:'~~-fd',
'Ili.lS PERMIT VALID P'a< THE PEIl.cx> or r2'2.,g,p, ~ r2.-/0-92, .
t:telcKSa/J'S' (lJltA> ,cpt; TDwrJJq
ADDRESS
38'5 -0<(;;25 ar'';;;'~(~J
VEHICLE DESCRIPTION
TRUCK
TRACTOR-------------
LIC. NO.
PERMITTED AXLE WEIGHT_____________________TIRE SIZE
_____AXLE
___AXLE
TRA I LEFl
SEMI "RAILER
LIC. NO.
--------------------------
_________~T._________'N. MAX. .IDTH_______~T.~__IN. MAX. HT..CF.RT.WT._vrS_NO
_________FT. LENGTH ________FT. FRONT OVERHAN~, REAR_______FT. ~~~~sc:~:
_________80LID TIRES OTHER REASOHS__________________ tXCESS .T.
----------------------------------------------------------------------------
-----------------------------------------
RESTRICTIONS
MAX. .PEED . MPH ON ALL .RIDGES ~YLIGHT HOURS ONLY. NO MOVEMENT
ALLOW NO,OTHER VEHICLES ON .RIDGES DURING INCLEMENT WEATHER
TRAVEL CENTERLINE OY ROADWAY ON .RIDGES ~ASSUME RESPONSIBILITY POR OVER.
HEAO OBSTRUCTIONS
PLAGMEN TO CONTROL TRAFFIC.ON BRIDGES
NO SATURDAY. .UNDAY OR HOLDIAY
PLAGMAN REQUIRED ON TRUCK MOVEMENT.
~RED FLAGS DISPLAYED ON LOAD .UB~ECT TO WINT~R ROAD ftESTRIC.
V PI'LOT CAR AHEAD AND IN REAR TIDNS
MAXIMUM .PEED OF ?-!J NPH V COlolrltc:. '5lleR,'F~ j)e.t'"-R:r-me~-'-
------_____=====_______n'N l2.._ r:. R.E.-E:~!::::o;:'::.....________
------------------------------------------
LIABILITY CLAUSE
IT IS UNDERSTOOD THAT JEFFERSON COUNTY ACCEPTS NO LIABILITY FOR DAMAGE CAUSED
TO OR BY SAID LOADS AND THAT ALL WASHINGTON STATE HIGHWAY STANDARDS AND LAWS
REGARDING THE MOVEMENT OF OVERWIDTH AND/OR OVERWEIGHT LOADS MUST BE STRICTLY
COMPLIED WITH AT ALL TIMES.
--------------------------.-------------------------
---------------------------------------------------------------------
COUNTY ROADS ARE ONLY USED AND '. THE UNDERSIGNED, ACKNOWLEDGE THE RECEIPT OF
".00 '-ROM PERM I TTEE C~VEi~NG THE ABOVE DESCR I BED HOVEI!ENT.
.,...,..,-~~-------------T';;i~--~'"--'"
I"blnl 1 1 5 ( REV I SED 8/2/83)
~
~
COUlI1 y' RU~,O NO. s.:e '380,9
STJI~,E LOG NO.
Ml~! POST tJ.oo TO tJ.o7-
':9Ff I CE USE ONL Y
i'ERMIT NO::nr-S-3/-,..2
FRANCHISE NO.
FEE PAID _Yes _No
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 98368
APPLICATION FOR INSTALLATION OF lIT1lITIES
~~~~~Ai'I1UIDRJ"WESi' BELL ~~~;r~~~v Job No,: J' ?-/'J/
Address MANAGER I g M ;;ddressJ}2'9 /9 Ac-It!ce /ill.
2720 OAKRIOGE DRIVE ~ IJlVft?le.J
-roltm~ms;-W^'m62
Phone: Phone: .y,'r7-6~_
Application is hereby made for a permit to construct. operate and maintain
4Luuul1C.&!/,JU1ltl ,~/I~<'.1'. /P )-!/;p
The utility installation is located (attach map or drawing)
,,,(0 ~~"N'l ""MtH...n/'!/J(.fIJ,
,
Appl icant agrees to perform the ~Jork in strict compliance ~Iith the terms and conditions
set out herein, and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this form and any special provisions attached hereto,
Appl icant Signature: /r)/? .6',.:c./ Ya..u./l/l:\
Date: s-zV-JP
L/ 1/// / //III/I/..LI/II/I// U 1/ / / LL1.L.LL~D
Subject to the follo..ing terms and condi:i:n:,~lp:R:ISSlorl IS HEREBY I~~~~~
to construct, operate and maintain utility facilities as requested above.
This permit is conditioned upon Appl icant's campl iance \'lith Jefferson County Ordinance
2..81 and WAC 136-40. including amendments thereto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
the App1 icant has received instructions to
telephone
Date: ~-31-'82
No ~Iork shall be done under this permit urti1
proceed from
APPROVED BY: _/L,.......r:r-- /<~ -
[RJ NOTE SPECIAL PROVISIONS ON abERSE
Ll L I Ii/ ILl I I ( / uJTTTC 7 { ,I.J. { L U U L..Lu..L./...J.LJ:IIII:..
PERMIT "iNSPECTION REPORT
/work covered by permit has been completed satisfactorily.
Work is not completed.
Reccmnend permit be cancel led.
_ Traffic control_adequate; _inadequate.
RnIARKS:
INSPECTED 8y:--1J~K~'-f Date: 1?--2-0-8'6
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Gl!neul Prowhton, per Je"ersol'l County Orlll ~ 2-01 And 'oIAC 136-40,
1. All .", ".. "',, .." '"'Ch''' "," '" '00' " . th","" '"' .",..."" "'"''', "th, ,."" ,f ",',,''',,' """," .., """ .., \"
(onBruellan of Other rac111ttn and the oDelling of trenches, the tunneling under COunty roeds. rlghts-ot,.., or other Co...nty orcPtrttu, the 9rlnt~1
shall leave such trel'lchu, lIitches and tunnels tn such" w"l as to tnterfere u llttle.u ponlble ...lth (lublic travel .'Ill \1'\.11 tHe.ll due '''ll .
necuu,.y precAutions to guard the Umt so tllet a41T\lgt or lrlj\lry shall not occur or Irlu by rUSon of Such ,",0,._; .nd \Onere 4ny of Such trtllchn,
ditCh" " ,,,..,, '" 10ft ".. .. ",ht, 'h, ,,,,,.. ,h.ll "", ""'" 11,hCO .., ,""co,,, " '"Ch . ,,,''',, .. " "" """,to ."'", "
hlC:h work. Tht grantee sllall be lIable for any InJury to person or persons or damage to Pr<iperty Sust.lned througn tts '."elen"eu or n~glect, or
througll any f>ll1ure or n~gl~ct to properly guard or gtve lOunlng of any trenches, ditChes or tunnels dug or m.llntalned by the I]rantee,
2. Th, "'"''', 'ts '""""" " 'u"", ".11 ""'"'"" "'''M''" """ '",' "mlt '",''' " lh, C'"'" r""", .lthl, lh, ".. ,,,',' Wt"
in Suth pennlt Ind shall hhe cc:mpleted and have 1n operation Suth part ton of the system of improwellll!nu U ""'y be Specified In Suth pemdt or the
rlgllts therein conferred upon the grlntee shill celse Ind te""Inlte tnsofar as unoccupIed stn!ets, rOlds, etc., Ire concerned.
3. th. ,,,,,.. ,,," "m.lI """'. "'""'" ,""" '''''. hi"..", "'hCO.",,,, '"' 'lh" '''"'' ''''''''''. "t" 1&"" '"' '''''"'0'
/rlalnSlnddotngconstructtonll'llrk.maklngrepllrstoequl~ntletc., inl$goodlndufecondltionlnal1 rescectsUtheywerebeforethecMlTlence_
"'l!nt af such work by tile grlntee, Its agents or cantractors, Ind 411 recarC~d monuments ..hich have bl!l!n dhturbed or displaced by the IOOr~ shill be
reSet ta thespectflcltions Indapproval of the County Englneer.
4. In CUe of any damage to said street!, aVenues, alleys, raids, hlqh..IYS, rigMs-of_wIY ar "ther county properties, ar to plved ar surfacl!d rold-
lO~yS, tl,/n!'outs, gutten, dltchn. 1o'00d or concrete ..aHs, drl1n piPes, hind ar emblnl~nt rails, bridges, trestles, ..hlrves, landings or "lOnuments
by the I]rlntu, the saId grantee Igrtl!$ to rtpair suc'" damage It the earliest time possible It its Own cast Ind e_perue.
S. It'llen the County Engineer determines that In ~ergl!llcy situltlon does uht, he may order and have done Illy and 111 work considered necessary to
restore to I safe condition Iny Such street, henue, alley, rOld, highway, rlght.of-way or other COUrlty prOP~rty left by the grlntee or Igents in I
condition danqerous to IHI! or property. lie fl'ay cauSe to be replaced or reset reCOrded monllllents 1f a grantee fails to replace or reset SlITIl! within
I reuon.ble tirrIQ .ftel'Cl)'I1pletion ofcOllstroJctlon. The grantee, upon demlnd, ShAll pay to the county.ll (Osts of Such constryction or repllr and
of doln9 SuCh work.
6. All construct ton or Inst.lhtlon of I!lAtns, VAlves, pipes, pOles. cables, lines fittIng .nd faCilitIes, service, rerJair, or relocation of the
Ullle, perfonTll!dalong, Over alld/orunder the county roadS, rights-of-way or other county propertlu subject to utd franc"'he shill bt done In such
IlI1anner as not to interfert..ith the construction, operltlon andm.tntenance of other utilities, public or prhlte, drains, dralnlge ditChes and
Itr'tlctures lOcated therein, nor with tile grad1ng or 1lllprov~ent of Such COunty roads, rights-of_w.y or Other county propertlu.
7. Tilt owners of 111 otheruttl1t1es. publlc orprhHe, InHal1ed in sl,/cncounty roads, rlghts-of.way or other cOunty properties prior In time to
th~ lIlTes dlld facffftfu of the grantee shill have preference as to thl Position and location of Such utl1ttiu so hHUlled with respect to the
grantee. Such preference shall continul! In the event of the neCl!Hlty of relocating or changing tilt grade of .ny Such county ra.d or right-of-way.
B. The grantee, IS far 4$ practIcable, shall construct newutt11ty faCilities underground. htenslonafaYerheadfacllltles fOllolOlngltreets,
avenues, ways, bOulevardS or tllorcuqhflrU sl1all be undertaken only with the approval of the County Engineer; PRQVIDEO, however, that said approval
shall not be unrUSonably withheld. Grantee shall convert e.hting overhead f4Cillttes to underground flcilltles IS and when equiPfl\tnt replacl!lTlent
""""t.,..,,, "" oth" ,.""" ""h..' ",1I'"" '" """ ""''''''"'', ""'" ,",h """..." "",,,,,, '''''''''''',,, ''''''"''''''
unreasonable. line extension colicles a!'td procedures established by the grantee, Ind unlfol'1ll1y applIed through its service .rea, shall be tile
Hanl!.rd indetel'1ll!ning.."rat Is .practleal, lmpractlcal or econornlcallyunreasonableM under thlsordlnancei provil!ed thatnGnewoverheal:!utll1ty
flcilities shall be constructed or estlblhhtd In Iny area Set uide for Ilubllc park, school, pllyground or Athletlc field purposu.
9. Speclal,pr::',vhlons:
C-.413 ...C" ;':5/f-;f-i-i- is e.
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WORK LOCATION 1f'
Address .7.0 J1IJ:1.'; "" 1<r) -.- ---
Cily M(cl.1:1rv~ County --1f. F r- Slate 1J.:!-
Name ._~H-<lIJ<h/ .-.,-..--
ORIGINATEIj>BY __.'j.oJ1.?g".- Oate__._
New fiP SIO No, .. _ _ Due DalL --
Repair 0 Tel. No, 3.'O:;;"'Ji!:tiL. TemporIZed ~
Rearrange OSlO No, __,_.- Oue Date ..-. .-
Type of Service .-J.t~:.._-.-
~f'~ :"'" ~~~
- --~- ~
.--1-, --.-- -.----
___-_.__. ..--COiiii-acl--.----1
OescriplionolWOfk _RL_'erenC9 ,Ol,ial'llj~Y
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; @ Paclflc Northwest Bell
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Burled Service WIre-
Work Order
No _,~JJj \
Complele by __.,.__
CONTRACTOR'S ACCEPTANCE
Firm__.____-_ -----.-
Slgnalure.._____._______
Title _ Date .-....-
Unit Prica 0 Cost Plus 0 Fiat Sum 0 $-,-
Bill \0: PACIFIC NORTHWEST BELL
Attention___-.. ---. ---.-.---..----
Address__. _____.___ .~--_._..~
Cily_,_..______ ,_._Zip__-
APP~IOVAL For Flat Sum/Cost Plus $ .---.-.....-'--
Rt:commended ._" ___'__ __.___._ DDlc ---.-
ApprOved by _. ._.__.__- Dale -.,-_.,-
PERMIT REOUIRED 0 Ves 0 No
Received !rom_,_____, _' Verbai 0
JUllsdiction .__._' No ____. Date ---
COMPLETED BY __..__'___' Dale ----
Call..___.__________..1or Servic~ Connection
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nAlnlNAI r.opy
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COUNTY ROAD NO. 5BB'/.09
STATE LOl, NO.
MILE rOST ~TO...f..&.
OFFICE USE ONLY.
JEFFEHSON COUNTY'
DEPARH1ENT OF PUGUC I-IORKS
Jefferson County Courthouse
Port Townsend, \IA 98368
I'EHI~IT NO'..1'l:l-'-I'f-.z,
FHI\NCII I SE NO.
FEE PAID __Yes No
OFFICE USE ONLY
APPUCATlON FIlR INSTALLMION OF UTlUTlES
Name and Address of App1 icanP:UGET POWER UNE HQTRS.
--:nl) I-OUf (;ornerffHoad
J.!QrLto.wnsend,.:wA_9.836lL____'_'_'__________'__
I\ppl ication is hereby made for a penni t to construct, uperate and mai,ntain_....LL<Zl____,_._
~t\V\A.I0Y__ CAS\f~
The utility installation islocated (attach map or drawing) Of\) J:JOlJJ::\__:S)~
__cl_,_~YJ~JL_JQ:)_!____.__.________,___...__________.__.
Appl icant agrees to perform the Viork in strict compl iilnce vii th the terms and condi tions
set out herein, and states that Applicilnt has read and vlill adhere to the general provi-
sions set out on the t'evet'se side of this form and any special provisions attached hereto.
App1icunt Signature:~!~,(~~1d.d~_ Date:~ SI._
/ / /~f1-;;S 7/ / 7ff/~f(~' / / / / / / / / / ~;A~
, ' PER M I T lA\lrlFlffillJJ~m
Subject to the folloViing"terms and conditions, PERMISSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain utility facilities uS requested above.
This permit is conditiol\fld upon I\ppl'ica\ft's compliance with Jefferson County Ordirwnce
2-81 and \lAC 136-40, inc'luding umendments thet'eto. the general provisions set out on the
reverse side of this form and any special prov'isions attached hereto.
No work shall be done under this penni t until the Appl icant lias received instructions to
proceed from ______._____, telephone ____'
APPROVED BY:~ t:~ Date:--.J.::..l...~,:~
NOTE S~ECIAL PROVISIONS ON REVERSE
PERMI T 1 NSPECTl ON REPORT
UTILITY DAMAGE IS COSTLY.
~-~~ ~Ol'k covered by permit has, been completed satiSfactorily..
CALL 48 HOURS _ \Iork is not completed.
(BEFORE YOU DIG Reconllnentl perm it be. canee 11 e~,
Tra I f 1 C con tro 1 adequa te; 1 nadequa te.
\ 1-800-592,~478~/ REI.IARKS: - - .
~~./ INSPECTEU 8Y:~-uy(j ~ Date: n- -2q..::<~_L
A/R,)I,'.6=-.. , " ", / I;)<J ..:":: -::: ,"
kLtN/<- Sb 7. 7 - ,.,'... _ ,..;0,
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Genl!r41 Pr011 sloll5 p~r Jeffl!r,$on County Onf1,.. ~e 2_111 dl"l II/\C LJb.40,
I
I, All work \lol,e under $did franchise $halllle dOlle In ,} UIOluu~I, dll(llYor~mdll1l~t! m,II,lIcr, In tt,e 1.1~lu'J of 'mderQnlulld pl!J1dl!'t'$ dllll c4111c$ dllJ till'
eonHI'uctlon or oUler factlttlt!~ dnd the opening of trenche\, till! t'iIlnt!1lnq UIIl!er CUUllt~ l'Odds, rtljlits'uf'lood~ or Olh~r co""t~ l'rl,Jl'l'lt'I!\, tl'l! '11~!Itt!C
Shd II te,111' Such trenCI't!S, ditChes and lUllne I \ In such a lY~y 4 S tu Illter leI c ,IS II t lIe d s puss Illle Illll, pull I I ( t r,! ",I al'" ~II~ II t ~ I e a I I d"l' M")
nece$Sary IJreeautlon~ to lJ"ard the,~,lIne so that ,lalO\I~e or Illjlll'Y shallllot Il(Cur or .,rl$e III re~$lltlo' such '<'1rlo.; M101 Ill'l"'~ M,~ ut su~I, t"'IIC"~S~
dttches Dr tunnels are left Open at nllJht, tile IJranlee sh411 lll~ce \oo,!rnIIllJ 11lJIIlS dlld bdl'l'lc.!J!!$ ,'1 $u(I, a IluSll1rm ,", \1/ ')1 't. a,ll''l''dtc ".HII''''I or
such 'l;ork, Thl! 9rantee Shdll be 1 faole for any Injur'Y to Pent'" ClI' Pl'rsons ur c1am",)c 10 IInljlel't~ SU$tdIIlCU ttll'llu'J" It~ r.uI'II'\$IlC$\ or 1lt,"J1Cd, ur
through ~ny f~t1ure or neglect to properly !llIard Or' 9h~ llarnlr19 of ~ny tlenllles, llttcli~s or lUIIII~ls du!1 ur m.,lnl.tlr'ctl!li tin' 'Jrdnl~I',
2, The grantee, tts Successors or ~ssI9ns, Slldll CO!IIIICn~1' ClllIstruCllon u'lIter such 11l!lmlt (jrJnll'lll,y H'L' CUUl1t~ f"'I'III'l'r wlthl11 till' l!n,L' Per'O(1 stdtt'd
tn such permll dnd sh~ll t,avu comllleted dIld ha1e tn oPl.'ratlon SII(I'llll!'tlon of lhe SyHeln of tlllllrllVt~"L'nls dS mJi be W!!(if'eJ III SUlh flelmlt ur H,!!
rt'lhts t~erl!tn conferred upOn the grantee shall cease alHI tel1lllnuL' lnsofdr as uJlllCCupll'd stret.'ts, rUJus, etc" are ~fllllcn'l'd,
J, The lJrantl'l! shall led1t.' ~II streets, ovcnlles, alleys, ro,},ls, 1I1'1I1""/S, rlljhts-nf,wdY aud OtIIC" cllunt~ IlI'uller! It!" ,Ifter Idyll1l1 d(l,1 IIlH41 I 1"'1
mains anJ dofn9 cunstructlon \ooor~, nl~~lnCJ repatrs tn t.'llull~rIl!nl, etc" In as fJood ,)nd safe condition hI ,111 "P.~tlt!llS as tlle~ w,!rc h{.'flln~ tile 1''''I,enCl:'
/!'Il!nt of Sych \YOrk by tile ljrantee, Its dYl!nls or Cuntrdctors, and all reCorded nlonumelllS Ilhtch Ir~ve ocen lIhturbed or dhplaced bi the WIJrk shall L~
reset to thl! SpecificatIons andalJproval of the County Enqlnellr,
4, [n CdSe of any ddmdge to \d id streets, ,1YerIUC~, a1ll:ys, rO,11Is. hllthways, rl!Jhts,uf -w.,y or tllhel' CUlm!y prol'I~t't1e~, ur to I'dved ur \urf,'Ce,' 1'lJdl.l.
ways, turn.outs, !lutlllr~, ditches, ""lod or c(lllcrele walks, drain pllles, lIarlLl or 1!1!'lJdll~'IIl~nt rdtls, t,rld~,!s, tlP.Hle~, ,,1""'1t.'\, lal1Jlngs ur !"O"\I"'ents
by the !lrantee, the saId !Ir~ntf.'e agrees to r~p"jr such da"'~!Jl: H the earlleSlllme POHihle "t Its 0"11 cost Jlld e~I\l!IISe,
S, It'hen the County Ellg!nl!er determlnllS thJt all em'~rgency sftuHlun d')es t'~lst, he mJ~ order ~lId II~11! dO'le al;y alnt ,II! WOI"I, COn$Idl~"cd Ht'CcH~ry tu
reHOre to <I safe condition any slIch street, avellut.', allty, tu,'d, 1119tl\<ay, l"ight.of.\ooay or ulher Ctlimty !lrollc"li h'lt I.>y tr'e g"~ntec ur dlji'llb III d
condl t ton dM'gerouS to II Ie or propllrty, fie OI.Iy Cal/5e to Oll I1'1JldCe11 or resel rllcordtll ~IUnu,n')nl~ t f d IJr'dnlce I" t I ~ to rell!,lC!! or rcs!!t SU"lt' III tllll1
<l reJSon<lbll! ttme after COl'lip!l.'tlon of Constl'Ucttoll, the grdlltee, UPOll dCI'ldnd, sllJll pay to lhe cOlmty dll co~t$ of such eunHrllCtlOIl m' ll'l'dtr ~IlJ
of dCllngSuchlfori., ,
6, All constructIon or Installation of mains, valves, pipes, P'llf.'s, cJbles, Ijnl's flltlr\!/ Jlld tacllltles, Sf!rvlCf!, J't'pdl", or relocolt1{JII 01 lhe
same, perfolllll!d alol1g, o~er and/or 'Indf.'r thl! COIl!1ty roai.ls, I'i~IltS'lJf.w,}y or othl!r COllnty !lrOllertl.!s ~"lije(t to \dlll fr'lIoud~c shdll Ile donI' ill $lIell
a mdnner dS not to lnt/'!dl're with tI,e construct 1011, oPllrdtlol1 dnlll1ldlntlmdllce uf Otlll!" utlltllf!~, 1'1I!>llc ur prlv"t!!, tlrdlns, llralnd!J1I dttclle$ a'"1
st"uell/res located ther'eln, nor wi th the !Jl'dd Ing or In'llrovl.'lnelll of such county rUdds, rl!Jllts.of'lody or (I tile)' COunty I,,'ullf!rt le~,
7, Theownl:rSofallotllf!r"ltlttff.'S'PUblicorprlV'ltt"IJ1StdlledinsuChcuulltyrOallS,rl'jlltS,Of'Ioo,'YOruthercoU',lyprOI,ertlcsprlor ,ntlll'eto
the lInes dnel facilities of the grdnlee Sllall havt! !lI'f!fereIICl' as 10 tht! I'osl lion .\I1l1 luCatlon of such lItll1t IllS 50 tH~tdl1ed with respe~t to tile
grantee, Such preference sh~ll continue tn the f.'~elllllf the nHeBHy of relocHlny 01' Chan~in'./ tile !l1'dele ul any Su~h tOunt~ rOM or r19ht.of.Wdy,
61 The 9rantee, as far dS practicable, Shdll conHruct flew 1Jllllty 1,ICllllles urhf'!rllrOllnd, [/tenSIon of O~t!I'll!!dd fdCtlltles fOllu"llI,:/ strl'lIls,
""vl.'lllief, "'<111, /lou 1t!1d,'ds aI' thoroughf drf!S sl'd II oe ulldel'td ken 0,11 y with thc <lllllrova I of the Coun ty [n~ inf.'er; I'IHJV IUfO, howe1er, !I'd t SJ' i.I dl'~Il!~~ I
shall not ilL' ullreasolldbly ...ithheld, Grallt!!f! Shdll Convert f.'lhttllll u1el'll(!,1I1 facll'tles lo unller!jrOllud facilities dS dnd wilen el}ulp"II~nt rt!plaCI"I't!Ul
is 1I11dertaken, or "",en other edsltng o'/erhedd utilities dre 1l1,IC~d undL'rlj)'lJullC), Unll!SS ~uch 1"t'llldCellll!nt ,~ U1'S^fe, lnprdctlcal, Dr t!(onll,nicdlly
unreHondble, Lint! e~tellslon polletes and procedlJres eH,llJllslleol hi tile rll'~lltee, dllll untfnlTIII~ dppllcd thfOu~h ,ts scrvlCII drea, shall Ill.' lhe
sUndHd 1" detelmtntn9 "hdt Is "practleal, lmprdctlcal ai' econt~nledlly ulu'easonalJle" llIlJer tills ordJIlM,<.e; Pfovicll'lllhdl HOllew o~~rloead ut,llty
fat III tfes Shdll be constructed 0" estalJI j shed tll dny area set as Ill\! fur public parI., SChool, pldygroulld or dthletlc f i~IJ purposes,
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JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jellersorl Stree!
P.O. 8o~ 1220
PorI Townsend. WA9a368
(206)385,9160
V\'r"\..' ~,.
N~ 0894
Distric:tNv.
PERMIT
In accordnncc with all applicable Revised Codes of W;.Jshingtoll and i.lIllcndmcnts thereto, :IIlU suhject to all the terms, condi.
tions and provisions wriucn or printed below or 011 any part of this form
PERMISSION IS HEREBY GRANTED TO U. S. West Communications
2720 Oa kri dge Dr., Port Angeles, WA 98362
to Install a buried service wire along the North side of Jansen Road from mile post
0.23 to mile post 0.25.
Job 88-354
COllllty Road No, 588209
Fmnchisc No.
