HomeMy WebLinkAboutReel_0066B
,,-.
i.
300.00
Ii
II
II
I;
I;
I; 001094001
/1 GOV T LOT 2 32C
'/ (LESS
I~ PIPELINE)
II 3.~6 a.
/1; 00
/1 1:t..."o,p
/ ..J'~ yo,~
115..57 1/ 0"
--r- ::t.. .... i:- ~
001094012 / / / / //j' 0019))4008 ~ = ". 0
TAX/18/(WpF EXTENDED CENJE7R / TW 18 (PTN) ~I') :;; ~:~ ~ L-
/'LINE OF AlOER) / ' / / II !?><:O; oi!!!; VAC 5 T H Sl
/ / / ? / ,/ / / / I"l 8~ ~ 5..21.4 .;.....;..
'ILJITIITJI 10987 6 ~1413121.L~
I .-J.--L-- s.---- ".,...'011
/ O~ ,,,900
~ _-7"6JJrI~~':'~7
- lS\MS 'NA'<~ i110 9 8 4 THLL ST
.--:------- /11 ~ 4 r 3 21' -
Ilw ~ 317 2 j4 cr;;
12 13 14 1~ 16 17 16119120121 122
I- JI I-~ ~ I _ ~
j :r;:t G' _f:RD STREE~~~,,~"~, 316 ~ ~ ~i
"N Ifl:1 2ND STREET L$i~ ~ g~
~...... 974700801 0:
Ii! I '::::::::L n =::. RESERVE (LESS w
/ -d' Q .v..~ TAX 27-A' .: ~~ 4
II ....(f I ST STREET en 1ST S q.~"''''~~
II I ~ oCt n ...+-~I''1-
II -I 9 10
7 -
l- II
( NE 1/4 16- 30N-IW)
12
':J<lt~
7TH ST
- -
( ... ..,:'.'
,',', ,,,;..
, '
~ET
-
o 6TH
~-
g
,,'..
123) 6 I, ,'"
'- J- :.. .:,
ST ..
- ~ ,.:
<l
2e6
C
0:
~
o
::t:
11094003
,X 9 (E 300'
1 OF HWY
.ESS TAX
28)
,01 a.
319
I
..
D
I, ::
~L."" ~
-
R 2,0
.~
,
;-
V
~1:
!
'~~ '
t
;
~
!
2721. II
'~,.
I,
/:
'f
{:,
16
I~
l:\
!,.,
~ ..._'._..,......'" -, .._-,-, ", ".. ,-- ,.'
.'...): '.":....',:'.'..'.,:....' -
':. .', ' ",
..,.. .'. .... .... ..'..
,i.. '.',. ,.... :.:'
,. '.:.. ...,
. '.." <, . ...,.,'
:' ...'.... . ... .'.,'. ."'\
:..'.. ., .:'i ;. ...' .
,-: ",. ," '
,'. "",
'''' , i" ,
I'... ."
L
JEFFERSON COUNTY ASSESSOR
~~(~~?!_.-
~.D7
~
-~
\
,
..
"
"
.' '.',... .' . ,'. .~~'
,'..,. ' ,', "." ,"'.:.'r
''':: ,,", ",". , .:, '
.,.'.'. ',.......',,\ .....
:',., :'"",.: ,..- :'.... ", ,;.
, " .,,'....
."',' "
" "
. . ,>' .' ..'
.' .....' .., '.:. ,',
.' ,.., '.':;" ,
.,'....
:." -
., .
. ..,:..
..:: ., ' '
., ':'" ';','. .'
,': ," ,'," ,
. "~i.
,. ..,';'..'
,"-
" ,.'
.:,' , '
,
.".
I
.
.'
r
f:
I
:f.
,
r
t
i
"
\
, "
"':, ,,',:'
'." "
, ,,'
: ',',,:', :.,,:
-,:, ""
',' " '
.' ~.' ,
'::'::, "
,-', ':
<.1
i
,-
IIIIIIlIIII
c:
,2
'6
.~
::0
=>
0..
....
o
':;
o
"'0
E
<(
.'
,
~
:os
....
i~ l )t~ ~I ,\~j 11
n ~!J:~.. ::;~~ :;;uil
);.~ t. ""'--: - -
l~ H'1 i ",'1 ~'H
:I' Q 0 0 51 "'i to '!!.s
if ~I~'JI-l '~r"": z,o~
~~ ~ ~ -g '1
~j ~~ ~
"'j' ~ 8. ~>>
CO..;;~g ..c'3
~ s tsj In ~
lJ")
N
fXj
N
Z;z
I ~
,. (;
o ~
z
~ 8
t!llmm
~ ;~~1~~1~]
I!tliil!!t
h
Q) "
~ m
.e....
"
o
.~ ~ ~m
+' ~ Ul
:o'il .~>>
""~ ~
.;1 '" :; 1l.
~~ &~
::;: 0 Q)
o ~ ::;.;1
~~ti
ti:8~8
o
~
~
~~
.f!
! 5
. 0
~~
n
.S 0
l'~
c..-o ~
o 0 h
.e
+'
; CBJ
. -
!
o
>> 1;-
o ~ ~~I
o g
~'"
o
~
~
~
o
,3
';Q
-:::::l
'a~
(:'}
.....,
.~ ~ ~ ~ ~~ ~ ~ sf ~ ~ ~ i '5 ~ ~ 0 g i a ~] ~ e .~ ~ ~o ~.~ g g
C)C)'-U'..cf- C C 5~ III i}ct u)(- a.3: ..c ~ 0 0 C -- ::J"'E cQ.,. Et.:..
.~ ,~'~c8 ~~~D...'~",~'E' ~!w e~~:g~_~ ~ ~1 (; g':!i ~ 8 g.~~j~
_ I>> CD C ~ ~ .._;:) "'ti ;:) fD (D >- 0 ~ '0:::) J: :: .... o..g c a::a 'E ..c U N
~~1.~~~gl~g~8~iO~j~.2~~g,~~~~~~~;: 5 a'.g
~ z .~ :c 1; ,) _" 0 u on" ~ ... g> >- 0 ~ c 0-" 0 (D 8 a; ~.;: - ~.~ ::;; u
&: .~ a~ ~ ~~ g,:z ~j ~ :..~ J: g ~ 6- ~ c tX.. ~ .2:: ~ ~ g~:;;g -, f
~;~~'~~~~~t~'~e~iS~~~~~~g'~~a~~ 8
~~~'~~~8d~.~8l'i81~~~~1~l11~o~
Board of County Commissioners: Minutes August 18, 1986
Page:
Chairman John Pitts that he wished to have the project put "on hold"
until he generated an Engineer's report.
Update on Proposed Lease of County Land to Bayshore Enter-
prises for an Animal Shelter: David Goldsmith reported that he and Pat
Slevin of Bayshore Enterprises met with the Prosecuting Attorney to try
to develop a lease that would protect the interests of all parties
involved; the Marguarita Dove Foundation, the City, private donations
and the County. RCW 36.34 was reviewed and it was discovered that a
lease of this nature for commercial purposes can be for a duration of
35 years and the County can convey any property that it owns to another
municipality for any amount of compensation that the County feel is
necessary.
After discussion of the work needed on the site, what the property is
worth, how the lease would deal with reversion of any improvements made
,to the property if the lease is terminated, and other matters, Mr.
Goldsmith advised that he will continue to work with the Prosecuting
Attorney's office to develop a lease acceptable to the County and the
other parties involved.
SEPA Threshold Determination; Mini Mall - Southeast Corner of
Prospect Avenue and the Airport Cutoff Road, Kala Square Ltd. Partner-
ship: Assistant Planner, Rachel Nathanson, reviewed this proposal to
develop approximately seven acres on the south side of Prospect Avenue
into a mini mall, The mall would be developed in phases, with Phase 1
to include a professional/commercial building which would house the
Kala Point Sales Office, a contractor and an architect. Future devel-
opment would possibly include such businesses as a convenience store,
home furnishing store, etc,
Access to the building would be directly off of Prospect Avenue, A 20
foot buffer would be developed around the site, This site is desig-
nated as residential by the Tri Area Development Plan, which defines
criteria for dealing with commercial malls. This development meets all
of the criteria, but the Planning Department staff recommends that the
Board remand this project to the Planning Commission for a land use
review.
Commissioner Brown moved to remand this project to the Planning Commis-
sion for their review of the land use designation. Commissioner Denni-
son seconded the motion and asked if SEPA review would be required for
the future phases of development? Planning Director David Goldsmith
responded that since the future development phases are only planned and
may never happen, each phase would be required to go through the SEPA
review process.
Mailinq of SR20 Policy to area residents: Assistant Planner
Rachel Nathanson reported that there are over three hundred residents
in the proposed SR20 corridor who will be mailed a copy of the SR20
Policy. The Planning Department does not have encugh in their postage
budget to cover this mailing and asked if the Commiosioner's Office
would provide the postage, The Board concurred that the mailing would
be done through their postage budget.
Setback Variance Request, 3135 Oak Bav Road, Glenn E,
Battson: Mr, Battson is requesting a variance from the shoreline set-
back requirement. He is moving an existing structure back 22 feet, but
will be building a addition to the structure, This action however,
would improve the shoreline setback of the structure, and Bob Duffy
reported that he recommends approval of this variance, Commissioner
Brown moved to approve the Shoreline setback variance as requested by
Mr, Battson, Commissioner Dennison seconded the motion.
Update on use of beach for parkina Recreational Vehiples at
Brinnonwold: (See also Minutes of ) Bob Duffy reported that he
has sent a letter to the beach property owners at Brinnonwold advising
1?
~ fMI:
o
2$19
6
\
-----','-,' '~w-'"
.'", ,-~lt:Kil:_
, ..:.;:t~,"'_"
'ff'l';~~~
~/. y~.- .~
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
March 8, 1989
Mr. Peter Simpson, Director
Clallam-Jefferson community Action council
802 Sheridan st.
Port Townsend, Wa 98368
Dear Peter,
We are currently working towards repair of the south apartment at
the Bayshore Motel in Brinnon. As the commissioners have declared
that the situation is an emergency, I have placed the project as
high priority. Al scalf, who assists me in facilities is in charge
of the project. Due to availability of contractors I cannot promise
a date that the project will be completed by, but that it will be
completed in as timely a manner as possible. The project includes
not only repairing the damaged interior, but replacing the roof,
and including such items as the subfloor insulation, which was
never installed. We will also (not concurrently) be replacing the
roof over the main section of the building, extending that roof to
cover the north deck and linen closet and rebuilding the linen
closet, and re-roofing the manager's apartment. I will also have
puget Power perform ,an energy conservation study.
If you have any questions regarding the project, please contact me
or Al Scalf, at the Public Works Department.
sincerely yours,
Cader .
Carter Bresk1n, Property Manager
ERR 02.20.02
100% Recycled Paper
\
.........:.\~,,',Wi/
':", ,t,,-fJ.!K
"_.;:>1~''','-',-
rrr~1I'J I
'::<1-~''''.~~
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. Nesbitl. P.E., County Engineer
TO: Board of County Commissioners
FROM: Carter Bres~e! Property Manager
SUBJECT: District Court computer
DATE: March B, 19B9
We have been in the process of purchasing the hardware and software
for the District Court "Court" system. In reviewing the computer
equipment rental rates for district court, I find that there is
$200.00 per month allocated for the system. The rental rate for
the system is $400.00. What we are providing for the court is the
same system installed at the corrections facility, with the
specialized Jalan "Court" system. The charge for the sheriff's
system is also $400.00 (which is budgeted for the Sheriff). I know
at the previous budget session there was some confusion relating
to the personal computer charges, which probably attributed to the
inaccurate rental rate budgeted. Depending upon when the system can
be installed (we expect within the next 60 days), additional funds
for equipment rental will have to be appropriated at the end of the
year.
xc: Tom Hajhan, District Court Judge
Elaine Arey, Public Works
ERR 09.30
100% Recycled Paper
, ',~, "', :" ',' , ", ,;, ',,' ,
" ".,'~ " .',', ,,' ,,' ',,'
"", ":'.' . ", ;',
,,:', ", ,,' ",", ::', "," ,," ".""
',', ,..: ", """,.' " "'" :' .". ,,",",,',;:', "'"
, ' , .:': ". ,', ',,', ,>,'
. :',' ",' . '. . ',"",', ".' "',' ,," " ."",',' "'.
,'" "" " ", , " ,', ' ,:,: .. ';,'
\;,' '" ',.,',' " ',..' " ',,'. ' '.
".,' '," ,," . ',,', ,
" , ",' ,. , , " ,:' ,
,':,-,. ,:';:," " ,,""" ", , , " "'."
r ,', . ':" ' , " ',' ".:,..,
,":,.',: "",:",:, :,'.:: '."" ';, ',' ,,', ' " "', ',':"" "",',::
'" "'" , . ' ','''' .'
" ',' ','," , ',,: ,': "
.:,;,.,'" , " ", ," ,;' .', ,: " ,"
:' , ::,' ' , " " ',' ;', ':, ,',
',' , " ,", '. ' : ';. , ' "
,." . " ,
,\,,', "" ,"'" " ' ... ';:' ,: '.
~: ::: .,' ,..'.. " , , :' :, " ',' ': ;
': " , , , ,','," ",
, ' ,:" "
',', ,.':.';":
,"
(
,
,
,:, .
\
_....,"",O-"'~'i".
,. ',m~~'.i'
~ ~~~~.~~
R~~'.
~/~'~'ll
I
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Street
P,O, Box 1220
Port Townsend, WA 98366
(206) 385.9160
Gary A. Rowe, P.E.. Director
Robert G. Nesbitt, P.E., County Engineer
March 9, 1989
Mr, David Hansen, Deputy State
Historic Preservation Officer
Department of ?Community Development
Office of Archaeology and Historic Preservation
111 West Twenty-first Avenue, KL-11
Olympia, WA 98504-5411
Dear Mr. Hansen,
Thank you for sending the "Standards for Rehabilitation", It
appears to be a very useful guide. I had not seen it before,
I am enclosing the specifications (such as they are) for the roof
and masonry project,
Are you aware of any funding available for national historic
buildings. or how one might go about finding out about such monies?'
if
tiw'
Thank you for your time and attention. I look forward to meeting
you next Tuesday.
~;'
Sincerely,
Wftr1;:Md
M. Carter Breskin
Property Manager
Encl.
ERR 02.30
100% Recycled Paper
","
.,
',f.
~
"
(
~.
I
.
l
'I
'J".
,':: '"
, :'
";,
,,'"
t,
"
\
t,
\"
(',
. '
"
..
":,.'
:
' , "
I
,
!'
,
---
( . (
BRAINA~9 - HOOK
SLATERS .___:,.=~__ TILERS
""-...... ~-...........-_,...rr'",.:,;:.. .
~ ',>,~:::--:~~:" .
\~/~"'~ ~--:rf"' \ \...:: ,..~' "-<
,..- ' '-............~ ;,-...J- ,"'~, .....,
,.,. ',. ~~. ~. ,'. '''''\ ~
'\.. \, r'<"
,-' "'\. ""'..., _ r -- ...; --......; ,--.. ~ ,,-- -r. . '
..- \.......r '....... l.. \. \,' ~
(
Jefferson Courthouse
Dept Fublic Works
County Courthouse
Fort Townsend, WA 98)68
Attnl Courthouse Renovation Fund
24 July 1986
Observations and Proposals to roof of Jefferson County Courthouse
The roof consists of cement asbestos board, commonly known aa Asbestos
Slate. The vlllleys, base flashings and hips are fitted with 2002 c ""pper ....
are the lost gutters.
The roof shows ..igns of lleterioration. Slate are breaking in windstorms
and thi:!l problem "ill e:!lcalate in the future. Much of the previoU!l repain
have been ca=ied out in an unprofessional manner, e.g., driving nail.. through
elate and leaving heads exposed. This causes small leaks which over a period
time will cause the roof deck to deteriorate.
The valleys are generally in good condition and "ill outlast the ..late.
One valley is holed, caused by galvanic action from a nail beneath it .
The wall flashings and turret.. .re g.lvanised ..teel and in poor
condition. The gutten; are in re.....onable condition but require full grills
to help stop overflowing.
Pro'PO!ials
The roof has only a short life left, at the most 10 years, but probably
less. As there are no serious leaks I would advise not to spend money on repairs
which would be in excess of $2,000.00.
My recoWllendation would be that the roof be relayed with t" blue/black
slate, a traditional material on the older buildings of the area,
The roof would be scaffolded, stripped and 2 layers of 301b felt applied
to deck, Slate would then be fixed with 1t" copper nail.., All metal, such as
valleys and base flashings would be either 26 guage ..tainless ..teel or 2002
copper,
An 18" strip would protrude from the eaves of the ..late for future gutter
replocement'
cont, next page
3219 22nd W. . Seattle. Washington 98199 . (206) 285.4932/485.9761
,
..,
.
,
,," ",',,: ,,",
,
. '
,,:",.
"
,: ',"
;,:
,
," .,'
(
BAAINAR)' - HOOR
SLATERS --::::-;....._. TILERS
',- ~-.,...,-.'.'";:I;:~:,,-:~~ ~',_~."'~
.. '--(>--~~~~:,'-
\~~"~~~J-J-~X0~
~ '" ',"',' I \ "'\, ,__
'... ~ """" ,", 't ~ f' or" .~_ .
.' i.....y ',-,,-,::r'L~..~~""""'-"\. .;1.... ~;J,
'~J-'
,-
.
- cont. from previous page
All hip~ would be mitre cut and bedded in mastic as this is a weak spot
and is a necessary precaution against wind d..m&ge. EquaJ.ly, hips could be
of copper, laced into each couree. Ridge would be of copper.
The turrets could be replaced in slate, this would be more economical
than copper and in my opinion would look more substantial.
The gutters would have copper grills fitted to stop flood in. These would
be clipped on to facilitate eilSY removal.
Prices
$115,000.00
15,000.00
2,000.00
for main roof, inc. scaffolding
slating turret.!
copper grill..
Turrets and grill prices are only valid if rest of roof is done as
scaffolding will be available.
:1
}.
tit
RECEIVED
JUL 2 5 1985
JEFr-E/\:SON COUNTY
ENGINEERS OFFICE
c
3219 22nd W, . Seattle, Woshlngton 98199 . (205) 285.4932/485.9751
t
}"":
',.' ,'" ," "',',, '':',.,''','; ," ':" ',......,'" '.." ,',
< " . '. :>,. " .:. ":'
, ",' ,,'," .,) , :",:<
;.:, ....',.'.,: .< ." " ..'