Milepost 0.23 to 0.25
No work sh<ll1 be done under this permit until the party or parties to whom it is gr;lIl!cd sl1all have COlllllltlllic:llcd with Hill!
received instructions from
This permit shall be void unless the work herein contemplated shall have been completed before October 13 .1989
Daled HI October 13 . 19 88
&~~~@W~~
By
-.d~- (.vLt
1.800.424.5555
~
I
(;EN EllA I. \'IUlVISIONS APPLlCAIII.E TO ALl. l'EIlM\TS
Thi~ permit is suhject to nil applicanle [lwvisjnnstlf the Revised Cudes of Wushingwn, CXl':CPllh<l1 ,In}' provhiol\ in this llgrccmcllt not consistent with
such resolution shull be controlling,
A hond ll1lhe U1l1Ulllll of S
i~ required for the protection of the county as set forth Lnlhe tcrms of Ihe hondo
During the progress of the work such batriers shall he erected and nwinwincd as may he nc~'c"sary or as may be directed for the protection of 11 Ie
traveling public; the lmrricr.\shall be properly lighted alnight.
In acceJlting this permit the rll.:titiol1cr, his SIlCCCS'iOrs and assigns, ngrccs to protect Jcrrcr.'ion Coullty and SOlve it harmless from all dllims, <letions ,lIltl
danmgcs of CS'Cr}' kind ,111U description which lIlay licente In nr hI: suffercd hy uny person ur I'lCTMlIlS, corponllioll or prol'lCrty hy rC:lson of the perfor-
mance of illlY such work, character of materials used or milnner of installation. lllnintcnance :l1l1J uperation or hy thc irnJ1rorcr oceupilncy of right of l,'.,
way or puhlie plilee or J1uhlie struclllre, :lnd in Cilse any suit or action is hrought against said Jefferson ('ounty for dalll<lges urising nut of or h~. renson of
any of the :Lho\'c callses, the rctitiolll:r. his succcs~ors or a~signs, willullon notice to him or them of colllmencement of sllch action. defend the same lit
his or their own so!c ellst <lnd e.\pcllsc and will satisfy any judgment urter the silid suit or action shall have finally heen lJcterrninl:d if advmc to the Jef-
ferson County.
Except as herein authnrill:d, no excilvation slmlll1e made orohstuclc pku:cd within thc limits llf a cOllnty road in slleh a tlwnner as \0 illlerferc with
the tmyel over ~\id road.
Except ilS hercin iluthori/ed, no CXcilvUlilln shall hc milde or obstadc placcd within four HI feet of the edge of thc pavemenl.
If the work dOlle under this permit interferes in :my way with the dr.linage of the CllUllly road. the grmllce shall whlllly :Iml at hi~ own expcnse make
such provision as lhe engineer may direct to takc care of said drainage.
On completion of suid work herein contempl:lted all rubhish :lIld debri~ shall he immediately reutoved and the roadway and rO:lll,ide shall he left lIeat
and rre.~cllli\hll.' i11J(I.~tl/i.~ftICIoTY III llle enginecr.
'\11 of the work herein cuntemplated shall he dOlle under the supcrvision and tll the smisfaction of the County Engineer and the entire eXI'lCIl~eof said
supervision shall he horne hy the party or parties to whom this permit is issucd.
The Department of Public Works herehy reserves the right tourder the clHlllgl: of locatiol1 or the removal orany strllcture or StrllelllrcS authori/cd by
this permit ill any tillle, said clmngl: or relll(\\'lll \0 he made :Lt thl: ~ole e.xJ1ense of the party or parties \0 whom this l'lCrrnit is i~slled. or their SllCl.:essors
and assigns.
f\lIslIchchanges.reCOllstrllclion or rc!ocationhy thcgr;llltcesshalllledol1e in sllch llIiUlllCr as will cause thele:!.'.t interfercncl: with anyoflheCoun.
ty wnr~ ,md the County of Jefferson shall in no wise be held linhle for uny damuge 10 the grantee by reason of UllY such work by lhe Coullty of Jeffer.
son, it agents or reprc~entatives, or by the excrd,e or any rights by the County IIpon mads. strcets, puhlic places or structures in questioll.
This permit or privilege shall not be decmcd or held to I'll: all exclusive one ami shall nnt prohihit the Coullty from granting olher permits or franchise
rights of Ii~e or other nature 10 other puhlic or pri\'ate utili lies, nor shall it prevent the Coumy rrolllllsing :my of its roads, slreets. or public plal.:Cs. or af.
feet its righlto full supervision unl! eonlrol mer all or any 11:lTt or thelll, nom: oj' which is herehy surrelHlcrcll.
The Departlllelltuf Puhlic Works lI1ay revoke, :HncmJ or Ciltlcelthis pcrmit or any of the prmNolls thercof:l( any timc hy giving writlell notice 10 the
pcrmittce. The permittee shull immediately rCn1O\'e all facilities from tile right of way. Any f:Jcililics rellwillillg IIpullthe right of way 30 days afler writ.
ten notice of cancellation shall he removcd hr the County at the expense of the permittee.
The pilrt~' or partie~ 10 whom lhL~ pcrmil is is~ued ~halllllilinlain ill his or their sole e:q'lCllSe the strllctllrl: or olljeet for which tllis permit i~ granted ill
u condition Sillisractory to the Dcpartment Ilf Puhlie Wnrk~.
SI'Ii'~,\Lg~)lV~SI~~~'ll be a minimum of 30" below existing ground elevation.
2. All areas disturbed during construction shall be restored to original condition.
- ?
~ 01 i
In acecpting this l'lCrmit the gralllee. his SUCl.:CS~llrS amI a,signs, agrcl: thilt any danwge or injury lIune to the llroperty of the gmntee or any c.~I'lCnsc
incurred hy him through lhe operalion of II wntructor, working I'm tile C(JlllllY ()f .lny COUllty eml1loyel: slwll he al the sole e.~pcnsc of thc gruntee, his
succc~sors and assigns.
,theunder,igned,hercbyuceeptSlhispcrlllit subjcct WIlle tcrms
Hlld comlitions a~ herein sct forth.
(),/
,]9 (f;?
[)alellthis
17
day of
'\1'1'11<",11'1
II? ;"ttft1-
~
~
~ Pacific Northweat BeU
~ OUT
IN
PllllOO 18"11
No, 'l>'1f:3.of.'t
Complsls by ____
PERMIT
--Lo-/()
Burled Service Wire.
Work Order
CON' RACTOR'S ACCEPTANCE
Firm
Slgneture
TItle
lJnlt Price 0 COlt Plus 0
WORK LOCATION
,_ Acldrsaa 2. 5' I / \ ~\r;.f.N ~,.._
City ti~l!;)J...ilJiJ2- County ~Fc__ SIOIUt,.J,Il,.
Name /- ~vA'TO _,_ ,-.--
Dele_
FI" Sum 0 $__
ORIGINATED BY C A LD"E:... .._ DnluJQ:Z:&~
New SS/ONo o..._l~ oueDota~U~:?
F-'" /. _
Repair 0 Tel. No, __- Tumporit@ 6 :-~
Rearrangu OSlO No, ___________ Oua Data -...n .
Tvpe of S.lVle.__-::-:-~,_
eeL. ~a.!r Color/B,r. ";'.r'Tl. AddrlU
Bill 10: PACIFIC NORTHWEST BELL
Atlentlon
Addr06&
Clty__ Zlp_---
,-
APPROVAL For FI.. Sum/COlt Plus $
Recommended
Approvad by __
Date_
Oate_
Quantity
PEnMIT REOUIRED 0 Yea 0 No
Received from _____ Vorbal 0
Jurisdiction _ No, ____ Dals_
___ )S;"T
COMPLETED BY
Call
Dels_
for Servlaa Connection
.- ~-~~---, -._"-II~---:-~-41~'--' dl~ate.Nor!h
--- . . "', .
.'~_.- ~-' _.~--~..
.~.- . . '-~ .
,
Sketch Work RaqLlifad - Inclvd~LAngth;:-d~~thSI wire: size end utnount' . . , . I
~~~
'-.'
~, 1\\ ~~/.c;-r;)/(I{:' .
0-- ____.._~_. ._. ~.. -----.~-
Nu',(.' Tn1!; S~t"o:h ,nUt 1"1"1 be;1I1 ilI:CUI;:r,!t! ",plll!il.lr'I.1liOI\ in lit: d~!l'lll'!i, II lern{ltn~ Ow cor.traC1Qr'!lllleponatbIl1ly 10 proporly locale work In the '1.,ld
ORIGINAl COPY
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JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
Fcc Paiu_ Yes _ No
1820JcffersonSlreet
P.O. Do~ !220
POr! Townscnd,WA98368
(206)385.9160
H~~cipl ~()
Address Requesl_ Ye.~ _ No
Mile Post
AI'I'L1CATlO;l/ Hill PERMIT
To Department of Public Works,
Jefferson County, Washington.
The undersigned it,s.
hereby appl 10-(1) for permission to
It/",,.f c'M.
;p/ttc ~ ,6";{r!~l :f~ryke tv(re ~f/{"",
1:1"1'/1'''11I 11'11/ ""'l'1il~. full.\" "hm h,> ..i,II,', I" dr/I .../
;T"n S",.., 1'd'
SKETCH:
c, -4.",/'",.1" i<I"r I
()n'(~
'S'S'-3S"7'
,,,,,
RECEIVED
OCT 12 1988
JEFFERSON COUNTY
PUBLIC WORKS DEPT,
01/ COl/my Noml:
::r e"se" /f'c.-/
OfF
11<'IWeeH.
c; 11",(s;:,,,, e'
ISIaI'> II"'''~'II'''''' \I"~'I or '1II1~ 1~,Itl/1
ami agree~ 10 do the work ill accordance with your rules and regulll/ioNS and subject to your inspection ami approval.
Dille /v-IO, /9---.JtL
'l d :?:'c':rCr l-ft.d_A '&,e,{.(. ~
/ IS'~Il~lure or ,\ppliulItI (If i1llpliCllrll is ,I cop,Hlncrshir. set fonh mImes of copartncrs) ICOnlfJCIOfl
-2n~,r- //r
,\,l,tre" V ,'<I<1r~'\
-tL../~.tk4- 4/4, %' s~_
Phonc i'itl. t../S2~ Y--'l'2..C-) Phollc No.
100% Recycled Paper
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Jeffersoll Cn.
DiltriCINo,
5"
DEPARTMENT OF PUBLIC WOI~KS
Perll/jlNo. 0891
Supcr't'isor's l{c,Jorl No.
SuperV/:wr will make detailed report Willi his recommendation Oil Ihis (lfJplictlliol/. Whenever possible show sketch of proposed
work. SlIperl1isor will al'io make additiol/al reports andjinal repo't giving date oJ completion of work 01/ ill/\form.
Preliminary Report:
J'j-N$<2.u R'V,
9Rftue L
nJ:le.p"s, 0."2.,", >h, O.2.s-
RoA-l..) /vo D;f-cll.
DOle:
ID -/2. - BA
Si~ned:
/l / ---d- <~ 4/
Final Report:
l'EllMIT gJSl'ECTION REPOIlT
~ Work cO"'cred b,)' permit has heen completed
sulisfaclorib".
_ Work is not completed.
- Recummend permit be cancelled.
_ Truffic control- lldequule_
. inl1dclllUlle_
REMARKS
DUll':
/2.-20 -8'8
Si~II''':_~
1Il '\11'11' l'IU' II u.... 1\('.
~
I
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, .
:OUNTY ROAD NO.~
,TATE LOG NO.
IILE POST ~~T".
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC I~ORKS
Jefferson County Courthouse
Port Townsend, ~IA 98368
PERMIT NO. ';(\;0-2-1- ~
FEE PAID LVes _No
}!~~I~~ ~J::.~~~
?- ..<C;;:, ~/9-,v~ _...-...........
.;;-70; ..._/"(....
CHECK ONE:
00 RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is he~by made for a permit to construct, operate and:ma:i. tain a road approach.
Please describe loaction (attach map or draWin,g) ~:t ,,#;:,;~
I~J'I% ,.t?/?.4 #/ ~./""""'CV5##1"'" 7<h-/.!/ MI r-l//-/e Pd
., .
Applicant agrees to perform the work in strict compliance with the terms and conditions set
cut h~=!:i~, and an:;:... ::.pecial provisions atte.chcd hc.r:eto.
APplican~ N~me 0.h/i .5'. r;';:;"'A, 'contractor Name
Address ,'-::/"/2::;; //'11I1/J" ,C;E Address
",/)//,1Ph'/,:~ ~~h'~
Applicar:at Signature~d \../ ~';;:;"jP/" C~ntractor Signature
Date. ~12 P'/~~/ _ 706-835-3018 Date'
Note: J:nd~ty provi,sions of paragraph. 2 '.md 3 ,on 'reverse side.
PER M IT, ~ 0 0 0 ~ [ ~!
Subject 'to the terms and conditions on the reverse side, PERMISSION IS ~BY CRlINTEo to
Applicant ~o construct, operate and malntain a road approach as requested above, and any
special provisions attached hereto.
No work. shall be done under this permit until the appl~cant or contractpr has notified
telephone
APPROIIED BY:-<1A'~ K~'-A
'Date ff-/-88
CAll 48 HOURS
BEFORE YOU DIG
1-800-562-6478
PERMIT INSPECTION REPORT
~rk covered by permit has been completed
~ satisfactorily.
_Work is not completed.
_Recommend permit be cancelled.
_Traffic control - adequate
inadequate_
REMARKS
INSPECTEO BY:
J\~j(L DATED,zo-~g
Form 113-a(RevA 2~.B2):
~
~
GEhEML P~OVISIONS
I. THIS PERMIT IS SUBJECT TO RC1l 36.75.130. .JQO AIIO .150 AIlO AHENOHE~TS THERETO.
2. nlE GRANTEE, ITS SUCCESSORS Af4D ASSIGNS, "CREES TO PROTECT JEFFERSON cournv AND SAVE IT HAR~LESS FROM Al.l.
Cl.AIMS, ACTIONS DR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH HAY ACCRUE TO OR 8E SUFFERED BY ANY PERSOtl,
PERSONS, OR PROPERTY BY REASON OF THE -PERFORMANCE Of ANY SUCH \iORK, CHARACTER OF KATlRIALS USEIJ OR MArmER
OF INSTAl.LATION; IH CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON ,OF AWi OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILl.. UPON NOTICE OF CO/1MENCE-
t\E~T OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY MY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3. IF ,THE GRANTEE ENTERS INTO A CONTRACT OR AGREEME.NT WITH A THIRD PA.RTY TO PERFOR'" THE WOR~ AuTHORIZED
~~J~~~F~:R~b[D ~~HIT~~O A~~R~~FE~~ ~H~A~~U~~yT~~ ~g~~~~~~il~7T~0~H~T;Rg~~i~~~~ ~~T~A~~~r~~'2~G:~~~E~0
lI. ~~Y T~~~"'~~R~~ T ~~ ~~N 1~~ ~g~~{~~g~~ ~Neo~~Q~i:~~~~I~ ~~;~:~ gaD~Ay~R S~l.tU~5B3~c~H~Ht~R~E~11Hio G~~~~~_
LATlDN AS HE.REIN PROVIDED.
S. DURING THE CONSTRUCTION OF THE F",CILlTY, THE GRMlTEE SHALL COHPLY WITH THE 1:lAtfUJ.! ON UNIFORM. TRAFFIC CONTROL
DEYICF~ FOR STRFETS AND HIr.HIofAVS PUBI..lSHED BY THE U.S. DEP...RTMENT OF TR~SPORTATlON.
.6. ON COMPLETION Of SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL llE IHMED1ATELY REMOVED AND
THE ROADW"'Y AND ROADSIDE SH"'LL BE LEFT NE...T AND PRESENTABLE AND S...TlSFACTORY TO THE COUHTY.
7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CHA.NGE OF LOCATlOH OR THE REKOVAL OF A."Y STRUCT~E Of! STRUCTURES
AUTHORIZED BY THIS PERHIT AT ANY TlKE, SA1D CHANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE Of THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS.
~t~ ~i~T C~~~~~~ER~~~~N~r~~l~~" O~R T~~LgM~}~~ S D~O~~E.A~~"'~I~~E~~~L ~~N~~l~L S~H ~ ~~E:E A~E~ltr~~~:E
FOR ~Y O"KAGE TO THE GRANTEE BY REASON OF ANY SUCH fII0RK BY JEFFERSON COlIUY" ITS AGENTS OR REPRESENTATIVES,
OR 8Y,THE EXE.RClSE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBL1C PLACES OR STRUCTURES IN QUE.ST1.~.
g.. THE GRANTEE SH"'LL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMlT SO THAT
~ F1~AL INSPECTlOH CIf 'BY I<'.OE,
, .8.
-01,
E:Y2.
SPECIAL PROVIS IONS
: , ' ',' , ... APPLICABLE PROVISIOllS ARE DENOTEO BY All (Xl
A COpy O.F' THE' ~ERHIT' ~HALL BE OH THE JOB SlTE, AND PROTEc;TED FRO'" THE ELEKEHTS, AT AU. TIMES DURING THE
COHSTRUCTlOH AUTHORIZED BY SAID PERMlT wITHIN THE COUNTY S RIGHT-OF-WAY.
THE APPROACH SHALL' BE' CONSTRUCTED IN ACCORDMiCE WlTH THE ATTACHED DESIGN PLATE TYPE P ~ I
J,PPROACH. A-:!Z:=....-FT.lENGTH OF -e-- INCH DIAMETER CULVERT PIPE SHAll BE PLACED IN
DnCH AND LAID TO A TRUE LIHE AND GRADE. THE APPROACH SHAll 8E SURFACED TO THE LIMITS AS SHOWN ON
~~~E~~G ~~ ~~~F~~~D~A~~R T~~o~p~~~e~~E S~~~~E~iy I~N~gcg~2~~~E R~g:;~~-N~~O~: t~ ~g~T:~L p~:M1~iE~~AH.
THE APPRO"'CH SHALL BE SUFFICIENTlY SURF...CED e...CK AN ADEOUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT MY tlUD TRACKING ONTO THE COUNTY ROAD. ANY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IHl1EDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARY "TO HICREASE SIGHT DlSTANLE, STUMPS AND BRUSH SHALL BE REHOVED FROM BOTH SIDES OF THE
e:r~~"'~~ALLT~~T':~I~~:~N1~~E~U~~~~~yO~O~~R~~~~~g~~wl{~BER OR DISFIGU~lNG OF AHY FEATURE OF SCENIC
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00....M. AND q:OOP.H. l.'lI..ESS OTHERWISE AUTHORIZED BY THE
ENGlliEER.
A SURETY BOND IN THE AMOUNT OF $ , WRITTEN BY A SURETY COMPANY AUTHORIZED TO
DO BUSINESS IN THE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE HITH ANY AND All OF THE
TERI:I5 AND CONDITIONS OF THIS PERMIT AND SHALL REKA1N IH FORCE lJHIL ALL WORI( UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTy.
BEFORE ANY LOG HAULING OPERATIONS BEGIN, A SURETY BOND IN THE AMOUNT OF $ . SHALL
BE FURNISHED BY THE GRAHTEE TO PROTECT THE COUNTY ...GAINST ANY DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPLETE REMOVAL OF THE APPROACH AND CLEANING UP OF THE RIGHT"OF'"H...Y TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SH"'LL BE SECURE,p BEFORE THE BOND HILL BE RELE...SED.
SPEC I...L CONS IDERAT IONS
8'3,
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.D 5.
06,
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COUNH ROAD NO.~
STATE LuG NO.
MIU POST ~TO~
\lFFICE USE ONLY
fERMIT NO.fI1f.-S-I'f-1
fRANCHISE NO.
FEE PAID _yes-NO
OFFICE USE ONLY
JEFfERSON COUNTY
OEPARTMENT OF PUBLIC llORKS
Jefferson Ceunty Courthouse
Port Townsend, WA 98368
APPLICATION fOR INSTALLATION Of UTILITIES
I\ppllcantnA Contractor: c?/?'-J
Name r. CIEJUORlHWES-T-BEIf- ~!ame~,.uV Job No,: 6o~/.5/
Address t.ddress /lo.ft:;; '?',"P"" &..0
'1"11GCr, I & M ",,_l. CLI;,,,,, ~< ""~
2720 OAKRlDG€-JlIl!Ve ~f"P II!'.('
Phone: PORr ANGElES. WA 9836~ Phone: ~6M'7. ,n", ,,'
Application is hereby made for a pennit to construct, operate and maintc1in ' . ,I
I SerZv/{. e (v//ze .-rc, ?,fl J...t/101f/
The utility installation is located (attach map or drawing)
SR D./ o7Lcu/U1-tl S:d?oJrL
Appl icant agrees to perfonn the worK in strict compliance with the tenns and conditions
set out herein, and states that Applicant has read and \;ill adhere to the general provi-
sions set out on the reverse side of this fonn and any special provisions attached hereto.
Applicant Signature: ~ );?~.L---
J-/6..ff
Oate:
1 1 1 1 1 I I 1 I I I I I I I I I I I I I I I I I I I I I J LLJ...J..J. I I I I 1 I 1 II
PER'1 1 T ~\Q)\9)[Q)~~\~\UI
Subject to the following tenns and conditions, PERHISSION IS HEREBY ~r\:b~~~PP1~t
to construct, operate and maintain utility facilities as requested above,
This pennit is conditioned upon Applicant's compliance ~lith Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this fonn and any special provisions attilched hereto.
No work shall be done under this pennit until the Appl icant hilS received instructions to
proceed from ' telephone
APPROVED BY: )) ",M:;t- K~ fLfV( Date: 5"- / '1-8&
GfNOTE SPECIAL PROVISIONS ON Rb[nSE
l-.l /I I ( I I I I I I ( I 1.1J. ;' I I I I V I I I I 1 I L/ I I I 1 I I I I I t C [,
PERMIT 'iNSPECTION REPORT
1.800.424.5555
Work covered by pennit has been completed satisfactorily.
Work is not completed.
Recomnend pennit be cancelled.
Traffic control_adequate; _inadequate.
R['IARKS: pl.w'" /lC,",.<< i><,q.,., - A1eeD'.o. R.eF"..~eD
INSPECTEDBY:~ K~ Dilte: /ll-20-'i8
~
,
liener.' Prowhtans pCr JeHenol'l CO~"t1 Drdl } 2'-111 and \lAC 1]6-40,
,
l. All work done under ullJ franei'll,!! '''''11 be done III" thorauq'! .nd ..orkmanltke IlIUlner, In the hytn'1 of underQrOund pipelines .nd t.tlln and tht
construction of other facilities Ind tile open I I'll] of trenches. the tUfll\e1tnllundtr COUrlt)' ro.ds, rtqncs.or...,)' or olller co~ntl proPtrttu, tnl! 9rtnlu
shall Ttawl! SlIch trenchn, dltchn 4nd tunnels In such" ....)' on to tllterferl! U little 01 possible ..tth putlllc erlYeI and ~h411 tlke ,11 due .nd
neceu.ry prec.utlons to 9u,rd the Unit so tll<lt d'~ge or Injury Sh,ll not Occur or arhe by renOn of such 'oIorll.; .nd wnere any of fuel'! trfllChU,
dltchn or tunnels ,r. hft OPtl1 at 1'119"t. the qrantee shall place W4rntnq lI!jhts and barrIcades at SUCh. posltton u to give 'dellll'te ...rntnq of
SuCh \lork. The gralltee '11411 be 1 14ble for In)' illJur)' to per'(lIl or persons or damage to propert)' sushllled throu911 its careleurteu or neglect, or
through an)' f~lIure or neglect to properl)' gU4rd or give wunlng of In)' trellchu, ditches or tUllneh dug or rTldllltained by the l}r4Iltee,
2. The grantee, Its succeuorSoruslglls, shall cOTTllenceconstructlon ul'lllersuch permltgr4nted by the County (nglneer within the tlrnePerlod stated
In sucll permit and shall have cCWllpleted and h4Wl! Inoper4tlon 'uchport!onof the slstl!fllof improyelTll!nts as rn.ly be SpecifIed In such pemltor the
rights therein conferred upon the grantee Shall cease and terminate Insof~r u unoccupied streets, roadS, ftc" are concerned.
3. The grantee shall leave all streets, avenues, 411eys, roads, hlqhllays, rlghts.of'way and other COunty propertIes. after laying 11'\.1 Innalllng
mains and dofngconstrllctlon O<(Irk, making repairs toequlprlent, etc., in as gC:Jd and safe conditIon In all rnoects as they...ere before tile ct1'Jllence_
lI'Ient of Suc,", \IlCIrk b)' the grantee. Its 4gents or cOntractors, and all recorded monuments whICh ha~e been d1Stur~ed or displaced by the ..or_ sha 11 be
reset to the specifications and4pproval of theCoullty [nglrteer.
4, [n CUe of any dam4ge to said streets, Ivenues, alleys, roads, hlqh\lays, rlghts.of'way or other county propertlu, or to paved or Surfaced road_
ways, turn'outs, gutters, ditches, \IlCIod or concrete walks, drain pipes, hand or embanklllC!nt ralls, bridges, trestles, whar~u, landings or lfoOnuments
by the C}rantee, the said grantee aQrel!S to repair suc,", llam~ge at the earliest time possible 4t its oom cost and upense.
5. "hen the County [nglneer lletennlnes that an emergency situation does exist, he may order and have done any and all loIOr~ considered necessary to
rutore to a ufe condition any such street, avenue, alley, road. hlgh..ay, right.of."aYOrothercountyproperty left by the grantee oraQents in,
condition dangerous to life or propert)'. He may cause to be replaced or reset recanled ITlOnyrnents If, grantee falls to replace or reset l4lTll! withIn
a reasonable time aHer ccrnp1etlon of conHructlon. The grantee, uPon demand, sllall pay tel tile county all COHS of Such constructIon or repair and
of doing sllch \IlCIr~.
E. All construction or Instalhtlon of malns, yalves, pipes, poles, cables, lines fitting and facilltles, seryice, repair, or reloc4tlon of the
same. performed along, oyer and/or under the county roads, rlghts.of'way or other COunty properties subject to uld franchlle shall be dOrte in such
I ll1anner as not to Interfere...lth the construction, operation and maintenance of other utilitIes, pybll( or prhate, drains. drainage ditelles and
structures located therein, nor vltll the gradln9 or Impro~ement of such county roads. rlghts-of'way or other cC,unty properties.
7. Tilt owners of 111 other utlHtln, public or private, 1nstalled in such County roads, rights.of....ay or other County properties prior In time to
thellnu 4nd hcll1tles of thegrlntee Shill have preference u to thl posltlon and locltlol'lof such utilitIes so lnstllled wIth respect to thl
9rantee. Suc,", preference shall continue ln the event of the necessit)' of relocatIng or changln9 the 9rade of any sucl\ County road or rl!Jllt.of....ay.