"'.' ," , " ','" "',,',:,
; .' ..' '...< .'.. ;:' ," C.> .,.......' .,.,...,
':":' ' :',,:, :':: , " ' '" , " ' , ,'"
"::' " ,', ,: '. "', ,':,':-.-' I .' ,,;: " "',',,.'" , :.. ".
:.:, ': ,'.., ,,' , ..', -: . "." '
','" I,,"~ ':, ,:, ',. ""'::. ",,', ",' '. ,,' "
': ". " "" ':- , ',',' ," ",' ,,: ',::' ,':':
, ',", ."'-'''-''" ,.' " , " ",' , " .,;' ',' (, ,,',' '.".' ,', ,-:,:
.< ""0:.:\ .'" ....':'. ,"'::- ,.', ::.' ...,
.,..i:,: .' .""f ,. . " '. . '.': ." "
."'. ,"-,,\'" .,..:',
,;',', ....::: . " . ..,., , . . .'... ,...:,..
,,' " " ','/ , ,,' ,','
,: . .'...'
'> .
. '.'. ,." ,',
> ".:.,:'.
,>' ,,c. :' "
',," ' ' ,"', :'.
,'c,
',,',
\,
.,
',:/,
~
f
"
~
.:.
'.,
"
\ ,',
:7
": "
'i'
111'
li!'Ii'
~:
,
1
l,
~~:
I
c
\
I
,~.
l ~
,"
,',
~ECEIVED
)
IiIB PUCEr SOUND
:"-r.:"'.I MASONRY &
="'_-..11 RESTORATION 11'('
F'eb. to, t989
FEB 1 3 1989
JEFFERSON COUNTY
PUBLIC WORKS DEPT
10745 STONE AVE. N, . SEATTLE. WA 98133
(206) 367'6710
Ms. Carter Ereski"
Je1~~rson County Courthouse
Public Works Dept.
Port Tovns~nd, Wa. gS368
Re: E~terior Restoration
Dear Ms. Rreskin:
Pe-r your r'~quf?st 'WE> havJ? jnspec:t@d the:. exterior of the Courthouseo
Building and are submitting to you our opinion of the work which
should be ac.complished. Our estimated budget figure is $ 104,700,
and includes all labar, material, equipment and related items to
complete the proj9ct in a proff?ssional manner. Fallowing is aur
description af war"k which should be performed at the work site.
1. Cl~an all exterio~ masonry using med~um pr~ssur@ hot w~t@r
and masonry r~storation cleaner, removing all moss and
~ccumulat.d residue. Th~ masonry cJ~aner to be used should
be ProSoCo's Sure KI~an Restoration Cl~aner.
2. Using a liquid paint stripper, chemically remove all paint
splatters and brush marks from masonry and atone, paying
particular attention around window joints and sills.
3. Hammer test all stone sills,
netermine soundness stone.
bands,
caps and other to
Remove all loase and apalling stone, then patch as needed
using a cementatiaus patc.hing compound to hring surface back
aut to the original configuration. Patching ~ill match the
surrounding area in calor and texture as close as possible.
4. At the retaining wall, cl~an with high pressure water and
remove any laas~ flaky stone down to sound material.
Patching at this area would nat be required.
Seal stone with CanRervaire H-40 Stone Strengthener to
retard further spalling.
5. Remove and relay all laos~ or damaged brick at th@ extprior
substrate. Th~ r~placp.ment brick should match the existing.
6. Cut out and repaint all damaged or missing mortar joints.
Cut joints to a depth of not 1&s8 that 2.5 times the width
of th~ joint or until solid mortar is found.
R&-tllckpoint llsing fr~sh Typ~ N mortar, th~ color, texture
and t.noling viII match the existing. Joints would be hruahed
aft~r initial CUTP. ann all mortRr etRins removed from face
a:f brick.
rUGE f1';:?;?3Jo\
')
Ms. Cartpr Breskin
Jefferson County Courthouse
F'..b. la, 19B9
PagE' 2
7. At.. all e:.cter'iCIT penetrations, ie; ...indo...s, doors, ve-ota,
eta., caulk perimeter joint where frames meet the masonry.
Caulking compound should b~ a high performance poyur@than~
such as Sonneborne NP 1.
8. Prep and prime all ...ood window frames, removing all loose
paint and residue. Paint all exterior frames with a high
grade exterior enamel latex paint.
g.
At the .interior attic gable ...all,
loose and spalled brick, using
Tuckpoint the remainder of the wall
remove and replace and
reclaimed common brick.
with fresh mortar.
10. Af't@T cClrnpletion of all work,. apply a clear, penetrating
breathable sealer to the exterior masonry surface to prevent
wat~r p@n~tration. Wat~r r~pellant should be ProSoCo's
Weath~r Seal Silo~an~ or approved equal ~hich carries with
it a t~n <to) year manufacturers warranty.
Please do nat hesitate to call i~ you have any questions or
concerns. I look forward to hearing form you in the near ~uture.
Very truly yours,
puget Sound Masonry & Restoration, Inc.
~/ ~t-
William J. Chapman
C.'PROP'JEF'-CTY1.02Q
,
" " "" "
'" :;: ,'", "
,>',."
;' " "
" ','
"..
'., ,:::,;','
, "
',' :,' :", "
Ii "',',:"",',.', :,' '. ",', "
i': ", ' '" ' "
, ': ": ,
':' ',' ",' ,
.' ':,' "" "
I '! :.', " ... ' "
I;" ':.', ,
, ,,'" '
" ",'",' ",'"
,;'< ' ", "
I, :,' '" """"
"',
," ,,'" "
;;, ':
~,
, , , ,; ',' ,','::' ~'
",s'"
~IJ~~~
r)
: " .'
;',
, '
",:',
, :,,",
',,,
<:.;~;r
,
"
',' "
I,',
:"
r
'.
"
:" ~;;0i;;
; ,,'ri}:,~:';<,{,;
l
t :
,
,,,' ,
{".-"'/:
.;'/(.:
" ',:,:'
,"
)
l.,,\
L
,'"
, ,
, "
,: ,"
,," ..
':
>- :,' ',', '"
"'"
',' "
, "'"
",",
, " ,:
" ,
,
,'F'
,'.'1:""
',';,,' ,
',' ': ,:::"" ,
, , ',,'
:>:,' ,
",,', '.'::" '
.',' , "
"'.'.',,. ,,>, '
" '"',, "': ',", "
>, "
'.:" ,'.',
" '
, '
:> :,'
, "
.. '" ' ,"
, "
',' ',.' ;.,
:'" " ','
:' , ",'
',' ,. ',','" :. .'"
,,' '.', ,', "
',,"
'," " ,':, '" '
, ,':".','
,,':;,,'" '
, , , '"
" "
.,' \
.',
'".,.
".''','
",'
L
L
,\
1
1
1
STATE Of WASHINGTON
JEfFERSON COUNTY
BOARD Of COUNTY COMMISSIONERS
Nollco of Solo of Valuablo Matorlal
on County Land
Notice is hereby given that the Board
of County Commissioners of Jefferson
County, Stote of Wa$hin9to~, will
receive 5~aled bids. up until the hour
of 10:30 a,m., Monday,,' February
13, 1989 allho office aHhe Caunly
Commissioners, Courthouse, P.O.
Box 1220, Port. Townsend,
Washington,,98368, to:be opened
and read after the dato 'and time for
the sale of timber on following
described lands:
SALE NO. 1.89
UPPfR HON ROAD, lacaledoppro.:
imately: 12 miles south of Forks on the
righl of way of Ihe Upper Hah Road,
Ca. Rd; Na',,914207,-M.P, 0,32 10
1.46, an part" of Sedions 21' and 22,
Township 27 North, Range 12 West,
W.M., containing 5.7 acres, more or
less,: comprising' "cpproximately
188,500 bd"It, of homlack, 80,300
bd"It: of cedar, 10,000 bd. It. of
White fir, 3,500 bd, 'It, of Douglas
fir, far a 10101 of 286,800 bd. It. ,
:, 'SALE NO, 2-89 'c
COUNTY' LANDfilL,' lacaled appro.:
imat~ly: 1 ~~ile, southwest of Port
Townsend, on parts of Sections 8 and
17, ,Township 30 North, Range 1
West,' W.M.,' containing 20 acres,
more "or less, comprising QPP~OX-
imalely 247,000 bd.'It. of Douglas
fir, ,27,000 bd. It, of hemlock,
12,000 bd, It. of cedar, 9,000 bd. It.
~~~~!,i!,?:;P.!.~~I:;i~,.o,~2q ,?~.;;rk~~f
Tof6r~ff~~~'b~6 bd~rft.~e~~ <'.~~~,~,
Timber For each sale will be sold on
a' lu.n:'Ip . sum or installment, basis as
defined in Bill of Sole and Contract
for PurchaseJor' 'each, sale~" Contract
requirements' ~or both 'soles mU,st _.b~
campleled bY'April,30, 1989.' ":,;'
Bids'shall be submitted ,in accor..
dance with Ihe Bill of Sale and Can-
tro'cf For ~urcha$e for each 's~I~" 0,"
file. 'at the office. of the Oiredor of
Public Works" 'Courthouse,,::- Port
Tow'nsend". ,Washington"w .where
copies may be obtained. ,
.,-,The ,board of County Commls"~-~-'
sloners" reserves' the right'to retect
, any and all bids, and 10 accepl the
f bids deemed most adva~taGe,ous to
. '.;', Jefferson County and to woi,:e all in..
! farmalitie~ in the bidding..' ,', .','
, Doled' thiS, 23rd ddy ,of' Januory,
.'," 1989.' ',',', ,
,,' , BOARD Of JEfFERSON COUNTY
COMMISSIONERS
Geoge C,' Brown" Chairman.
, "",' 21252.8
'B~~~"
.,:),,7 .J "'-",
Affidavit of Publication
STATE OF WASHINGTON)
COUNTY OF JEfFERSON)
fRANK W. GARRED, bOling ~worn, ~ay~ tlOl'~ Iho publhh':'f vI
rhll PorI TawrllOlnd/Jt'''lIf~on CounTy L.,odllr, 0 ...etti.ly
now~pap':!f which ha~ blllln 1l~lablnhlld, publi~hl!d In rtlo En91o~h
language and circulared conlinuou~ly a~ 0 w{;Illkly newlpape'
in thlllown of P~ft Towmllnd, in ~aid County cnd StOll>, ond 101
gllnllfol circulation in laid cour.ly for morll than Ii", (6) monltll
priol ro the dale of Ihe finl publicalion ollhl> NQtico herelo 01.
lactwd, and lhot lhll laid Port Tawnumd/Jeflllflon Counry
leador wal on ltle 271h day of June 1941, approved a~ olOlgol
newlpopor by rhlt Superior Courl 01 ~oid JOlllenon Counly, and
rhol onne",ed i~ lluo copy 01 Ihe
Notice of Sale of
valuable material on
county land
Sale #1-89 & #2-89
Upper Hoh Rd
County Landfill
01 il oppeored in Ihe regular and enlire iHue 01 laid paper irian
and 1'101 in a lUpplamenl thereoF lor 0 period of
two
_~~__~__con$eculive weekl, beginning on Inll
1st February 89
____day of~___, 19__,
and ending on Ihe_8th_doy oiEebruar..y_,
1989_., and Inot laid new~poper wo~ regularly dillribuled
10 ir$ lublCriberl during 011 ollni$ period. ThOllhe full omoul\l
of $_11 O~na$ been paid in Full, allha rare of $5.50
per column inc~ ~_och inlerTion. a J
__~-!J.L~-..
Subscribed and Iwom to befora me thi$ 8..th_day 01
_If.ebr,uar:y_,.____,___.., lQ_8.~,
,&' ./M n./~fLJf2..d.t~.
--0-- - N;lo-;y P~bl;c in and for rne Slore of
Walhin(llcon, re~iding 01 Hadlock.
..--.;~~-ftVawl~
,., '
~ ' ,
'.I'~>; .
. ,'"...,' " ,
:
""
:
"~
, "
,
',.. .
" .. ""
, ". .,"".. :
" ' "
",,'.":, i ", ;r::;)~1
' ",'. ,,',
'. '>
." ....
" ",.'
,':, "
: ," :: ': '
'.;<:.
'.. "',::',:.,,,"
" :.'" :..'
, " ""',
" ,.', '" :
...' ", '".:>
..':> '
I '" :' ',',' .
I '.., .,."., '.'
,'.", .:
" "",
;',' " '"
, ','
,,' , ',-,"" "
~ " .',' ' ...." :'.'
, ,'.'. ",:
,,' ","";.'
, ,",
:'. ,,:\
" ',' ' "
" ':"", :'
, ' ',' ,
,"" ; "
, '..
.....'., .,::: ,..,.
" ",.,,::,
,,' :,,',',.'
..,..':
'," ',," ",..
:'.' ':
,''-: ':'
,',
, '
;." "'.;'
"" "', ,'':
.'", "
" '"
, ,,', "".."
I
,
'0,
"..,
,',
";
::
,:,
:,'
'"
~
'':''',
.1,'
~
.-
,"
': '
~
Proposal
To: THE BOARD OF JEFFERSON COUNTY COMMISSIONERS
P.O, BOX 1220
PORT TOWNSEND, WASHINGTON 98368
HONORABLE BOARD:
We, the undersigned, propose ~o furnish liquid asphalt products in
the approximate quantities and classifications shown below for the
total amount shown below for the calendar year 1989. Prices to be
F,O,B. refinery, freight to be contracted separately.
Jefferson County reserves the right to reduce the quantities or
eliminate items from the contract,
Liquid asphalt shall meet the requirements of the Washington State
Department of Transoortation 1988 Standard Soecifications for Road,
Bridge and Municipai Construction for the grades of asphalt listed
below,
Item Quantity Unit Description Unit Amount
No. Price
1. 1800 Tons Asphalt CMS-2
2. 100 Tons Asphalt CRS-2
3. 100 Tons Asphalt Me-250
4. 500 Tons Asphalt CSS-1 ---
Total
FIRM NAME
ADDRESS_
SIGNATURE OF AUTHORIZED OFFICIAL
Dated this_____day of
, 1989.
'.. ,';' '-,")~':'~",,' :::~.." ;.:." ~-'- -, ":'-"'~-' .<-~
t OJ.IO.OJ)
CALL FOR BIDS
Notice is hereby given that the Board
Jefferson County, Washingto~, will receive
hour of 10:30 a.m. on 7,'!""t7/a.ul_ ~'i' at
Commissioners, Jefferson County Courthouse,
to' be opened and publicly read at a
Commissioners to be held on that date, for
as specified in the proposal,
of County Commissioners,
sealed bids up until the
the office of the County
Port Townsend, WA 98368,
meeting of the County
supplying Liquid Asphalt
Bids shall be submitted in accordance with the specifications on file
at the office of the Director of Public WorklJ, Jefferson County
Courthouse, 1820 Jefferson Street, Port Townsend, Washington, 98368,
(206) 385-9160, where copies may be obtained.
The Board of County Commissioners reserves the right to reject any and
all bids, and to accept the bid deemed most advantageous to Jefferson
County and to waive all informalities in the bidding.
Board ot County Commissioners
~/r1/J:L~
G.C. own, Chairman
_ ~._~_'''JIl'.'''''l'''''''-''''~--'''_.'''"''''''~''"-~~~'' .......It/i}
(;C.", 0'3./0
Iq"(:q
~t~ /kpJwjj-f.
~.e.- /lJe.beV ..... 20(r27~q3<18
......--'
~OUl'1cl 7Z.-eJ~fi;j - IaCO,M.IJ..
70 ~ \~/Z-
/)4 c...
98lf-OI
\1~ '6'-0 ea.vutO.... -v.JClM,;\S
+> ><>>~~,B;J 0,'-.. CCJ'l^.tvClJ S'
~ \ L~S-
c;wfblp
~ -Z~ ~
~
~-yj'5LGD .J..\1 1"''1 fl c..&\~
3/z.o/e,0 \"?'. \ S - .
---pv---..
L
~
~
III
o.c
;
!
.
II
>
)
.
~
~
.
~
~
.-J
L
J
j
"I
')
,
,
J
)
;'1
~]
;j
,::.j
;,1
Ij
fj
'if
..~
'~
':(~
,~
"I
II
:21
,~
,~,',,'
':1
PHONE DIALOGUE'
I
1
I
I
I (Name)
[,
t. CiOn, \1"
.",'_', <. /", (_J
Il.. F-',/J \1\\ (
Talked with
r- ~ c: i.
of
r1 I called I', I( \lO Party called
Time ~~___ Date ~~~~/~~_
SUbject I I '/ I " c -I e:::> .: , c " iP 1 )( ,
What , said: t~ I ! \ , " 1"\ , " " ( In ^
_I"' , '-
\". ~ i' 1 \) :C \""c C ,,, l., \) ':-/i y \ " , I \ \-.... ( (--.L. \..,
What party said: t- ~(_.- 1-'\ '-~, If c y') \ r
--Y'dL/qj f'..,1 .'1/,.1\ .\\-",
, ,,- C 'n'n l..:'L \'.1 I/,j ( \ \ l~,l (-
\\", \ ( I .. ( Ie. LiC'.\.
I "
.
1,'\ ' ,\ '\ \ \'\' '_In
":il... ~'---"'L 1-
Action Needed i:: -(} y.
i-- l)-l l-!.
'-.J; \ ,;
\ '1, '\. ''"--
".H~--.._
c-.c-.e, <"..?.5"""Z'
Exhil}it "A"
/'
./
./
,
~ ~/~
<,0, .
/)/
,/
~
~u.\
~>
~6
",
"')
\---:',
\
\
\
Ul
t
7..
\..-.:
~.~
'-
,~~ f (~
ri']. t
I}'"'" ~ Q
r~ ~ CJ
'(3 j .
-"" ,(
~l
J
,<~!~ [-'-'- .,
';i;~~i~\ :.'
'.':~~:;
'.' ..,',.,>,'.,...', '" '.:,: '
',' " " ' , " '
" ".', .", ,': ;'," ,', .:
,',., ,,',"
'."".,' :' , , ;','
, ',' "'." .....:., ,
" '.. , ;. ":", "
',' ,,:,', ",', ,
",'<' ,.., .
'.:' ,.','.... '," ," '" "
,'".", ," '"
......,.'.,...
. ,,",:'" ::
, '.'
.' ".
,", ,
..', :.,..,..,.;..'.. ....'
',,' '.' .' , '.'
..,,:,'.... " "
.;':' ..L
" .,,'
',', ',' , ,''''''"
'" ;'., ,
, ,.".','. ,
,L',
",,,",,''''''' "
...:,'. ;
,,',' .'"
'7
,:.' :
".;) .
,",
.....
..;'"
.',
.!::..:
,.
:~\
~ .
."1
:J
;'C'Y_I
f
\1'."
f
.
.'1
t
L
t
~.,..'
t
~>).
i.
"
J
\
; ,
!.
~
, ,
'"
,,::,,'
I!
,
I;:;,
, :-:
Ii"
if
I; .,"
1',,-
, '<,
I ~ "
, , ':,
L'
',"
" ... ,';'
'" :".. ,""
,," ""
.' ,',', ':': :'", ;;",
"',',:" :' ' ,;
"..:",,,',, ,',' ,:' ",
.'
"', .,'." :.' " .
" ," ,
i' ,';' , "" 'i,':
, ,', , '.. ',' :,'
" ,'. '"". ", "
. , "
, '.'
""""",,;,"""", ,," ''''-' " "
l01I (f!) vriG@ c7.2, 7,t)/d3
LETTER
'" '" "" -'
AIR FLO HEATING CO.
221 West Cedar
SEQUIM, WA 98382
683.3901 385.5354
Date
7-14-88
To
Jefferson County Jail/Control Center
Subject
P.O. Box 1080
Hadlock, WA 98339
ATTN: Maintenance
We will provide and install (1) one 2 ton wall mounted heat pump complete with line
voltage wiring, system start up & check out and 1 year warranty,
Job amount
$ 3,288,00
256.46
Sales tax
Total $ 3,544,46
iC":>> ie" R"'> ~ ~ \\ ,ff[~ fD.
lf~~~~:9't::.:.,:;;lU ':!J ~~
/ &tZ/'...ud b-~ /do,,,...--
"-;'7".<:'-/,_:0 YX~/ ,~,.;C..a/.-/'-
" "
-"':7t~-~u ?v-pd _/...-tY"'::-~
.,C/4C-~ , "??<:J ~_d-r~
!~.-/c:?"v
jUL 1 iJ 1S88
JEFF",RSO\\1 COU:,-,TV
~NGiNEERS OFFICE
C176'
Mark Bequette
SIGNEO VJ1 /:
( /tt.., I /.J'~t:A_S:::::::=:=
I
'-------C
,
,
" , ", ' ' ' .
, ",,' ",'::"
" ,',,'. ,"" ' :,:",
"," "
,,' ,.', ','
,'; ,,' '
,':' , ,", '" ".,' "',:';
" .'.'.'.". ..,"
"
:'
,:'
I ,", ',.':
, ''','
I". ,'i I
\,..:, ,:
I: ' ,,:.' ,,'
I', ,,',
\<
.., ..
'I:';;
I "
".,',', "
..
", "
, ',,'
,
",
':'
,
..
, ,C'
..'
,',
,",
".' ..'..,'. ,...' '.."..'
" ,',
" ',',", "
,,' ",'
.'.,.'". ,'.,
,
, i'.'
>I,'y' ,
" , ' , ,: , ',','
" ,,'. :':..
"". .'.,
" ',',' ,',
~,
".. ,"
,. ,\\:
..'~i,.
~
~
'1..,,- 1:.'0'-'
" 0,', ....
?",' .".:.";",'.,, ,
""".:"".'" '" .',,' . "",>..., ,'.' "'.'i>."'!' ----
,i'''.''';
e-{'~ Cl~, 7C/. <:? 3- .'., .",:i',.';.
'.,i.i .
Je.{1",.~<,,,, 6"J... $, I 14-40 ',i." l
,,'
AV'''"I::. hn II v '1M'" .n.. I'I.IIMTC (DODO + 1&0 ',.i?
OC'..
ANN /i
JAN FEB MAR APR MAY JUN JUL AUG SEP ocr NOV DEe ~M"' ',,:,
}.
100~ 17.5 20.2 24,323.8 21.7 19.5 18.8 20.5 23,5 29.8 23.0 16.6 21.6 ,
1987 16.5 19.1 18,6 22.4 19.2 15.6 14.3 17,2 16,8 18.7 15.2 14.2 17.4
1988 21. 3 21.7 19.1 22,9 24.6 29.0 31. 0 30.3 24.7 37,4 39,6 39 4 2811
1989
I ..
i ','. "
80 KING orALS I (
1976 16 13 14 17 18 25 17 27 15 25 22 22 229 :
1977 11 26 20 17 26 25 18 22 23 20 20 18 245 ;
1978 35 24 30 19 22 32 36 22 19 33 15 18 305 1
1979 20 25 36 38 39 39 38 29 43 43 30 30 410
1980 33 38 34 46 26 54 49 43 35 44 34 31 467 I
,
1981 40 30 51 34 47 29 38 30 45 39 40 54 477 ,
i
1982 42 43 49 59 62 57 44 54 57 60 34 63 624
1983 56 29 55 39 61 45 53 51 38 41 37 29 5311
1984 29 37 36 27 28 34 34 30 34 45 65 30 429 I
1985 48 (,9 51 53 50 51 48 55 53 64 36 58 616 ,
1986 65 60 47 46 57 58 52 63 66 54 41 41 650
1987 66 59 62 67 67 54 61 62 82 100 71 72 823
1988 89 77 77 81 107 97 99 85 92 lIB 94 81 lO.91-
1989
;
C-aKIN( S BY 1 HIF'[' ( 988)
GF:A VE 34 10 15 19 36 32 26 15 28 28 20 18 ?O,
DAY 16 27 31 24 26 34 25 44 24 50 33 33 367
SWING 39 40 31 38 45 31 48 26 40 40 41 ~n 449
('000\
RAVE
DAY .
SWING
..
3.
:L-:~:~ ~lJf ~JalIQ:*lIllf .JV---- '-
.,... ." "" ":E ~~0j
.;,'; ,..",.""" ii" """.()'
,.,.; <i',,,, ;i
,Y' :,if '."'"
...'"",,",/..'..../. ..'.,',."'...,,.,.; '. "..
,:.",,,".;i '.,'. .' ,"
.",';." ,..'..;";."'.....',...",..,'.. ;,:,i
"(,.',,,'.,.',.'.
ii,';;; ..ii';..'.'.,., ".',,"./ i ,..,,,,,,
."V),.\..', ..,'."..;..',/.';, \.
" .',..,. ,.,"',','
',..":",...., ..,'.,,',., /.
,,'.' '.,;.;>, ..., ,
ii,,;..::?'"
'.,,' '",', ,,' 'V
":./, ,,"'...,....i """"'..".,
:"i' yt"', ..
i'," ..,,".'.
;":,i' ',:. ';. '..,-:
',.' .,'./'
"..,i!i:,. '; in'
'; 2 12I..
"~cO 'it;,: ..i'i'
""";['.2...]
"
",','
'.
IIlIII
f
f",
ir.
<"
~:'
t
r',
'.
1'>
~,
It
"
~
,t
h:
I.
r'
\
,
:~' :'"
i.
r
ij
JEFFERSON COUNTY
DEP~RTMENT OF PUBLIC WORKS
FEB 3 1989
FACILITIES MANAGEMENT DIVISION
.~.........
MAINTENANCE REQUEST
JEFFERSON COUNTY
PUBLIC WORKS DEPT
REQUESTED 8Y:_~~~_~~~~~~~__ _ U1~E:----_~'/~1~1_______
OFFICE:______~__~~_________ BUILDING:____~~_tf_~~q~_~____________
DESCRIPTION:
--------------------------------------------------------------
---.N~uf-Ll1~~~--i_--dUd;?.M-J-d.~~tU!.d.--c;!.'r?.u.Lt:---
---J&2L4t1L~-~-~--JL~~(f~--~~lJt4~----------~----------------
--------------------------------------------------------------------------
PROBLEM OCCURENCE: lliD 1st Time ~ 2nd Time ~ 3rd Time Will Recurring
Sketch (if needed)
L
L
i
j
;
l
I
i
i
I
j
"ii.""""'e'"--
ee.e 0.>:/...:10
: ,.,:,' :/ / '~:~lJ/l
cY (,/, d .x: '3 ~;)Ij!~,!./ '-:'_,><. /_2.-r(
I
C; I 1;">2- a VN-:L
( , l&qg ()i.o,
f d ../r..'/;i,:;:, (,', 1//c,I!."
(., /(:;(),?:J ii',)
"/
{ (( (, ?/j./j:, ,
/6'/'O,,:;;J4<---6.a::5C->
,/v-
~/".v~/ ~ r~.3,
~~ / ~ a...c.e.... ~
p-r- ..;l ~ /~
-- -'~'-'-----_.
i
-. ---:----,
~
~
CLALLAM-JEE'E'ERSON COMMUNITY ACTION COUNCIL
\ J H02 Sheridan A\'<'" 1>1 Fin"'. Porr 1.,wl1senu, WA <lH,t>H
I 206/ 185,2571 nr 457,1902
February 22, 1989
RECE\VED
Mr. George Brown, Chairman
Board of Jefferson County Commissioners
P.O, Box 1220
Port Townsend, W A 98368
FEB 2 3 1989
JEFFERSON COUNTY
PUBLIC WORKS DEPT
Dear George:
We have received Carter Breskin's report on the physical plant needs of the Brinnon
Senior Center-Bayshore Motel, and I want to thank you, B.G., and Larry for letting
Carter move this matter along.
The list of needs is long and comprehensive and could take some time to complete,
From the standpoint of the motel operation, there are two items of immediate concern:
(1) Most pressing is the south apartment, Not having this open for rent is costing
money, Our budget is predicated on revenue from this unit, In order to make
full use of its potential, the apartment needs to be available for rental by
no later than the end of March.
(2) Less' important--because we cannot "directly account for loss of funds--is
the matter of exterior paint. However, we have had customers stop by the
motel and ask to examine the rooms before making a decision whether or
not to stay. After they've seen the rooms and signed-in, they have commented
that the faded exterior made them wary. Further, I think one can make
the general conclusion that the busier a place is the busier it becomes. After
the senior center began operating and there was evidence of more activity
at the building, our occupancy rate increased; 1988 has been our best year,
Spruced up with a new coat of paint, we should do even better in 1989,
Again, my thanks for the work you and the the staff at Public Works have undertaken
with this facility.
Best ti's,
pe!Qmpson
Executive Director
ce. Carter Breskin, Public Works
Isabel Armstrong, Brinnon Senior Organization
Jennifer & Ron Petersen, motel managers
oz.
1..c::..~,!'X.""'?,~..,,,I?<:>E,!'.,'J:?".'I1.,""'l1,<.l: .
540 Water Street
i?6'rtToi;insend;wA9 8368
RE: Vacation 8812-02
L
01>. TE"..""_,Ii:."',l:>E~?EX,,,.'.m~~"~'" 19.,8~m.'."',...".,..,",.
I
DATe
TO
~
Please see attached sheet for the
language puget Power would like to have
"...... ..... ..' __ ... .'~ ,on '''~'_~'''~''~'__'____ ._. ^ ._~_,. __.__._. _.,.
i nm!',~,,,, ",.,~,I',IlE,<:>Y"'~""y,Clc::,Cl1:"i.,<:>.l1,......i."l1__?,r:9"'E,_f..'?E".,"""".
tOC::()l1~:i:11:'::", to opera 1:e."()~::...<;J,~f'in<;J".,,x,,~em
which is installed on Pacific NW Bell's
~_.~.?!'x.,..':.~._t:I::i:.s ,,!- s..l:l.':.:i:':.'!._",.':.:'..:... t:()_~':E!= :..,a"t.
also.
Call me if you have any questions.
:~..:.~~~~:===='_~i_~,~j,_e'!le.",,!t<>rXi,s_~ -:~:~~:=-==~.::~~~~:~::===~:=====:=.
INSTRUCTlONSTOSENOEFl;
1. KEEP PIN)( cc~. 12, E1END WHITE ANC veu.ow COl'lIES WITH CARBON INTACT
INSTI'lUCTIONS TO RECEIVER
1. WRITE REF>t.V. 2. CETAQ-l STUB. KEEP YELLOW COPY, RETURN WHITE COI"'V TO SENOER
RECEIVED
FEB 2 4 19B9
JEFFERSON COUNTY
PUBLIC WORKS DEPT
PLEASE TYPE OR PRINT
o REAL ESTATE EXCISE TAX 0
"' CHAPTER 82.45 RCW
CHAPTER 458.61 WAC
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ITEMS G) THROUGH CD ARE FULLY COMPLETED
SLlbmlllo County Treaaurer 01 the
county In which property is located.
CD
Name C~,.,-'"
9~
g~
Cl Slreet547~.. ..IN''':KS011 B.L.Vi)..
Clt CHICl\(1"l
Slate II.. Zi GOG80-l;20S
<D
NEW OWNER'S
PERMANENT ADDRESS
FOR ALL PROPERTY
TAX RELATED
CORRESPONDENCE
Name
Street
Sj.V'l1: l\.:':~ 1\[1.)\,'1.;
Citv/Sle.la
o LEGAL DESCRIPTION OF PROPERTY SITUATED IN UNINCORPORATED ~Ti:i.'t-' :ft:,~"~t~ COUNTy:':[J.':Oj:VIN:fCiTy:~'O~X:()':XY.X:{"AXX
Zip
All that part of 100 foot wide right of way of the
former Port Townsend Southern Railroad Company in,
on, over and across Parcels 3 and 4 survey recorded
in Volume 3, Page 47, located in the North i of the
Northeast i of the Southwest i of Section17; across
Lots 1 and :2 in Block 41, Lots 2, 3, 4, 6, 9, 10 in
Block 34, and all of Lots 4, 5, 6, 7, 8 and a
fraction of i more or less in southwest corner of Lot
3 in Block 29, all in Irving Park Addition to the
Ci ty of Port Townsend, all in Section 17, Township 30
North, Range 1 West of the Wilh.mette Meridian,
Jefferson County, Washington.
~:::~~~~~~ccu~~~~~t U:r~lmber)? Chapter8~~34~-CVrl::J-CJ- -
o Is this property currently:
Classilled or designated
Chapter 84.33 RCW
Exempt from property lax under nonprofit
organizations Chapter 84.36 RCW?
o
o
o
o
Receiving special valuation as historic
property under Chapter 84.26 RCW?
Type Property: B
D land with new building.
land only
D land wilh previously D land with mobile home
used building
SEE TAX OBLIGATIONS ON REVERSE SIDE
@
(1) NOTICE OF CONTINUANCE (RCW) 84.33 or RCW 84.34)
If the new owner(s) of land that is classified or designated as current use or
forest land wish(es) to continue the classification or designation 01 such land.
the new owner(s) must sign below. II the new owner(s) do(es) nol desire to
continue such classification or designation. all compensating or additional tax
calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall be due
and payable by the seller or transferor at the time 01 sale. To determine if the
land ,transferred qualifies to continue classification or designation, the county
assessor must be consulted. All new owners must sign.
This land D does 0 does not qualify
for continuance. OEPUTY ASSEsson
(3) NOTICE OF COMPLIANCE (Chapter 84.26 RCW)
If the new owner(s) 01 property with special valuation as historic property
wishes) to continue this special valuation the new owner(s) must sign below. II
thu new owner(s) do(as) not desire to continue such special valuation, all addi.
tlonal tax calculated pursuant to Chapter 84,26 RCW, shell be due find payable
by the selJer or transleror at the time of sale.
(3) OWNER(S) SIGNATURE
o
The following optional questions are requeslod by RCW 82.45.120
Is properly at the Ums of sale:
YES
a. ~~:~~:i~~;lderIY, disability, or physical Improvement 10
b. R~:tin~u~~I~~OII,~:n:yS~:~? a hest pump or solar 10
c. Does this conveyance divide s current parcel 01 land? 10
d. R::'~~r;8Ie Include current crop or morchantable 10
<D
Name
w
a:W
wI-
>Z
"'"
",a:
" Sltoet
lU ~0 Jj ;eF.i.~h::),,)~ J :'/1'..
Cil 1/1'.. '~O.l,:t3l::~,.D
Zi 983GU
Slalo ~':t;'
ALL TAX PARCEL NUMBERS
963304101, 9G3303402,
qj.;T"1(I?ljfl? on' 1T~(il:;' il.rnl,
:Iuded in sale (furniture. ap'
----
II exempllon claimed. explain c~:\l ~,. '.Y'! ("Ii'" 'r/' ".n : 1'1'
Type of Documenl ,-.: :1".lJ'"'"<r 1', .~;' n,=,","-';"
Date 01 Sale or Conveyance Instrument - ,t ':> f'-'I~" I ,. ,.. ,:, *11
Gross Sale Price 1/ $t0. 00
Personal Property (deduct) 2/ $ -0-
Taxable Sale Price $ -0-
Excise Tax Slate 3/ $ -Li-
Local., $ -0-
Delinquent Penalty 5/ $
Total Tax Due $
(SEE 1.5 ON REVERSE SIDE)
<D
AFFIDAVIT
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF
THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE
AND CORRECT (see #6 on reverse for penalties).
SIGNATURE
NAME (print)
Carv r\. H/'J\-JPi'::'
DATE & PLACE OF SIGNING: li/l~} I HC; C('.u"4t"ht)u:,u~
SPECIFY (circIA): granlor/grantee/grantor's agent~~;~~~~~~)
Address of residence or place 01 business 01 person signing (specify):
I ~1,..'4~,jj'JCt:-;B: _1(~f; (1)n"10r1 (~L'. Churt1}O:'l:~<2'
1.82u Jl.~tfcc:.;on, Pt. J.'oww.lend,
Telephone Number.
(206) 3H~;-9160
NO
o. Does convoyancA Involvo II trado, partial
lnlerofll corporAte alfillates, relnted parties,
trust, receivership or an oatEtte?
f. lathe granlEOo Acting as a nominee for a third
party?
g. Principal uao:
1 0 agricultural
4 0 ApI (4 + units)
7 0 commorcial
YES NO
,0 20
,0 20
20
20
20
20
2 0 condominium
5 0 Industrial
B 0 mobile homa
3 0 rocroollonal
e 0 roaldentifll
9 0 timber
FOR TREASURER'S USE ONLY
r-o~>"'"
vC.;.!~; v {
,
, ,,' ..
-.,: " """, ..,.."
,
",'
, ,,'
, '
" :
~os
CMC REAL ESTATE CORPORATION
f;
"
J..
j;
547 West Jackson Boulevard _ Suite 1510 _ Chicago, IIlinois60606
Direct Mail To: P.O. Box 6205 - Chicago, Illinois 60680-6205
312_294.0440 FAX312- 663-9397
March 31, 1'369
;1JJ . (jY
(}cfr\'/,\~o..