8. Tile grantee, IS far as pract!cablt. shall construct nl!'tI utility fdellltlts underqround. (xtenslon of overhead facllHlu f011o"In!J streets,
'venues, "'''IS, boule~ards Or thoroughfares shall be l.mderU~en only wlth the approval of the County Eng!neer; PROVIDED, ho..ewer, that uid approval
shall rtot be unreaSOMbly vtthlleld. Crantee shall con~ert etht1ng overhead facilities to underground facilities as and \llltn equIpment replacement
is IIrtdertalen, or "'~en Other exlstlrtg overhead utllltles are placed underQround, unless such replacement Is unsafe, lropractlcal, or econl)':llcally
unreasona~le. line utenslon policies and procedures establIshed by the grantee, and unlforTlllyapplled tllrough lts serylce aru, shall be the
standard In detennining w~at" 'practll::al. Impractical or econom!cally unreasonable" under thls ordinance; provided that no new oyer'"'ead utility
facilities Shall be constructed or established In any area set aside for public park. school, playSrtlund or athletic field purposes.
9. Speclal Prtl~h!ons:
CA--/31-e..-_. 51..J.-4L-L Be.. /NTI?-LLe.i:) ,4 rn"N~''''}'HU'V1 tJ.;=
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WORK LOCATION
Addres& 1RI N'Qb_"Th~,___._
CityIhIlRR~,,~c.gCounty ~fl;:'~._- SI8ter.J8",
Name k'RAJII\NIC,"Z.. A,i.J.Iii__,_____
.
ORIGINATeOBY -9~~~__D8teS.::JJf:8
New oS/ONO, DueDale_
~epalr 2Sl Tel, No.m-=~5lL Temporlzed,g
Rearrange OSlO No. Due Dale_
Type Of Service I F"R
cal. ~lIlr Color/B.P.
f
QUllntlty
Sketch Work AeCNlred. Incl~lde LAn!)th~. ~ir'Pth" wire ,i;;;;;:j Om(lllnt
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....:. :....... -.:....
Townsend Garage POI
&0/ ~ .s-((c;-fj
Burled ServIce Wire-
Work Order
CONTRACTOR'S ACCEPTANCE
Firm
Signature
Title
U"it Price 0 COil Plu. 0
~ja'llIlJ
No, ~':Jfi' 7
Complete by ____
Dlte_
FI.l5om 0 $_
Bill to: PACIFIC NORTHWEST BELL
Anemlon
Addrass
City
Zip
APPROVAL For FI01 Sum/Co.t PI" $
Recommended
Approved by
Date_
Date__
PERMit REOUIRED
Received from
Jurisdiction
o Yee 0 No
Verbal 0
No,_Dale_
COM PLETEO BY
Call
Date __
lor Service Connection
I.ndl~ale .North
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NOI;'--~T-;;;:;~;~7;;;;;~--';'~~:;j;';;;";~i;;;-~"~t:i'ii;:i;;~-;;.;~~.;th~ conlractor'& re&pone1blllly to property lor-ate work In thA field,
OflIQINAL COpy
. ._, ~'. . .~ .... .. ...... ,
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2915
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COUN IY ROM NO. rQ6o~C)
STATE LOG NO. _"-, --~f-
MILE POST "'./2.-TO--=
OFFICE USE ONLY,
dEFrmSON CUUNTY'
oEI'AlmlENT OF PU~LIC ,IORKS
Jefferson COllnty Courthollse
Port TOImsend, HA 903GO
I'ERNIT No._f(...:..~-.;>~_
FIWICIIISE NO.
FEE PAID __Yes _ No
OFFICE USE ONLY
Name and Address of Applicant:
APPLICATION FOR INSTALLArloN OF UrILITJES
~
pucrr~1 POWER LINE HaiRS.
;~\'i{} F(]~lr Gornem Hoad
=---P.QrCG:l~r;llti:J:\d{ -WK:]a3:S8_:::"~=~~----=="=~-:::,-:::-
I\pplicalion is hel'eby lIIade for a penllit to construct, uperate and lIIai'ntain (')Q~_,_
'. <;-~("OI\-/\Y\ceYfhl ( . _____
The utility installation js located (attach lIIap or dra\'ingt_-Gb..,~__lS:::t;.~i]-=-__
_,---i:.;:21_Ur __~2F --1.r:J:-\(::'i'')_,_ -~~Jj_,,-=:I\ -ex' DLAL:j~L-__,__.
App! iCiln!: agrees 1.0 per'fonll the ~lOrk in stl'ict cOlllpl iance \.Ii I.h the terllls and condi Lions
set out herein, and states tl1ilt Applicant has reuti and will "dl,e,'e to tile generill provi-
sion5 set out on the "everse side of tllis form and any special provisioils attached hereto,
Applicant Signature:
.x.----t:-/'S _-
1\ ('~{7 '_
~t.A (,: cLXtZ L l)
01, () c:;R ('~ ?~,
PERNIT
Subjec t to the foll owi n~r tenlls and cond it ions, PERN! SS I ON IS IIEIlEllY GRANTED to App I i cant
to construct, operate and maintain utility facilities as requested above.
Th i s permit is cond iti oned upon Appl i can t' s compl i ance wi th Je fferson Coun ty ord i nance
2-01 and HAC 136-40, including alllendments the"eto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No work shall be done under this permit until the Applicilnt has received instructions to
proceed from , telephone .
APPIWVED Oy:_.L)L.a-~-r.L.A -- D~::-; 6.--~.L::!2L-_
NOTE SPECIAL PROVISIONS ON REVERSE
UTILITY DAMAGE IS COSTLY,
CALL 48 HOURS
BEFORE YOU DIG
1-800-562 -6478
I
L....:.~_.~~.!_I_~ __...
L
PER~1I T I NSPECT I ON REPORT
~I'k covered by permit has been completed satiSfactorily. .'
l'lork is not cOlllpleted.
_ Recollllllcnd permi t be callce 11 ed,
_ Traffic cOlltl'otadequate; ___.inadequate.
WIAHKS:
INSPECTED Oy:_Ll~~_ Datr.:..l.~-zq--=gL
~
:IIT FACILITIES
,IITS - OTHEll UTILITIES
LABOR REPORTING OATA
POLES. GUYS & FIXTURES
CONDUCTORS, GROUNDS & RODS
UG CDNOUlT
UG CONOUCTORS, GROUNDS & RODS
SERVICES
TRANSFORMERS
PL\NT(CllcleOnn)
TRANSM '" rOOfST '
TRANSM - DIST'
DIST
OIST
',DIST
erST
TYPE OF WORK
OPEIL\TION MMNTENANCE CONSTRUCTlOrl RETIRE~ENT
--'_2';:";, I
r: ',r ~:' ,;.~:,::
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C.\LL FOR UNDERGROUND LOCATION ASSISTANCE. PHONE: :-~,.:C' ~~'" -5~-;5.:;
THIS SKETCH IS NOT TO BE RELIED UPON FOR EXACT LOCATION OF POWER FACILITIES
/--'>. ' .' "
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COUNTY RUAO NO.~
STATE lOG NO.
MllE'fIlST Q:..b.LTO-=-
-,'9fFICE USE ONLY
fERMIT tIO.lQl- 5-19 - 2..-
fRANCHISE NO.
fEE PAlO _Yes _No
OFFICE USE ONLY
JEffERSON COUNTY
OEPARTMENT OF PUBU C WORKS
Jefferson County Courthouse
Port Townsend, WA 98368
APPLlCI\TION fOR INSTALLATION Of IITIllTIES
I\pplicanii' [l'T D Contra'7tor: . -
Name_rA&lflC NOIUHWL.U.....DELL- ~!am" "ifI'~M 4....-' Job No.: 1f!:-/5 L
Address-MAN'GER J & II l,ddress /OJ''l11 I?e.-ece eel .
2720 OAKRIDGE DRIVll /bli!/ .4,/l/r/",,!t..f CUCL
Phone: PORT ANGELES, WA 98362 Phone: _~S-",2 M, s- c:,
Application is hereby made for a penn it to construct, operate and maintain ,n:
11,i2(J f2d_a 1...; 'i- &L'LU,.{J ..5J.A_u/T; 0 cbu-,I/ !1 U k"..i.v sccJ<<,d:, ,/f:",{ ,
. a.:/- (, 1/ s?<.J....a;; /i!c-lJ-d
The utility installation is located (attach map or drawing)
See cJA'-CD.,} ..s1:::~7d.r
Applicant agrees to perfonn the ~Iork in strict compliance with the tenns and conditions
set out herein, and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this foro and any special provisions attached hereto.
Applicant Signature: IJ,.f. JJ2..<.-<./J.-'//L.-
Date: $ -/..j-'j/
71111111111111111111111111111111117111111117
PERMIT ~~~~M~
Subject to the following tenns and conditions, PERMISSION IS HEREBJA\If~lIIlWJ~~nt
to construct, operate and maintain utility facilities as requested above.
This permit is conditioned upon Appl icant's camp1 iance liith Jefferson County Ordinance
2-B1 and \lAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
110 \'Iork shall be done under this permit until the Applicant has received instructions to
proceed from , telephone .
APPROVED BY: /J~ <J/JvL9.-1 'Date: ')-19-8'2
GrNOTE SPEC I Al PROV I 5 IONS ON R~vr~SE
LU 1 I I 1 I I I I I ( ILL I I.. { { I I { I I I LLLLJ.../ I I rrrrrT777'7:
PERMIT'INSPECTlON REPORT
v'H'ork covered by permit has been completed satisfactorily.
Work is not completed.
_ REcorrmend permit be cancelled.
Traffic control adequate; inadequate.
REi'1ARKS: JQ~ Co:e. f!,eJol>-e.~Bj";"':O\J9 '" PeP.m,''j--
INSPECTED BY: /-J~~ . Oate:/2.-2.0-~
1.800.424.5555
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Gener.l Pr01hlon' pa Jefferson County Drill } 2.81 .nll \lAC 136.40.
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1. All work 1I0ne unlle'" Hid franchhe ,hall be done In a thorcu~h anll ",or~man\He manner. In the la;tlnq c, underorOl,mll plpellnes.M c.tlles .nd the
ccnstructlorl a' other r.cllttlu .nd the openln<] 0' trenchu, the tunnellnq unller county roads, F"lljhU.Of....1 or olher county pro~rths, VI' Ijr.nte\
sh.ll have SuCh trenches, lI1tchu and tunnels In such a "'4y as to inter'ere.n lltth as possible ..lth nubllc trhtl .nd sn411 tlke.ll clue 11'1(\ ,
necenary preclutlons toquard theume so th4td4m.\qeor Injury Sh411 not Ottu," or 4F"he by reason 0' such..orki anll",nere Inyo' SuCh trenChU,
dltChU or tunnels are "'t op,n at niljht, the qrantee sh"l1 phce ""arnlnq lIqhts .nll barrlcadu .t IUCII a posltlo" II to qhe adequate ..arnlng 0'
Such lOork. The 9rantee shall be 114ble 'or 4n)' in~ury to person or persons or dam4ge to property susUlned throulJlI Its C4re1enntU or neljlect, or
throu9h 41'1)' fII11ure or ne91ect to properl)' lju4rll or qhe ..4rnlnq 0' any trencheS, ditches or turmeh duq or lrl4\nulneiJ bl tile IJr.ntee,
2. The grantee, Its successors or uslljns, Ih411 comence constructIon under such permit qranted by the County Engineer ..I thin the time PHiod stated
In SuCh permit .nd sh.ll h4ve cOlT\pletell 4nd h4ve 1n oper4tion such portlon 0' the system of improvements II IfIolY be specHfe(\ In such pemlt or the
rl9hU therein conferrell upon theqrantee Sh411 ceHe 4nd termfnate 1nSo"'r4\ unoccupied streets, roads, etc., 4fe concerned,
3. The grantee shall leave 411 streets, avenues, alleys, roadS, hlqh..ays, r1ghts.of'''4Y and other county propertlu, a'ter 14ylng al\~ Installing
IMlns 4nd doing construction work, making rep41rs to equltwflent, etc., in as 'lood 4niJ sa'e conditIon In 4\1 respects n thej Itere before tt>e c~ence~
II'tent of such work by the grantee, Its agents or contractors, and all recordell monuments ..hlch h~vl! been disturbed or displaced by the wOr~ shall be
reut to the specHicHions4nllapproval of theCoul1ty EngIneer.
n"l,'"
4. In cue of an)' d4Nge to said streets, a~enues, alleys, roalls, hlqhlOays, rlghts.of.",ay or other county properties, or to phed or surf4ced r"Qad~
lOayS, turn-outs, gutters, ditChes, \tOodo," concrete ...ans, dr4ln pipes, h4nll or embankllll!nt ralls, bridges, treHles, IOharves, landln9S or!fWJnullll!nts
by the 9rantee, the uld gr4ntee a9rees to repair such dall\ilge 4t the earlle~tlme poaible At 1ts own cost and upense.
S. When the County En91neer determines th~t 41'1 emergency s\tU41lon does uist, he ma)' order and h4~e done 4ny and all wOrl!, considered necessary to
restore t04safecond\tlonany such street, henue, alley, road, hlqh..a)', rlqht.o,...aj or other count)' propert)' left by thll grantee or 4gents In a
condition dangerous to 11ft' or property. He m4)' cause to be rep14ced or re~et recorded mon~ents If a grantee f1ins to replace or ruet \4~ w1thln
a reasonable tlme after completion 0' cOnHructlon. The 9rantee, upon dem4nd, shall pay to the county all COHS of SuCh connructlon or repair and
ofdoin9SlichwOrk.
6. All constructlonorInstal14tlonofrn.'llns,valves, pipes, poles, C4b1es,lines flttlng.ndfacllltles, service, repaIr, or relocation of the
Sll/l\l!, perfonT\l!d 410ng, over and/or under the countj r04ds, rlghts-of-"",lj or other count)' properties Subject to uld franchise shall ~ done In such
. manner U not to lnltrfert lO\th the construction, oper4t1on and maIntenance 0' other \Jtllltles, public or private, dr4lns, dr4lnage IIltches an(\
structures lOCAted therein. nor 'filth the 9radln9 or lmproy~ent of slich COunt)' roads, rights-of-"ay or other county pr"Qpertlu.
1. Tilt ~wners of 111 ather utilitIes, pubttc: or private, lnstalled In such count)' roads, rli;hu.of...ay or other county proptrtlu prior In tine to
tht linn and flcll1tln of the gr4ntee Shall h4ve preference IS to the posltlon and location of SUCh \JttlHles so Installed ',11th respect to the
9rantee. Such preference shall continue In the event of the neceu1ty of relocating or chal'lglni] tht 9radeaf any such count)' road or rlgM.of.IOI)'.
B. The grantee, u fir u pr4ctlcable, shall constr\Jct new utility hclllties underqrounll. E~tenslon 0' overhead '4cllltles fo110.1n9 streets,
avenues, lOa)'S, boulevards or thOF"O\Jghhres shall be undertaken anI)' IOlth the appro~al of the COunty Engineer; PROVIDED, ho..ever, that uill appro~al
shall not be tlnreuonatlly lO1thheld, Grantee sh411 convert ellstlng overheall flcllltltl to un<:erground "'cllltles as and IOhen equipment replacement
is undert4ken, or lO~en o~her existing overne4d utilities are placed undergrOund, unless such rephcerrcnt Is \Jnsafe, llT'practteal, or economlcall)'
Ul'lre4$on4~le. Line utenslol'l policies &11<: procedures established by the grantee, 4nd untfonnly applied throu911 Its service area, shall be the
st4n<:ard In detemlinlng ..hat is ~pr4ttlcal, IlT'practical or econOlT\lcally unreasOllable~ \Jnder thls ordln4ncei provided that no new o~erhead uti11t)'
facilities shall beconstr\Jcted orestablhhed In.ny Iru set aside for Public parll, $Chool, pl4Y9roulld or athletIc field purpOStl.
g. Spec141,Pro.vl_slons:
l/i':';ifii':irTi;,\lJl'ill'\ .srl4^t
';.'~: ~ 1':!~liC:;)&N}!.l:'tf~'
y \) ;'~":\Il~! H lq;~.i
"OF 30'" B"-LO"'-'
Be INs,4<.Lef>
1'9 m;N;/"}"jL-u11
€.'X.; s'''''i,J~
iJ~t< 1-1
;7 iZ./iDe ,
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~. @PaciflC Northwest Bell
Burled Service Wire.
Work Order
H
'~lfl.Rl1
No, .J2:,_~/$~
Complele by _____
WORK LOCATION ')J CONTRACTOR'S ACCEPTANCE
Address , II ::x c, '" &.:L'2_....!i--_____ Firm
Clly N.dl_J _ County~i.--.Stale!d6':' Signalure
Name WiY"/I,,~to.... , _____ Tlile____,___.._________,_,_._Date___,_,
j ,} Unit Price 0 Co,t Plus 0 FI., Sum LJ 5___
ORIGINATfP,8Y loCL '" <2..- u..__,_ Dale..0:.t.:~:'6'6'"
New ~ SIO No, __ Due Date ..Ll~.P Blli to: PACIFIC NORrHWEST BELL
Repair ~'Tel. NO, ~3crll Temporized ~ Allenlion _____..__ --,----- ,- -----,-
Rearrange OSIONo. Due Date_ Address_,_, - ------,---
TypeolSen,;ce FJ{2. C,ty_,_,_________,Z,p. ---.
eBI. FaIr CO\(lr/B.P.
Ir -~;~;~ ~
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Rot~~~i%~ .T'-o~;~;I;Y--:
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" \. j!)z-- ,-- lIlPf!;":-
:fJ.c./N wkw~_,;,..._ _____ ' ' Y
,________ -r-----I--=:~J r-:
__,-.0 ------- '-'-~~=-- _'~~-~J : :
Sketch Work Required. Include LengthS. depths, wire size and amount
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APflHOV AL For r IHt Sum/Cost Plus S ....________
Recommended ___ ,_ ___~__._ Dale ---
Approved by , ,_,... Dale ---..-
Oescrlptlon 01 WOlk
PERMIT REOUIRED 0 Yes [J No
Received Irom __________ _,_ ..,.._ Verbai 0
Jurisdiction ___.________ NO. _ Date __'
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_ _.._ Date __"_
for Service Connection
Indicate Norlh
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'~~;:;~.~;l-~,~';;:~~e"(;JtIOr'l in -;ild~ia\IS, ~:;.:;:;:'3 the contractor's responsibiiiiyi~'p;0P;riyH\o;wo;ki;;th91i~lci"-
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:OUNT.Y ROAD NO.~
;TATE LOG NO.
il L E POST 12..B:t..
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC llORKS
Jefferson County Courthouse
Port Townsend. \lA 98368
PERMIT NO. 'f!- <t -,.}. -I
,;$~;'
F~PAlf}-Z.es ---Yo
OFFICE )!.llll'PNLY ,
l6,~~o~ ~f1:&_/
,)'I.o$o<&'v ?fe~J.
CHECK ONE:
g RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out h~r2in# and any special provisions attac~ed hereto.
Applicant Name 5rt'>Tf /II-LM4^/ Contractor Name
Address /411:J.. / 4r f}.. fYI. 5: i!, Address
J2 E!f/ TiJ r./ ^ ~v.4 '-l5!o t:; {,
Applicant Signature' ~>If 7/.P'F~ Contractor Signature
Date. IlwvU<-r /~ !'is'! Date
Note: . In~~ity prov(:sions of paragraph.. 2 :,and 3 .on. reverse side.
PERMIT
&rrww@~taF
Subject to the terms and conditions on the reverse side, PERMISSION IS HEREBY GRANTED to
.Applicant to construct, operate and ma'intain a road approach as requested above, and any
special provisions attached hereto. .
No work shall be done under this permit until the applicant or contractpr has notified
telephone
APPROVED BY:/J..(' ~,I< ~
Date 9 - / - 88
CAll 48 HOURS
BEFORE YOU DIG
1-800-562 -6478
PERMIT INSPECTION REPORT
~rk covered by permit has been completed
~ satisfactorily.
_work is not completed.
_Recomrne~d permit be cancelled.
_Traffic control - adequate
inadequate_______
REMARKS
Form 113-0 (RevA 2-.82) ~
INSPECTED BY:..-iJ~ J!~J.I DATE 12-20-98
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9.
GENERAL P~OVISIONS
TOilS PERMIT IS SUBJECT TO RC'.i l6.75.130, ,140 ArlO .150 Alia AMENDME~TS TNERETD.
TUE GRANTEE, ITS SUCCESS.oRS Af4D ASSIGNS. AGREES TO PROTECT JEFFERSON COlmlY AND SA....E IT HARMLESs FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF eVERY KINO AtlO DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERsorl,
PERSONS. OR PROPERTy BY REASON OF THE 'PERFORMANCE Of ANY SUCH HORK, CHARACTER OF HATER IALS USH.. OR MAIINER
OF INSTALLATION; IH CASE my SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON .OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AHD SATISFY MY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSe TO JEFFERSON COUNTY.
IF .THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT "'ITH A TlllRD PARTY TO PERFORM THE WORK AUTHORIZED
~~Di~~ f F~~R~b[D ~~~M~~~~O A~~R~~FE~~ ~H~A~~U~~Y T~~ ~g~~~g~~~ I~~ T~0~H~T~Rg~7i~~~~ ~~ T~A~:~~1~~12~G:~~~E:O
~~v T~~~A~~R~~ T ~6 ~~NI~~ ~g~~{~~g~~o~N~o~~Q~i~~~~~i~ ~~;~:~ ~D5Ay~R s~~Ltu~5B~~C~HiH~~R~E~~liHio G~:~~~~..
LATlON AS HEREIN PROVIDED.
CURING THE CONSTRUCTION OF THE FACILITY1 THE GRAllTEE SHALL COMPLY WITH THE lWiUAL ON tJNIJ:nRM TRAJ:FIC r.mH'<<lL
DEVICF.SJ:OR STREETS AND HIr.HHAVS PUBLISHED BY THE U,S, DEPARTHENT OF TRANSPORTATION,
Ot' COMPLETION OF SAID WORK HEREIN CONTEHPLATED1 ALL RUBBISH AND DEBRIS SHALL !E IHNEDIATELY REMOVED AHD
THE ROADWAY AND ROADSIDE SHALL BE LEfT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY,
THE COUNTY RESERVEs 1HF. RIGHT TO ORDE" THE CHANGE OF lOC^T10:i OR THE REf1QVAl OF ANY STp.uCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT ANY T1HE1 SAID CHANGE OR REf'K)VAL TO BE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERJ1IT IS ISSUED1 OR THEIR SUCCESSORS AND ASSIGNS.
~~~ ~~i~T C~~~~~~ER:~~~N~~:fl~~N o~\~~Lg~e~{~~s B~O~~E A~~A~n~E~~~~L cg~N~~l~L S~H N~ ~~~E:E A~E~lt r~:~iE
FOR MY DAHAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSQH COlltTY1 ITS AGENTS OR REPRESENTATIVES,
OR BY, THE EXERCise OF ANY RIGHTS BY THE COUNTY UPON ROADS I STREETS1 PUBLIC PLACES OR STRUCTURES IN QUESTION,
THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
~ FINAL lNSPECTIOH C~ 'BY MADE.
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN CX>
-0 .1:.;,,'AACOPY OF THE PERMIT SHALL BE ON THE JOB SITE, AND PROTEpED FRO,", THE ELEMENTS, AT AlL TIMES DURING THE
~rWF~~T!,~N,1U'i~~~I,ZEO BY SAID PERMIT WITHIN THE COUNTY S RIGHT-OF-WAY.
G" 2. "'fH~A~RbkcN YN~(t' BE CONSTRUCTE 0 IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE p-I
APPROACH. A~FT.LENGTH OF '8' INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN
DITCH AND LAID To. A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
D~~E~f1':G ~~ ~~~F~~:D~A~~R T~~oAP;~~e~~E S~~~~E~~Y I~N~~cg~e~~~E R~~~~~~..,,:~O~:t~ ~g~T:~L p~~MWiE~7AH.
THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEaUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT AkY HUo TRACKING ONTO THE COUNTY ROAD, ANY HUD TRACKED ONTO THE COUNT'( ROAD SHALL BE IMMEDIATELY
CLEAt/ED UP BY THE GRANTEE OR HIS AGENT,
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06,
IF NECESSARY 'To INCREASE SlGHT DlSTANCE1 . STUMPS AND BRUSH SHALL BE REMOVED FROM BOTH SIDES OF THE
e:r~~A~~AL( T~~T I~~I ~~=~7H:6E O~U~~~~~Y O~D~~R~~~~~~~~~Hr~~BER OR DI SFIGU~ING OF ANY FEATURE OF SCEN IC
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A,M. AND ~:OOP,M. l.I'ILESS OTHERWISE AUTHORIZED By THE
ENGINEER,
A SURETY BONO IN THE AMOUNT OF S , WRITTEN BY A SURETY COMPANY AUTHORIZED TO
DO BUSINESS IN ntE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE HITH ANY AND ALL OF THE
TER/'SS AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE OOTlL All WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTy,
BF.FORE ANY LOG HAULING OPERATIONS BEGIN, A SURETY BOND IN THE AMOUNT OF t . SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAMAGE TO THE COUNTy ROAD AND TO INSURE
COMPLETE REMOVAL OF THE APPROACH AND CLEANING Uf' OF THE RIGHT-OF-WAY TO THE SATISFACTION OF THE COUNTY,
APPROVAL OF ALL CLEAN UP HORK SHALL BE SECUREJl BEFORE THE BOND WILL BE RELEASED,
SPEC r AL CONS I DERATlONS
07.
08,
Form 113 b
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i:;: MAP OF PROPOSAL:
\ G:: ' _~~~_~~~-:~ ~~~~~~:~'_.~..~.- , ;:::."<.-:.~.~~:~~:IC;l;~~{,tL>. " ,I :\:~~-_.._.:!::;~'::~~_...._:
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820Je!lcfsonSlrcct
P.O. Box 1220
Port Townsend, WA9B368
(206)385.9160
~I~ 0855
Disfrict No.