~ I;J\\~
Jefferson County
Attn: Mr.. George Brown
1820 Jefferson street
P. O. Box 1220
Port Townsend, WA 98386
RE: SAIJl H2473 & 2474 - PURCHASE OF 3.19 IICRES IN POR'r TOWNSEND, WA_
Dear Mr. Brown:
~;
~
L
Enclosed please find your duly executed and acknowledged Quit Claim Deeds
for the purchase of the above-captioned property. We suggest that you
record the Quit Claim Deeds inunediately to protect your claim of interest.
Additionally, please have the enclosed S2EY of the Quit Claim Deeds stamped
wi th the Recorder I 5 Office recording information and return it to the
undersigned*
~-;
'l,.,
Thank you for your consideration.
Very t~~ly yours,
~c.... -c:... ~~
Stella C. Strock
Title & Closing Officer
312/294-0467
SS/dlo/331b
Enclosures
r
.1p;
t
I
'.:;' , ",' '".,',::' "", ' " ,'."
~',""" ,:', ,",..' " ',,', "', , " ,,' 'I.
,'<' ," ....', ,:",'.. ';' , ' , ", ',", ,", ''':' i", "':,\'; ",,:
, ",:-" ",' ",", ,:'" .." ""';,':,' ',.' ':,' :,
"::',, "",""':', ',' " '.',' ' ,":' ,"
",: , ., ", '",.... ''', .' ,.
'..' "'"." ',', ',,", ,', , "" ',,' ,..', ,"I " ,
, :,', ..' '" ' , " ," " , , ,'... ,:'" ",';, , ,....... "
,,: "',,' '" ::: ' ': '" '..,'..',..,".., '
" ,"" , ,,' ',,'
...' "" ",
',;,.",,':,
'.. " '..
',',' .... ,.,:,,'-.'..,:'" ..'
"" ..:" ,,':, ' ",', ,:" ,',
;,,-,:",' ,'" '.
>:' "." '" ,'...'
,", '.., '
,,' :" ,..'.. '"
':" ':i
"
','
"
,..',', ''',:',
::
,"
:',
-
,
, ,
: '
,
',,' "..': ,,'.'
;',: ,:."....",',,'"
iI
.-:
,:
!:
I'
':;..
.-
.:..::
,""
.' " , .'j
"';",
",',..,''''' -
",', " .", ,,',
: ....:
,,' '.... '"
.'
II1II
,'.
.J ,.....,.
Date Received 2-13-8'1
O"'~l~E.H '1'0 PUnCIIASE
.::Tz. '/73
The offeror, hereinafter referred to as the "Buyer." offers to purchase from CHe HEAL ~S'I'ATE CORPORATIOn,
a Wisconsin corporation, hereinafter refe-rred to as the IISeller." its interost in real property. hereinafter
refCj'red to as the "Premises.1I situated in the City of ""PDl&-T" -ro v.J N '5..e- tJI~ , County of
...) el=~ E'12....5o N . State of vJ c..s."", I N<.t.,-O to..} . represented
in red on the print marked Exhibit "AIt attached hereto and by reference made a part hereof ot the price and
upon tho terms and conditions as follows:
1. Upon acceptance of this offer by the Seller, the Buyer agrees to pay the Seller a total purchase
priceofONe-Tl-\O\lSh.....O ~~'D ~o/r"OT4 DOLLARS($1.000.:.
of which ONE 1\40<>5 "."....0 ~ tolD ~O /IOOT~ DOLLARS ($ \ 000 ~ )
hereinafter, called lIearnest money, II is paid herewith to the Seller to be refunded lf this offer is not
accepted by the Seller within sixty (60) days from the date this offer is received. The balance of the
purchase 'price shall bo paid to the Soller in the form of a Cashier's or Certified chock at the Seller's
office within thirty (30) days from the date this offer is accepted, provided the Seller's deed is then
ready for delivery. If the Buyer shall fail to perform within the time limits herein specified, the
Seller may retain the earnest money as liquidated damages. not as a penalty or forfeiture, and declare
the Bgreement terminated, or the Seller may. at its option, proceed to have this offer specifically
enforced or pursue any other remedy it may have, in law or in equity, for breach of this offor. In the
event the Seller is unable to perform for any reason. the Seller may terminate this agreement without
further liability to the Buyer, except that the Seller shall return the earnest money deposit to the
Buyer whereupon this offer shall become null and void.
2. The Seller shall conveyor cause the premises to be convoyed to the Buyer by QUITCLAIM DEED. subject
to the terms. conditions, permitted exceptions and reservations as indicated herein. If the Seller does
not have a description of the premises to be used in the deed, a survey shall be made by the Buyer at the
Buyer's expense by a registered surveyor, said survoy to be conducted under the direction of the Seller.
Immediately upon the selection of a surveyor by the Buyer. the Seller shall be informed of the name and
address of said surveyor.
3. The Buyer, Buyer's designees, employees, agents or contractors. shall not enter upon the Premises to
perform any construction. or work of any kind, or for any purpose whatsoever prior to the final closing
contemplated herein, without the prior written approval of Seller.
4. Buyer acknowledges that Buyer has had a full and fair opportunity to inspect the Premises and any
structures or improvements on the Premises and to perform any tests or analysis desired by Buyer to
satisfy Buyer as to the condition of the Premises. Buyer agrees to purchase the Premises including any
structures or improvements as is. where is. and subject to any violations of any law or ordinance exist-
ing on the closing date. Seller makes no representations or warranties respecting the Premises, and
Seller disclaims and disavows any representations or warranties. whether affirmative or negative ana
whether express or implied, except to the extent that the same may be explicitly set forth in this
Agreement.
S. The Seller shall not be liable for any real estate broker's corranission, agent's cOlmlission, or
finder's fee in connection with this conveyance; and the Buyer shall indemnify the Seller against any and
all claims for such conmission or fees, including, but not limited to, attorneys' fees and court costs in
connection therewl th.
~r--" ._,'" ''''''''''''''.<.. ,,__ . .__"'~_.. ~_.
-'--"" -- .l._ -..._~.. ~...._.....~" .h.ll ~ h.
Ir' L'- t. fill hl~.3 ~~ in ' f ilJL l 11
BUccossors, grantees an & ~ L ~ :~.:..... xisting le~ses
con~uits, sewers, water mains, g8S lines, electric power .1n ;
IT! l~ i II I1r 1. ITJi' III Ylrr' if! I lJ.~l r.
rill ')L J.r.' it.. r '}1 Gill... l\s
1 censes and agrenrnonts for driveways, roads,
.......... 'Lt.1lities to permanent eBse"
I'lmHIT'l'EO EXCEI"rIONS (WlIlell DDYER MlREES '1'0 'l'AKI! TI'1'LE SUDJEC'l' TO)
(1) ~~t~ers ge~rallY excepted by title insurance companies as standard or general exceptions to title 1n
pr:m~s::e;re i~:::t:do~orts, title conm!tments or their title pOliCies, issued in the State in which the
(2) General roal estate taxos which afO a Uen but not delinquent.
taxes or special Dssessments, if any, for improvements not yet completed.
not due at the date hereof of any Dpec:ial tax or special aSBOBsment for
"'I
~
z ~I
0...
i= t-
<t;!
a:Ul
o
0..",
~~
U~
W~
I-!!J
<t>-
ti~
we
-'u
<t@
will
a:z
u~
::1;;
u~
~
"
o
!o!
.~ ~
~
a
~t
~.~
~ ~
~
"
3
e
I-
~,lOi'41
h4\,
w ~,+I t=
li~ ~ J~
UJ- )(
Z 'w
~ 0 "
'" t
0: ~ ci
~ 'j VI
~~ I tl\
M~ ~
(I) Ul ':!!
.~\ ~\ i;\
.:: : -\ ~
'" -
~,~ ~ ~
~,~ ~ 0
l'
.t
y
~,
t
,,'
,
'" . :'::
I
'.' " '"',;,, I,. ". :',
, ':,,' ;.":
"'y." :',
',' , .
'::. :"" i,":,
',",' , ..:'
',' ,",' ,...'. ", .','
:;'': ", ,: '..' "
, , ,.." '"',, ",...'" ,,:.' d',
.""," ," .:.....'.....:., ,',,, ".",.:;
: , " "', ," . ,,: , ,',' ': ," ",',
" '," " ,,:', ',' "
, ',: ',':'::' I',,' . "'"'' , '.. ....'.. .' ,'/, ,\,': "",,',
;, Ii' ".'. """ " ".'" "" .. " " :', ".' . ,', . " ,.' '.',' ": "",
.. ',.: '. .., '. ': ,.',:'" '.
,,' " :,..,:" '.' ", '" .' ',' ,,' ,'.;
. '. " ' , " ,," " " ,': '" ' " "
'" ' '", ,,,,,' "': ' ' ,,::
, ,".. : ',; , " " ',',' .'
:?::<,~:; ,""'" " .';.',..,., : :":',
",'.:',:,': ", ,',::' ",: ,,,, ,,'
: ,':'"',,.',,:: ::",:, ", ',:" ,,"
"'," :' "
" "':' " " "', :,(:
" " '
. "
\~
i
~,
(,
t'.
.
I
~
\1
f,',,' ",
",', "
",,: ',,', ,',:' ,
, "",
'"
"',,, , ,
.'.
UZRos
CMC REAL ESTATE CORPORATION
547 West Jackson Boulevard. Suite 1510 . Chicago, illinois 60606
Direct Mail To: P,O. Box6205 . Chicago, illinois 60680.6205
312.294.0440 FAX3120663-9397
February 20, 1989
Jefferson County (Dept. of Public Works)
Attn: Gary Rowe - Director Public Works
1820 Jefferson street
P. 0, Box 1220
Port Townsend, WA 98368
RE: Sale of ~ 3.19 acres at Port Townsend, Washington,sale #2474
Dear Mr. Rowe:
Enclosed please find your copy of the executed Offer to Purchase
in reference to the above-captioned property.
Your offer to purchase the property from CMC Real Estate
corporation has been accepted. A closing officer will be
contacting you in the near future regarding a closing date.
Very truly yours,
~~
Contracts and Support Services
EWN/dlo/220
Enclosure
cc: A. F. Hallin
'" "
" ,;,.'
.'
:'
" "
:'; "
.. .'
"
" "
,
':":: ,
" :, :::,
'"
, '
, '
"
.",::
,
...." . ..,
DCite Received '--\'3 - ~9
m'VER '1'0 PUHCll^S.!i:
~2- "17<7
The offeror, hereinafter referred to a~ tho HHuyer," offers to purchase from CMC REAL ESTATE CORPORATION,
a Wisconsin corporation, hereinafter referred to as the "Seller," its interest in real property, hereinafter
ref~rred to as the "Premises," situated in the City of ~P1Z.o"" "-0 v.J, N SE'" ~ ~ ' County of
...),ef=.~e'C!...~ON ' State of vJO-S\oo\,t-1c.,,~o~ ' represented
in red on the print marked Exhibit "A" attach~d hereto and by reference made D part hereof at the price and
upon the tonns and conditions as follows:
1. Upon acceptance of this offer by the Seller, the Buyer agrees to pay the Seller a total purchase
prico of E.LE'''e.~ THOUS"..,....O b.>-lO ~o/IOOT\-4 - DOLLARS ($ 1\ I 0000::0 -)
of which ONE IHOUSo..>-l1> ~""D ~O /IOOTI-\ DOLLARS ($ \,000 -0.: -)
hel"einafter called "earnest money, n is paid herewith to the seller to be refunded .lf this offer is not
accepted by the Seller within sixty (60) days from the date this offer il:: received. The balance of the
purchase price shall be paid to the Seller in the form of a Cashier's or certified check at the Seller's
office within thirty (30) days from the date this offer is accepted, provided the Seller's deed is then
ready for delivery. If the Buyer shall fail to perform within the time limits herein specified, the
Seller may retain the earnest money as liquidated damages, not as a penalty or forfeiture, and declare
the agreement terminated, or the Seller' may, at its option, proceed to have this offer specifically
enforced or pursue any other remedy it may have, in law or in equity, for breach of this offer. In the
event the Seller is unable to perfonn for any reason, the Seller may terminate this agreement without
further liability to the Buyer, except that the Seller shall return the earnest money deposit to the
Buyer whereupon this offer shall become null and void.
2. The Seller shall conveyor cause the premises to be conveyed to the Buyer by QUITCLAIM DEED, subject
to the terms, conditions, permitted exceptions and reservations as indicated herein. If the Seller does
not have a description of the premises to be used in the deed, a survey shall be made by the Buyer at the
Buyer's expense by a registered surveyor, said survey to be conducted under the direction of the Seller.
Immediately upon the selection of a surveyor by the Buyer, the Seller shall be informed of the name and
address of said surveyor.
3. The Buyer, Buyer's designees, employees, agents or contractors, shall not enter upon the Premises to
perform any construction, or work of any kind, or for any purpose whatsoever prior to the final closing
contemplated herein, without the prior written approval of Seller,
4. Buyer acknowledges that Buyer has had a full and fair opportunity to inspect the Premises and any
structures or improvements on the Premises and to perform Bny tests or analysis desired by Buyer to
satisfy Buyer as to the condition of the Premises. Buyer agrees to purchase the Premises including any
structures or improvements as is, where is, and subject to any violations of any law or ordinance exist-
ing on the closing date. Seller makes no representations or warranties respecting the Premises, and
Seller disclaims and disavows any representations or warranties, whether affirmative or negative and
whether express or implied, (~xcept to the extent that the same may be explicitly set forth in this
l\greement.
5. The Seller shall not be liable for any real estate broker's commission, agent's commission, or
finder I s fee in connection with this conveyance; and the Buyer shall indemnify the se~ler against any and
all claims for such commission or fees, including, but not limited to, attorneys' fees and court costs in
connection therewith.
6. Time is of the essence of this offer. All notices herein required shall be in writing and shall be
served on the parties at the addresses shown herein. The mailing of a notice by Registered or Certified
mail, Return Receipt Requested, shall be sufficient service. All notices to the CMC Real Estate Corpora-
tion shall be made to: CMC Real Estate Corporation, c/o sales Department - Room 1510 - 547 West Jackson
Blvd., Chicago, Illinois 60606.
7. This offer of the Buyer to purchase the Seller's interest in the Premises, when duly accepted by the
Seller, shall constitute the entire agreement, nelther party relying upon any statement or representation
not embodied in this offer, made by thE' other. Upon acceptance by the Seller of this offer, the result-
ing agreement shall be bind.\.ng upon the parties, thoir heirs, successors and assigns. Terms herein shall
surv.ive delivery of the deed.
8. On and after the date of closing, Buyer covenants and agrees to indemnify, defend and hold Seller
harmless with respect to any and all claims, damages, liabilities, or causas of action, whether in
equity, common law, or under federal, state or municipal statutes, ordinances or rulOR, arising or
accruing at any ':irne, in any way whatsoever connected or related to the condition, use or occupancy of
the Premises by Buyer, Seller or any other person. Buyer's covenants in this ParBgraph ahall extend and
not 'be limited to legal claims, equitable claims and claims made or accruing on behalf of tho United
Statos, any individual State, or any agency, officor, municipality, or political subdivision thereof.
Buyer's covenants in this Paragraph shall extend to Soller's officers, directors, employees, agents,
attorneys and succossors in interest, however designated, and shall further include any attornoys' fees
incurred by Seller in the dc-fense of any nction covorod by this Paragraph.
THIS OFFER IS /\ND THE CONVE'lI\NCE OF THE PREMISES SHALL BE SUBJECT TO THE FOLLOWING PERMITTED EXCEPTIONS,
RESERVATIONS. TERMS lIND CONDITIONS:
RESERVATIONS (WHICH THE llU'lER AGREES TO TAKE TITLE SUBJECT TO)
iMlaFl P liOP"F ,"1 - t, t'- f l' j" (,llslarii. '3 Il~' 11 A ~ 1I1111i'3FlQ, if rll ., 1, Ill, 11..1
caBinohead gaG, e and Bll othor oras and minerals of overy kind Bnd nature in addition to the
foregoing undorlying the surface 0 0 ether with tho full right, privilege and license at any
and lIll times to e)Cfllore, or drill for and to Pl.otect, c ke extract, removo and market any
and all such products, providod that the axel"cise hereof doas not unreoBonab y or's use of
for tho continued roo n, of all Qxiatinc; drivoways, roads, conduits, sewers, water
mains, g8S linos, electric power linoa, ...,iros and other u whatsoever on aeid
III
Guccessors, grantees an
conduits, SCWel.'s, water mains, gas lines,
1!.I'L11~ i IrL .::11'-~lti::tud.lr
s
t1xisting i.:ascs, licenses and agreements for driveways, roads,
electric power l.flC, ties to permanent ease-
tlL IH ll.ahlt:. fit
PlmMl'f'1'ED EitCEP'l'IONS (WIIlCII UUYER AGREES '1'0 '1'AK.l! 'l'l'l'LE SllUJEC'1' '1'0)
(1) Matters generally excepted by title insuranco companies as standard or general exceptions to title in
their preliminary reports, title commitments or their title policies, issued in the State in which the
Premises are located.
(2) General real estate taxes which are a lien but not delinquent.
(3) Special taxes or special assessments, if any, for improvements not yet completed.
(4) Installments not due at the date hereof of any special tax or special assessment for improvements hereto-
fore completed.
(5) Building line, building and liquor restrictions, covenants, conditions and other restrictions, whether or
not of record.
(6) Zoning, building and other applicable laws, codes or ordinances.
(7) Public or private roads, highways, streets and alleys, if any.
(8) Rights of any government agency, public or quasi public utilities to o::cupy the Premises for the use and
maintenance of existing conduits, sewers, drains, water mains, gas lines, electric power lines and other
utilities, whether or not of record.
(9) Existing leases, licenses and easements, whether or not of record. Rights or claims of parties in
possession of the Premises.
(10) Any facts which would be disclosed by a surveyor physical inspection of the Premises.
OTHER TERMS AND CONDITIONS
(1) Any and all expense or fee for documentary stamps, deed tax or real estate transfer tax or transaction
tax prescribed. by law as incident to conveyance of the Premises shall be paid by the Buyer, and Buyer agrees
to comply with all provisions of the statute and hold Seller harmless against any liability that might be
imposed relative to such law.
(2) General real estate taxes shall be prorated by Seller and Buyer as of the date on which the deed is
delivered on the pasis of the most recent ascertainable taxes assessed against the subject Premises, or as may
be equitably apportioned thereto Py the Seller if the Premises are not separately assessed or unless the
payment of same has peen assumed Py a tenant under an existing lease to be assigned to Buyer. The Buyer
agrees to assurnethe responsibility for the payment of all special taxes or special assessments, if any, for
improvements not yet completed, and for installments not due at the date hereof of any special tax or special
assessment of improvements heretofore completed, if any.
THE BUYER ACKNOWLEDGES THAT INSTRUMENTS OF RECORD, COURT DECISIONS, OR THE LAWS OF THE STATE IN WHICH THE
SUBJECT PROPERTY IS LOCATED MAY LIMIT THE QUALITY OF THE SELLER I S TITLE. THE BUYER FURTHER ACKNOWLEDGES THAT
BUYER PURCHASES THE PROPERTY SUBJECT TO THESE POSSIBLE LIMITATIONS ON THE 'l'ITLE AND ASSUMES ALL RESPONSIBILITY
FOR INVESTIGATING THE TITLE TO THE PREMISES AND THE APPLICABLE LAWS OF THE STA'l'E.
This offer, as supplemented by addendum consisting of ---L- pages attached hereto, has been made, signed and
soaled by the Buyer this 23rd day of January , 19~.
(The Buyer should clearly set forth full and correct names of party or parties to whom title will be conveyed,
their address, their relationshIp if any, ano whether conveyance is to be in joint tenancy or. otherwise, and
if a company, whether it is a partnership, trust, trustoe or corporation, address of principal office and
state of incorporation.)
Jeffer~on r.otlntv
PARTY TO WHOM TITLE WILL BE CONVEYED
Georrre C Brown
NAME j[,RINTEO)
~-=a~ ' (1'~4C.",-(VL"./'
SIGNATURE C/
A'l''l'EST;
SECRETlI.RY AND CORPORll.TE SEAL
'{I~f.,{.;OR !N~~I:':~E~;: .JI\RTt~~
?O, ec')oC 1<....0
ADDRESS OF BUYER
?O....T'IOW"-l:.aJO I Wf>... qe:!>c..~
CITY, STATE AND ZIP CODE
(~oc..,> ~B5-q\c..O
TEf.,EPHONE NUMBER '" ll.Q,,/ l2.0 U..ll;,
(OTHER THAN CORPORATION) WITNESS
ADDRESS OF WITNESS
CITY, STATE J\ND ZIP CODE
The foregoing of tar is accepted this
p,Qec.'t1>Q", 'Pul2>\oo'<- Won..\<-S
.--
day of /}!2.f/1'(/$tf/. 19 r7
,
/7/'(;/
RIIl./jbj/OTP
".Y. 08/19/87
...... .'.l
--- -- - -- -~- -- ---...
___, __ ._ . ~_ _...._ __ ;"__ ..__ _. _ __-__ _._.-..i.
,r" c:.~. .,~
Cust"", lqu'p"nt:
UMITi' SOUTH RlFHTOR
hfGp,:
. AOOEW _______m______'___
SER1Alij :
m I.U: ______________..____
mVOiCli: mml 1 R,1;o SP"~:
I DAlE: 04i07IB? : fI
:' PRE'iEHilVE MIN1AIRlNCE I f2 n_____
:; SERVICE Wl : fl -----..
I I!lSTALl I H
I RlAOVAl I fj
1 PM<lS mE I fb
1 f.e.C. CHECK I f7
I fB
I OEV!~mii:<i/-
I pom OUnUT:
I mUVE sm:
: Ofl/PL cm:
I OEC 1011[:
I f',O.i:
o
r/(.f. ...-,.,-k
E, t. ~ /("
R;f~,()..s
(\
Green Tre, Co..un;ca\icns \JEffERSON CO. ENGINEERS
2328 S;.; W'y I JEffERSQN CQ, COURT HOUSE
Porl Townsend, ~a.?am IPOn! TOWNSEMO.U,,:?63bB
120613B5-4b99 13B5-9160
Par\i!Oesc,
IG\lIlhie, ITo\,j
I '1IOOO.QOlIOOOO.OO
I 11000,001100(.0,00
I 11000.OUII0000.vO
1 11000.00110000.00
I 11000,00110000,0)0
I 11000.00110000.00
1 11000,OVl10000.00
I I \Q')O. 00 I \\"UO, 00
1 11000.00110000,00
I /1000.00110000.00
I 11000.00110000.00
I 11000.00110000.00
11000.00110000.00
1100o.v0110000.00
I 11000.00110000.00
-R ,";k s: -- -- - -- -..- -- -- - ---- -- - - ------ - - - -- - - - -- ---
I ilODii:iEii" soiiiil-WHRioil-io-i,ctm Tr iilAC------
I
I
I
I
m
(')
(".
o
lest Equipler,t:
i lfR A~/f~ 1200 SERIAL! 2057101,04
nOiOROLA m27A SERIAlI 209
OTHER: n______________n____________
lABOR HOURS: CDKTRm
TRflVEL AILES: CONTRACT
RECEP1ED
P,rlTal.]: ICONIRACl
Ifml To\,l: ICDSTRACl
L.b" To\.\: ICONIRH!
Tax: ICOIIlRACl
Total: $CONTRACT
MAY
:- i989
PO-l3-59BO/LIfE
JEFFEHSUN COUNTY 0
PUBLIC WORKS DEPT,
m
l'!l
Invoice
..
,
6r~~n irH CCItlUniciltiorl:
2323 Si., II"
~ort Townsend, ~1I. 9B36B
(206)385-\699
iJEffERSOS Cu.EkGmERS
IJEffEf:SOH CO.tOURl "om
IPORT lOUIISEHD.IA. :mlD
1385-9160
~
'lotylPrm ITo\,\
I 110,0.00110000,00
1 II000.OOII'JOQO.OO
1 11000,0011"00.00
1 11000.00110000.00
I IIOOUOIIOOOO.OO
I 11000.001IVOOO.00
1 11000.0011('000.00
I IIOOO.OOIIOOOO.QO
1 11000.00110000.00
I 11000.00110000.00
1 1100Q.00ll0000,00.,
1 11000.('011000').00
/. 1I00Q.00lI0000.00
1 1100'l.00110000.00
I 11000.00110000.00
.f:.'arks:---------- - -----.-------------- ----------
I m-ijiiimnii-REPRiiGRi.fi'iiiBi[E'AH[jiciiii'piiilm 1
IlE fOR BOB NESBIT. I
1 1
I I
I. ___________ _____.__.__________m ____._________.1
Parlfi/%sc.
.
Invoice
Technicl.. FCC lie.
IIN'iOlm:4lQ9056
1 OAiE: 0\/25/89
1 mVEllIJV, nAJ,lAm11LE
I' SfR'IlCE [m
1 JliSmL
I REAO%L
p"msm
f .c.c. CHECK
I RlilQ SpHS:
I"
I f)
1 fi
1 Fi
Irs
IH
1 f7
I FI
I miiiioH:<+
I PlJiER ['UTPOT:
1 RECEI'IE SEilS:
1 DfLlPl CGQE:
1 DEe TOSE:
1 P.O.I:
,..,. ,
('I
~,jO
(',
('I
[ustow' Equip""t:
USllI: 80
~FGR:
~ODEl~: m__m_______m__
SERlnl~: ___m___ ____mm_
FCC I.O.~:.m__________.m__
o
o
hst-Eql:ipmcnt:
, IFR riMA 1200 SERIAL" 1057/01,0:
flOIORDlA sum SERJALk m
OlHER: ._____________________________
aM
lABOR HOURS: COHTRm
TRAVEL mES: eONiRACT
Part To\,I: \CONTRACT
lr".1 loti\: ICO~TRACl
L,tor lot,\: ICOHTRACT
Ta:,: ICONTRACl
Total: $CONTRACT
PG'13-5980iL I FE
....---
JENSEN TANK 'I'ESrING COMPANY
1340 Leland Road West
Quilcene, WA 98376
(206) 765-3331
April 20, 1989
Carter Breskin
Jefferson County Public Works
PO Box 1220
Port Townsend, WA 98368
Dear Ms. Breskin,
Enclosed you will find the tank tightness testing certifications for your
tanks located at Brinnon, Ouilcene, Hadlock, Clearwater, Hoh River, and
the Courthouse. As you can see, the tanks all tested well under the 0.10
GPH as regulated by EPA, and also below the 0.05 GPH criteria for
tightness established by the National Fire Protection Association,
Bulletin N.F.P.A. 329. By keeping accurate monthly inventory control
records (within 1% of flow-through plus 130 gallons) you are now in
compliance with EPA's final regulations. The enclosed tank testing
results must be kept on file until the next test is conducted. The
next tank tightness testing will be needed by April 20, 1990 or sooner
if you suspect a problem.
If you have any questions regarding the enclosed test results, please
feel free to call us at (206) 765-3331.
Respectfully,
~"~
~ e....-'
n Je "'en
, er/Operator
encl: test results
billing invoice
=-=~~JjJ ~ ,
---~::W~h
Jensen Tank 0
Testing <:~
1 NAME
JeffeLson County
Courthouse
a. Tank # 1
b. Tank product Diesel/Stove.Oil
c. Tank diameter 60"
'I~ ..'i~1:" .,
.,:,,,,,;.:'.!.,.
~{:,A~ "~,;',;:}o~;i
:,-,',',:' ,-,',,;-."
-----
Tank Operator
2
Test &
Tank Data
3
Water
In Tank
4
Water Table
Compensation
PreHmlnary
Test Data
Test Data
Test
Results
Certification
Ainlay Tank 'Tegrity Tester™ Field Test Data
ADDRESS
PO Box 1220
POLt Townsend, WA
PHONE
98368
(206) 385-9160
d, Fill pipe length
e. Tank volume
36"
1500 qallons
Start Water In Tank
End Water In Tank
5~
,,,
Inches
Inches
a. Height of Water table above tank bottom
b, Denslly of tank product
Density of external water
c, Additional head required to
achieve minimum 1 PSI at water level
= ~ (h) Ins,
= _ (w) Ib,s/cu, Ins,
= 0.036 Ibs.!cu. Ins.
= (h) x 0,036 =
W
x 0,036 =
Ins,
5
a, Start temp, check amJ~ 7: 05
b,Endtemp,check amJ~ 8:05
c. Time since lastllq. added ~ hrs.
d, API gravlly ~ at ~degrees F,
e, API gravlly .l2....2 at 60 degrees F.
1. Coelf. of expansion .0004532
a, Total temp. change (avg. end temp. avg. start temp) - 52.7130 . 52.7412 = -.0282
b, Yol, change due to temp = prod, volume x temp, change x co eft, of expansion
= 2e 1500 x 6a ~ x Sf .0004532
0, Total liquid volume added~ at end of test +.043
d,Yol.changenotduetotemp(b+c) -.0192+ ~ +.0238
e, Leak rate = Cd) x 60 - +.0238 x 60 +.0238
60
= -.0192
gals.
gals,
G,P.H,
TIme of Test (mfns.)
+ Leak rate means loss . Leak rate means gain
Normal test time Is 1 hour.
7
This leak rateXl<il!l;/does not exceed the standard of 0,10 GPH as
described In the EPA final federal register.
8
This certifies that the tank system described was tested by the vnders/gned
and that the stated results represent the true state of the tank on
this date to the best of my knowledge,
CommentslRecommendatlons:
04-19-89
sting Representative Date
PenP,inl,lnc. "100
See Page #2 For Temperature Print-Out
gals.
r:
F-"
,-
frt'lE l'>!'~ --
j~~ Irtm-~I~ F
Tlt'lE
CHI
CH~::
CH':::
::4\,IJ;
In!!!
DEC; F
DEG F
DEG r.:'
DEG r
TIt-IE
:Hi
CH2
,::H:3
'il,,.'(;
gl ~:1g~J~~~
52.69::::'4
~~ :3~~;~i
DEG
DE;; ,:
DEG F
DEG r'
+.024
TIt-1E (1 :0(1 ::~:5
CHi C"'-, .0914 DEG
._Ie. r
CH2 1::".-, . 6::::'::~:~: DEG
,_lC.
CH::;: t:;",-, .4204 DEe; F
,_I,;,
AI'iG 52. ?2:::G' DEI:; F
Tlt'lE (1 :00 :40
CHi c.-,-, .0901 DEG F
,_Ie.
!:H2 52 .6:::47 DEI:;
CH:3 5:~: ~4124 DEG~ F
A'."IG 52 ,,7i:::~; DEG r
Tlt'1E (1 :O(i :45
CH1 t:;',-, .0972 DEG F
,_Ie.
CH2 C"'-, .6872 DEI; F
,_Ie.
CH3 5:::: .41)2 DEG F +.007
q\,IG ::I~ . 72J:::i DEI; ~
r
TH'lE ~) : ~.:.ii::.i :~iL1
CHi 52.(1'361 DEG F
CH2 1::",-, .6::::~;2 DEl; ;:-
,JC
'::H:3 5:::: .41 16 DEG F
H\,IG; 52 . ;'2~::k:, DEG F
~
TIt'lE (1 :[1(1 :55
CH1 1::',-, .~;:i94;:: DEr; F
,_Ie.
CH2 C"'-, .6:302 DEt:; ,F
,_Ie.
CHi::: 1::",-, ,41]44 DEG F
,~I,':,
?:ii",IC; t:'.-, .7167 DEG F
,_Ie
T It'IE (1 :01 :(iO
CHI 52 . ~j'j:;:4 DEI:; F
1:::::-12 52 .6??::.: DEG F
CH::: ~1:3 . 3':.~:::::: DEI:; F +.008
j:1\'\; ~52 .?l::::? DEG F
o :01 :~Y:.:
~J ~ ~f~f;
L)t:~t; F
DE:; f'
[1[(; F
Dt=~G F"
Tii'lE
C,l.,'1
i~'tf..~'
j".::j'".!G
l1 :01: 10
!'52 . ~:19.7,5
~:~ : ~;;i;~t~;
5E:.?J.::::~1
DEG F
Itr:.; F
DEI~ F'
DE,!.; F
(1 '01' 1 ~-;
5~::" .09',;:';,-;
€I!'~~ : ~fl;;;:;;(:;~
~~i.:' . .~:.' 1 ....~I"
F
F'
,
r
\.II.~I\M"
I ,I1114
"f.'" i"'t,\ ; "'.,
1.114:1
i'\..,'l ',"-(
..f f <') ::"
Jefferson County Deparcment of Public WOrks
COurthouse
Tank #1 Diesel/Stove Oil 1500 gallons
Total liquid volume added during test:
~~J\,ll~,~
--- ~-~J-l
~~3-_7:J.
Jensen Tank 0
Tesling Company
Tank Operator
Test &
Tank Data
Water
In Tank
Waler Table
Compensation
Preliminary
Tesl Data
Test Data
Tesl
Results
CerHlcation
Ainlay Tank 'Tegrity Tester™ Field Test Data
NAME
Jefferson County
Hadlock Division
ADDRESS
PO Box 1220
Port Townsend. WA 98368
PHONE
(206) 385-9160
2
a. Tank # 1
b. Tank product Reqular Gas
c. Tank diameter 94"
d, Fiif pipe langth
e. Tank volume
3311
5000 qallons
3
o
o
Inches
Inches
Start Water In Tank
End Water In Tank
4
a. Height of Water table above tank bottom
b, Density 01 lank producl
Density of exlernal water
c. Additional head required 10
achieve minimum 1 PSI at waler ievel
= ~ (h) Ins,
= _ (w) Ib,stcu, Ins,
= 0,036 Ibs.!cu, Ins,
= (h) x 0.036 =
W
x 0.036 =
ins.
5
a, Start lamp, check a~ 8: 15
b, End lemp. check a~ 9: 15
c. Time since iast Iiq, added ~ hrs.
d, API grav~y ~ at ~ degrees F.
e. API grav~y 58.8 at 60 degrees F,
f. Coelf, 01 expansion .0006770
a, Tctal temp, change (avg. end Ie lop - avg. start temp) - 55 .3253 - 55.3206 = +.0047
b, Vol, change due to Ie lop = prod, volume x temp, change x co eff. cl expansion
= 2e 5000 x 6a ~ x 51 .0006770
c, Tolalliquid volumelildl!<subtracted at end of test -.004
d, Vol, change not due to temp (b +c) ~ + ~ +.0119
e, Leak rate = (dl x 60 = +. 0119 x 60 +.0119
60
= +.0159
gals,
gals,
G,P.H,
Time of Test (mlns.)
+ Leak rate means loss ~ leak rate means gain
Normal tesl time Is 1 hou r.
7
This leak rate~does not exceed the standard of 0,10 GPH as
described In the EPA final federal register,
This certifies that the tank system described was tested by the undersigned
and Ihat Ihe stated resuifs represent the true state of the tank on
this date 10 Ihe best of my knowledge,
ocf}/ft11 flJ ~.J.r/n<:U"'< ~ 04-19-89
Jensen Tank Testing /3epresentative Date
CommenlslRecommendatlons:
PenPrinl,lnc. 11/68
See Page #2 For Temperature Prlnt.Out
gais,
0 :00 iO
5:::: .9(1[15 DEi.; F
54 .9:::'36 DE!; c-
~, r
,_l/ . ::::'ji:7 DEI; F
~~ .::::206 [lEG F
._L.~I
-nlE 0 :00 : 1'"
'-'
:H1 C'.-, .9(122 DEG F
_I.':,
:H2 54 ~9'3t.4 DEG ~
:H:::: 57 r
. 4~~147 DEG F
~l,i(; 55 .:~:27::: nFI~ ~
- It-!E (1 :00 : 2~:1
:H1 c:;".-, .902:~: DEG F
'-'..:,
:H2 55 . ~)~:10::: DEi; F
:tJ::,: 57 .4146 DEI; F
~\,lr:; "'~ .331:~: DEI; ~
._l,~l r
rHiE ':1 :00 ..-,e:;"
a C.._l
:Hl 53 .9~314 DE(; F
:H2 ~~ .O~]::::2 DEG F
,_1,_1
:H::: ~, .4300 DEl; F
.t.'
1\1(; 55 .:~::~:66 DEG F
fHiE ~J aX1 ::~:O
:H1 5:3 .::::909 DEG F
_~H2 54 . 99E,:::: DEG F
:H3 57.4:365 DEI; r
.~:.i(; 55 .:=::~:2:::: DEG F
fHiE 0 :O~:1 :::;~
:H1 5:3 . ::::::'31 DEI; F
:H2 54.'3951 DEt; F
.:H:~: 57.442::: DEI; F
-..iVI; 55 .::::::::::::::::: DEt; F
fHiE ':1 aX1 :40
:H1 5:::: .:::7'36 DEG F
:H2 54 . 99~]O DEG F
_H:3 57 .4::::51 DEt; F
i\/(;; 55. ::::240 DEI; F
rmE
:Hl
:H2
:H:::
il",IG
~:~:~~1~~~4~~
~~ : 11:~r.