I)ERMIT
In accordance with all applicable Revised Codes or Washington and amendments thereto, and suhjcl,;! to all the terms, condi.
tions and provisions written or printed helow or 011 any part or this form
PERMISSION IS IIEREOY GRANTED TO Pacific Northwest Bell
to
Push a conduit under Griffith Point Rd. and extend customers service wire to
Junction Box no. 47
Jobll 88-266
Coullty Road No. 592009
rranchisc No.
Milepost 0.92
No work shall be done under this permit ulltil the party or parties 10 whom it is granted shall have cOllUllllnicatcl! with amI
received instructions from
This permit shall be void unless the work herein contemplated ~hall have been completed before A~~. 22
Dated at August 22 .19 88'
.19 89
~~~~@w~~
By ~~ I~L
1.800.424.5555
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GENEIlAL I'IIOVISIONS AI'I'I.ICAIlLE TO ALL I'EIIMITS
This permit is subject to ;111 applicable provisions of the Rcvi~cd ('(xles of Washington. except thalllll}' pn)\'j~ioll in this ugrccmcnl not c.J!lshtcnl with
such rcsoluliun shall he controlling,
^ hllnd in the amuunt tlfS
i!Co n:quircu for the protectioll or the COlllll}" m set forth in the Icrl11\ of the hond.
During the progress of the w(}r~ sllch harriers shall he ere!.:[cd and lI1ailllilincl.l ilS fllil~' he IlCccss;lry or HS lIlay he directed for the prOlcctioll of the
lrnvclillg puhlic: the 11llrricrssh<l1l he 11rorll.:rly lighted at night.
III ucccptlng this permit the ~lilioncr, his SUCCCS'illfS and "...signs, agrees 10 protect Jefferslln COUIlI~' and save il harmless from ,III claims. Helium and
dmnagcs of every kinll ami descriptioll which nwy aCCfue to or he ~ll1TerClI hy allY pcr~()n or persons, corporatioll or properly hy rC:lson of thc pcrfor'
lIIllllce of any such work, charncter nf llwterials used or mallner of installatioll, maintelHlnce and ()p~~rlllion lJf by the improper occupllney Ilf righl of
way or public place or public -'lrUctllrc, uml in ea~e allY suit or action is hrouglu against said Jefferson CUUIllY for damages arising out 01 or hy reason of
an}' of the llhove eames, the Ix:titioncr. his sucee~sors or assiJ:tlls. will upon notice to him or lhemllf COml1lCIlCClllelll of ~uch IIction, defend the Sllmc ut 1
his or their own sole cost .Ind e,\pen~e and \ViII sati.,f~' any judgment after the sait! ~lIit or ,ll.tion ~hllll have finally been determined if adverse to the Jef.
ferson County.
E.,eept as hcrcillllluhori/cd, 1m exe,wutiol1 shall he made or ohstacle placed within the limits of a cOllnly road in ~lll:h llmanl1Cr as to interfere with
the travel over said road.
Except liS hereinlluthori/ed, no e:\cavation shall he made or oh,lac!e placed within four (41 feet of the edge of the pavement.
If the work donc under this permit interferc~ in any way with lhe drailJ<lge of the count~. road. the gnmtce slwll wholly llnd at hi_, own expense make
stich provision n." thc engincer may direct lOwke cure of said Ilrninage.
On completion ofsllid work herein contcmplatcd:lll ruhhish llllll dcbris ,hall he ill1l11cdintcly removed ulllltlle roal!way uml roadsidc ...hall be left nCll1
and prescntahle llnu satisfactory to the cngineer,
All of the work herein contemplatcd shull be done under the .'mllerl'isiolla11llto the satisfaction of tlte COUlllY I:ngincer allilthe entire e:\pcnse of said
supervision shall he bnrnc hy the party or Il;lrtb tn whom this permit is issued.
The Departmcnt of I'uhlie Works herchy reserves the right to order thc elmnge oflocllllon or the removal of uny structure {lr ~trtlclures authnri/cd by
this perlllitllt !lilY time, said change or relll\l\'.llto he made III the sole e.\Ilt:llSe of the pnrly or parties to whom this Ix:rmit hi issued, or their successors
llml a.'i~igns.
All ~uch changes, rcconslruction or relocution hy the grlllHees shall he done in such mal\Jlcr as will cause the leu~t interference with any of the COIllI-
ty work und the CoullIY of Jclferson shall in no wise be held liable for anydilmuge tothe grantee hy reUSOl\ ()fu'ny such wllrk by the ('oul1ty of JeHer-
son, itllgellls or represclIl,Hives, or hy the e.\ercise of llny rights hy the Coullty upon WIlds. slreet.'i, puhlic places or stTllctures in qucstion.
This permit or llrivileg~' shallnnt hc deemed or held to he lln c:\c1usivc one and shnllllot prnhi11it thc C{l\lnt~' i"rom J:tranting nther permits or fTllnchise
rights of like or other nature to other puhlic or privilte utilitics, nor shall it prevent the ('oulUY fromll~illgal1Y or its wads, streets, or puhlic pl<1ces. or nf-
fect its right to full supervision and control o\'er ull or arl~' pllrt of lhcm, l10ne of which is herehy surrendere(l.
Thc [)cpllTtnlellt of Puhlic Works nmy re\"Oke, amend or c:tllcellhis permit or allY or the prmhiol1~ thereor alany time by giving writtcl1l1oticc 10 the
pcrmillee. The flcrmilleeshall immediatcly remove 1111 fucilities from Ihe righl nfway, I\IIY facilities relmlining Upllll the right OfWllY 30 days arter writ.
telll10tice of cUl1cellatiol1 Shill! he removed hy the COUnty at the e.\llCn,e of the permillee.
The parl~' or parlics to wllllf11 llli~ IlCrrnit is issued shall mailllail1 at his or thcir sole expcnse the struclllre or ohjcct for which lhis pcrmit b granted ill
u condition ~atisfuctnry tn the lJep<lrtmcl1l of Puhlic Works.
SPECIAL PROVISIONS: 1. Conduit shall be instlllled a minimum of 30" below eXisting
roadway ditch and extend beyond the ditch.
2. All disturbed areas shall be restored to original condition.
.~;.! 'ftf>.'~:;(i~:'i('1-! "',
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[lluccepling this ]1crll1itthe grantee, his su~'ce'isnrs and assigns. agree thatllllY d~lI1l:1ge or injury donc to lhe prorlCrly of the gruntce or any eXIlCl1!iC
incurred hy hil11through the npcratinll of a contractor, working for the ('ounty or lmy Coullty cmployce shall he althe sole expensc of the gr:tlllee, his
,",cessm' ",," "ssi~AClflC NORTHWEST BELl
,the 1I1l1lersigl1ed. herehYllcCel1t~ this permit sllhjectto the tcrms
and eondititl~ 'jJle:cin ~et forth.
D""dlhi'ij.cy <"',.or a~(U.4 .
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. I'! MANAGER I & M
2720 OAKRIDGE DRIVE
PORT ANGELES. VIA 98362
,\rl'ii,",lIll
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COUNTY ROAD NO. 5'Iw()9 PERMIT NO. rr -g- S -I
STATE LOG NO. JEFFERSON COUNTY FRANCHISE NO.
MILE POST ~TO~ DEPARTMENT OF PUBLIC WORKS FEE PAJ.O ~Yes ~o
OFFICE USE ONLY Jefferson County Courthouse OFFICE USE ONLY,
Port Townsend, WA 98368 tl1c25,oO e,c"",c<-- I/' _
''''1 "7"1.--' <2) 5"0..5
APPLICATION FOR INSTALLATION OF UTILITIES /-:-~'7"'~ _~'v'
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Name and Address of. Appl icant: ?':orcPon l, S:;k"(flY)(lr:V
".e.> I f': f'. (I';'ih IV I'd
. Nr:,rl!rlrV( ,(I)I'! D.f'lS',r
Application is hereby made for a permit to construct, operate and maintain ".?" PVt;.-,
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tnllO 'LJ7 ,. r" Ii ,H' ,-a:m'L W>4-l"C'R. L ;/VE
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The util ity installation is located (attach map or'drawing};
'--~-_.-.-/
Appl icant agrees to perform the work in strict compliance with the terms and conditions
set out herein, and states that Appl icant has read and will adhere to the general provi-
sions set out on the reverse side of this fonn and any special provisions attached hereto.
Applicant Signature: .~~"'o, r::-'! Ji")'{/7'-rr.{ Date: 7/!29hJ'
--1 ' ./ I
11111111111111111111111111111111111111111111
PERMIT ~~@W~UI
Subject to the following terms and conditions, PERMISSION a\ll]f_}J~ Applicant
to construct, operate and maintain utility facilities as requested above.
This permit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No work shall be done under this pennit until the Appl icant has received instructions to
proceed from , telephone
APPROVED BY: ...!J/4- J( jJ/IoY.'V] Date: 8-Lj.-8B
7t : :5'ee spec;A-L.. PRO";S'CN:; ON i<il!\J~F-5~
11111111111111111111111111111 11111111111
PERMIT INSPECTION REPORT
UTILITY DAMAGE IS COSTLY.
~ork covered by penn it has been completed satisfactorily.
Work is not completed.
_ Recommend permit be cancelled.
_ Traffic control_adequate; _inadequate.
REMARKS:
INSPECTED BY: .Jj"A0I- I("L
CALL 48 HOURS
BEFORE YOU DIG
1-800-562-M78
Date: 12-Z."-8&
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General PrQvhton~ per Jefferson County Ordllo.....:e 2.81 and WAC 136.40.
1. All "ork done under said franchise 5h.ll be done 1n " thorough and workmanlike manner. In the laying of under!lround pipelines Md ,abIes and the
Construction :f other facfllt.les and tflt opening Of tn=nCtlU, the lunnel,ng uOller county roads, rights-of.w.y or other CO","1Y JlrOpe~th5, the grantee
'hall leave such trenches, ditches and tunnels 1n such" way u to interfere as little as pOHlble w1th pUblic travel 'nll snail Uke.11 dlle .nd
necess.ry precautions to guard the same so that d.lTI.llje or Injury shall not occur or arise by reason of such work; and ...here any of such treRtl'll:5,
ditches or tunnels Ire left open at n1ght. the grantee shall place warning lights and barricades at '!Jell a posItion as to ghe adequate warning or
such work. The grantee shall be liable for any Injury to person or persons or damage to property sustained through Its carelessness or neglect, or
through any failure or neglect to properly guard or !live warning of any trem;hes, dltc:hes or tunnels dug or I!I4lntalned by the grantee.
2. Thl' grantee, its suc:c:essors or .!ISslgns, shall C:Olm1ence c:onstruc:tlon under such pennlt granted by the County Englneer wlthln the time periOd stated
in suc" pennit ud Shall have completed and have in operation such portlon of the system of Improvements as may be specified ln such pennit or the
rights therein conferred upon the grantee shall c:ease and terminate Insofar as unottupled streets, roads, etc" are c~ncerned,
3. The grantee shall leave all streets, avenues, alleys, roadS, highways, rlghts.of.wayand other county propertlu, after laying and lnstalllng
mains,and doing construction work, making repairs to equipment, etc.. In as good and ufe condition In all respects as they were before the ccnmence.
ll\l!nt of SUCh work by the grantee, its agents or contractors, and all recorded monuments ...hlch have been disturbed or disphced by the work Shall be
reset to the specifications andilpproval of the County Engineer.
4. In case of any da1M.ge to said streets, 'venues, .11e)'s, roads, highways, rights.of.way or other county properties, or to paved or surfaced road- l
...a)'s, turn,outs, gutters, ditches, 'Wood or concrete ...alks, draln pipes, hand or embankment ralls, bridges, trestles, wharves, landings or IIIOnllll\ents
by the grantee, the said grantee agrees to repair such damage at the earliest time pOSSible at its 01'lT1 cost and expense.
S. When the County Engineer determines that an emergency situation does exist. he may order and have done any and all work considered necesury to
restore to a safe condition any such street, avenue, alley, road, highway, right-of-way or other county property left by the grantee or agents in a
condltion dangerous to life or property. He may cause to be rephced or reset recorded monuments If a grantee falls to replace or reset Ulf'e witllln
a reasonable time after cl)1lpletion of construction. The grantee, upon demand, shall pay to the county all costs of such constructlon or re~alr and
ofdolngsuch\ltOrk.
6. All constructlon or Installation of mains, valves, pIpes, poles. cables, lines fitting ~nd facll1tles, service, repair, or relocation of the
same. performed along, over and/or under the county roads, r1gMs.of-way or other county properties subject to said franchise Shall be done In such
a manner as not to interfere w1th the construction, operation and maintenance of other utllitles, public or private, dralns, dratnage ditches and
structllres located theretn, nor ...lth the grading or Improverr.ent of such cOllnty roads, rtgtlts.of'wa)' or other county properties.
1. The owners of all other utilities, pUblic or private, Installed In such county roods, rlghts.of....ay or other county properties prior 1n time to
the lines and facllltiesof the grantee shall have preference as to the posltlonand location of such utlllties so lnsulledwlth respect to the
grantee. SlIch preference shall continue in the event of the necessity of relocating or Changing the grade of any such county road or right.of....ay.
a. The grantee, as far as practicable, shall construct new utility facilities underground. Extension of overhead faclllties followlng streets,
avenues, ways, boulevards or thoroughfares shall be underta~en only with the approval of the County Engtneen PROV]Of:O, however, that uld approval
. ~~a ~~d~~~a~:n ~n~~a ~~~~b~lh:~t~~,~ ~ing G~:~~~:a~h~~ ~ 1 ~t~:~r:r:x ~~;~~~ ~~~~~:~~u~~~ I ~~l ~~~ ~~c~n~:~l:~~~n~a~ ~ I ~~::}e ~s I~~a~~~~a ~~u~~m:~;n~~~:l~~ent
unreasonable. Llne extension pol1cles and procedures establhhedby the grantee, and untfonnly applied through its service area, shall be the
standard In detennlnlng what Is "practical, Impractical or econc:.nlcalh unreasonable" under this ordinance; provided that no new overhead utility
facilities shall be constructed or established in any area set aside for public park, SChool, playground or athletic field purposes.
g, Spechl Previsions:
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I, COUNTY nOAD NO.~
. STATE LOG NO.
'I MILE POST tJ/'1Z- TO-===-
OFFICE USE ONLY.
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J[FFEHSON COUNTY
OEPART~IENT OF PUBLIC \-IORKS
Jefferson County Courtilouse
Port TovlIlsend. VIA 98368
I' EP.i-Il TriO . ~.:.2.:...l5...::2,
mr.r~CIIISE 110.
m PAID _~YeS--
OFFICE USE ONLY
APPLICATlOr~ FOR INSTALLATION OF UTILITlES
.~:Ul. 1:; b6tl
'--. ..,. , . PUGET POWER LINE HQTRS.
Jf:liai\1e:,aoll.M~r;e,~~I,qfj ftpp11cant. -<il10'F ur-~ome-'Road'--
ENGINEF'S 0'-"'1" , oJ 0" ...
r.. ... t.:!S -'PorrToWnllend,WA-~-======
Appl ication is ile,'eby made for a penlli t to construct, uperate ami ma i,ntain_____,_._
Lh'Ylcr'ClI,:n'I":i'J Pre' I }, \;\.j( I .fAf',u=. ,________
- ------,_._--
Tile utility installation is located (attach map or dra"ing)~";-'JII'('L._,
__(lEIEJ::_Llrl~::;_L~_I~i:Jl:..___L1~L:::';1 L~'\'\ D.tg__~D.,::-)....._..____.._.
Applicant agrees to perform tile "ork in strict compliance vlitil tile terms and conditions
seL'out ilerein, and states tilat Applicant ilas read and vlill adilere to tile general provi-
sions set out on tile reverse side of lids fOr/II and any special provisioils attaciled ilereto.
i l) (i 7 . c/"/). -, J -'J ;;( d
Applicant Signature: /I//:'CU, CeLl' IILe"L'r / Oate:_LL..1:) ,Y;
;'),,0.ec,!..{ODDc!J - ?)'KO?7,!!C-.JC;:' JaiL k1...J~_--
I 1/ / / 1/ I 1 1 ,I 1/ 1/ 1 / / 1/ 1/ 1 1/ / 1/ 1 ,,/ / / / / / ~,
. , . I' E R M I T &~~&lW~\bIW
Subject to tile follovling"tenlls and conditions, PER~IlSSION IS IIEHEllY GHANTEO to Applicant
to construct, operate and maintain utility facilities as requested above.
Tilis permit is conditioned upon Applicant's compliance \,ill, Jefferson County Ordinance
2-81 and flAC 136-40. inc'luding amendments tilereto, tile general provisions set out on tile
reverse side of lids form and any special provisions attached hereto.
No work silall be done Ullde,' this permit until tile Applicilntilas received instructions to
proceed from __.. , telephone
ApPfWVEO 8Y:~~ Oate:-.::z-ls-.s.8
NOTE SPECIAL PROVISIONS ON REVERSE
P[R~IlT INSPECTION R[PORT
UTILITY DAMAGE IS COSTLY.
"
.0ork covered by permi t has been comp I e ted sa tis fac tori 1 y..
\lor'k is not completed.
Recommend penlli t br! cance 11 ed.
_ Tra ff i c con tro tadequa te; _.1 lIadequa te.
[{[HARKS:
IlISPECTEIJ By:..dJ.~L~ Oate:_.l.?-2.(>_:..?~__
CALL 48 IIOU RS
BEFORE YOU DIG
1-800-562 -M78
L
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Genera' Pr(,11 s IUIl~ I'~r JI! rrcr,~OI1 COUllty Ord 1,.. "..i! 2 -U 1 ~nd W,\C t Jti-40.
1. All \lork done under uld fr~nchlsc s~l~ll lie done In" tllOIOUUh uHlworkmMlllke mMlller, In thc ldylu'] of urHll!nlrUunlllll"cll!ll'~ drIll (dlJll'\ ~rl~ ltll'
construcllon of othcr facllltll!s and the olhmtl19 of tlcnChe~, tile tUllrlcllrlllunl!er cuurlty rOdll~, r!lJht\'ol-",~, or IIlhl'r (ounty IIrupl"I'llc\, lh~ lIl'dllll'1!
shall leave such trenches, dt tclU!S end tunne'~ In such a way as to tnterlele d\ llttll! H Vo\Stble wt tll 1l,lh'le trd....! dnll ~lIall tdke all dul' aPIlJ
necl!Huy prccautlon\ to qua I'd lhll.Ume so that dalPIlljC or jujury sll.lII,IOt occllr or uhe Ly rt!d~rUl of Such I<l.lr~; all,I..I,\'''' ~n, I.lf \ulh trenclrl!S,
ditches or tunnels are left open at nt'lhl, the ljrdrltec sha 11 pI aCI! I<Mninq 1 trJhlS drill barrlCAlJ!!s at ~uch a tlUS I t In" ~S to 'j '-l' alll!',u4ll' w,un 1m} of
Such \lorL The grantee shall be liable for any tnjury to l.Ier\Oll III' persons or dam,l'JIl to prllllcrly suSlallled UIr(h/ljll Its caf\'ll!ssnI!S~ or 1H!'Jlect, or
throu9h erlY failure or ne\llect to properly \Iuud or ljive \larnl1l9 of ~IIY trendle~, dtlchl!~ or tunnels tlU!) III' mdllltalfll!d by ~IIC !)ranl~e,
2. The qrantee, tts succeHor~ or ~S5tlJll~. shall COllI"ente conHfllcllon \llllter s\lch pel'nlltl)Nlltl'd IIY tht.' Cuunty fn'lllu.'cr \;Hhln t"~ tlnl!! perlod \t4lftl
In SUCh permit and shall IIhl! cOOl/leted arld have In ollerattorl hlth lll/rlton of tire ~yHl!m or lnlprovellll!nl\ d~ lIkIy bc sl'l'r.lrll!d hi ~uch permtt or tllc
rlght~ therein conferrell upon the grantee Hldll ceUe end tcnlllrlUI! huofar as unllccup!Cll Hrl!ct~, roads, etc., He ~on~IlI'!ll!d.
J. The l)rantee shalllcave all \trl!et~, aVeIlUl!~, alley~. rl.ld,ls, htllhOj,IYS, rl!lhl~-ol-wdY and othel' Cl.lunty plul'eltlr~\, aileI' layllllJ 41Ul lrlH411inlJ
IMlns and dolnlj construction work, m~ktn9 rl!palr~ to e4u!I~llllrlt, etc" In as 1l0l.ld ~nll ~afe condition In dl' respellS a\ tl\Cjl<lcrl! !Jefore Ule ClOIl"tlIlCP.o
llICnt or such wOrk by the grantee, lu dljents or contractors, alld all reconled nlonuml!nt~ I<Ihlch hdve been tlhturbed 01' dhvl4ced lIy the WlJr\ ~hall be
reset to the spectftcatlorls 6ml approval of t.he County Engim!!!",
4. In case of any damage to sa Id streets,' dVI!~UI.'S. a 1 l!'ys, roads, hlqh\;Jys, rlljhts-Ilf -\;ay or OIlier (nullty pl'opert tes. or to llavlld or surr"Cl'11 rl.lad-
..ays, turn-outs, qutter~, tlttches. \ll.lod or con,rete \;at\~, draIn pipes, IrJnd or ernbdn\.lncnt ralls, lirldgl!s, tl'e~tlt'~, ..har1es. lal\dtnljS or n'O"umcnl~
by the ~rantee, the utd !}ranlee agrees to repair Such l.lamalje Jt the carllcstttme pu\\ll/le at its Oi1n cost an\! e~IIIlIlSC,
5, It'hen the County [nglneer detelmtnes thJt an emt'rgl!ncy ~ttudltlln doe\ exist. he mdy order dnd have do"e tl!iy allll ,111 Wl.II"~ (1.lIlShJI!"I!l1ll1'n'~sarY to
reHorE! to a safe condltton any such street, avenue, alley, I'tl,ld, tllylri1ay, rlljht-Ilf-\,~y or other CI.lUllty prol'i:'l"ly left llj tIll! ~tl'antt~l.' or d'1~'nts In a
cond It Ion dangerous to I He or properly. lit' alay cauSe to bll rcplaced or 'cset rccorded rI111nUIIIl!lllS If a lJr~ntell !,\ 11 ~ tu rlllll ace fir rl.'Sl!t ~,1I"!! wI till II
a reasonable time after cLNllpletion of construction. the gralltce, upon de~'and, shall pay to the county all cons of such conHructlonur ll'IJdlr dllll
ofdoln\lsuch\lork.
6. All construct ton or trlHalldtlon of mains, vatve~, ptpes. poles. c!l.lles, Itnes f1ltlrl!! dnd facllltics, servtcl', rejld!r', or rl'locdtioll of the
s!me, performed a long. 0.1.'1' anll/or undel' the COllI1 ty roall~. 1'1 yht S -0 f oW,lY or othl!r county pl'Ollcrt t es sulJjec t to \a I d r ranch t sc sha r, bll t!o,,(' in Such
a manner as not to tnterfcre \;tth the cllnHructtl.lll, opcrattun and IIlatlltenJllce of otlier utllltlt!S, lluLlIc or prtvate, llfdlrlS, dl"dlMIJ!! IJttClle~ dml
U"ucturu located thel'etn. nnr I<Itth the lJ,'a,lll1'J or t"'jlrOVI!P~lln~ or such count)' rll~d~, rll)hls"of...ay or other CO'JIlty I'rllllcrtle\.
7. TIle owners of all othcr III tit t 'e~. pub I Ic 01' private, tnsta 1 Icd In such coullty rllall~, rlqlllS-of-l<Iay or other coul\ty I'rOllert le~ prtor In t Ilill! lo
the \lnu alld facillttes of tilE! grantee sllal1llo\ve llreferellce as to tllC IlostlloPl M1\jlocatton of Such ultlttles so tnHalled \ltol rlls!,e,t to lhe
grantee." Such preference Shall conttnue In the evcnt of tile ne(eHlty of relocal1l1g 01' CllJnl}IIIIJ the grade ~f any such county road or rl\lhtoor.Ojay.
a, The grantee, H far a~ praCticable. sh!ll eDIISlrue! new u!lJlly fdClllU,C'5 t/llderqroumf. [xtenslon of o~crllllarl (ar;flltf!~s followtn'l Hrt'cts,
avenueS, \;ays, loouleval'd~ or thoroughrares sh~ll be undel"t"~l'n unly I<Ilth the approval 01 tile County Enl}tneeri l'IlUVIOI,D, ho..e~er', thdt \dId dl'l!rn~al
~hallnot be unreHonably I<Itltlheld. Gralllec ~h!ll convert e~tHI!lll OVCl'hCMl ractlllles lo unl!crlJrOUlltl facllttll's a~ dlld Wlll!llcljulllllll'nt nlI1a,cn'ent
Is underla~el1, or \lllen other I!~tstlnq 01crhead uttltttes dre lllacl'cl undergroullll, ulllc5S ~uch l'l'111aCCIII(!nt Is ullsafl.', tllllf~ctlcal, or e~onoPntcdtly
unrllHonJble. LIM l!ltl!n~ton pollctl!~ and proccdurl'~ eH.llJlhlll~d by tire IJI'.lntl.'l!, dlld unllnnnly aplllletl thrOUl}h Its \l!nlce arc.l, shall Ile tire
stantlard tn ,determlntnl) I<hat Is "practtcdl, Impractical 01. CCl.ln{lO~tc~lly unreasonable" lindeI' tills ordJnancci provided UI~t rln Ilew 01~rhl!&d utility
fattlltte5 shall be conHructcd or eHablhhe~ In any area ~et Httle! for Ilubltc park, schuol, pl"yground or Hllletlc fll.'!lIl1l1rpll~I!L
9. Svectal"Provhlons:
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COI.INTY,nOAD NO, s'l2oo'i
ST'ATE LOG NO, -
MIL.E PDS'T 6.'570
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 98368
PERllIT NO.J/'-'/,-j--!
FEE PAID vYes -':'No
OFFICE USE ONLY
CHECK ONE:
!ZI-RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is herby made for a permit to construct, operate and maintain a road approach.
Please describe loaction (attach map or drawing) /';)P:' /~."" :-f'.i",>r. p,' 0_< I?j,,..,.~ 't "-c'!)_':;:
,I/., :-T~ --'~::;<';1'" ~()~-''''>.o~, [3..t "'/ ''', ..:.;:~
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out herein, and any special provisions attached hereto.