~f~i~ F
lIc.i.:. F
IrEt; F
DEG F
fHlE
:H1
~~f:
i\,I(;
0:00:50
~~ : :~~~I
57.4::::5:::::
,_1._' . ::::202
DEG F
DEG F
IrEI; F
IrEt; F
-H1E
:Hl
m
~\,rG
(1 a3~:1 :55
5;~: . :::6:'=:(1
~j : l~~:j~
55 .::::19:~:
DEG F
DEI; F
DEt; F
DEI; F
'It1E
.Hl
'H2
,~~;.~
0:01 :00
53,:::f.:,34 DEt; F
54 ,"':::2,~: DEt; F
57.4::::6:::: DEt; F
55 .:~:17.::j DEG F
It'1E
]-11
~H]
i't,I.":I
0:(11:(15
5,~: .:::664 DEG F
54 ,'3:::51 Iif'T F
57.4424 DE:r; F
55 . :;::21 :;: DEG; F'
O:Cn 10
53 . :,:6:::::: DEG F'
54 ,.,.::::::::: DEI; F
57.44'?7 DEG F
55 . ~:253 DEG F
""1F
:ti1 -
:W~
~!I.}G
TOTAL
o
-.002
Jefferson COunty Department of Public Works
Hadlock Division
Tank #1 RequlQL Gas 5000 qallons
Total liquid v01ume subtracted during test:
o
-.002
-.004
-- ~j90
Jensen Tank 0
Testing Company
Ainlay Tank 'Tegrity Tester™ Field Test Data
NAME ADDRESS PHONE
Tank Operator Jefferson County PO Box 1220
Hadlock Division p"rt Townsend, WA 98368 (206) 385-9160
2 a, Tank # 2 d, Fill pipe length 2911
Test & b, Tank product Diesel G. Tank volume 2500 qa110ns
Tank Data c. Tank diameter 75"
Water
In Tank
Water Table
Compensation
Preliminary
Test Data
Test Data
Test
Results
Certification
Start Water In Tank
End Water In Tank
I!,;
1..
Inches
Inches
4
a. Height of Water table above tank bottom = ~ (h) Ins,
b. Density of tank product = _ (w) Ib,s/cu, Ins.
Density of extemal water = 0,036 Ibs.!cu, Ins,
c. Additional head required to
achieve minimum 1 PSI at water level = (h) x 0,036 = x 0,036 =
W
ins.
5
d. API gravity ~ at ~ degrees F.
e, API gravtty ..li....3 at 60 degrees F,
f. Coeff, of expansion .0004597
a, Start temp. checl< amti'll'ii 7: 00
b, End temp, check amt/iIA 8: 00
c. Time since last IIq. added 12!:- hrs,
6
+ 0171
a, Total temp, change (avg, end temp - avg. start temp). 55.1657 - 55.1486
b. Vol. change due to temp = prod. volume x temp. change x co elf. of expansion
= 2e 2500 x 6a .L.ill.1J.. x Sf _ 0004597
c, Total liquid volume ~ubtracted at end of test .008
d, Vol, change not due to temp (b +c) ~ + -..:.QQL = +.0116
e,Leakrate=(dlx 60 -+.0116 x 60 - +.0116
11me of Test(mlns.) 60
+ Leak rate means loss . Leak rate means gain
Normal test time Is 1 hour.
+ 0196
gals.
gals.
G,P,H,
7
This leak rate I!l!iilt/does not exceed the standard of 0.10 GPH as
described In the EPA final federal register.
6
This certifies that the tank system described was tested by the undersigned
and that the stated results represent the true state of the tank on
this date to the best of my knowledge.
~<n/l1.
Jensen T~nk Testing
04-19-89
Date
CommentsfRecommendatlons:
Pen Print, Inc. 11/88
See Page #2 For Temperature Print.Out
gals.
DEG f-
DEt,; F
l.l[(; F
DEI; F
-lf1E ~] :CiO :25
~H; 51 .;::51 ~. DE(; F
_H,~ 54 .::'21 ';; DE(;; F
:H3 59.0'312 DEG r
'l"/I.~ 55.14:::] DEe; F
-mE o : ~:iO : :~:o
:Hl ::i 1 .::::4::;,7 DEG F
:H2 54.8121 DEG F
:H3 5'3 . ~]:::::;:9 DEI; F
i\lC; "'''' 14~)2 DEi; F
,_I._I.
-HIE (i :00 ::~:5
:Hi 51 .:::45? DEC; F
:Hc: 54.::::161 DEr; F
:H:.-:: 59 . (ie:~:3 DEr; F
~\,r(; 55.1429 DEe; F -,002
~HIE 0:00:40
:H1 51 .::::4:::f7 DEI; F
:H2 54.:::::::::;:9 DEG F
:H3 59 .0::::9;::: DE(; F
..11..... 55 . 152:~: DC:C~ F
1','1.::3
'-HIE o :(K1 :45
:H1 51 . ::::4~:i'} DE;~ F
:H2 54 . :::~~?4 DEI; F
:fE: 59 . O:=::~:3 DEG F
'.111- 55.1454 DEr; F
~ 1 ',' l.::l
:HiE (1:00~50
,:H1 51 .:::41? DEr; F
:Hc~ 54 . :::::~:54 DEC; F
:H,:I 59 . ~:::1::::;:5 DEG F -,002
~"/I; 55 . 1503 DEI; F
-H,E (1 :(1~:1 :55
:H1 51 .8405 DEI; F
:H2 54 . :::400 DEr; F
:H::: 59 . ~3a44 DEG F
1\,rG~ 55.151'~' DEG F
-U1E 0:(11 :Qf)
:Hl 51 .::1::11::0 DEG F
:H2 54.:::410 DEI; F
:H:3 59 . ~:::1::::::5 DEG F
~I,..I(; 55 . 152::: DE:; F
,HiE (1 a:ll :05
:H1 51 .::14:::7 DEG F
:H2 54 . :::52::: DEG F
:H~: 59 . ~:;:198';t DEG F 0
4VG "'''' lEA:,: DEG F
,_I._I.
M!r.1~ 0:01 : 10
:H1 51 . :::4:~~:O LIEG F
_H,,: ~;4 . :::5(H) liEI; F
:H::: 59.092:;: rlEG F
~r"h~~ 55 . is'?:;: DEG F
:H1E ~:1 : [11 :15
:H1 51 .:::471 DEG F
:H,~ 54.:::541 DEG F
]--1:;: 5'3 .(1':;;'~2 DEG F
~l",.(; 55. 1 t,4::: DEI; F
-Ii'lE (1 a)1 :20
:Hl ~i .:::471 DEI; F
:H2 '54 . ::::54:~: DEI; F
:H~: 5':'1.1014 DEG F -.004
~1't,I(~ 55. 1657 DEI; F
TCYl'AL -.008
(iL,.1'. ,( ;;J f,,,L....-t
'f ;'-(I"'-'\,<>-"'\, t.<-..(.\.-I....--:t.~_
Ilh-Unlc. q.{ 1"5'(
Jefferson County Department of Public Works
Hadlock Division
Tank #2 Diesel 2500 gallons
Total liquid volume subtracted during test:
~'"
'~.;, '
l'
n
};
~
,
I
t,
l
1,
~,
t
~,"
~,;,'
.,
~,
:~"
~
(
~
.~
i
/'
t,
'i'
'~,
t,
"
~
~:
~'
Ii'
, '
1
, ~j
" .
",,"y'
,:".': '
"
,
..,,::.
/' ~-l~h
Jensen Tank 0
Testing Company
'"
"
Tank Operator
Test &
Tank Data
n
Water
In Tank
Ainlay Tank 'Tegrity TesterT" Field Test Data'
NAME
Jefferson COunty
Hadlock Division
a. Tank # 3
b. Tank product Unleaded
c. Tank diameter 6411
3
Start Water In Tank
End Water In Tank
~
~
Water Table
Compensation
Preliminary
Test Data
Test Data
Test
Results
Certification
4
a. Height of Water lable above lank bottom
b. Density of tank product
Density of extemal water
c, Additional head required to
achieve minimum 1 PSI at water level
5
a. Start temp. checl< amlj)/ti 9: 35
b, End temp, check arn.'jlllii 10: 35
c. Time since last Iiq. added 12+ hrs,
6
ADDRESS PHONE
PO Box 1220
Port TOwnsend, WA 98368 (206) 385-9160
d, Fill pipe length ll~"
e, Tank volume 1000 gallons
Inches
Inches
= ~ (h) Ins,
= _ (w) Ib,s/cu, Ins,
. 0,036 Ibs.!cu, ins.
= (h) x 0,036 =
W
Ins,
x 0,036 =
d, API gravity 60.5 at ~ degrees F,
e, API gravity 60.5 at 60 degrees F.
I. Caefl. of expansion .0006862
a. Total temp. change (avg, end temp - avg. start temp) = 54.1529 _ 54.1629 =
b. Vol. change due to temp = prod. volume x temp, change x co efl. cf expansion
=2e 1000 x6a ~ x5f ,0006862
c. Tatalltquldvolumeadded/~~atendoftest = +.011
d.Vol,changenotduetatemp(b+c) = -~+ +.011 = +.004
e.Leakrate=(dlx 60 =<1-.004 x 60 - +.004
60
Time of Test (mlns.)
+ Leak rate means loss . Leak rate means gain
Normal test time Is 1 hour.
7
-.01
= -.0069
gals.
gals,
gals,
G.P.H.
This leak rate <lOOlIi/does not exceed the standard of 0,10 GPH as
described in the EPA final federal register,
This certifies that the tank system described was tested by the undersigned
and that the stated results represent the true state of the tank on
this date to the best of my knowledge,
cxf) /}-1/}/f d )!. /J.
Jensen Tank Testing RMesentalive
8
CommentslAecommendations:
..J
04-19-89
Pen Prinl. Inc. 11/88
Date
See Page #2 For Temperature Prinl.Out
',m" " " ",' ",:",
.'... "
': ' ....
. .' ", ,"
, " ,
" '
. .,.,>" ....' ,',
\ "',',' ,,', .. "
" . ,i<;
'... ., ..'". .', , .
. .. .'.::",::, ,..,\,
". .. ..u..', ":,
',." ,;".
,
'"
, .... '"
. :.....
, "
." ".' ,'" . ' ,... "~'.
:',,/""'::," ".", ".',
":' ." ' .... ,." ..' .' .', .":.,,
" "', ........ ..'.,. ", .
-:: ""',,"'," :,,: ,': ,,'
"''','.: ", ,,",:: " -:
'. :.i., .
.,', " .,.. '.'
.
". '
: .''' " "
,',', ",:',
..' "
, .,'
,'. ,
" ,
..'. ',','.
",' ,:'
'/'
"',
"
:;' .
.' ".';'. '".
" ,'" "
,
,::":.':.... '
,"... '
",' ,
,
'..", '" ' ''':':
, ':,
, ' '.
,'.,;,
,,;' "., '.:,. ',:
;.., ;,:,::::';:
i'" ,;<,
I",:.:' "
,:
,;
"
'1'
"
,
':::,
,
, ' ' ,
...' . ....:.;J
,
I-UlE
:Hl
:H2
-u':'
;~;')G
rUlE
:Hl
:H2
~H~
.~ ',' 1.::1
rUlE
:Hl
-w
:H~
~I.,I'G
'HlE
']11
:H2
~.~U;~
(':I :00 :05
1;;;".-, .57;:::1 DEG
'_'~ F
1:;".-, .94:::4
..)..:. DEG F
5';:. 1?5::: DEG F
54 1629 DEI; F
(1 :00 1 ~:1
~:;2 .571t. DEG F
t:".-, ,'3446
"_I":. DEG F
56 1757 DEG F
54 1615 DEG F
0 :00 15
52 . 56:3? DEG F
l::.-, "r~~;i
"-'.,:, DEI; F
56 DEG F
54 1536 DEG F
fINE
:H1
,~~~
1;,,.'G
fINE
j~i
~~1 : ft(1 : 2Cl
52 .561::~
~~ : 'if5J~
54.151:::
DEI; F
DEG F
DEG F
DEG F
TH1E
'~~i
j:il'lG
(1 :(u] :25
~~: ;~~;5;~
~~: i~~~
DEG F
DEG F
DEG F
DEG F
rUlE
;H!,
'::~3
,A".:~G
~r~~;J:~
5E,.1841
54.1574
DEG F
DEG F
DEG F
DEI:; F
rUlE
;;H!,
_He.
,:H:3
.4'./1;
~~~:g~tI~
5:3 . 9:3::::~:
~j : i ~~~~~
DEI:; F
DEi:; F
DEI:; F
DEG F
0:00:40
52.55?1
5].9:;:60
g~: i~~~
DEG F
DEG F
DEI:; F
DEG F
~3 a)(i : 45
~tf:~~1
.54.15?1
DEG F
DEG F
DEG F
DEG F
~:1 : ~)O : 5(1
52.5552 DEG F
53.9416 DEG F
56 . 1 917 DEG F
5.:.., .15::: 1 DEe; F
-H'lE (1 :~)C1 :55
Hi 52.5441 DEI:; F
:112 g~ : 'i~;~% DEG F
.If::: DEG F
. 'JI'/I:;;; 54 ~ 15~~1::: DEG F
HIE ~)B)1 =00
11 52.5417 DEI:; F
:H2 ~:~: . 9:~:~16 DEG F
:,13 ,_,,=..1 :1i::4 DEG F
:;;'iG 54.1549 DE>:;; F
H1E ~) n]l :05
,:dl 52 . 5~:6l1 DEG F
~H2 5:;: . '~::::?2 DEG F
: Lj:::: .56 ,1944 DEG F
,'1\,.'(; 54. 1529 DEG F
TCYl'AL
+,004
Jefferson County Department of Public works
Hadlock Division
Tank i3 Diesel 1000 gallons
Total liquid volume added during test:
+.002
+.002
+.003
+.011
~ =~rD
------=:>--&,I"J::,O
Jensen Tank
Testing Company
NAME
JeFFer!=>on Count:v
Oui kene Shoo
Tank Operator
Test &
Tank Data
Water
In Tank
Water Table
Compensation
Preliminary
Test Data
Test Data
Test
Results
Certlllcatlon
Alnlay Tank 'Tegrity TesterT" Field Test Data
ADDRESS
PO Rex 12?0
Port~ Towm:;enn. WA
PHONE
(206) 385-9160
98368
26"
550 Gallons
2
a, Tank # 1
b, Tank product Regular Gas
c, Tank diameter 56 "
d. Fill pipe length
e. Tank volume
Start Water In Tank
End Water In Tank
o
o
Inches
Inches
4
a, Height 01 Water table above tank bottom
b, Denstly ot tank product
Density 01 external water
c. Additional head required to
achieve minimum 1 PSI at water level
= ~ (h) Ins,
= _ (w) Ib,s/cu, Ins.
= 0,036 IbsJcu, Ins,
= (h) x 0,036 =
W
x 0.036 -
ins.
5
a, :1tart temp, check am/pal 8: 55
b, End temp, check am/~ 9: 55
c, Time since last IIq. added -lli hrs,
d. API g,avtly ~ at 2l,,5:legrees F,
e, API gravity 58.8 at 60 degrees F.
f. Coel!, of expansion .000676CJ
6
. +.0415
a, Total temp, change (avg. end temp. avg, start temp) = 52.5556 .52.5141
b, Vol. change due to temp = prod. volume x temp, change x co el!, of expansion
= 2e 550 x 6a ~ x Sf .0006769
c, Total liquid volume added/~atend ot test = +.017
d, Vol. change not due to temp (b +c) ~ + +...:.211.- = +.0325
e,Leakrate=(d)x 60 = +.0325 x 60 = +.0325
lime of Test (mlns.) 60
+ Leak rate means loss - Leak rate means gaIn
Normal test time Is 1 hour,
= +.0155
gals.
gals,
G.P,H,
This leak rate da&/does not exceed the standard ot 0,10 GPH as
described In the EPA final federal register,
This certifies that the tank system described was tested by the undersigned
and that the stated results represent the true state of the tank on
this date to the best 01 my knowledge.
04-18-89
Date
CommentslAecommendatlons:
PflnPrinl,!nc, '1188
See Page #2 For Temperature Prlnl,Out
gals.
~ 1~ o~~;~ f:~;
~l J~~f
DEG F
[leI"' r
DEI~ F
DEG F
H1E
:HI
i~!I
1 ,,".::!
IflllI
DEG F
DEG F
DEG F
DEG F
:mE
:H1
:H2
"U':,
~ff1n:
52.530;'
DEG
liEf; F:
DEf; F
DEe; F
~'.,,1G
-HIE 0 :OJ.~1 ::~:5
:H1 51 ,3204 DEG F
:H2 52 .5:::?? DEG F
-:H3 5:2: .6:.::60 DEr:; F
;~',/(; 52 ..5::::.5.1 DEe:; F
-IP1E [1 :oe :4':'
]-li 51 .:~:20n DEI.; ~
.".- r
~nc: 52 .5::::9::: DEe:; r
"H3 5::.:: .6643 DEG F
41./1."; ~52 .5412 DEG F
-mE 0 :00 =45
:HI 5i .:31.7.5 DEG F
:H,~ .52 .5:=:;:::~: DEG ~
:H3 r
5:::: .E.;.::.s~) DEe; F
~\,rG ._'e. .5461 DEe; F
'H1E 0 : 00 :50
:HI 51 . :::'1 76 DEe:; F
:H2 1::".-, .5:::7~, DEI; F
._'e.
:H:::, 5:::: ..70.73 DEe; F
i\,I(; t:".-. .5526 DEe:; F
._Ie.
'mE 0 aX1 :55
:HI 51 .:'::12.5 DEf; ,-
r
:H;~ 52 .5::::~:':? DEG F
:H3 .5:~: ?c.'3.~~ DEe; F
-il",1G 52 5523 DEG F
mE 0 :[11 :00
Hi 51 .30:::.5 DEG F
'H::' .~52 .5.76:'.:: DEG F
H:: 5:':: 74.5 1 DEG F
i",..G 52 551 4 DEG F
'H1E ~) aJ1 :0.5
)11 51 .:;:OJ.~~ DEG
H;~ .'":;C: .5701 DEG F
f-n ,5:':: .75:::4 DCt:; F
i"}C:; ;:i2 .5526 DE,; F
H1E (1 :01 1 ~J
H1 ,51 -,;'014 DEG F
,He: 52 .5:::='01 DEi; F
H::: ':-. .771 DEI; F
..,1.;. ...:'
'l:",rc; ::ri:: . 55:'::'? DEI; F
INE ~J :01 1.5
:H1 .51 .29.7(1 DEG F
:H2 .52 . 5.7~~11 DEI; F
.'H3 .5::;: ..7:::01 Dr:G F
~\,IG 52 .55.:i6 DEG F
'roTAL
(/ . ",
+.003
+.006
+.004
+.004
+.017
Jefferson County Department of Public Works
Quilcenc Shop
Tank #1 Regular Gas 550 Gallons
'Dotal liquid volume added during test:
C1 : CiO = ~J~j
~~ : ~~~~~
t,O . 4Cl;:~::::
55.:::'31:::::
[IE'~ F"
DE::; i-
DEe.; F
DEG F
. !f'lt.
_t1 J.
:1-1,,:
'}i::.:
~I,/\;
-1I'lE
:1-11
:H2
-, 1.-,
_n..:'
,:,"/G
'"B'lE
:Hl F
:H2 F
:H3 ,
1"/(; r
:-Ir'1E ~:; :[10 ~ 4-
:H1 5i.661 DEG F
:H2 55 .745 DEI.; F
:H::,: t;,0 .451 DEe; F
.:tl,/G; ._1._' . '30:~~ DEr; F
rHiE (1 :00 :4~;
:fH 51 .t,E:,5C~ DE:; F
:H2 ~~ . 7~~f,2 DEI.; F
.1.1
:rn 60 .46:::'3 DEG F
11,.,IJ; ~~ .91::::i.~ DEi; F
,_1._1
rH1E 0 :00 :50
:H1 51 .665~j DEI:; F
:H2 ~~ .756:3 DEC~ F
.1.1
:H3 60 .47:::::: DEI; F
4'.,,lJ; ~~ .9L::i.~ DE:;
.1.1 r
,Jr-1E ~] :[u] ::;::~
:H1 51 .E,639 DE(; r
:H2 ~~ .7567 DEt:; F
,,'
-H::: E,(1 . 4:::5~:' DE:; F
1'",'(; ~~ .'?15~, DEe; F
.1,1
~HIE 0 :01 :IJC1
:H1 51 .6~15::: DEC:;' F
:H2 ~~ ,.01,..., .DE!; F
._/._1 ./'"t........
:H:;: 6~;:1 .4:::24 DEG F
1\,1(; ~~ . 9~]:::::: DEG; F
,.,1._1
- H1E 0 :01 : O~..:;
:H1 51 .6~;O:::: DEI"; F
:H2 .1.1 .?44.l DE:.:; F
:H3 ~~,O .4:::61 DE::; F
~It/G; 55 .90?::; DEI; F
-mE 0 :01 : 10
:H1 51 .65:~:? DE:; F
:H2 ~~ .?4::':~J DEG F
_1._1
:H::::: 60 .4932 DEI; F
i'",IG; ~~ .90'311 DEI; F
,_I.~,
"nlE 0 :(11 1:-1
:H1 51 .6::?::n DEI,; F
:H2 ~~ . 7::.:t,:~:: DEG F
,_I,~1
,:H3 E,O .4 '?? ~ DEG F
4',.,1(; 5~5 . 9C1.:.:~~ DEI; F
'lD'l'M"
Jefferson County Department of Public Works
Ouilcene Shop
Tank #2 Diesel 2000 gallons
Total liouid volume added/suht.r;;cted dllrino test:
F
r
+,004
+.OO?'
o
-.002
+.004
~fr
-- -<=>
~~
Jensen Tank 0
Testing Company
Tank Operator
Test &
Tank Data
Water
In Tank
Water Table
Compensation
Preliminary
Test Data
Test Date
Test
Results
Certnication
Ainlay Tank 'Tegrity Tester™ Field Test Data
NAME
Jefferson County
Brinnon Division
a, Tank # 1
b. Tenk product Reoular Gas
c. Tank diameter 4 S II
ADDRESS PHONE
PO Box 1220
Port Townsend, WA 98368 206 385-9160
d. Fill pipe fength 11"
8. Tank volume SOD qa 110m;
Start Water In Tank
End Water In Tank
o
Inches
Inches
n
4
a, Height of Water table above tank bottom
b, Density of tank product
Density of external water
c, Additional head required to
achieve minimum 1 PSI at water level
= --2..-- (h) Ins,
= _ (w) Ib,s/cu. Ins,
= 0.036 Ibs.!cu. Ins,
= (h) x 0,036 =
W
x 0,036 =
Ins,
a, Start temp, checl< am/pm 9: 45
b, End temp. check am/pm 10: 45
c, Time since last liq, added ~ hrs.
d, API gravny 22- at ..& degrees F.
e. API gravity 5.9...9.. at 60 degrees F,
j, Coelf. of expansion .0006829
a, Total temp, change (avg, end temp. avg, start temp) = 53.1615 .53,2075
b, Vol. change due to temp = prod, volume x temp, change x co elf, of expansion
=2e 500 x6a -.046 x5f .0006829
c, Total liquid volume added/~atend of test +.0]4
d, Vol. change not due to temp (b +c) ~ + ~ ~. 0017
e. Leak rate = (d) x 60 - -.0017 x -.0017
"Time of Test (mins.) 60
+ Leak rate means loss - Leak rate means gain
Normal test time is 1 hour.
_ -.046
= -.0157
gafs.
gals.
G,P,H,
This leak rate <lOOXIdoes not exceed the standard of 0.10 GPH as
described In the EPA final federal register,
This certifies that the tank system described was tested by the undersigned
and that the stated results represent the true state of the tank on
this date to the best of my knowledge.
04-16-89
Date
CommentslRecommendations:
. g Representalive
Penrrjnl.I~, 11/88
See Page #2 For Temperature Print,Out
gals,
Dt.:.i.; F
DE,; r
11'iG DEe; F
DEG F
-mE 0 :00 is
:H1 50 .:::i5:;: DEI; F
:H2 !:;,.--, .0::;:01 DEI; F
.1.",
wn.."i ~~ .941 1 DEe; F
11",1(; !:".-, .2~:::i59 DEG F
.1.",
~mE 0 aX1 :20
:H1 50 .:::042 ItEr; ~
:H2 r
.1.", .0314 DEI; F
:,13 55 .9327 DE(; F
~!'lG 53 .201e, DEG F
'H1E (; :00 . ,-. I
:H1 .50 .7905 DEG F
:HE: ._1.':, . ~=i~~;::6 DEI; F
:H3 ~~ .'32:3::: DEI; F
'w.l._1
.~\,ll:; 1=.-, 195i DEG F
_I.':,
rmE >:1 :00 :::;:0
':H1 5(1 .7:::27 DEI; F
,:H2 5:~: ,0::;:16 DEI; F
:H3 ~~ .'?1B4 DEe; F
._1._1
~1,lG; 5:~: 1 '32:~: DEI; F
rUlE 0 :00 . .-,t:'
..W"l
:H1 50 .7764 DEG F
:H2 1::'.-, .0:376 DEI; F
._1.':,
:H3 55 .'3145 DEG F
:~l,/[; 5J 1'333 DEG F
rrt'1E 0 :00 :40
:H1 50 .7682 DEI; F
:H2 5:~: .0359 DEI; F
:H:3 55 .'3~~i::::=: DEG F
1\,1(; 5:~: . 1 :::::::::;: DEG F
'-mE 0:00 :45
:H1 5~~1 .7647 DEe; F
:H2 5:;:.O:~::::9 DEG F
:H3 55 . 9~~162 DEG F
1\,1(; 5::::.1 ::::::'~ DEG F
-H1E [1 :[u) :50
:H1 50.7567 DEG F
:H2 53 . ~i337 DEI; F
:H3 55 . :::94~Zi DEG F
~l,/C; 5:::: . 1 ::: 1 '3 DEG F
-mE 0 :00 ,~~
. ._1._1
:H1 :;:iO.7534 DEI; F
:H2 5:3.0381 DEG F
:H3 55 . :::907 DEI; F
il",IJ; 5::::. 1::::04 DEG F
-mE 0:01 :[1>:1
:H1 5[1.7471 DEI; F
:H2 5:::: . ~)::::'3Ci DE:; F
:H,:;: 55. :::::a;:l1 DEG F
il,lG 1::'.-, 17::::3 DEG F
._1.':"
-HIE (1a)1 :05
:H1 50 .7:;:97 DEI; F
~W] 5:::: .:;I:;:9E, DEG F
55.:::7:;:6 DEG F
il,/I; 5::::.1747 DEG F
-HIE (1 :[11 10
:H1 50.7205 DfG F
:H2 5:;: . (1i.:::'33 DEG F
:,B 55 . :::607 DEG F
~I'}G 5:;: ,1':,15 DEI; F
Jr ( + r " :: ,>-,
, roJ'AL
rli'\l'lcI...,
+.014
,..,
Jefferson County Department of Public works
Brinnon Division
Tank #1 Regular Gas 500 gallons
Total liquid volume added during test:
o
o
o
+.014
""":
,',
> .:, ',..
~=~~
Jensen Tank 0
Teslln~ compan~
" '
,
, " ,
, , ' ,': "
'.' . ""
. '
I ' "
" ,':
:'"
"
"',",
,
I NAME
Tank Operator Jefferson County
Brinnon Division
2 a, Tank # 2
n Test & b, Tank product Diesel
Tank Data c. Tank diameter 45"
3
Ainlay Tank 'Tegrity Tester™ Field Test Data
ADDRESS PHONE
PO Box 1220
Port Townspnd Wll qA~hA (.,n~' ,a._a, ~n
d, Fill pipe length 18"
e, Tank volume 1000 gallons
Water
fn Tank
Water Table
Compensation
)
Preliminary
Test Data
Test Data
Test
Results
Certification
i
j,
f~',
t.
t.
I
'f-
~
i,
\
I
t
i
j
"
i
f
\" "
f .,'
,ff '."
"
:
Start Water In Tank
End Waler In Tank
o
o
Inches
Inches
4
a, Height of Water table above tank bottom
b, Denstty of tank product
Density of external water
c, Addttional head required to
achieve minimum I PSI at water level
= ~ (h) Ins,
. _ (w) fb,s/cu, Ins,
= 0,036 Ibs.!cu. Ins.
= (h) x 0.036 =
W
x 0,036 -
Ins,
5
"
a, Start temp. checK aml~ 11: 15
b. End temp. check &mtpm 12: 15
c, Time since last IIq, added 12+ hrs.
d, API gravtty ...1L at ~ degrees F,
e. API gravtty 34.7 at 60 degrees F.
I. Coefl. of expansion' 0004611
a, Total temp, change (avg, end lemp. avg. start temp). 50.4226 .50.4692
b, Vol. change due to lemp = prod, volume x temp, change x co efl. of expansion
= 2e 1000 x 6a ~ x 5f .0004611
c, Total liquid volume ~/subtracted at end of test = -.002
d, Vol, change not due to temp (b +c) = -~ + ~ = - .023
e,Leakrate=(d)x 60 _ -.023 x 60 = -.023
60
= -.0466
= -.021
gals.
gals,
G.P.H,
gals,
Time of Test (mlns.)
+ Leak rate means loss ~ Leak rate means gain
Normal test time Is I hour.
7
This leak rate ~/does not exceed the standard of 0, I 0 GPH as
described In the EPA final federat register.
This certifies that the tank system described was tested by the undersigned
and that the staled results represent the true state 01 the tank on
this date to the best of my knowledge,
,K' D j-}j (1,
..
Jensen Tank Teslfp'g Representative
04-16-89
Date
CommentslRecommendatlons:
" ::,-', ..... ,',:'. ','.' .'
,'. .. '.. ',' . ," ,
,;.; :" ',' ,:" ", :'
I;,: . '...'., .,
...,,<';,
" "
", ,:' :.'
:,". ,', ,
", '.....,
", ". ," ,:
., ", ,."
',', '.",'" ,',
,
",
Pen Prinl, Inc. 11108
I
:,:' .
.'::' .
, '
'. .
" .' ',",
. '."
',,' .".' ...'....
:,.'; .; : ',> '
.,.
;,
See Page #2 For Temperature Print. Out
,
"... ',. ' ..... .,.., ':... ,:'
, '../: :; '. .' .',
',',,,";' ,',', , "'., ,',' ",'.
" ..': , ',,',' ,," ...'.',:, "," :':
""..,.',' "", ,
" . ,.' '.,
. ,',' " '" ,"',"1
. :".."; :,.:,,:,
,,:,:' :,",' ,:,:,":,:,
"" "" '.' ",', "".':
'" ," "
'.',..,..:.:.2:.::
',': ' ,'. :
, ',: '",,,:,
... "
. ..,' ',,' ..,
.':',', ..
, ' "
"
, "
'. .,... .'1,.'.'::'
, ,:, .." ',;':.'
-if'iE CI =00 :25
~H 1 4::: -t:.1J4 DEi; F
:H2 50 . 35l1i DEG F
:H3 52 .5::':27 DEG F
~1,,'1C;; ~50 .4627 DEi; F
-HiE (1 :C1~:::1 :30
:Hl 4::: .. 6:::::~:2 DEG F
:H2 5~) . :::::i4(i DEC; F
:H:~: ~l;;: .5295 DEG F
41,/:'; 50 .470~:::i DEI; F
'-H1E o :00 ::~:5
:Hl 4:::: .65::::2 DEI; F
:H2 .5).J . J5:3.5 DE,; F
:H:~: 52.525? DEG F
,f'lG 5~:::i .474:::: DEG F
0
I f'1f: [, ;0[-: :40
:Hl 4:::: . 6~A4 DEG F
i/: ~ :H2 50.:::::3::::9 DEI; F
~:y) ,:H:~: 52.50'31 DEI; F
;.~~':~ :~I"IIG 50.4648 DEe;; F
iH1E 0=00:45
:H1 4::: .r;:.745 DEG F
:H2 50.3141 DEG ~
r
:H3 52.4'377 DEG F
~\,l(; 50.4516 DEG F
,-H1E ~3 iOO :5~:::1
:H1 4:::: .6794 DEI; F
:H2 5~~1 . 30:~:7 DEG F
:H3' 52 .4'3:39 DEG F 0
..~VG 50.44EA DEI; F
rUlE o :~:::iO :55
:H1 4:::: .. 675::: DEG F
:H2 50.2'394 DEi; F
:H:~: 52.. 4::::64 DEG F
'11'/G 50.4417 DEI; F
rH1E 0:01 :~X1
:H1 4:::: .E.762 DEG F
:H2 5~3 .. 2::::[1:~: DEI; F
:H:c: 52.4::::1::::: DEG F
1'.,,1(; 50.43(11 DEG F
rUlE 0:01 : ~:15
:H1 4:::: .. 67'37 DEG F
:H2 5~:::1 .2::::::;:6 DEI; F
:H3 52.47:;::::: DEG F -.002
~1",IG 5~:1 .4:;:24 DEG F
rUlE 0:01 :10
:H1 4::: .6:::60 DEG F
:H2 50 "2::::::::5 DEI; F
:H:c: 52 . 47:;:~:::1 DEI; F
i\,1G 5(1 .. 4354 DEG F
'It1E C1 :01 :15
:H1 4::: . 69121:i DEG F
:H2 50 . 2::::~::::: DE'; F
:H:c: 52.4666 DEI; F
~\/G ::iO .4:32:1 DEG F
;H1E 0 :01 :20
:Hl 4::: .6:::4:,: DEG F
:H2 50_2716 DoG F
:H:,: 52.4574 DEG F 0
1\n~ 50.4226 DEG F
5" u' (,.', I () "Tarl1 ,) f\"
t.J I~ ,.....vol,} -.002
'-',O,~ " '/1'
i) ..... / ;'1
Jefferson County Department of Public WOrks
Brinnon Division
Tank #2 Diesel 1000 gallons
Total liquid product subtracted during test:
~~,:::~~Jl\
'--=----=>-1'10
Jensen Tank
Testing cOI11P~ny
NAME
Jefferson County
Clearwater Division
Tank Operator
2
Tesl &
Tonk Data
3
Water
In Tank
4
WalerTable
Compensation
Preliminary
Tesl Data
Tesl Data
Test
Results
Certification
Ainlay Tank 'Tegrity Tester™ Field Test Data
a, Tank # 1
b. Tank product ni p-!=;e'
c. Tank diameter 4 511
ADDRESS
PO Box 1220
Port Townsend, ~IA
d, Fill pipe length
e. Tank volume
PHONE
98368
41"
206 3 5-
!:inn g-=-llnnc:
Start Water In Tank
End Water In Tank
o
n
Inches
Inches
a, Height of Water table above tank bottom
b, Density ot tank product
Density of external water
c, Additional head required 10
achieve minimum 1 PSI at water level
= --!l- (h) ins.
= _ (w) Ib,s/cu. Ins.
= 0,036 Ibs.lcu. Ins,
= (h) x 0,036 .
W
x 0,036 =
ins.
5
a. Start temp, check aml,xK 10: 1 0
b, End temp, check amlpll{ 11 : 10
c, Time since last IIq, added J1:!:. hrs,
d, API grav~y 32...5.. at 4lL- degrees F,
e, API gravity ~ al 60 degrees F.
f. Coeft. of expansion .0004564
6
a, Totai temp, change (avg. end lemp - avg, start temp) 47.5764 - 47.5911 = -.0147
b. Vol. change due to temp = prod. volume x temp. change x co eft 01 expansion
= 2e 500 x 6a-...!ll.;12- x 5f 0004564
c, Tolai liquid volume added/S<il:lltl0lll<<at end of test + 001
d,Vol.change not duelotemp(b+c) . -.0034 + +.001 -.0024
e,Leakrate=(dlx 60 .".0024 x 60 -.0024
60
00,4
gals.
gals,
G.P.H,
l1me of Test (mlns.)
+ Leak rate means loss - Leak rate means gaIn
Normal test time Is 1 hour.
7
This leak rate ~/does not exceed the standard of 0.10 GPH as
described In the EPA final federal register.
8
This certifies that Ihe lank system described was tested by the undersigned
and that the stated results represent the true state of the tank on
this date 10 the best of my knowledge,
04-15-89
Date
CommentslRecommendations: Evidence of over-fills and/or spills around fill pipe.
Ing Representative
PonPnnl,lnc:. "188
See Page #2 For Temperature Print.Out
gals,
j~J~l
/' ~~~~h
Jensen Tank 0
Testing .company
Tank Operator
Test &
Tank Data
Water
In Tank
Water Table
Compensation
Preliminary
Test Data
Test Data
Test
Results
Certification
Ainlay Tank 'Tegrity TesterUl Field Test Data
NAME
Jefferson County
Clearwater Division
a, Tank # 2
b, Tank product Reqular Gas
c. Tank diameter 45"
ADDRESS
pO Box 1220
port Townsend, ~]A
d, FBi pipe lenglh
e. Tank volume
PHONE
98368 (206) 385-9160
33"
500 qallons
3
o
o
Inches
Inches
Start Water In Tank
End Water In Tank
4
a, Hefght of Water tabfe above tank bottom
b, Density of tank product
Density of external water
c. Additional head required to
achieve minimum 1 PSI at water level
= ~ (h) ins,
= _ (w) ib,s/cu, Ins,
. 0,036 Ibs.!cu, ins,
= (h) x 0,036 =
W
x 0,036 =
Ins,
5
d. API gravity 2L at ~ degrees F.
e. API gravity @..2 at 60 degrees F.
f, Coeft, of expansion .0006862
a, Start temp. check amljl!1( 11: 20
b, End temp, check llKlJpm 12: 20
c, Time since last Iiq, added ~ hrs.