Applicant Name.:O~ i-';" .F", '...1..,....., C:nl'-" ,1(' Contractor Name/-i/ '/ ","h',:" J'J 1'"".-7 "...-,7;;..,"1
Address ~ ""'I'J ~t-I-/~ Address 1'/11"~ (;~'__ _;. /," ,: V; /~~~, ''1:-:'<
'1.(; ~_ .<i r/~/,:?, ~:> or! / u,"..' I' :,-",..,.
Applicant Signature
Date
Contractor Signature, )", '",,;:?f>:..,I .:..".;;...."'./:,.
Date ~_<::.._ '(/.,
Note: Indemnity proviSions of paragraph, 2.z1.nd 3 on reverse si,de.
r-;.w.t~~l~~,. 1~~!"'!'I~'t ~ ."!';'I~t.~
PER M I T n!1if IS. i/~ ~~~1i;Y: ,\
Subject to the terms and conditions on the reverse side, PERMi:SSIoII'Stmmfe~G1lA!;TED"'tO
Applicant to construct, operate and ma'intain a road approach as requested' above, and any
special provisions attached hereto.
No work shall be done under this permit until the applicant or contract,or has notified
APPROVED BY:~ cQ &" ~~
, telephone
Date
c; ~S / gob
/ /
&~~~@W~w
PERMIT INSPECTION REPORT
~ Work covered by permit has been completed
- satisfactorily.
----,--Work is not completed.
_Recommend permit be cancelled.
_Traffic control - adequate
inadequate_
REMARKS d.,J, 7c?,tI (0I/'5~ /~/o~p" car
INSPECTED BY:.Jj, A- i:...iL.-.1 DATE / 2. '2~ '88
CALL 48 HOURS
BEFORE YOU DIG
1-800-562 -6478
Form 113-0 (RevA 2-p2f
~
~
~
GENER^L PROVISIONS
1. THIS PERMIT IS SUBJECT TO RC\~ 36.75.130, .1Qa AND .150 AND AMENDMENTS TllERETO,
2.
THE GRANTEE, ITS SUCCESSORS AIlo ASSIGNS. AGREES TO PROTECT JEFFERSON CQUNTY AND SAVE IT HARMLESS FROM ALL
ClAIMS. ACTIONS OR DAMAGES OF EVERY KINO AIlD DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY MY PERsorl,
PERSONS. OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCI1 WORK. CHARACTER OF MATERIALS USED OR MArmER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAWST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE OF COMMENce-
MENT OF SUCH ACTION. DEFEND THE SAME AT ITS SOL.E EXPENSE AIiD SATISFY ANY JUOGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY,
3, IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITtt A TtllRD PARTY TO PERFORM THE WORK AUTHOR[ZED
BY THIS PERMIT, THE THIRD PARTY, AS A PART OF THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEEJ AGREES TO
INDEMNIFY, HOLD HARMLESS AND DEFEND THE COUNTY ltl ACCORDANCE WITH THE PROVISIONS OF PARAGRAPH 2, ABOVE.
ll, ANY BREACH OF ANY OF THE CONDITIONS AND REQUIREMENTS HEREIN MADE, OR FAILURE ON THE PART OF THE GRANTEE
OF THIS PERHIT TO FINISH CONSTRU..:TlON WORK HEREUNDER WITHIN 90 DAYS SHALL SUBJECT THIS PERMIT TO CANCEL~
LATION AS HEREIN PROVIDED,
5. DURING THE COtlSTRUCTlON OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE t1AU!JAl.....QtLUNIFORM TRAFFIC CMHHQL.
DEVICES FOR STREETS AND HIr.HWAYS PUBLISHED BY THE U.S, IlEPARTMENT OF TRANSPORTATION.
6, ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL BE IMMCDIATELY REMOVED AND
THE ROADWAY AND ROADSIIlE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY,
7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AuTHORIZED BY THIS PERMIT AT ANY TIME, SAID CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AIlD ASSIGNS.
8. ALL SUCH CHANGES, RECONSTRUCTION OR RELOCATION BY THE GRANTEE SHALL BE DONE IN SUCH A J'lANNER AS WILL CAUSE
THE lEAST WfERFERANCE WIfH ANY OF THE COUNTY'S WORK ArlO JEFFERSON COUNTy SHALL IN NO WISE BE HELD LIABLE
FOR ANY DAHAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION,
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN BV MADE,
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
~o~~~~ug~1 ~~EA~~~~~ i Z~~A~~ ~~I gN pi~~, iO:1 nI~' T~~D c~~~i~~;E~ I ~~~~0~~~A~7EMENTS, AT ALL TIMES OUR ING THE
THE APPROACH SH~ BE CONSTRUCTED IN ACCORDA.N~ WITH THE ATTACHED DESIGN PLATE TYPE~ - I _
APPROACH, A FT,LENGTH OF /2- INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN
DITCH AND lAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHO~N ON
07~E~ff~G Ag~ ~~~F~~~D~A~~R T~~o~p~~~e~~E S~~~~E~~Y I~N ~gc~~~~~~E R ~ ~~~_~~~w:~O~: t~ ~g~T:~L p~~HI~~E~~AN.
TIlE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE ()If THE PAVEMENT TO
PREVENT MlY MUO TRACKING ONTO THE COUNTY ROAD. ANY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEAtlED UP BY THE GRANTEE OR HIS AGENT.
IF N~CESSARY TO INCREASE SIGHT DISTANCE, STUMP5 AllO BRllSH SHALL BE RE,"10VED FROM BOTH SIDES OF TIlE
e~r~~iI~~ALL Tn~T I~~ [~~:~7}~~6E o~U ~6~~~y O~0~5R~~~~~~~~:W~~~BER OR 01 SF IGUR ING OF ANY FEATURE OF SCEN IC
WORK StiALL BE RESTRICTED TO TliE HOURS BETWEEN 9:00A.M. AND ll:OOP.M, UNLESS OTHERWISE AUTHORIZED BY THE
EtIGINEER. , ;' i::'': ,I ,~; Iii
A SURETY BONO IN THE AHOUNT OF S , WRITTEN BY A SURETY COMftANY~ AUTHORln:O;,roil ' "
DO BUS INESS IN TltE STATE OF WAStll NGTOtl, SHALL BE FURN I SHED TO INSURE COMPLI ANCE W I tH~ ANY, 'AIID 'AL,I. '9.F "THE \'1
~~~~:; C~~~L~~~g'l~~N~p~~o~~~s B~E~~J \~~~T~~ALL REMA IN [N FORCE UNTI L ALL WORK UNDER TH,I ~ PE.RHIT.>:HA~; 'j !:\. ~
BEFORE ANY LOG ttAULltlG OPERATIONS BEGIN, A SURETY BOliO III THE AHOUNT OF S. , SHALL
BE FURtllSHED BY THE GRAIlTEE TO PFWTECT THE COUIHY AGAtrlST AWi DAMAGE TO THE COlJNTy ROAD Arm TO INSURE
COMPLETE REMOVAL OF THE APPROACH AND CLEANING UP OF TttE RIGHT~OF-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURED BEFORE TttE BOtm WILL BE RELEASED.
o 8. SPECIAL CONSIDERATIONS
Form tl3 b
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820JellcrsonSlreel
P.O. 8o~ 1220
PorI Town~el1Cl, WA9B358
(206)385-9160
N~ 0864
lJi.HricI No.
PERMIT
In accordance with all applicable Revised Codes of Washington <lml ;ullcndnwlIls therelo, and subject to all tile terms, condi.
tions and provisions written or printed he low or Oil an)' part of this form
PERMISSION IS HEREBY GRANTED TO Puget Sound Po"er and Light n
310 Four Corners Rd., Port To\vnsend, t.Ja. 98368
to Install a 30 foot service pole at mile post 4.24 on the Hest side of Flagler Rd.
County Road No. 952707
Franchise No.
Milepost 4,24
No work shall he done under this permit ul1lillhc party or parties In whol11 it is granted shall have cOllllllunicated with and
received instructions from
This permit shall be void unless the work herein contemplated shall have hecn completed bel'ore
Daled at September ,1988
.19
&~~~@W[aID
By .xJ~ K~
1.800.424.5555
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8
GENEIlAL l'Il0VISIONS AI'I'I.ICAIlI.E TO AU. l'EIlMITS
This rermit is.~lIhjcct to nil ilPI1Jicahlc provisions uftlle I~c\'i.\cd Codcsllf Wushingloll, c.\l:cpr llla! Ull}' provi,ioll illlhis ugrccmcfH nol C{)l1.~j~lcl1l with
sllch resolution shall oe controlling.
^ hond in Ihcal11ouI110fS
L.. required f(lr Ihe protection of the (Ollllly as set fonh in tIle [Cfms of the homl.
During the progrc..... of the work such harrier.s shall he erecled and illainlilillcd as rnuy he IICCCS,><uy Of OIS ma)' he directed for the protection uf Ille
tr<lvcling puhlic; the harriers shull he propcrJr lighlcd ill nigh I.
In ncccpting this pcrmillhc 1X'[itioJlcr, his SIH:CCSSors .1Ilt! ussigns, uyn:cs to prolect Jeffersoll COUllty illld save it hannless frum nil claims, ;1l':;lollsand
damages of every kind ;lI1l! description which ll1ay ,lecrue to or he suffercd hy any "er~on or rcrsons,l.:orporatioll or properly hy rCllSOl1 (If lhe perfor. 1
""IIl" or nil)' slI,h wlIlk. """,,,,,, of m'"ed"" oscd '" """01" or iO''',II",ioll, lII"illl""'"CC ,,"', ol"""ioll <lr hy 'he illlrrn,,,,, '~"'r"'lCr or right or ,
way or fluhlic fllace or flubllc .'lrUl.:turc, ami in casc ;IIlY suit or lIction is broug!llll~i1jn~t saki Jefferson COUllty fur dunwges arisillgnul of or b)' rellSon or
lIny of Ihe uhuvc causcs, the petitioner, his succe.,'\ors or assiglls, will upon notit"e In him or tllem of comlllencement of slleh ;Iclion, dcfe11llthe sume at
his or thcir own sole C(l\l and e-'[}ense Iln;! will s,llisfy lIllY judgment after the said suit or action _,hall huve finaJl~' h~'en determinct.l if udl'crse to the Jef.
ferson Count)'.
E..\cert us herein ;lulhorized, no e.,c;I\.lllion .,hall he made or ohstilcle 111,Il:ed within tllc limit., of a COllnly toOllI in such a lllallner as 10 interfere Wilh
thc tra~'el over sllid road.
Exccpt us herein authorized, IlO e.\Ca~'ation ~hall he nwde or oll'ilaele pl",cd within four (4) f~'el of the edge of IlIc pavement.
If the work dune under this permit interferes ill allY WilY wilh II Ie dminage of lhe 'Utlllt} road, Ihe gmmel' shall v.llolly ami <II hi" OWll e.\llI:n~e make
suchprnvisionasthcengineermaydirccltolllkcl',lrCtJfsaiddr:till<l!!e.
On completion of said work herein contemplated Illl rtlhhi~h and dehris ~halt he immediately removed and the roadway nnt! ro,lll..ide .~haJt he left llCllt
and pre~entahlc and Mllisfnctory l(J the cngineer.
All of the work Ilerein cOlllelllplated .~hall he done under lhe supervision and 10 llie sati~factioll of the (.OIlIlI}' I:ngineer Hlld the enlirc e.\pen"e (If said
supervision .'hntl hl' hornc hy the pany or partie.' tll whom lliis permil is i~~lIed.
The Depanrnellt of Puhlic Works herehy reserl'es the right tnOfder the ch,m!,!e oflocmioll or lhe removal of allY structure or .~truclures authori/ed by
Ihi., permil ill any lime, said change or relJloml 10 he made allhe sole e.\pen~e of the [1<irtyor parties to whom lhis permit Ls issued, or lheir SUCl:eS'ms
and a~~igns.
All such cllange." reconstruction or relocation hr the grantees slwll he dOlle in Slldl manner Wi will e<iuse lhe least inlcrfercll,e with any of tile ('oun.
ty work and the ('ounty of Jeffer.~on shall in no wise he held li"bk for allY dallwge 10 lhe I)riHllel' hy reason of allY such work by the COUnty of Jeffer.
son, itllgents or rejlresenllllive." or by the cXerd~e of an)' rights hy the ('OUlllY upon road" slreets, puhlk places or SlrUl.:lllres in question.
This permit or privilege shalt not hl' deemed or held III he an exclusi\'c one and shall not prohibitlhe CounlY frum granting olher permils or frnnchi~e
righ1.s of like or other nalurc to other puhlic or pri\':tle utilities, nor shall it pre\'enllhe ("OIlIllY from using allY of its roads, streels, or puhlie placcs, or nf.
feCI its right 10 fUll .'upervision and control O\'l'r ult or ilrlY rlllt! of tlWlll, none of which j<; herehy slJrrel1llered.
The Dep:trlnJcnt of Puhlie Works may re\"Oke, amend or c,lIll.:el this permit or ,lilY of tIle prOl'i\jons lhercof OIl ,lilY lime hy giving Writlenllolice In tile
Ill'rmillec. The pcrmittee ~halJ imllledill1cly rClllo,"e 1I11 facilities frol1l1he right (If WiW i\nr facililie_, relllaining upon the right of wlIY 30 days nfler Wril.
tcn nOlk-e of cancellation ~Iwll he relllo\'ed hy the Count)' :tllhe expense of Ihe jlCrrnillee.
Thc pnrty or partie.~ 10 whom lhis [}ermit is is,uell shal! mainwin at his or lheir ~(llc e,\IX'nse lhc stTllClllrc or ohject for whkh tllis permit i, grallled ill
,I ,onditioll satisfactory IOlhe /)cpartmelll of Puhlic Works,
SPECIAL I'IWVISlONS:
;'i','J;ji:'!,,:; " ':','~,':'~ ;~.~.; r
;111!1 !, ' ,; "1111\
""'~J I, ", I", : /'1.
"- . ','L,/.': II
In al"CCpling this IlI:rlnilthe grarllce, his SUcee~,or.' umJ il~\igns, agree thai allY dmnage or injury Ilone to the rroperty of Ihe gtlllltee or <lilY eXpen~e
incurred by him through Ihe operalion of II contra,tor, working for the County or an)' CHumy cmployee shall be at the ~ole e.xpellse of the granlec, his
SUl.ceiisors und assigns.
.wd wndilions as hereillscl forth.
, the umlmigllell, herehy acccplS this permit suhje(:ltlllhe terms
Dillellthis 7
day of ~j;?'1
,19 f~
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fcc l'llid_ Yes _ No
Re~ripl No
lB20 JeUorsoll Streel
P.O. Bo~ 1220
PorI Townsend, WA9S36B
12061386.9160
^udrc~sRcquCSI_ YC!i_No
Mile Post
Al'I'L1CATION HlIll'EIlMIT
To Department of Public Works.
Jefferson County, Washington.
The IIlIdersiglled -P 1hf!(' f Pcrz..,v-C/I ~
hereby appl-}L-- for permissioll 10 / ,us-rf-<LL..
30 / fbtE-
"II'IIII<'WII"',lId''''fll,'/ulI'''\/IIIIIr'''INI,'I/IIJO/I
SKETCH:
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Phone No.
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Di.'ilricf No,
DEPARTMENT OF PUBLIC WORKS
:S
Permit No. 086'7
SUllervlsor's Ih'purl No.
Sliperl'isor will makedewiled report Wilh his recommendmiol/ Ollllll:~ app/icmio/l. Whellerer possible show sketch ofprofJo.\'ed
H.'ork, Supervisor will al\'o make addiliollal reports and jinal report giving dafe of compleliol/ of t'l,'ork all fhl'! form,
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Preliminury Report:
/lIp "';.2'/ "'''' Le.+/
~t..VeJ?. /?OL~, ~ ..z/.J-5rrtt..L€.D 6eN~l9, _~~::-~l?~"",'o;v
1l.lc:
,rg-z?- 98
Sil.:lled:
/.J ~ /(~L "--7
Final Reporl:
!'ERMIT INSPECTION REPORT
~ Work em/end b)' permil hus been completed
s:tlisl'acloril)'.
_ Work is nn' l'ompleled.
- Uecommend permit he cuncelled.
_ Traffic cCllllrol ~ ude1lllllle_
~ inude(llIUlc_
REMARKS J"Oj) j I>.B
RECEnlED
AUG 2 n 1988
JEFFERSON COUNTY
ENGINEERS OFFICE:
1l"1"_~~
Siglll'd:
12.-<"0-88
Ill' \11'11' I'llI' llll~. 1\(',
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JOINT FAClUT1ES I
ARRANGEMENTS - OTHER UTILITIES
JFC NO, ~~~S~~~~:S& ~~~~~~~ & ROOS
OTHER UTILITY UG CONOUIT
ENGINEER UG CONoucrORS, GROUNOS & ROOS
SERVICES
TRANSFORMERS
LABOR REPORTING OATA
~fPE OF WORK
C)"'-:E\;:CN I W"'NTENANCE CONSTRUCTION RnlREMENT
I '~c)()1
I II
I
JFCNO,
OTHER UTILITY
ENGINEER
"C.ODI
CALL FOR UNDERG'IOUND LOCATION ASSISTANCE, PHONE: 1-3:):) - "'I (;,". 05::::::
THIS SKETCH IS NOT TO BE RELIED UPON FOR EXACT LOCATION OF POWER FACILITIES
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STATE OF WASH I NGTON
OEPARTMENT OF NATURAL RESOURCES
BRIAN J. BOYLE, Conlnissioner of Public lands
Easement No, CR-3245
THIS EASEMENT. made and entered into this CJII. day of ~ ' 19.rt' ,
by and between JEFFERSON COUNTY, herein called--tlit""Grantee, an teSTATE OF WASH1NG'!'ON,
acting by and throU9h the Department of Natural Resources, herein called the "State,"
WITNESSETH:
The State for and in consideration of the terms and conditions specified herein,
hereby grants,and conveys to the Grantee:
An easement for a right of way for the sole purpose of construction, operation, use",
and maintenance of a road over and across the S1 NEt, SEt NWL NE~ SW~, Section 21, SW~',.:'"
NE~, S1 NW~, Section 22, Township 27 North. Range 12 West, W.M. the location of which is
shown on Plats No. 3245, filed in the office of the Conmi ssioner of Publ ic lands at
Olympia, Washington, reductions of which are attached as "Exhibit A and B," indicatin9
said right of way in red. and by this reference made a part hereof, all in Jefferson
County, Washington. Provided, the Grantee may permit the installation of utilities
specifically pertaining to electronic transmission lines, telephone lines, or pipelines
but for no other purposes.
This easement granted herein is subject to the fallowing terms, conditions, and
provisions:
Subject, however, to easements for ri ght of way for county roads granted to Jefferson
County as follows:
1) Application No. CR-1393 granted June 23, 1936
2) Application No. CR-1394 granted June 23.1936
3) Application No. CR-2972 granted August 30,1971
4) Application No. CR-3148 granted May 13, 1980
Consideration
The consideration paid by the Grantee to the State is as follows:
Damages
Timber
Total
$ 2,538.00
'67.038.00
$09,576.00
Damage and Protection from Damage
Grantee, when using the rights granted herein, shall repair or cause to be repaired at
its sole cost and expense, all damage to improvements on State lands occasioned by it,
which is in excess of that which it would cause through normal and prudent use of said
ri ghts.
During operations under this easement, including the construction of roads and
landings, the Grantee shall take such precautions as necessary to minimize insofar as
possible, soil erosion and damage to the soil. Equipment will not be operated when ground
conditions are such that excessive damage will result.
All legal land subdivision survey corners and witness ohjects are to be preserved. If
such are destroyed or disturbed. the Grantee shall re-establish them by a registered
professional engineer or licensed land surveyor in accordance with U. S. General land
Office standards at his awn expense, Corners and/or witness objects that must necessarily
be disturbed or destroyed in process of construction must be adequately referenced and/or
replaced in accordance with all applicable laws of the State of Washington in force at the
time of construction, reconstruction, or development of the right of way including but not
limited to chapter 58.24 RCW, and all Department of Natural Resources rules and
regulations pertaining to preservation of such corners and/or witness objects. Such
references must be approved by the State prior to removal of said corners and/or witness
objects.
'~
Preoperati ng Requi rement
The Grantee's operations specified herein shall be conducted in accordance with the
provisions of the State approved Plan of Operation in force at the time of construction,
reconstruction, or development of the right of way.
Provided, however, thirty (30) days prior to COIMlencement of said operations. the
Grantee shall submit to the Regional Manager at Forks, Washington, for written approval, a l
complete and detailed Plan of Operation for the development of the right of way. The
Grantee shall provide for the examination of the right of way. with the State's Regional
Manager. before any construction, reconstruction, or deve 1 opment is cOllll1enced.
'Facility Protection
Tre~s that become an interference or a hazard to the rights herein granted and located'
outside of the limits of said right of way may be removed upon obtaining the written'~':i:i1~~\i;
consent of the State. and payment of the appraised value thereof. ,,', ,:',:",;.,...;.,."if
Restoration
It is understood and agreed that in the event any portion of the road described herein'
is abandoned, or in the event any portion of the right of way granted on June 23; 1936,
under Application Numbers CR-1393 and CR-1394 is abandoned as a result of the rights
granted herein, the Grantee shall take the necessary legal action to vacate such portions ,'.
and shall immediately restore the land within all abandoned portions to a natural '
condition as may be directed by the State.
On those portions designated for restoration, all asphalt shall be removed from the
abandoned right of way and shall not be deposited on the adjacent State land; in addition,
the land surface shall be scarified to blend with the adjoining landscape.
Notice of Noncompliance
The State shall notify the Grantee by United States mail, addressed to the address
shown on the application for this easement on file with the State in Olympia, Washington,
of any instance of noncompliance by the Grantee, its employees, permittees, contractors or
subcontractors with any of the terms and conditions hereof. Such notice will specifically...
identify the manner of noncompliance herewith. ,
In the event the Grantee does not undertake., or cause to be undertaken, remedial
action within fifteen (15) days following receipt of said notice, the State, acting by and
through its Regional Manager at Forks. WaShington, may suspend the Grantee's operations
until such time as effective remedial action is taken.
IN WITNESS WHEREOF, the parties hereto have executed this instrument, in duplicate, as
of the day and year first above written.
STATE OF WASHINGTON
DEPARTMENT OF NATURAL RESOURCES
~~);P;--
NN . L T. Mancfger
IVlslon of Lands and MInerals
BOARO OF COUNTY CO/1olISSIONERS
JEFFERSON COUNTY
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ChaIrman
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P.O. BOX 1220
PORT TOWNSENO, WA 9B36B
App. No. CR-3245
126067
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RIGHT OF WAY PLAT
JEFFERSON COUNTY WASHINGTO:N
SECTION 21, TOWNSHIP 27 NORTH. RANGE 12 WEST. Witt
JEFFERSON COUNTY, WASHING7DN
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JEFF~SON COUNTY WASHINGTON 21GHT OF WAY "'Pi' @ "ORTHW~~~.~"', '"~
U(t7-IOZ) IfJ1
EXHIBIT B
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..JEFFERSC:W o:x.t'llTY
DEPARTNE:NT Of" PUDL I C WORKS
FILE
ACT! ON REQUEST
REQUESTED BY-
ADORIi;so -
DATE-
12/5/88
D^VE W^RD
~E NO.-
ALT. PH. NO.
NATl.fE Of" REQl.IEST. 0 INPERSai FJ BY PHCI'4E 0 BY. LETTER TAKEN BY. EILEEN
PERTAINING.l1)_ o OFFICE DENG/SlJRVEY DROAD MAINT. o EQUIP. MAINT. DooLID WASTE
REQUEST FOR- ROW
LocATION. ROAD NME: QU I L ^VE. M^PLE GROVEROAD N"""'ER
PRO.JECT - PRO-IECT TITLE
381089
300909
M.P.
ARO.IECT Nl.t.tBER.
DESCRIPTION_ WH^T IS THE LENGTH OF DUll CENE ^VE? DOES IT EXTEND ~~EST
OF ROar-FRS ST? I~H^T I S THE LENGTH OF M^PLE GROVE RO^D ROl~? DOES
IT INTFRSFCT I~ITI-I 01111 CFNF ^VENIIE?
;;4-0J."1- ,7/,,)
ATTACH MAP OR SKETQi
REFER TO-
RESP0"4D BY.
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REVIEWED BY-
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ROltl'E TO.
D DIRECTOR
o ASSISTANT DIR.
D ROAD SU'ERVI SOR
o CC'lNSTRUCTION ENG. _ 0 AC~T~T
o PLAM1IING ENGINEER _ 0
o ADMIN. ASSISTANT _ 0
INITIAL
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,Q. 80x 1220
Port Townsend. WA 98368
(206) 385,9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
December 15, 19B8
Dave Ward
P.O. Box 459
QUilcene, VIA 9B376
Deilr Dave,
1 find no records indicating that Maple Grove Road and QUilcene
Avenue intersect. Quilccnc Avenue is platted at 60 feet in width
and extonds west past Rodgers Street to platted Walker Street in
Worthington's and Campbell's Additions. It ~13o e~tends East of
Hamilton Avenue to the Bay at a platted width of 30 feet, with the
exception of a portion adjacent to Blocks 12 and 13 in the Original
Townsite. This section was vacated in 1920.
Maple Grove Road appears to be a usage right of way, 0.04 miles in
length. Neither I nor Jefferson Title could find any information
to the contrary at this time.
Let mo know if you need any morc information and I'll do my best to
help out.
Sincerely,
b~
E.O. Simon
Administrative Secretary
Ene]. (2)
"C: 301609
3009092
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
t820 Jellerson Street
P.O. 80x 1220
Port Townsend. WA 98368
(206) 385,9160
Gary A. Rowe. P,E., Director
Robert G. Nesbill, P.E" County Engineer
December 16, 198B
John Boulton
780 Boulton Rd.
Quilcene, WA 98376
RE: Right of Way of East Quilcene Rd., CR 327508
Dear Mr. Boulton:
Per your request, the records wore researched for information on
right of way of East Quilcene Road adjac~nt to Ta~ 24 East of the
County Road. Although a survey recorded in Volume 3, rage 83 of
Surveys shows a 40 foot right of w~y, I ~as unable at this time to
find corroborating documentation. Thus, the right of way is
considered to be usage (back of ditch to back of ditch).
Please feel free to contact this department if you have further
questions.
SincerCl'(J
C;, ~ . J()'}l@k-
E.D. Simon
Administrative Secretary
xc: 327508
PliJA 02
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JEF'FERSOO ~TY FILE
DEPAR'l"MENT Of' PUBL I C WORKS
REQl:O';STED BY. \ (&l,<f&uL~TION REQUEST DATE, q - f - ii'f
ADOflEss. (359D t;, [)",'L rf'J2) I~'O Ba-Ifm, {2,y PH:r<E NO. 7105 -357.5
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PERTAINING 'nJ. 0 OFFICE 0 ENG/SURVEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOl.ID WASTE
REQUEST F'ClR. 1( (JuJ
l.OCATI(]'j. ROAD!W.E: E f:)",'U.O.,U_ 'RJ~ ROAD NLM3ER ];) -'5og' M.P.
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Port Townseml, WA 98368
(206l38S.9160
District No,
PERMIT
In accordance with all applicable Revised Codes of Washington and mncndmcnls thereto, and subject to all the terms, condi-
tions amI provisions written or printed helow or on any part of this form
PERMISSION IS HEREBY GRANTED TO puget Sound Power and Light
310 Four Corners Rd., Port Townsend, WA 98368
,:"t !
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to Install underground power cable at mile post 0.52 on McMinn
open cutting past end of pavement. (NoT IJcc.D;ff;;i)
60 O~/c'l!.f-;EJj;) 10 ::X/STINE; -POL-C,)
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JOHN KU)'\'7',?
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V)c.J JEFFERSON COUNTY
626709 \"1. PUBLIC WORKS DEPT
Coullty Road No, V
Franchise No.
Milepos! 0 . 52
No work shall he done under this permit until the party or parties [0 whom it is gnllllcd shall have cOll1l11unicated with and
received instructions from
This permit shall be void unless the work herein contemplated shalllw.ve been completed before November 30. 19 89
Dated at November 30 ,19 88
fly
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1-800-424-5555
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PUBLIC WORKS DEPT.
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OCT 11 1988
JEFFERSON COUNTY
PUBLIC WORKS DEPT,
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OCT 11 1988
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
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250 Jansen Road
NorrJlAnrJ, WA qR~~R
I"CI;~'F'I'
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RECEfVED
OCT 12 1988
JEFFERSOr~ COuNTY
PUBLIC WORKS DEPT.
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DEPAR11€NT Of' PUBL I C WORKS
CR 301409
PI u:
ACT! ON REQUEST
REQtESTEo BY.
ROCHELLE
10-24-88
385-2000
DATE-
ADDRESS .
[EFFERSON TTTLE
PHC:I'.tE NO.
ALT. PH. NO.
NATI.R OF REQlEST. 0 IN PERSai [] BY PHCHE 0 BY LETTER TAKEN BY, Fi 1 ppn
PERTAINING 11). 0 OFFICE 0 ENG/SlJRVEY 0 ROAD MAINT. 0 EQUIP, MAINT. 0 SOLID WASTE
REQl.EST FOR.
V.<'!I"';Jtinn infn
L.OCATIc.rl. RClI\ll NAME HASONIC TEHPLE RD. ROAD N,"""ER 301409 "',P.
PRO.JECT - PROJECT TITLE
RRO.JECT N~DER.
DESCRIP'TI~.
WAS HASONIC TEHPLE ROAD VACATED?
ATTACH MAP CR SKETa-J
REFER TO- Eileen
RESPOND BY,
RESPONSE. The area (called "unnamed road") between Blocks 3 & 6 of Campbell's
Addn. as shown on map was vacated by Resolution 1/69-76 (Oct. 4. 1976).
The full 601r/w was vacated. The soutll 30 feet of the street was
vacated Jan.. 1958. between Block.8 and Lot 1 of Block 7 of saiel nlat.
REVIEWED BY, t/3 DATE,
cx:::tll'AC'TED REQUESTER 0 IN PERSCfi 0 BY PHOI'\IE [li] BY LETTER CXJt.lTACTED BY. F.i' ppn r2.~n-f?
RE c::cMotENDA. T I (11.I .
PREPARE, EST IIM:J'I: . F'CR.
1
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ROlITE TO..
o DIRECTOR
o ASSISTNn' DIR.
D RClI\ll SU'ERVI SOR
INITIAL
o <XlNSTRUCTIOO ENG. _ 0 AC~TANT
o P~ING ENGINEER 0
o ADMIN. ASSISTANT _ 0
~
~
RESOLUTIO~ ~O. (~;,-(?:C
ORlJEH OF V,\CNl'ION
'1'h3 s matter coming to be heard this duy upon the County Road
Enyineer's report with respect to the v~cdtion oet forth in
"Petition for Vacation of a County Road" submitted by Mr.
Friln}: L, Hilrt, anct it ilppearing to the !loard of County
Commissioners that notice of hearing upon said Engineer's
report has been posted and published for the time ancl in the
manner provided by law, proof of such pos ting and publica tion
being now on filo herein, and said Board having the other
evidGnce adduced, and being fully advised in the pror,Llses
does 110\'1 find and determine
1'hut t;he public \dll be benefited by the
vacation thereo[,
NON 1'IlEREFORE BE rr RESOLVED, and it is HEREBY
ORDf:RED 'rIlA1'
an Un-named street between lots 1&2 in Dlock 3
and lot; 1 in Block
all in Harvey Campbell's
uttdition to Quilcene
be and the same are hereby vacated and abandonr:!cl.
iIDOP'.rED this 4th day of October, 1976,
BOARD OF COU~TY CO;.tiUSSIONERS
JEFFEl1S0N COUNTY
-1~tJ
B.G. Brown, ChairQan
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A ~:'1" 0 I i-'!IJara-; r'lember
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DEPAR'11€NT Of' PUBL I C WORKS
FILE C/!. fL; 9/oof
ACT! ON REQUEST
REQUESTED BY- I<AQ EN r\- A \2. vE'f DATE-
ADDRESB- 3'WI \-I'o..'O+iY\J>" A-~ W PK:<<E NO, - -0.3LJ
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NATL.H:: OF REQt...E:ST. 0 IN PER5Ct'4 ~BY ~E 0 BY LE'nEA TAKEN BY, f'~/~
PERTAINING TO- 0 OFFICE 0 ENG/SURVEY 0 ROAD MA1NT. 0 EQUIP. MAINT. 0 SOLID WASTE
REQUEST F'CIR- 1<ow
LOCAT'Qi- ROAD rw.E +I~ hu-e.. ROAD NLIolBER (g'1/0 M,P,
PROJECT. PRO.JECT TITLE ARO.lECT NLJ,tDER.
OESCR'P'T,Qi. QOuJ !ill: ;n,: '" ^ 01 IY7<Yh"iW---' 01,) (rj- ,R~ &I
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REF'ER TO- &~
RESPO'ID BY, Urth> (1.l~
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REVIEWED BY- 'jjrUCJi.LO/1V;f'o DATE- /)..-13 -r-V
CONTAcn;:D REQlESTER 0 IN PER5O'l D BY PK:<<E ~BY LETTER CDNTACTED BY, (.iff""
REo::MoENDAT I CIi.
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PREPARE EST I MATI: . f'OO.
ROUTE TO~ INITIAL
o ACa::>UiT ANT
o
o
o DIRECTOR
o ASSIsTANT DIR.
D ROAD Sl.O'ERV' SOR
o CONSTRUCTICH ENG. _
o PL..AN'IING ENGINEER _
o ADMIN. A5S1ST~T _
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box \220
Port Townsend. WA 98368
(206) 385,9160
Gary A. Rowe, P.E.. Director
Robert G. Nesbitt, p,e., county Engineer
December 13 I 10S8
MG. Karen Harvey
3801 Hastings Ave.
Port Townsend, WA 08368
Dear MG. Harvey:
Please accept my apologieG for the delay in reGponding to your
inquiry about right of way on Hastings Avenue. I have resoarched
our records for information about right or \~uy in tho vicinity of
your property. In 1939, a width of 70 feet going through the
southeast quarter of the northeast quarter of Section 7 was quit-
claimed to JefferGon County. The property diGtribution iG 17.5
feet on the West side of the centerline of the road, and 52.5 feet
on the East side of the centerline. The enclosed plan showing the
right of way distribution docs not show the position of the road
within the right of way. RoadG may not always lie on their
ccntcrlincs. There are no rocorded surveys at this time showing
the position of the read.
Plcaso feel free to contact me if you have furthor quostions.
Sincerely,
6: )). i;;,&~
E.n. Simon
Administrative Secretary
Encl.
xc: 691009
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ADDRESS .
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JEFFERSai cx>t.IiTY
DEPARTMENT Of' PUBL I C WORKS
FI LF.
ACTION REQUEST
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DATE.
Pf-tl::r.,jE NO.
ALT. PH. NO.'
NATLA:: OF REQl.EST_ 0 IN PERSQi rZ1BY PI-tCf'IlE 0 BY LEITER TAKEN BY.
PERTAINING TO.~~OFFICE DENG/SlJRVEY DROAD MAINT. o EQUIP, MAINT.
REQl€ST FOR.
lOCATIa>l. ROAD NAME I(',Lf)(Y- -p,.,'''.lT ).:'['>
PRO.JEcT. PfIO-lECT TITLE
OESCRIPTIa>l. ~),e:;"212 't
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REFER TO.
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M.P,
o SOLID WASTE
1,:2~
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REVIEWED BY. ftA/Y~ 6reL-Ii~ DATE, 1;),,-1'-1 -if'
CCHTACTEo REQl..ESTER 0 IN PER5O'l 0 BY Pt<<)NE 0 BY LETTER c::oMTACTEO BY.
REc.x:lMoENnAT I ~.
PREPARJ:: EST I MA11I: F'OO.
ROUTE TO-
O DIRECTOR
o ASSISTANT DIR.
o RClAD SlFERVI SOR
INITIAL
o CONSTRUCTICf"ol ENG. _ 0 ACCDlIiTANT
o PL..Al'.J'IlING ENGINEER _ 0
o ADMIN. ASSISTANT _ 0
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L_l!~;l;Y
MEMORANDUM
TO: Jerry Clemens
FROM: Eileen Simon e~
DATE: December 15. 1988
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, 80x 1220
Port Townsend. WA 98368
(206) 385'9t60
Gary A. Rowe, PE, Director
Robert G. Nesbitt, P.E., County Engineer
SUBJECT: Right-Of-Way width, Black Pt. Rd. (Gravel Section),
CR 242600
As no records were found indicating deeded or dedicated right-of-
way width, at thiG time the right-of-way would be considered to be
u3ago.
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JEFFERSCN COl..NTY riLE
DEPARTM!.NT OF' PUBL I C WORt<S
,-lESTI!D BY- cAadu (Jt~A~~~q~~~EST DATE,
ADDRESS - {P, () , ~q ,')1 / 2), t./ / f'tU<E NO,
f)4.., 0).11)-"/004',1 ALT. PH, NO,'
NATlfiE OF REQlEST. ~ PERSa'I 0 BY PHCNE 0 DY LETfER TN<EN DY. {z:J'{ (J.1A" ./
PERTAINING TO. o OFFICE DENG/SURVEY o ROAD MAINT. DEQUIP, MAINT. OSOLIO WASTE
REQlEST FOR- r(() <.0
LOCATICJ<- ROAD tWo: rhll1iY'14-a.d ROAD NlMIER ((:1/5'0 M,P,
PRChIEC'T. PROJECT TITLE RRO.JECT Nu,tBER.
OESCRIPTICJ<- WI,d';J eOu.) ad-J?1f'p,j- -1\ SC) - T';;X - RhO AI V2-
5Y2 77f ( [. oP- Co .'l(Oo,lJ Y ?
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ATTACH MAP OR SKET6
REFER TO- Gr' PJ2(,________
RESPOND BY, /D-I5' CI 00.')::;
tJ (I
RESPCttSE .
~ ee aJ\-Q('.\uJ ~CD 1'1'1 (54 \ a.mA CI2.:V \loO f'.Qa..... (~9S:7Y-
REVIEWED BY- DATE-
a:HTACTED REQl.ESTER 0 IN PER5O'I 0 BY PHCJI".lE 0 BY' LETTER CONTACTED DY. ______
REa:>>.NENDAT I ai-
PREPARE ESTINA'T'C.FCfI.
ROUTE TO.
o DIRECTOR
o ASSISTNlT OIR.
o ROAD SU'ERVI SOR
INITIAL
o CONSTRUCTIOO F..NG. _
o PI-A.M'4ING ENGINEER_
o ADMIN. ASSISTANT
o ACCOll'olTANT
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QUIT.CLAIM DEElJ
l'hcgrantor,..>>.,.........llcrein.....,..\!.U\>.~J:t".H",.G,fl~.Q~,r..,!ll1r.\..H.Q,nnj.g...~...,O,~~n~x.,..h\\~hl,[Jr.J.I.I,,!'.!I!.\,,!;u:~,............,"""
....................................."..".................".............................................."...,..............".....................,
(ur the cnn,idcral iU11 "r .,unY...,;m,c;\..!.1.~l:),QQ.~~,~::,:~,~7,::.:::~:i::~?.~:,:,::,~:~,~~.7,::,~~,7.~~.::.ui5.n.., r..9.}"..". Dullars
and also oC bendits to accrue to.. .....t.h~.I.~............................... ..."............by n:n:;oll oC 1:lying Ollt :llId estahlishing a public
roau throtlgh......t~).\9.~.:r......... ...........................prupert)., ami which i:i bereaCter deslTihcd. l'01l\'ey.."... releases...... and qllit~
claim...... to the COllllty of )eITer:,un, State uf Washing-tull, Cor Use of the PllLlic forever, as a public road and highway,
all interest in the following described real estate, viz:
.-\11 that portion of the following descrihed tract of land lying within the limits oC:t strip of land........~.Q... ...............fect
widl', bcing.....J.9........."fect in witlth 011 each side oC the cciHcr line of thc.............4~.t.~.r;,~!}.~..:::..P.~D~.~.~. ............CtlIlllty
Hoar! as sl1r\"c)"cd :l1ld lOl',Hl'd O\'l'r and :ll:rns.-; tho nort.h one half of the south one hall' of tOt!
northeast one qnarter of oection nine (N~ S~ NEt Sec. 9), t,ownship 28 north,
range 1 west, \1.N. SOl.id cent.erline being morA spp.cifically described a~ follows:
Beuinnin!: at. a point un Lhu sr.ction liuo bet.ween s0c:tions :1 and 10, T. 2C H.,
R. 1 \-i., W.h.; said point. being N oD5511511 ~l ant.! thousanu one hundred fourteen and LX.
six tenths (1114.6) feet from the quartor corner CDri1J'.Qn to sections 9 and 10,
T. 28 tlo", n. 1 WO,ll ~i.Hoj and beinr. enginuI1r1u st:.ation b92+.5J1l7j tnenCH s()uth.....wJturlji
on the arc of a one dEWrt:lLl a:UI've 1:.0 thu le:.ft l-Jltosv t,.mCt:llt:. lit. that. ,waInt; tWill'S
S 43'30')011 \1, a dist,ance 01' 1'ive hunurcd seventy-fuur (574.0) fent l'lore or 100,; to
the oouth line of the N~ S1 NE~ of Sec. 9, 1'. 28 tl" R, 1 \1" II.N. Except that
from enf'ineer's st.,tiun 480+00 to the eaot line of the N~ s!, tIE;; the right uf way
.shall bu ~'Ol'ty feet em t.he: IlC;I'thiJl'sterly ~ide oj' t.h~ cf:tltcrline and. f'rl,{I! flfl"'j,m:l:rl!;
station L87+50 to the eaot line 01' the N~ S~ 11E~ the ,.i;:ht of wa)' shall Jot, furty
feel'. on thu ~outheasteI'ly :;ide of thE: centt!rliuo.
Less existine right of WA;G.
Jefferson County agrci':s to COlWtl'ltCt a four (L) strand barbed "lira ft!llCe along tho
right of, WllJ' between the oouth line of N& S} tlEt of ~cc. 9 and the east line of
the N'~ S, NE~ of Sec. 9.
"'1. ::".'\1
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...::'l.,\"J'
" .,iLL.~~_
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Sail! :;tripl'Olltilillilll-:.
inglOlI.
The Gr:lIItor i1bu g-rallt:i to )cll'crsDII COllmy thc right to COllstrUl.:t alld maintail1l1ccC:iSllry cnt uml till slopcs, cuh'crts.
........"....ill'rCS ll1urc of less. Situated ill the CUlIllty of Jelrcr~on, SWtc of \\':1:;11-
spcci<ll ditches, anti appllrtenances where the ~al1lC may extend beyond the limit:'> of the land hereby conveycd.
Dated Ihj,........,:2'7.........,daY OL........,.......,?J.,~{.....,......,....,...,....,....,' A. D. 1!,.f.,7,
W/T).iESSES: I .
,t {.n / ch.P--'-"'t...>'- "-
'::..:..::::'::::::'.::::':'::::::::':::::::::::::::::::::::::::::::::':::::':::::::::::::::::::::::::j;;::':'.:=::,:;?::::::;~:~:;,~::,=~:';.:::::::::::::::::::
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelferson Street
P.O, Box 1220
Port Townsend. WA 98368
(206) 385,9160
Gary A. Rowe, PE, Director
Robert G. Nesbitt, PE. County Engineer
December 15, 19BB
Charles and Agnes Olin
P.O. Box 224
Port Townsend, WA 98368
Dear Mr. and Mrs. Olin,
Pleaso accept my apologico for the delay in responding to your
inquiry about the right of way width of Center Road. Per your
request, the records were rosearched with the fOllOWing reGults.
The right of way East of the county road centerline was qUit-
claimed to Jefferson County by William and Bonnie Gainer in 1957
(see enclosed copy of deed). The width granted varied between
thirty and forty feet. A county road project plan is enclosed
illustrating the distribution described in the deed, although it
does not show the position of the road within the right of way.
Roads may not alsways lie on their centerlincs, and there are not
recorded surveys at this time showing the position of the road.
If you have further questions, please do not hesitate to contact
me.
Sincerel.;l,
r; 1J . JVy;t~
E.D. Simon
Administrative Secretary
Enc 1. (2)
;,:c: 931507
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COU~!j>ROAO NO..5P/1cl
STA,it LOG NO.
MiLE POST
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 98368,
PERMIT NO. '17- ,5'.:1- ?)
FEE PAID tAes _No
OFFICE USE ONLY
:It. 1'2.5'0
CHECJy6N'E:
E1 RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is herby made for a permit to construct, operate and maintain a road approach.
Please describe loaction (attach map or drawing) /1"/7C'.4~ ~ At-</,_L~.c1" -{u'" L I', r
0!-?'7J/' ;"01 ...J!z7:? .~ ~, .Zk, tfJ(l i (r'.J'~,,'" /i-.A.I .~ .
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out herein, and any special provisions attached hereto. CL/..l./.... ~C( 1--7 tf If &'
Applicant Name 1#"''-'''':',: ./ 4"..,', ~{) Contractor Name
Address I~ 4-L_l.!1.eA'c!f~~~f,'1 ~~ Address
.r!/,,~ ..I ;-:';<<:..1. /'1-.1:.-...., I
Applicant signatureo/--/.~1"''''''L'~~;;! 4~~1..;~, Contractor Signature
Date I II Date
Note: Indemnity provisions of paragraph, 2 '.and 3 ,on reverse side.
.", fi;" "
l~uU~~ulW~~~
PERMIT
Subject to the terms and conditions Or) the reverse side, PERMISSION IS HEREBY GRANTED to
Applicant to construct, operate and rna'intain a road approach as requested above, and any
special provisions attached hereto.
No work shall be done under this
the applicant or contractpr has notified
,telephone C j,!;-5 - 3::5';S
Date 5 /0 1 #7
I I
PERMIT INSPECTION REPORT
CALL 48 HOURS
BEFORE YOU DIG
1-800-562-6478
/" Work covered by permit has been completed
- satisfactorily.
_Work is not completed. .
_Recommend permit be cancelled.
_Traffic control - adequate
inadequate_,
REMARKS
Form 113-0 (RevA 2-.82)"
INSPECTED BY: .1L...zI-IC!L..u DATE p/19.l1,'l,
~
~
GENERAL PROV IS IONS
1. THIS PERMIT IS SUBJECT TO RC\~ 36.75.130, ,140 AND ,150 AND AMENDMENTS THERETO,
2.
THE GRANTEE, ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY MD SAVE IT HARMLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERy KINO AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERSall,
PERSONS, OR PROPERTy BY REASON OF THE PERFORM.'NCE OF ANY SUCH WORK, CftARACTE:R OF MATERIALS USED OR MArmER
OF INSTAl.LATlON; [N CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTy FOR DAMAGES ARISING our OF OR BY
REASON OF ANY OF THE ABOVE CAUSES, THE PETITIONER, irS SUCCESSORS OR ASSIGNS WILL, UPON 1lOTlCE OF COMHENCE~
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3. IF THE GRANTEE EtHERS INTO A CONTRACT OR AGREEMENT WITtt A THIRD PARTY TO PERFORM THE WORK AuTHORIZED
BY TH[S PERMIT, THE THIRD PARTY, AS A PART OF THE CONSIDERAT[ON FOR [TS CONTRACT WITH GRANTEE, AGREES TO
INDEMNIFY, HOLD HARMLESS ArlO DEFEND THE COUNTY IN ACCORDANCE WITH "THE PROVISIONS OF PARAGRAPH 2, ABOVE.
~. ~~Y T~~iA~~Rg~ T A~~ ~~N I~~ ~~~~+~~g~1o~NeO~~Q~J~~~~~~~ ~~~~:~ ~805Ay~R S~:[tU~~B~~C~HiH~~R~E~~1 iHio G~~~~~~_
LATlON AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE twlU.AL ON UNIFORM TRAFFIC CONTROL
DEVICES FOR STREETS AND Htr.H'rfAYS PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBR[S SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY.
7. THE COUNTY RESERVES THE RIGHr TO ORDER THE CHANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT ANY TIME, SAID CMANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARry OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS.
8. ~~~ ~~~~T c7~~~~~ER:~~~N~I~~cr~~N O~R T~~Lg~C~f$~ S B~O~~E A~~A~~~~E~~~~L C~~N~~NiHltL S~~HN~ C~~~E:E A~Et~ Lt I ~~~~E
FOR ANY DAMAGE TO ntE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITS AGENTS OR REPRESENTAT[VES,
OR BY THE EXERCISE OF ANY RIGHTS BY THE COlJNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE !'lOR/( UNDE.R THI5 PERMlT 50 rliAT
A F(NAL INSPECTION CAN BY MADE.
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (Xl
~o;~~~u~~ 16~EA~~~~~ I z~~Ai~ ~~lgNp~~~1 iO= I ~~ I~' T~~D c~~~i~~~E~1 ~~~~o~~~A~7EMENTS, AT ALL TIMES OUR ING THE
THE APPROACH SHALL BE CONSTRUCTED IN ACCOR~NCE WITH THE ATTACHED DESIGN PLATE TYPE .P.... J _
APPROACH. A~FT.LENGTH OF ~INCH DIAMETER CULVERT PIPE SHALLlEPLACED IN
DITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
D7~E~f~~G A~~ ~~~F~~~D~A~~R T~~o~p~~?e~~E S~~~~E~fy [~N 19c9~~t~~E R ~ ~~~~~~:w:~O~: t~ ~g~T~~L p~~Mi~~Eh;AN.
HIE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEaUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT ANY MUD TRACKING ONTO THE COU~lTY ROAD. ANY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STu,o'lP'i AND BRUSH SHALL BE RE,'10VED FROM BOTH SIDES O'F TIlE
APPROACH, THE IND[SCR[M[NATE CUnlNG OF MERCHAllTABLE TIMBER OR DISFIGURING OF AllY FEATURE OF SCENIC
VALUE SHALL ~IOT BE PERMITTED 011 COUNTY ROAD RIGHT~OF-WAY.
WORK SHALL BE REsrRICTED TO HtE HOURS BETWEEN 9:00A,M, AND 4:00p.M. UNLESS OTHERWISE AUTHORIZED BY THE
ENG[NEER,
ASURETV BONO [N THE AMOUNT OF $ , WRITTEN BY A SURETY COMPANY AUTHORIZED TO
00 BUSINESS [1'1 HtE STATE OF WASHINGTON, SHALL BE FURNIStiED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE
rERM5 AriD CONDITIONS OF THIS PERM[T AIlO StlALL REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
aEEN COMPLETED AND APPROVED BY OlE COUNTY.
BEFORE ANY LOG HAULING OPERATIONS BEGIN, A SURETY BOND [1'1 THE AMOUNT OF S. _, SHALL
BE FURtllSHED BY THE GRANrEE TO PfIorECT THE COUllTY AGAINST ANY DAMAGE TO THE COUNry ROAD ArlO TO [NSURE
COMPLETE REMOVAL OF rHEAPPROACt1 AND CLEANING UP OF THE R[GHr-OF.WAY TO THE SATISFACTION OF THE COUNry,
APPROVAL OF ALL CLEAN UP WORK SttALL BE SECURED BEFORE THE BOND WILL BE RELEASED,
o 8. SPECIAL CONSIDERATIONS
Form 113b
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COUNT~ )\OAu NO'.2~h'02.
STATE LOG NO.
MILE POST t!i..!i~
9FFICE-US; Dill
JEFFERSON COUNTY
DEPARTMENT OF PUBLI C WORKS
Jefferson County Courthouse
Port Townsend, WA 9836B
PERMIT NO. "~-'i?- [- ,
FRANCHISE NO,
FEE PAlO ~Yes _No
OFFICE USE ONLY / J
$'.:<S,o" j7'?1 7f.;J,(S'i
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APPLICATION FOR INSTALLATION OF IITILlTIES
Applieant: Contractor:
Name PUD #1 of Jefferson County Nama Shold Excn..tinn
Address POB 1331-The Courthouse
Port Townsend, WA 98368
l.ddress POB ] 79
Hadlock, WA 98339
Phone: 18 'i- 'i800 Phone: 385-0480
Application is hereby made for a pennit to construct, operate and maintain
111 Lateral with three 3/411 meters
The utility installation is located (attach map or drawing)
**Nap Attached**
Applicant agrees to perfonn the work in strict compliance with the tenns and conditions
set out herein, and states that Applicant has read and will adhere to the general provi-
siOns set out 0 he r verse side of this fonn and any special provisions attached hereto.
Appl icant Signature:
:0 ''''. tL 6<'
Date:
7/20/88
lilli/II 111111111111 ;;;;; ;11111111_
SUbject to the fOllowing tenns and conditions, PERMISSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above,"
This pennit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No work shall be done under this pennit until
proceed from '
APPROVED BY: /J ~ K.~
Gj--;OTE SPECIAL PROVISIONS ON REHRSE
LI 1 1 1 { 1 1 1 1 1 1 < 1 1 I I I 1 I 1 1 I 1 I I I I I I I I I I I I I 1 I 1 I I I 1
PERMIT INSPECTION REPORT
hrk covered by pennit has been completed satisfactorily,
Work is not completed.
RecOOl11end penn it be cancelled.
_ Traffic controtadequate; _inadequate.
REMARKS:
INSPECTED BY: .fj,,u..d- I<~' t2- ~
the Applicant has received instructions to
te 1 ephone
Oate: 7-29-8[;
Philip Z~rr ~ Gardiner
Date: /2--/9- 89
~
~
, ,
Cener.l Pro~hIOr\\ ~r Jefferson County Ord1 ) Z.SI and WAC 136.40,
~on\~~~t~~~ ~jn~t~~~e~a~~ {~t f:~n~~~ \ih~h~~~n ~~ d~fe t~:n~h~~~r~~~h t~~~e ij~~~~~~~e c~~~~~r ;oa~~. t~j ~~~~ ~~1.~:y u~~e~i~:~n~o~~~~ I ~~~~~~~1 e~~tl~~~ ;~:n~~: I:' .
sllal1 luve such trenches, ditches and tunnels In such" way as to Interfere 4S little as possible with flubl!c tr<lvel and Srlall take all d'JI! .'lEl '
necesHry precautions to guard the same so that da"\1ge Dr Injury shall not occur or arise by reason of such ,",ork; and ..here ant of such trenches,
ditches cr tunneh are left O;lC'" at nlgllt. the !;lrantel! shall place \jamtng ltl]hU arid barricades at such a position as u give adeqllale IooMnlng of
such ...ark. The ']rantee sll.ll1 be liable (or .Ior Injury to person or persons or damage to property sustained throu')h IU CJreleuneH or ne']lect. or
tllrough any f,,\lure or negle,\ to properly gU~lj or give warning of any trenches, ditcheS or tunnels dug or I'Mlntained by tile l]rantee.
2. The grantee, Its succnscn or assigns, shall Clm'1ence construction under such permit grJ.nted by the County tnqineer within tile tllfle period Hated
in such permit and shall have CtJllpleted and have In operation such portion of the system of improvements u rn.lY be specified in such penTIit or the
rlCjhU therein conferred upon theqrantee shall ceue and terminate insofaru unoccupied streets, roads, etc., are concernl:!d.
J. Thegral'lteeShal11eaveall streets,avenues,alleys,roadS,hlqhways,rl9hts-of.wayandothercounty properties, after 1aylng and installing
mains and doing construction \ooQrk, making repairs to ~"uipment, etc.. In as good arid safe COrldl t ion In a\1 re~pects as thef were before the cD"l11ence-
~nt or ~uch \o'Ork by the grantee, Its agents or contraCt'1rs, and all recorded monulTlents which have been disturbed or displaced by the wOr~ shall be
reSet to the specifications and approval of the County (ng;neer.
4. In case of any damage to saId streets, avenues, alleys, roU~. hlqhways, rlghts.of-way or other county properties, or to paved or surfaced road-
'dyS, tum-outs, gutters, ditches, ,",ood or con"ete 'd1ks, drain pipes, hand or embankment raOs. brldlJes, trestles, whanes, landings or monulTll!nts
by the 'Jrantce, the said grantee agrees to re;lair such damage at the earliest time pOSSible at its own cost and e.pense.
5. '.Illen tile County Engineer cHemlnes that an emergency situation does uht, he may order and have done any and all ..or\: considered necessary,to
restore to a safe condition any such street, avenue, alley, road, hlgh'dY, rlght.of'way or other county property left by the grantee 0" agents in a
condition dangerous to 1\fe or property. ~e lIIay cause to be rephced or reset recorded rnonltTlents It a grantee falls to rep1ace or reset 5a(l'll! within
a renonab1e time after completion of construction. The grantee, upon demand, shall pay to the county all costs of such construction 0" repa1r and
of doing such wor\:.
6" All construction or lnsta11ation ofma1ns, valves, pipes, poles, cables, 1Ines fitting .nd facllltles, service. rcpalr. or reloc:atlonof the
salfle, perfomed along, over and/or under the county roadS, rlghts-of-"I~Y or other county properties subject to sald franchise shall be done 1n such
a manner as not to interfere with the construction, operation and ma1ntenance of other utllit1es, public 0" private, dra1ns. drainage ditches and
stl1Jctures located therein, nor 'olHh the gradinCj or improvement of such county rOAds, rights-of-w.y or other county propert1es,
1. the oWT'lers of all other ut111t1es, public or private, installed in such county roads, rights-of-way or other county propert1es prior 1n time to
the linn and facilities of the grantee shatl have preference as to the position and loc.tlon of suCh utllltles so Insulled ...lth respect to the
grantee. 5uch preference shall continue 1n the event of the neceHity of relocatinCj or ch.ngfnCj thl grade of 'ny such county ,.?ad Dr rlgllt-of-Ifl)'_
8. The grantee, as far as practicable, shall construct ne... utility facilities underqround. htenslon of overhead facilities following streets,
avenues, ways. boulevards or thoroughfares shall l:le undertaken only with the approval of the County Ei'lglneer; PROviDED, ho,",ever, that said approval
shall not be Imreasonably withheld. Grantee shall convert e.ht1ng overhead faclllties to underground facilities as and when equipment replacement
is undert~~~n, or when other existing overhead utilities are placed underground, unless SuCh replacement Is unufe, Il1llractlc.l, or economically
unreasonable. line e~tenslon policies and procedures established by the grantee, and uniformly applied tllrough Its service area, shalt be the
stan'ard In detennlnlng Ilhat,is."practlcat, impractical or economIcally Ur\reasonable~ under this ordinance; provided that no new overhead utllHy
racilities;t'a~\~:b~',const~~~.te~ or; 7~ablfshed in any area set aside for public park, school, playground or athletic field purposes. '.
9. ~pcc~.I.~' PryV~S.10~S:.. ',: '1 1 "l~ 1 ,'.' ..,
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COUN~Y. flOAu NO'2?<oo'7
STAh: LOG NO.
M.LE POST _Li1TO
9FFICE USE ONLY
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port, Townsend, WA 9B36B
APPLICATION FOR INSTALLATION OF UTILITIES
Applicant:
Name PUD III or JErrEI~SON COUTNY
Contractor:
~!ume SIIOI n ]7\'('AVI\'rTiU:
Address POB 1331 - COURTHOUSE
PORT TOIINSElID, llA 98368
Phone: 385-5800 Phone:
Application is hereby made for a pennit to construct,
_ "litPICa.! "?4"i tJ..c.. M.G'Z4 ~ .e6:~"Jl
Address PO" 1 7q
HADLOCK. WA 9A11q
385-0480
operate and maintain
--
The IJtility installation is located (attach map or drawing) .,Ju .attad.,..u...'t
Applicant agrees to perfonn the work in strict compliance with the tenns and conditions
set out herein. and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this fonn and any speci~l provisions attached hereto,
Appl icant Signature:
5au... :5':. I<.>,?;'- IE
Date: 'i-z.7'-fJf/
/1 III I III I I II I i I I I Ii ; ; ; ; ; ; I I I I I I I I I U~
Subject to the fallowing tenns and conditions. r:RMISSION IS HEREBY GRANTED to Applicant
to construct. operate and maintain utility facilities as requested above.
This permit ;s conditioned upon Applicant's compliance with Jefferson County Ordinane,
2-81 and WAC 136-40. inCluding amendments thereto. the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No work shall be done under this permit until the Applicant has received instructions to
proceed from' telephone
APPROVEO BY: ./)....."..vf- K::J2...,t;U Date: 5- 31-8 8
NOTE SPECIAL PROVISIONS ON REVE~SE
PERMIT INSPECTION REPORT
,!,'
"
l-BOO.424~5555
Work covered by permit has been completed satiSfactorily.
~Work is not completed.
RecOl1l1lend permit be cancell ed,
_ Traffic control_adequate; _inadequate.
REMARKS: <;rH~L' e/?- j;)~"",qe Alee.,,, ;>'.,1' ...... I~
INSPECTED BY:.-!l ~A...c(-IC ;z,~~ u Date: !2.-19-CSIl
Bartlett - Gardiner
L
~
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(jo!n~ral Profi~ton\ pl!r Jllai!non Count)' 01'<11
\ 2-61 and \;AC 136.~O.
1. All "'or~ !.lone ijrHJ~r ~~Id (rJncllhe ,hall be Ilone In a thoroc'.Ih and workmdnlHe lTl<lnner. In the l<lytrll) of unllerllrcunJ plDe1tn!l\ .nd ca:!le, and the
cCn\tructlon o( otller far;.llltles and the opf:ninl} of trenehes, the tunneling unller count)' rOdlls, r!~lIts.of.,..d,! or olher ec~nty propertln, the ']r4ntee
sll~lI lIIJVII s!Jcll trenche', dltc~es .nll tunrll~ls tn \uc!! a WJ'! <IS to interfere H little dS possi~le with flubltc trhel and \hdl1 take all due dnd
necessary precautlOf'!i to 9udrll the same SO tilde da~\I~1I or Injury shall not occur or Jrhe by rt,'a\Orl of such I<or~i ~nllwhere any of sucll trencheS.
ditches or tunnels .Ire left open olt nllJht. the '.lr~ntl!e Shall place wdrnln'l l!'jhts dnd bJrr'c~l!e~ .It suet! a po~itlon u to ']he .dequHe warnln'] of
SuCh ...ork. rhe grarltl!C shall be 1 table (or any Injury to per,on or per~cns or dd1nJllII to propert'! suHdtned throu~h Its carelessnl!SS or 11l!91ect, or
throut;h an,! f"llvre or neglect to properly 9uard or 9lve warnln'] of Ol.ny trerlCIlI!S, ditches or tUMe1s ~u9 Dr m.llrlt,llned by the I}rantee.
2. fhe grarltee. Its SUCCCHorsor asslgn!ii, !iiMll C()fTenc!! constr(jctiof'll.lnl!er such p.:!rmlt grarlted by the Courlty Enqlneer within the tllTll! period stated
In sucn rennit and shall Ilave car.l'letcd and Ila~e In oper,\tiotl such portion of the system of I..,proverlcnts AS m.\y ~e sllec!(iell In s(jcll pennit or the
rights therein conferred upon the grdntee Shdll cuse ?nd term;nolle insor~r as unoccupied streets, roads, etc., are conr;.erned.
3. rhe grantee st..l' leave all streets, avenues. alleys, rOdlls, hll)h..ays. rlghu-of-wdyand otller county properties, after laylnq dnd IrI"Ulllng
mains and doing ccn5tructlon 'Wllr~, maltln9 repairs to eqlJtpo~nt, etc.. h H !iood and safe conditlOrl in all reHlccts as they "'ere ~efore the C(1TI~p.nce~
rnent of !iiIJCh writ by the c;rdntee, Its agenlS or cantractors, and all recorded 1l'0null'ent!ii Io!llch have bl!~n disturbed ar displaced by the Wllr~ shall te
reset to the specifications ~nd appro~al of the (ourlty Engineer.
4. In case of ~ny c!all'.olge to said streets, a~enues, alleys, roalls, hlqhways. rI9I1ts-of-way or other county properties. or to pa~ed or surfaced road~
....ays. turn.outs. gutters, ditches, ....ood or COrlcrete wahs. drdirl pipes, hand or ell'banlrr.ent ratls, bridges, trt!stles, whar~es, landings or IT'i'JrlUlTll!rlts
by the !lrantee, the said grarltee agrees to repair !iiucll daMdge H the earliesttlme POHible at its awn cost and l!~pense.
5. ',Ihen the Caunty Er.glrlecr determines that an emergency situation does exist, hI! may order and have dOrle any and all wad: considered necessary to
restore to a safe condition arly sueh street, averltle. alley, ro~d. hi9h..ay, right-or-way or other coullty property left by the grantee or agents in a
condition dangerous to life or property. tie may cause to be rt'placed or reset recorded rnonUl1lents If '" gr~ntee f",its to replace or reset sa~ witlltn
a reasonabh time afte,. completion of construction. The grarltee, upon demand, shall pay to the county all coSts or Stlch CQnstructlon or repair and
of ~oing such wort.
6.. All construction or Installation of mains, valves, pipes, poles, cables, lines fHtlrlg and facilities, !iil!r~ice, repair, or relocation of the
S4ll'ol!, performed ",long, over and/or under the county roads. rights.of.....af or other county properties subject to said frar\chhe shall he done in Such
I manner as riot to interfere ....lth the construction, oper"'tlOrl and maintenarlce of other utilities. publtc or private, drains, dr",lnage ditches and
structures located the..tin, nor 'ol1th the grading or Impro~ement of Such count)' roads. rl9hU-or-way or othe" county properties.
7. The awners of all othe,. tlt111tlu, public or pr1~ate, Installed in such county roads, rlghts.of-'ola.)' or other COunty properties prior In time to
the lines olnd facilities of the grantee shall l1.ve prcfererlce 4!ii to the posltlen and location of \uch utll1ties so Installed wltll respect to the
grantee. Such preference shall continue In the event of the necessity of relocatln9 or changing the srade of any such county r~ad or rlght.or-'ol4)'.
a. The grlrlt!!e. as fa,. as pr~ctlcable. shall construct new utility facll Illes underqround. E~tenslon of overhl!4d facilities follo'ollng streets,
aVl!rluU, ways, boulevardS or thoroughfares shall betlrldertakerl only 'olith the approval of the County En91necr; PROVIDED. hO\ool!ver, thH said approv41
shall nat be tJnreolsonJ~1y wlt/lheld. Gr.snt!!e s/lall convert !!xistlng overhead facillt(es to underground facffftfes olS arid when equipment repracement
Is unc!erta\en. or....!'Ien otherexlsl1ng overhead utilities are placed uflderground, unless such rephce~"t Is tlrlsafe. IiTl'ractlcal, or econoo1ca.lly
uMeasonable. Line u.tetlslorl policies and procedures established by the grantee. and unHolmly applied throu9h its ser~lce olrea, shall be the
standard In detemlnlng ..hat Is "practical, Irrprolctlcal or economically uflreasolldble" urlder this ordinance; provided that no ne", overhead utt11ty
ftcllltles shall be cOrlstructed or established In any area set uide for public park, school, playgrourld or Hlllettc field purposes.
g. SpeclollProvlslons:
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COUNlY ROAu NO ...;i:c.!-ca'?
STA;E LOb NO.
MILE POST QLTOf,l9 t
9FFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. WA 9836B
PERMIT w!?-I.2-it" _I
FRAr/CH I SE NIJ..::::
FEE PAlO lCYes _No
OFFICE USE ONLY
elL 'I1n 2-15"-81
:/d-S
Address POB 13 31
Applicant:
Name Jefferson county PUD # 1
APPLICATION FOR INSTALLATION OF IIT1LlTlES
Contractor:
t>1ame Shn 1 r1 P.Vl'FlVFl t-i no
Address PO~ 179
...Pnrr rpmolnc::r.onti., WlI Q.'l1':;,q
Phone: 385-5800 Phone: 385-0480
Application is hereby made for a permit to construct, operate and maintain
a 3/4" diameter tap and lateral to water meter box
-1lrir'll,.,',-.k. T~171 Q.Cl11Q
The utility installation is located (attach map or drawing) 1290 Gardiner Beach
Road (map attaehed)
Appl icant agrees to perform the work in strict compliance with the terms and ,onditions
set out herei n, and s ta tes tha t Appl i cant has read and wi 11 adhere to the genera 1 provi-
sions set out on the reverse side of this form and any special provisions attached hereto.
Applicant Signature:
5'~ 5. ~~ 1e
Date: 12/1!i /87
Z / I / I II I I I I I I I I I I 1111 I I I I I I II I I II I II I I I I / r7T
PERMIT
SUbject to the fOllowing terms and conditions, PERMISSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above.-
This permit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-81 and WAC 136-40, including amendments ther~to, the general provisions set out on the
reVl:(se side of this form and any special provisions attached hereto.
No work sha 11
proceed from
the Appl icant has received instructions to
, telephone ,sl<SS - J'1r;i...
Date: /C.//f ,.1J
'" ,
APPROVED BY:
o NOTE SPECIAL P IS IONS 01/ REVr:~SE
LL / (I I 111111 (III I 111111/7 I!-LL: / I I I 111111 I I I ~
PERMIT INSPECTION REPORT
.(' Work covered by permit has been completed satisfactorily.
Work is not completed.
- Recorrmend permi t be cancel; ed.
- Traffic controL adequate; _inadequate.
1-800-424~5555 REMARKS:
INSPECTED BY:./! /<...:ct-I( ~^" Date: J2.-/9-'rJ'e
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COUNT V, ROAD .NO. ;)0<001
AWRE!;~!NG K Y~
M'IC::: ~OST ./. i'? I':r-
OFFICE USE ONL V
PERMIT NO.87-/l-.lo-/
FEE PAiD ~Yes -':"No
OFFICE USE,..gNLY
. is -- I!Mic
\
r-
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 98361\
APPLICATION FOR ROAD APPROACH
CHECK ONE,
}P' RESIOENTIAL' 0 COMMERCIAL
Application is herby ..ade for a pemit to construct, operate and maintain a road approach.
Please describe loaction (attach map or drawingl
I<< /J. /-29.er C:/?Rd,,vl,(.
,
R....,ci/
Rd.
Applicant agrees to perform the work in strict compliance with the tems and conditions set
out herein, and ~ny special provisions attached hereto.
Applicant Name 'RdPi~r R,C;C/c 'Contractor Name ")4:U:f..:
Address. ,~ ''1,::,1, ,5...",uou At'" Address
~qUl""-
Applicant/ Sigru:turel.,-;.(,.tc, r1i.6L.--./., Contractor -Signature
Date 1/ //7 'Irf7 Phone ;:;J-a""'~ '13t/1 Date Phone
~otel' ~nd.~lty proviSions of paragraph.. 2 :and'!:.on:.reverse side., ,'~'....l:"""_'",~'"
.. f\ lO)\O)[B)rm\VI ~ '., ' PER M IT., ,'_
~~~'[Ull~\;I 0. 'and contUtions Dl) the reverse .;ide,PERMISSION' ISIlEREBY,GRAJi.r~ ~)
"pplicant to construct, operate and ..aintain a .road approach lU! requested above "and ~ny',
special provisions attached hereto. ,', .;. ~. ; ",.'1, . J"l
'~""'~:'" '" :.. ,'" ... ~ .,:..": ".. I' . . , . , " ~: . :,:.\"':,',';, '.;":: /~ '~,"j I
, No work Oh, all 'be done' u.nd~r/thio _permit until 'the applicant or 'co.':tract!>, ? hail noHfied
f ;e:;; :e 6~,u- "h1,!:,v/).a,):;",j . , telephone" r,~lJ5'~;35(X)'" , i.:
APPROV~~,:BY~, ,.~~(3&~~:~. ~~~i,,(.~:f~'jf~'t~: rl
;....1.11.\
PERMIT INSPECT~O,N ~~RT:~'.',:
CALL 48 HOURS
BEFORE YOU DIG
1-800-562~478
~ork' cove~ed b~~emi.'~ 'lias : ~e~n'';;'~Pl.ted
- satiSfactorily. ...., _ . '" . I
~WDrk is !lot canpleted. .
_Recommend pemit be cancelled.
_Traffic control - adequote
inadequate~
REMARKS
INSPECTED BY' Jl "'-fMi- K;,J~ DATE/,./9-8'O
Foom 113-a1RrvA 2-jl21
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GENERAL PROVISIONS
n THIS PE~HIT IS SUBJECT TO RCl/ 36.75.130. .1qO AHD .150 AND AI1ENOHENTS THERETO,
2. THE GRANTEE, ITS SUCCESSORS AND ASSIGNS.. AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FRO" ALL
CLAIMS, ACTIONS OR DAI1AGES OF eVERY KIND MD DESCRIPflON WHICH MY ACCRUE TO OR BE SUFFERED BY AH't PERSOtt.
PERSONS, OR PROPERTY BY REASON CF THE PERFOR/'IANCE OF AHYSUCH "'ORK, CHARACTER OF KATERIALS USEO OR f'1ANNEA'
OF INSTALLATIONJ. IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FDA DAMAGES ARISING OUT OF OR I5Y .
REASON OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL", UPON NOTICE OF CO/'IHENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY Nf1 JUDGEMENT ARISING THEREFROI1 I'
DETERHINFD ADVERSE TD JEFFERSON COUNTY,
. 3, I' THE GRANTEE ENTERS INTO A CONTRACT OR AGREEHEhT WITH A THIRD PARTY TO PERFOR~ THE WORK AUTHORIZED
~:DI~ ~ F~~R~[o ~~l~~:D ~~R~~FE~~ ~H~A~JU~~Y T~ ~g~~~~~~~ I: T~O~H: T:R~e7~'~~~~ ~: T~..;~=r~~'2~G:~~~E ~O
If. ~VT~~~A;~~~T~~ ~rNI~~ g~~{~~g~~C:~o:~Q~i~~~~~l: =~;~l: .~DgAy~RS~~ltU:~8J~C~H~H~~R:E~t~H:O G~~~~~.. .
UTIOM AS HERUN PROVIDED.
.5. g~~:~~,T~~Rcm~mTl~ ~~G~~MAmmHEJHivG:~T~~.~HftM?:~l ~rrR~:p~~?h,,"':. "N"ORN T"'m CONTROL .:;,\
6. Oft COI1PLUION '0' SAID WORK HERlINCONTEK1LATEO, ALL RUBBISH AND DEaAISSHALL ~I IHHEDIATEL'I REMOVED AHD' ~;I '::!:'J
THI ROADWAY AHD AOADIID!. SHALL BI LEn MEA! AND ,PRESENTABLE AND SATlSfACTOAY TO THI COUNTy. . ~ "," : \"::;' \
,. '7" THe tOONT\' RESERVES THl"~lliHT'TO ORDE" TH!! CHANG! Of' LOCATION 0" THI: REHOYAL 0' MY .STRUCTURE 01 STRUCTURIS ~~_
AUTHORIZED BY THIS PERHIT AT AH1 T1,*,SAID CHANGl OR REtt1VAL TO BI MADE AT SOLI EXPENSI 0' THI PARN 01 ..... ..,:r.
PARTIES TO WHOft THIS PEFU11r IS ISSUED, 011 THUll SUCCESSORS AND ASSIGIU.' ., .
- 8. ~~ 1~~~Tc~m~~ERm~~r::r-r~~No~AT:~Lroc~~~'.I:"~~EA~~~~~M~~\~~N~~N~H1~LS~HN~ ~~E:EA~E~Ltl~m'.
'. ;......: n, Faa ANY DAMAGE TO THE GRAHTE!! B1 RUSON 0' AN't SUCH WORK IY JEFfeRSON COUNTY, ITS AGENTS Oil REPRESENTATIVES, . :.,
'\~~.. 0" IY THE [)lEftelSE OF ANY RIGHTS IY THe. COUNTY UPON ROADS~ STREETS, PUBLIC PUCES OR .STRUCTURES .N QUE.nl~.;1 :
V 9., THE GRAHTEE SHALL NOTIFY THE COUHTV'. REPRESENTATIVE up,," COIIPLETllllt D, TH' WORK UltDU THU PERHIT SO THAT _ ,;.
F;'. A 'INAL INSPECTION C..... Iy f'I.AOl. ., ,
t:7. ~-::"'- .-- - APPLICA.mS~~~~~I~~V~~~O~~NOTED IVAN (Xl------
",'f 0 1~ A COpy 0' THE PERH" SHALL BE 011 'tHE JO' SlTr, .J.HD PROTESTED FRO.. THE ELEfEHTS. AT ALL llMU DURING nc. ,":,
t . t ',\ CONSTRUCTIOH AUTHORIZED I't SAID PERMIT WITHUt TH! COUtfTV S IUGHT-o'.WA'ti . .. . : .. .,..I..:....~
'f ,m '2,:"THE APPROACH SHALL II CONSTRUCTED IN ACCORD'JlCE NITH THE ATTACHED DESIGN PLATI TVPE~~': ,;,\
, ~~;~~A~D ~ID ~~ TRUI!Fli~~H~;m ~:ADE'. ~~ APPROA~:C~H~[~~E:U~~~~~~TT~I~=I:S~~~tT: A:~~~~NI~N ~ .." i'!
(. ~~M~~" ~~ ~~~F~~:O~A~:N T~~o~p~m~~E S~~~~E:~V I~NW~~::"'1~E A~A~~.~~~.~~O:: tf ~g~T:~Lp~:Hr~M~'"
IZ1 J. THE APPROACH SHALL BI! SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FRO" THE EDGE 0' THI '''VEI1E"T TO
PREVENT Nt., HUQ TRACKING ONTO THE COUNTY ROAD. ANY HUD TRACKED ONTO THE COUNTY ROAD SHALL Il IHMEOIATELY..
CLEANED UP flY THE GRANTEE 011 HIS AGENT. .
rA1 fl. IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED fROH BOTH SIDES 0' THE
;. C~r~~Ai~ALLT~~TI:~I~~=ANmEo~Um~~vO:o~~R~~~~~~~~.l~~'ER OR DISFIGUR'N" OF "'" FEATURE 0' SCENIC
o 5. WORK 'HALL BE RESTRICTED TO THE HOURS BETWEEN 9,OOA.K, AHD q,OO,.H, UNLESS OTHERHISE AUTHORIZED IV THE
ENGINEER.
o 6. A SURET't BOND IN THE A/'IOUNT OF S ' , WRITTEN flY A SURETY COMPANY AUTHORIZED TO
00 BUSINESS IN THE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH AN'tAND ALL 0' THE
TERI1S ANO CONDITIONS OF THIS PERMIT AND SHALL REtiAl" IN FORCE tMTlL ALL WORl( UNDER THIS PERMIT HAS
BEEN COMPLETED AHD APPROVED BY THE COUNTY.
o 7. BEFORE AAY LOG HAULING OPERATIONS BEGIN, A SURETY BOND IN THE AMOUNT OF .' . SHALl. .
BE FURNISHED BY THE GRANTEE TO PROTECT THE COlltTY AGAINST ANY DAl1ACiE TO THE COUNTY ROAD AND TO IHSl)flE
COMPLETE REMOYAL OF THE APPROACH AND CLEANING UP OF THE RICiHT-OF.WAY TO THE SATISfACTION 0' THE COUNTY.
APPROYAL Of ALL CLEAH UP WORK SHALL BE SECURED BEFORE THE BOND WILL BE RELEASED.. '~
o 8. SPECIAL CONSIDERATIONS
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'j' COUNTY Rollo NO:~
: STATE LOG NO.
I MILE POST c2....RTO I,~~
~ OFFICE USE ONLY,
JEfTERSON COUNTY
DEPARTMENT OF PUBLI C HORKS
Jefferson County Courthouse
POI.t TO'/Ilsend, HA 9836B
P ErIl'II T NO .l~ .::2.::J.U
FRANCHISE NO.
FEE PAID ..LYes _'TO
OFFICE USE ONLY
APPLICATION FOR INSTALLATION OF UTILITIES
Name and Address of Applicant: d, ,!-I/"JJ x.,l ,'_';,
7, ~'?'>-I"'t. ~I
--ljp~?bJLI Ii) C'< , "t. ,- 3 7 Q
Application is 11ereby made for a permit}o construct, jlPf)rate unclmaintuin
'81/.. ~ ~ r!J (jcll1:t-~,p ai, "-'~ {~,,@ I Y'"
The, utility installation is located (attach map or dral'in9)_~"'iJ!<L~,,:~r>?--ELrL!'-
ll~e:l!::-tL__<;).;- J) "" <=' f=--_t:-.;; '" ?Me- ,~T .)"--" ,;/4d".,Lll-'4/i >t Y
Applicilnt agrees to perform the "Ol',~ in strict compli,1nce \,ith the terms and conditions
set out hereii1, and stotes llal) ,pl.icant has rea and I.lill adhe"f~ to tile yellera) (J.'ovi-
sions sel out on the reveroe si e ,of this f m fl'd ny speci I provisions attached 11erelo.
Applicant Signature: cJ -1-< oate:-.3~~~
'2 '7;2 ~-;J-:j" CJ '3
11111/ / II / / IIII / / / / / / / / I / / / / / / / / / / / / /1 / / / / / /
PER i'l I T
Subject to the follQ\olin<rterms and conclitions, PERI.IISSI0N IS HERW G r
to construcc, operate and maintain uti1 ity fi,cilities as requested above.
This permit is conditioned upon ApiJl icant' s compl iunce ,Ii th Jefferson County Ordinance
2-81 and HAC 136-40, including alllendments t1lereto, the gene,'al provisions set out on the
reverse side of this form and any speciill provisions attached hereto,
rJo l'lork sh31l be done under
proceed f.'om
APPROVED BY:~.
tl1is p~l'mit until tile Applicant hilS received inst1'uctions to
telephone ---.:___
Oate :~8 - 88-__
/III/Iill/IIII 1111111111/IIIUI II II
PERI'I IT IIISPECTION '11EPORT
UTILITY DAMAGE IS COSTLY.
~'IO"k cove1'cd by permit hilS bcen completed satisfacto,'ily.
1101'1< is not completed.
Recommend perlll i t be cance 11 ed.
Traffic contl'ol_-"<iequate; _inadequate.
REI,IARKS:
ItISPECTE~ eY:.-1J~/.!~
CAll 43 HOU RS
BEFORE YOU DIG
1~OO-562-5478
Da te : _.L2::..! 9-BL
"--~..<""~,l";-"J"\,,~._.,,.
~
.-.."~_...._.._----. .- .. ---.- _..~.__..__._-"..
, lDZ70 ~ ~ '.
:rIJ;~' ~ ~'J~ ,~g>~ _ . _. "
I \1:/111;,\ 0 ",
- ,~OqO.I,~ ~_ ,_,:g , ",
lt~:~~ 'o'~..;:1~",.,," "'~'l8l~' <':...-:-- --- -------,.- -.---,
"b-=.;~'~:38S~~'~'~" ,- .... Q
~......_,....;"\~\}I'IIII'lrUlt:"I' '.
l 1.......~..........,..~''':
- '" Gardlne,/4: gN~"(::'~~",,";-
I .. iJ ,,79 ......' 101 ~"".",
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/ ;. -, I - " ~,~- ~Ij~~oy~ry 1 :
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rV --, 'I - 16 ~"1 - -l~ - :1:'---'\ '14\~?~..:.\o;, :.:..~~!' . ~l, -j _._:~n..
1-.' 0 I ' ""111"'" 'f eJ 'J'
vT<J?iz ~ j _') l~aYnl~r~~:~:t~~~~f;:~;~':~~~)
_:.:,:~;,,:,~~~)--,___.... ..- ('I ~~J20 , .'.'/ Mll0 Jc~v~
- elr. r:j..,.", :~ --/22 - -~""'.'~ R"I .~,c~-;;.:-;$~-: ,0
. . l'OISCOVERY.l i',,~. ~ 'rl.,.\u,,~ 20
. I ,1 ') B I os~~.' ',"ThO'~""J 504 0 0
I ,AY "'h~ "'{lo,:;"'Olrmaunl,, ,
...._ ...... I ~tl - ,..... K;-;),,7...-0....-.---9:.--
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&-29 :4(?gJ
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r/,tJ1-S-C + aDd
2'1-=-
5J- F5F ,
M+I;'1/-5CJ+ Z5""'Dc/,
UNITED TELEPHONE COMPANY
OF THE NORTHWEST
C, fi.. l!...V I J../ /:;. I" } 2 !J '-1
BU. t./J.G/JRD 13B;'{!.JJ- E1)
EXCH,:
t. P2 !+C'L
T1JC 272.75
APPROVALS ISSUE DATE APPROVALS 13SUE DATE REVISIONS
E~ 311t 1 GEN, ENGR.
PAOJ, ENGA, CHIEF ENGA,
DWG,~ OF~ ? !t'2K ~!!,,!/ 803 ,.
d
COUNTY ROAD NO. 50//_")
STATE lOG NO.
foIl,lE POST dLTO I.r,/
9FF I CE US{"ONl V
IERMlT NO. r1-2-2-2
FRANCHISE NO.
FEE PAID _Yes _No
OFFICE USE ONLY
JEFfERSON COUNT V
DEPARTflENT OF PU6L1 C WORKS
Jefferson County Courthou~e
Port Town~end, WA 98366
APPLICATION FOR INSTALLATION OF lIT1lITIES
IIpplicC\n~: () n Contrac}Oor: c?
Name Lu.R J(}2U/14.\.. ",-'()..{,?,\.lU. fj,eJ1l ~!amc #Q,'/::'erC'.,<; .Job No.: {) !i-I g-
Address MANAGER 11, M Address-L:D J' C 6 tf1 ee~C' ,.zc.,
.h6o,\IIFIIDGE DRivE , OKY /?,u"e/e.s. 0Jn....-
~N(;U[.s,-WA-9ll362 -
Phone: '1':>2 L/ 9?-:2 Phone: q~7-&05::,-b 1
Application is hereby made for a penn it to construct, operate and maintain ~ I
~C.-<'j) 7..J~/ ?U'7-0j S~ ~=io-
The utility installation is located (attach map or dravling)
S 'ee..- CLL! O_rLl Q !J cL "'-", 1 ,~u~
Applicant agrees to perfonn the ~Iork in strict compliance th the tenns and conditions
set out herein. and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this fonn and any special provisions attached hereto.
Applicant Signature: /'v. K J:)al.-~'-'
Date:-L-.'2 &'- .ff'
/ / / / / / / / / I / / I / I I / / I / I I I I / / / I I / m ~~wllr~:Y I I L
PER'" I T !A,\u'lIIRillJJV!lr':!'
Subject to the following tenns and conditions, PERMISSION IS HEREBY GRAIITED to Applicant
to construct, operate and maintain utility facilities as requested above.
This pennit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2.81 and WAC 136.40, including amendments thereto, the general provisions set out on the
reverse side of this fonn and any special provisions attached hereto,
No work Shall be done under this pennit until the Applicant has received instructions to
proceed from . telephone
APPROVED BY: /)A"~ V:';,~
O'IOTE SPECIAL PROVISIONS ON nbERSE
Date: 2--Z--82l _,
" \~~ r. ~ f. V~:~ \~:.\\)
~j~ \"'~ ~ l,~~~. ~ \,d L:.~' \l;:./
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PERMIT 'iNSPECTION REPORT _."
, .".,,;-.. ~ i i'.,~, .j
~ork covered by pennit has been completed drirfff~iii::i;,':?~:~::'\c.'"'.
Work is not completed.
REccmnend pennit be cance 11 ed.
_ Traffic controtadequate; _inadequate.
RE~ARKS :
IflSPECTEDBY: ..I\/,,.;zj-K~Ddte: IZ.-HIJ-&B
~
.@..." N':~:':~ ".i0\'.~:~'"" ';;~~d~;:~;:~' WI'. 0 NOgg~j}
U,}~. Cor!1p1nle l)y
WORI( LOCATION J 11 CON rFlAClOH S ^CCEf'IAM~E
Add'JJ:s _$_'13.1-0J 11.__GA.L.dl\L~----_f1 W_":J--f"m --, -.. - - --- ---'----
CltY:U.lC~"_~Y_&,;COUnIY _~.s'S-_-_St3l" w4J ",gnnI1ll8 -- - -- - -- -- - ------ --
Name .5?.._j;,__{d.g.L~ Ilil-'~ __,__ _ ,_____ _ _ TIlle _ _ _-.. --- - - - - .- - - Dell" - - --
II [] r.l,.
Yo UnitP,ice - C",,, 1'1,,,,. r1" SUI'" ,--,
OAIGINAToD BY _ _3_'U!Z..-...--..- - Doto 1:::,,2-.1: Yj{'
New [] S/O No _,__ _____ "Duo Dale ___ _ __ Bill 10: PllelFIC NORTHWEG I IJEl L
Repair [1 Tol No __ __- TemporiZet<j:'"J'') ,~It,,"l1on_ -----, ,- .. -- 'o-- ---
'1ea"ango r.JS/O NO, _------- Due D010_,-:':'_ Add'usS --- - ---.-,--- - - --- --- - -------
Typecf SGf'I\ce__._.---~. City _._._ .-_.,-~_. .",H .-.-.-.- 1.IL1_._.
rCilI.--,~,P';"~-- ---C;,;;-,iBP-:------T-;;'::-A;;';;;-- - i
______J--'-",,--- ------+--..------'---'
----t------ ----_-,Jj~lf9-L?3',~-.-I Mrr,OVI,L Fill Ha' ,,,,pi(:>..,, "I,,, > -- -, -,'O--
,'-----t---- ___'-- S.~l_(______,.. ---I Il~COrl"m'''dlJd ,- . .._, --- -'-- I)WI_
I I I "Pp,oledby ___..Dale--,--
~~,= -~:: 0'::Pti~~~~~k--~~~\:-;~~~:~fr~~~';;;:;:-1 PE~M:T HtO~I~l~rJ- - Ll Yes [~f;O
~-g-;)s:;;~-O.QF:.Sf.1!c....-t--' ---- .------ -: R(""",,,111<)m ,--- - -- -- Vcr!),,1 []
f-J, ~ ~~: - .-------"--'-'-'-1 JI.",Sd;ct,no_ -'- No ...--- __Dat",______
1___Q_,--b-1L!--L--- I- ---,
f-J3li1-tw..".i!AL.12C!Ji!Lt,,!,(!.!\-I!..!., ---f--,- ,---- -1' - 0
f- J..J21 ~ -41 I c~ COMPLE,E BY -------, ,____-_Oate -------
F-__~~-=~f~~-~\:~:~1cf I:"'.. - 0.. ..- 'oo;,~;::::.COt'O..'I:
r---'- ,--------------t--,----,...,-- ",,! 5 I '''1
r~~d;;::R;:::~loCi;:l:e~g;;i;,~:;~;,~~-<;o~~~~;,:,,;d,t € , \
~h6~ (cl,,'I"D~tfl-('\lr 't<"'I~,(tJ, ,.' ' I
_o_~-----d
o I.,) 6.~f/"'1!V -L!~.t--~ ~,~ - d
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,-..Jl,L(~~Yv\~1J. .~\_________.._..,
I-)!'..'le Thi~ SII'-'ICI"l m~y not or>.an ,W~II~(;lI~ f~~rf'::.!;,'ljjt;r,11 o('J ,)'; ~\':O\illl',. ,t ItJ("!li't:ns 1M conlli'I~IOn) 1,)-~I~~;~bili~'1;~~O;.~JI!~~~-n-\~~:~~:~1l ,;o.~-\;~li:l
CONTRACTOR'S copy
':1 '.'.1 1 rM j-'
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couinv' i\OAO ~O. ..5Q.zo~
STATE LOG NO. -
tH tf: POST .&.:zL TO -
9FFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Tmmsend, WA 98368
APPLI CAT IOlj FOR INSTALLATION OF IIT1LITlES
Contractor:
~!ame
Applicant:
Name Public Utility District No.1
of Jefferson County
Address The Courthouse POB 1331
Port Townsend, WA
Shold Excavation
Address
POB (79
lIadlock. \/^ 98339
Phone: 385-5800 Phone: 385-0480
Application is hereby made for a permit to construct. operate and maintain
1" lateral and 3/4" metcrbox at 781 Gardiner Reach Road.
The utility installation is located (attach map or drawing)
Nap attached
Appl icant agrees to perform the work in strict compl iance with the terms and conditions
set out herein. and states that Applicant has read and will adhere to the general provi-
sions set out on th;~everse side of this form and any specia'\ provi:;ioris attached hereto.
Applicant Signature:lJ ;~~ Date: ^nriJ 14 1988
(
PERMIT
Subject to the following terms and conditions. PERMISSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above.
This permit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No work shall be done under this permit until the Applicant has received instructions to
proceed from ' tel ephone
APPROVED BY: ../J/~ /<~
fXl NOTE SPECIAL PRDVISIONS ON REVERSE
L I I aL I I I I I I < I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
PERMIT INSPECTION REPORT
Date:
'f-;9-88
ll"S BEFORf
4 _. YOU DIG
~~ &,..0 \ :"""tM-J
1-800-424-5555
/WOI'k covered by permit has been completed satisfactorily.
Work is not completed.
RecOOInend pennit be cancelled.
_ Traffic contrOl_adequate: _inadequate.
REI1ARKS:
INSPECTED BY: j) /~ K~ Date: n..-19~BP)
Gardiner Water System (Water User:Ennes/Owller:~lercale
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li~ner41 ProvhlaM ~l!r Jefferson County Ordl \ 2-a1 and \.lAC 136-40.
1. All Ilork done un~er satd fr~nchhe shall be ~one in a thorough and llorluMnllke manner. In the l~~lnq of under<:lround ptpellne~'and cables and the;,
(on\tructIQn of other facilities and the operlinq of trenches, the tunnel In'] under county roads, rlqhts"Qf-llo1~ or other CO\ln~1 propertlu, ~Ile qrantee!:
shall luve such trenches, dttches Md tunnels tn such a Ilay as to tnterfere as ltttle as poutble Illth pUblic tr~~el and \h411 t4~e .11 due anel '
neceuary precauttons to quard the HIT'l! so that dal'\1IJe or tnJury Shall not occur or arhe by reHon of such Ilork; al'ld "here any of sl.lch trenches.
dltchllsor tunnels "re left open at night. tile grantee shall placellarntnq lilJhU dnd barrlcado!\ at Such a position 1\ t,o qhe adequate warntnq 0'
such 'ooork. Tile I]rantee \hal1 be liable for any tnJury to person or per\ons or damalJe to property susutned U\I'ou'lh tts carl!1euneu or neglect. or
through any folllure or neg!ec, to properly gu"rd or give Ilarnlnq of any trenches, dltche5 or tunnels dug or matntatned by the l]rantee.
2. The l]rdntee. Its successors or assigns. shall coonence construction under such permit l]ranted by the County Enl]lneer Illthtn the ttme period statee
In such flCntltt and shall have cO'l1pleted and hne in operatton such portion of the sy5terll of improvemen~s '" 1M)' be specified I" Such ~enrlit or the
rt'lhts theretn conferred upon tile grantee sllall CeH!! and tl'r.,lnate insofar as unoccu~ted streets. roads, etc., are concerned.
3. The grantee shall leave all streets, avenues, alleys, r(\~~:" htqhllays. rtghts.of"IOay and other county properties, after laying and InHalltn<J
lI\alnsanddotngconstructionlfOrli:,mali:lngrepalrstoequl~I\t.etc.. In as good and sarecondltton In all rescecuuthe/"erebeforethecCWTIe nee.
lIll!nt of such 'oo'Crk by the l]rantee, Its .l.<]ents or cOl'ltractors. ~l1d all recorded monuments IOh1cll have been dhtur!led or displaced by the 'oo'Cr~ shall be
reset to the speelficHions and approval of the County Enginu,".
4. In case of any damage to said streets, avenues, alleys, roads, IIlqhlOays, !"tl]hts.of'lOay or other county propertles, or to paved or surfaced road-
\lays. tum.outs. gutters. ditches, MOod or concrete Ilalks. drain pipes, hand or embankmen~ rails. bridges. trestles. whanes, landings or rroQnu~nts
by the CJrantee, the said grantee agrees to repair such damal]e at the earl lest time possible at Its Olm cost and e.pense.
5. 'oIhen the County Englnee!" determtnes that an l!mer<Jency situation does uist, he may order and have done any and all Io';lrk considered necessary to
restore to a safe cond;tton any such street, a~enue, alley, road. hlqhlolay, rtl]M.of-llay or other county property left by the grantee or a<]ents tn a
~lIndltton dangerous to life or property. He m,li cause to be replaced o!" reset recorded monu:nents If a grantee falls to replace or reset ur.e IoIHhtn
a reasonable tlJl\e after (O'rIpletlon of cons~ructlon. The l]rantee, upon demand. shall pay to the county all costs of such construction or repair and
of doing suchlo';lrk.
6.. "11 construction or 'nstal1atlon of mains. valves, pipe" poles, cables, lines fittlng Ind facilities. servIce. repair, or relocation of the
SilI!lQ. pp.rformed along, t,~er and/o!" under the county roadS, riqhts.of-Ilay or other county properties subject to said franchise shall be done In such
I mann~r as not to interfere Illth the constructton, operation and maintenance of otller utilities. public or private. drains, drainage ditches and
structureS located therein, nor ...lth tile gradinl] or Improvement of such county roads, ril]hts.of-way or other county properties.
7. The o..."ers of all other utiltties, public or private, Installed In such county roads. rtghts-of.llay or other county properties prlor In ttme to
the lines and facilities of the grantee shall have preference as to the posttlon and location of such utilities so installed with respect to tile
grantee. Such preference shall continue In tile event of the necessity of rl'll,cattng or chanl]ing the grade of any such county r?ad or ril]lIt-of-W4Y.
8. The grantee. as far as prac:t1cabte, shaft construct ne... utflHy facilities \/nderl]round. Edelulon of overhead f.acllltles 'ol1DIOln9 streets.
avenues....ays.boulevardsorthorollghfares shall be undertaken only Ilith the approval of the County Engineer; PROVIOEO,hOweyer, that satdapprOY41
shall not be unreasona~ly Iltthheld. Grantee shall con~ert ulstlng oyerhl'ad facHltles to underl]round facilities as and ...hen equtplTll!nt replacement
Is un~erta~en. or wilen o:her e.lstin<; overhead uttlltles are placed underground. unless such replacement Is unsafe, ilTPractlcal, or economically
uI,reasonable. Line ute.nsion pol1cte!o and procedures establiShed by the grantee, and unlfOntlly applted thrOul]h H~ service area, ~hall be the
~~lIndard i!\,detenrlinlnl]_"hat"H,r;p~af~cal. tr:-practtcal or economically unrl'uonable" under tills ordinance; prov;'!'!! ~hdt no new oyerheael utility
factllttesl~,~l\,,~e\~l~~r~~.1~lj.e~~_\bllshed In any arl'4 set asIde for public park. school, playground or athletIc fteld purposes.
9. Spedal PnJvl,s,fJ~s~, :..\P n Hi:\.
;rf/::>LiC/lAJT r>?I4ST Pvf:>H UNDer?
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CO'UNTY; ROAD NO, 5'01109
STATE LOG NO. -
MILE POST 1,0 5' c~.
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 9836B
PERMIT NO. f,f-1'- 9-2-
FEE PAID ~es _No
OFFICE USE ONLY
<:,-,00
?-9-88 ~
CHECK ONE:
(29. RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is herby made for a permit to construct, operate and maintain a road approach. l
Please describe loaction (attach map or drawing) ('JLD (~Wet2. 4'(, ~ .'
PYJII~\( .cw~AA. Olhl ~~1O.IL c.ue~ I,
Applicant agrees to perform the work in strict. compliance with the terms and conditions set
out herein, and any special provisions attached hereto.
Applicant Name,)Ali' LP-.~)(u.e.
Address <?:7(J r:x...r:-., Gililli~PfL Rt--
~111"',^^ I...,,;:;.,ij- aY?.%.2.
"
Applicant Signature
Date PHONE
Note: Indemnity provisions of paragraph,
PERMIT
Subject to the terms and conditions on the reverse side, PERMISSION IS HE B TED to
Applicarit to construct, operate and ma'intain a road approach as requested above, and any
special provisions attached hereto.
No work shall be done under this permit until the applicant or contract,or has notified
, telephone
APPROVED BY: .-!J./...,.;t;f- K;j1~
Date ~ - 9 -'\:\\3
CALL 48 HOURS
BEFORE YOU DIG
1-800-562 -6478
PERMIT INSPECTION REPORT
V-;;:rk covered by permi t has been completed
- satisfactorily.
_Work is not completed. .
_Reconunend permit be cancelled.
_Traffic control - adequate
inadequate_
REMARKS
Form 113-0 (RevA 2-.82)
INSPECTED BY: ...!J",-,>-,.-:l-,K: -L DATE J 2. -I 9-6'8
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GENERAL PROVIS IONS
1. THIS PERMIT IS SUBJECT TO RCW 36.75.130, .140 AND .150 AND AMENDMENTS THERETO.
"2. THE GRANTEE, ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMlESS FROM All
ClAIMS, ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERSOtl,
PERSONS, OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIAlS USED OR MANNER
OF INSTALlATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS Will, UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOlE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
~~DI~~ ~ F~:R~b[D ~~~M[~~~D A~~R~~FE~~ ~H~AnU~~Y T~~ ~g~~~g~~~I 1~~T~O~H~T~Rg~~~~~~~ ~~T~A~:~~1~~ '2~G:~~~E:0
~, ~~Y T~~~A~~R~~ T An ~~ N i~~ ~g~~{~~g~Io~N~o~~Q~~~~~~~~~ ~H~:~ !16DfiAy~R s~~nU~~B~~cfHiH~~R~E~~liHio G~~~U~_
lATlON AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF TtlE FACilITY, THE GRMHEE SHALL COMPLY WITH THE MAl'tUAL.Qtl UNIFORM TRAFFIC CONTROL
DEVICES FOR STREETS AND HIGIfrlAtl PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6, ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHAll BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHAll BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY.
7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT ANY TIME, SAIn CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS.
8. ALL SUCH CHANGES, RECONSTRUCTION OR RELOCATION BY THE GRANTEE SHALL BE DONE IN SUCH A MANNER AS WilL CAUSE
THE LEAST IIHERFERANCE WITH ANY OF THE COUNTY'S WORK AND JEFFERSON COUNTY SHALL IN NO WISE BE ttELD LIABLE
FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTYJ ITS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
9. THE GRANTEE SHAll NOTlFv THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN BY MADE,
01.
~2.
SPECIAL PROVISIONS
""' :~~'\"','-:;~\',l~'i;\',';';':'ii r\ APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
A COpy IOF THE:P.ERM.I,T1'S'HAlbBE ON THE JOB SITEJ AND PROTECjTED FROM THE ELEMENTS, AT ALL TIMES DURING THE
CONSTRUCTION AUTHORliZEb B~JSAIO PERMIT WITHIN THE COUNTY S RIGHT-OF-WAY.
THE APP:ROACH' SHA'Ll leE ~~~STRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE P-I
APPROACH, A~FT.LENGTH OF er- INCH DIAMETER CULVERT PIPE SHALreE PLACE~
DITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
D~~E~~~~G A~~ ~~~F~~~D~A~~R T~~o~p~~~e~~E S~~6~E~iy I~N~~cg~e~~~E R~~~~_b~~w:~O~:t~ ~g~T:~L p~~M;~iE~7AN,
THE APPROACH StlALl BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT ANY MUD TRACKING ONTO THE COUNTY ROAD. ANY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT,
ffiI 3.
[E}q.
IF NECESSARY TO INCREASE SIGtlT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED FROM BOTH SIDES OF THE
e:r~~A~~^lLT~6TI~~I~~~~7i~~riEo~U~~~~~yO~0~fiR~~~~i~~~:wr~~BER OR DISFIGURING OF ANY FEATURE OF SCENIC
5, WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M. AHD ~:OOP.M. UNLESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
6. A SURETy BOND IN THE AMOUNT OF S , WRITTEN BY A SURETY COMPANY AUTHORIZED TO
DO BUSINESS IN THE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANY AND All OF THE
TERMS AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE UNTIL ALL WORK UNDER TIns PERMIT HAS
BEEll COMPLETED AND APPROVED BY THE COUNn.
o 7. BEFORE ANY LOG tiAULlNG OPERATIONS BEGINJ A SURETY BOND IN TtlE AMOUNT OF S. , SHALL
BE FURNIStlED BY THE GRANTEE TO PflOTECT THE COUtHY AGAINST ANY DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPLETE REMOVAL OF THE APPROACti AND CLEANING UP OF THE RIGHT-OF-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURED BEFORE TH[ BOND WILL BE RELEASED,
SPECIAL CONSIDERATIONS
o
o
o 8.
Form 113 b
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