6
a, Total temp, change (avg, end temp. avg, start temp) = 48.0811 . 48.0740 = +.0071
b. Vol. change due to temp = prod. volume x temp. change x co eft. of expansion
= 2e 500 x 6a :J:.,.QQ2L x Sf .0006862
c, Total liquid volume added/subtracted at end of test 0
d, Vol, change not due to temp (b +c) = +~ + ---2.- = +.0024
e.Leakrate=(dlx 60 =+.0024 - +.0024
= +.0024
gals,
gals.
G,P.H,
Time of Test (mlns.) 60
+ Leak rate means loss ~ Leak rate means gaIn
Normal test time Is 1 hour.
7
This leak rate d!KOC'does not exceed the standard of 0.10 GPH as
described In the EPA final federal register,
8
This certifies that the tank system described was tested by the undersigned
and that the stated results represent the true state of the tank on
this date to the best of my knowledge,
04-15-89
Date
Comments/Recommendations:
PllnP,inl,lnc, 11/88
See Page #2 For Temperature Print.Out
gals,
(1:00:0::-:i
4.7 ~ 1 :~:'~O DEi; F
4;.1 . ::: 1 ;::,:.:: DEI; r
49 .52:~:2 DEt; c-
,-
4::: .074~;:i DEG i-
TIt'lE 0.:00: 10
CHi 47 1435 DEG F
CH2 47. ::: 1 ::::5 DEG; F
un 4'3. 52~i7 DEG F
Al'/G "Ie .0775 DEG F
TIt'lE OaX1 : i5
CHi 47. 144::' DEG F
CH2 47. :::2 i ~i DEG F
CH3 4';) .5:~:O2 DEG c'
r
AI,/(; 4'::, .0'::'07 DEI; F
TH1E 0:00:20
CHi 47 .14~=12 DEG F
CH2 47.8158 DEG F 0
CH3 49 .5271 DEG F
AI",'(; 4::: . ~::)75::: DEG r
TH1E 0:00 ..-,1::'
.~._l
CHi 47, 1430 DEG F
CH2 47. ':::1:::, i DEG F
CH3 49 .52:::7 DEG F
AVG; 4::: . ~]7E,'3 DEG F
TH1E 0:00 :::'0
CHi 47 , 144~:1 DEG ~
r
CH2 47. :::20::: DEG F
CH:;, 49 . 52t,5 DEI; F
A'",'G 4',' .0791 DEG F
TIi'1E ~] a)(i ::::5
CHi 47.141';) DEG F 0
CH2 47,'::'21:::: DEG F
CH3 49.52(14 DEG F
A\,lt:; 4:::: ,~pe6 DEG F
TH1E ~) :00 :4(1
CHi 47. i436 DEG F
CH2 47.:::2:32 DEG F
CH3 4'3.51:::5 DEG F
A\.'!:; 4:::, . O?~?2 DEG F
TIt'lE ~~i :(K1 :45
CHi 47. i427 DEI:; F
CH2 47.:'::209 DEG F
CH3 49.5171 DEG F
AVG 4::: .0756 DEI; F
T1t'lE 0:00:50
CHi 47, i 4,;,;::: DEG F
CH2 4' .:::242 DEI; F
CH3 49.515:~: DEG F 0
AVr:; 4,:::. (Oe,:,' DEG F
TH1E ':1 a)(i :~i~~
CHi 47. i4i6 DEG F
CH2 '47.:::21 '3 DEG F
CH3 4':;' .::i20::: DEI; F
f41",'(; 4::: . ~3775 DEG F
TH1E [1 :01 :00
CHi 47.1400 DEI; F
CH2 47.8212 DEI; F
CH,;, 4'3.5251 DEG F
Al",IC; 4'::: ,07',";) DEI; F
TH1E 0 B:l1 a)5
CHi 47. 1404 DEI; F
CH2 4? . :::22;:~ DEG F
CH:;, 4'3.527::: DEG F
~~I,,.rl:;; 4", . I),::, 1 i DEe F 0
=.1 f i , { .1
{ TOI'AL 0
/.?f' 'I
Jefferson County Department of Public WOrks
Clearwater Division
Tank #2 Regular Gas
TOtal liquid volume change during test:
,,- ".'" ,', " '
, '
"'\ .,
. ,',<, ,", " :,' ' ",,',":' '.
. . . .,..
.....". ,',.'
:.:::
~!f0u
Jensen Tank 0
Testing _c,~mpany
1 NAME
Jefferson County
Clearwater Division
~
Ainlay Tank 'Tegrity Tester™ Field Test Data
PHONE
(206) 385-9160
ADDRESS
PO Box 1220
port Townsend, WA
d, Fill pipe length
e. Tank volume
Tank Operator
98368
34"
500 gallons
a, Tank # 3
b. Tank product Unleaded Gas
c. Tank diameter 45"
2
Test &
Tank Data
~ 3
Water
In Tank
4
Water Table
Compensation
');
o
o
Inches
Inches
Start Water In Tank
End Water In Tank
.:
= ~ (h) fns,
= _ (w) Ib,s/cu, Ins.
= 0,036 Ibs.!cu, Ins,
a, Height of Water table above tank bottom
b, Density of tank product
Density of external water
c, Additional head required to
achieve minimum 1 PSI at water level
ins.
x 0.036 -
= (h) x 0,036 .
W
5
d, API gravity .2i.- at 50 ,5degrees F,
e, API gravity 60.2 at 60 degrees F,
t. Coeft, of expansion .0006845
a, Start temp, check amip.:iX 11: 25
b. End temp, check ll'<liJpm,o 12: 25
c, Time since last IIq. added ~ hrs.
Preliminary
Test Data
6
- +.0077
a, Total temp. change (avg, end temp - avg. start temp) - 48.9637 ,,48.9560
b, Vol. change due to temp = prod, volume x temp. change x co eft, of expansion
=2e 500 x6a ~x5t .0006845
c, Total liquid volume added/s~t end of test = + 034
d, Vol. change not due to temp (b +c) = ~ + +~ = +.037
e,Leakrate=(dlx '" -+.037 x 60 = +.037
Time of Test (mlns.) 60
+ Leak rate means loss - Leak rate means gain
Normal test time is 1 hour.
Test Data
= +.0026
gals.
gals,
G,P,H.
gafs,
7
This leak rate ~does not exceed the standard of 0.10 GPH as
described In the EPA final federal register,
Test
Results
This certifies that the tank system desclibed was tested by the undersigned
and that the stated results represent the true state at the tank on
this date to the best of my knowledge.
,-xf)t?-tA-1-.( ;!! V-f'-'1 t(U~ { 04-15-89
Jensen Tank Testing Representative Date
Certification
~+;
f
,.
L
~.,
l:i
\..
\
\
CommentslRecommendations: Fill pipe connected to tank has been backed into and bent. The
leak rate of +.037 is under the Federal criteria and this leakage will only occur when tan
is overfilled. Reccmnended that fill pipe be repaired to prevent future, though minor,
See Page #2 For Temperature Print.Out
PonPrinl,lnc.11/88
, .' "', " .' " "," ", "',
. ........,... ,..... '<',' ,,'
" ..' .' ':,:,' ...',
" ....,.".' ..'<,":, ,,' :,
" " ." ." ".' . i
.,. ,".' '
'", '.,:., " ,.,
.... ...~.. ;
.' ......,' ,...'.
.... ';". ..',..
'., '..:.,........,..:
,," ",,'
, .': ','
'",-',. ': ,"
, ,.'
,
",
,-,,,",, '.. .' "
': .'.' .:, . .'
'. :..' ...'
,''. . '. " ....'. "
... " ,:'
',',"', :, .',' .' . " ','
'..', ,.',,' , , ;' ... ,
"',i.";".': "', ':
. . ..).:.
,:.:,
: .,.,..: :
'", . ,,',' '.., """,
..... . ...... ..': "
:, ' , ,',' "" ,':',
. ,"'.',.
'. :::, ....." .
:'...:, "
. ' "
; . ' .
: '.. ,. ..,..
<:"" ,'"
, '
,
':
:' ,..:
r
"
"
I,
~'
1
I~",'
~
f
;\,'
i
..
. "
"
k
JL
~~'
~:.,
\
,jt,
~i
"
. ",,:
-
, ' " ,::" ,
. .' " '. :'.1
....,. ~;\:';'
" ',:,' ,,',
..
,;.
-H1E 0:(11::::5
:H1 4.7.:::426 DEG F
:H2 4::: .6.':::::: DEG F
:H,::: 5(1.6149 DEG F
41,.,1(;' 4::: .9560 DEG F
;- mE 0:01 :40
:Hi 4;~ . :::4:~:5 DEG F
:H2 4::: .6:::(i? DEG F
:H:::: 5~:1. E. 1 76 DEG F
~t'/G 4::: . 956.5 DEG F
r It-1E ~7:i :>)1 :45
:H1 '+7 . :::45:~: DEG F
:H2 4::: . 6:::46 DEG F
:H::,: .5f1.61:=:5 DEG F
-i1",IG 4:::.95:::6 DEG F
m'lE ~) :;:11 :50
],1 47. :::442 DEG F
:H2 4::::.6856 DEG F
:H,::: 5~J .6165 DEG F
::,1,,11; 4::: .959::: DEG F
iU1E 0:01 ,~~
. ,_1._,
:H1 47 . :::4:~:7 DEC; F
:H2 4'::' .6'~10 DEG F
:H:::, 50.6129 DEi;:; F
~1",IG 4:::: . 9594 DEC; F
rINE 0:02=00
:H1 47 . :::'44~) DEG F
,:H2 4:::: .6961 DEG F
:H~' 5[1.~,116 DEC; F
~'."lr.:; 4::::.9630 DEI; F
'INE (1 : 1::12 : ~:15
:H1 47.84:::::6 DEG F
:H2 4:::' .699'::: DEG ~
:H:::: r
50 .6[192 DEG F
1',/(; 4'::' . 9644 DEG F
;mE 0:;32: 10
:H1 ~& J~i~. fi!~ F
:H2 F
:H3 F
~!'I,IG 4::' . '0'617 DEG F
-mE 0:[12: 15
:Hl 47.::::;:60 DEI; F
:H2 4:::,6971 DEG F
:H:::: 5~~i .5991 DEG F
11",'G 4::: . '31595 DEG F
,-It'lE [1 :~~12 :20
:Hl 47.::::::::92 DEG F
:H2 ~:f; :~8l~ DEG F
:H3 DEG F
1\,1(;- 4:':: .962::: DEG F
-mE
-ll'
:H2
:H:,:
i"/G
O:(;E':25
4.7.:::36;? IJE(; F
4:=:.7016 DEG F
50 . .5'3.74 DEG F
4:::.960:::: DEG F
o :o~~ :~::o
4.7.8400 DEG F
,~:~ . .:'06:" DE<:' f:
50 .60U:,1 .Vf:~;:;
'~8. '.~f:~~'? IJCC;
'HIE
:H1
:H2
....J'~
~:"~G
; ~"::.
'\\W,'"
+.012
+.008
+.008
I ,OOCi
1.\1.1-1
Jefferson County Department of Public WOrks
Clearwater Division
Tank #3 Unleaded Gas
~utal liquid volume added during test:
.. ..
,
". ',.', .. " , " '.. ' . ,
=-~D ,..' ... ':
/ :~:':;:' . .'JJ_ i' .'. l
l' ! c'. .
Jensen Tank i Ainlay Tank 'Tegrity Tester™ Field Test Data i
Testing Company i i."
f' 1 NAME ADDRESS PHONE i .' ;
Tank Operator Jefferson County PO Box 1220
i; Clearwater Division .. Port Townsend, WA 98368 (206) 385 9160
2 a, Tank # 4 d, Fill pipe length 39"
Test & b, Tank product Stove Oil e. Tank volume 500 qallons ,
l. Tank Data c. Tank diameter 4511
l 3
., Water Start Water In Tank 0 Inches
17, ,
r In Tank End Water In Tank 0 Inches
4 a, Height of Water table above tank bottom = ~ (h) ins,
Water Tabfe b, Denstty of tank product = _ (w) Ib,s/cu, Ins.
Compensation Density of external water = 0.036 Ibs.lCu, ins,
c, Additional head required to
achieve minimum 1 PSI at water level = (h) x 0,036 . x 0,036 . - ins.
W
5
Preliminary a, Start temp. check am/fl'l" 10:15 d. API gravity R..2. at...2Z- degrees F.
Test Data b. End temp, check am/ptii: 11:15 e. API gravity :u....L at 60 degrees F.
c. Time slnca lastllq, added ..!?- hrs, 1. CosH. of expansion .0004445
6
Test Data a, Total temp. change (avg, end temp - avg, start temp) 4q 4nlR -4q 3624 = +.0414
b. Vol. change due to temp = prod. volume x temp. change x co eff. of expansion
=2e 500 x6a ~x5f .0004445 = +.009 gals,
c. Total liquid volume ~subtracted at end of test = -.001 gals,
d, Vol, change not due to temp (b +c) = +.009 + -.001 = +.008 gals.
-+~ - +.008
e, Leak rate = (d) x 60 x 60 . G,P,H,
Time of Test (mins.) 60
+ Leak rate means loss - leak rate means gain
Normal test time Is 1 hour.
7
Test This leak rate dClliXIdoes not exceed the standard of 0,10 GPH as
fi, Rasults described In the EPA final federal register,
t
r
~r,
11 8 This certifies that the tank system described was tested by the undersigned
?i' Certification and that the stated results represent the true state of the tank on
this date to the best of my knowledge.
,{f, .x0t0vY'lA /f,.1Jcl,4-('?,,---, 04-15-89
~. Jensen Tank Testing Representatlva Date
1 CommentslRecommendatlons: Evidence of over-fills and spills around fill pipe.
i'
~'
}
, Plln Print, Inc. 11/88 See Page #2 For Temperatu," Print-Out
~.
\I'
~ :,::.',i ' :, , : '" " ' ' .. '. ". ..': .....: .i,:.:i'o
,II'
.' ,:',: .,'"" " .
I. ,.\: ..'., . " ...." ,"",,'
" '.,
~ ';", ' .... ',' ",:, ,,':, '.
~ ' " ' . '. i:.
" ' ," ': ".:,
:'" :' ,.' '",' " ',,' ,,,,
:: ':' "''', ".,,' . .,.... .,.' .', .,.,'..:;
, ' ,'. "
''- , ' ,,' ",,," ',,,'
"j .,' -:,:
\, ,', ' . " .' :: .o,.::''''
~,' ',",; ,:
!' ',' ' '" , '. ' . .", ,.\,
:', ",:",' ",.. ',,' ":': ,
i " " , ",,' ";, ..'
: "', ,..' .,,: ',..:,'" ;' , .' ,,:", ','
. .':', .",
i..,", ',,' , " .;,':" , ',',' "';',, :"c ,'.
.,' " . ", " ",', :'" "
i: .,' .'.. .',.,' . ,.. . '.,' :
" .,', ' ",." '.' .'
I
t/', :".. ' ," ,,' " ",
" ':':', '" ,
, , " .:
. , "''-','
.'.'1 .' .' ~ . . "~ .,'
"',':; "': '
. .,."
~'-'.' ,.",...., <"'"
II1II
-H1E
:Hl
:Hi::
:H3
1\,1(;
(i : ~:'~::) :2:::
4>' . 9::::5~, DEG F
4::: . '~'l77 DEI; F
5i .5581 DEe; 1=-"
J.}9.::::624 DEe; F
~:i :~:10 :::::C1
47 . '~:::'36
4:::: .9567
5 i .5'37::::
49 .377::::
Jefferson COunty Deparbnent of Public Works
Clearwater Division
Tank #4 Stove Oil
Total liquid volume subtracted during test:
D:::I; F
DEG F
DEG F
DEG; F
- IfolE
:H1
:H2
:H::;::
il",t(;
!f~1:~~~~
51.6210
49 . :::::::4~:1
DEG F
DEG F
DE:; F
DEG F
-IfolE
:H1
:H2
:H3
1'",'(;
o :~X1 :40
47 "~::::::2 DEG F
48,9",::;::::;:: DEG F
51 .6423 DEI; F
49 .3'~1:::: DEI; F
o
:mE
]-11
:H2
>:~~g
0:00:45
~t ji.~I
49,3903
DEG F
DEI; F
DEI; F
DEI; F
"mE
:H1
:H2
:H3
'71'",1(;
~71 : rn':"1 : ~r1
47 ~ '3'32~:1
4:'::.96'318
51oe,E,75
49.4(;29
DEI; F
DEG F
DE(; F
DEG F
rUlE ':1 :00 :35
~~~;~'<'.''''''1~ : :~~~~~:
~~~~ ~,~ : ~6~~~~
DEG F
DEe:; F
DEe:; F
DEe:; F
o
rUlE ':1 :(11 a:u)
:H1 47 .9:3~;2 DEI; F
:H2 4:::: .9661 DEI; F
:H3 51 .6::::42 DEe:; F
~V(; 49 . 4~~i2'3 DEe; F
,-mE ,) :01 - -"
: ~.:.i~1
:H1 47 . '~:::64 DEI; F
:H2 48.9657 DEI; F
:H:::: 51 .6'345 DEe:; F
1'./(; 49,4046 DEG F
'-U1E o a:l1 :10
rH1 47 . '3::::75 DEe:; F
:H2 48.9E,75 DEG F
:H3 51 ,701:::: DEG F
11,/1; 49.4076 DEI; F
:H1E 0 :01 :15
:H1 47. '3:::::::2 DEG F
:H2 4:::: . '3696 DEG F
:H3 51 .710t. DEG F
4'",'G 49.4122 DEG F
-mE 0:01 :2(1
:H1 47. '3:::55 DEG F
:H2 4:::.9666 DEG F
)'f:: 51 .71:;:9 DEe:; F
iVG 4'~ . 4 O'?,l 5 DEG F
-H1E (nOl :25
:H1 47 . '~?.72 DEG F
:H2 48.9607 DEG F
:H3 51 ,,::"091 DEG F
~""'G 49.403E: DEe; F
'IIJ'I'M"
o
-.001
-.001
/=~
--::-:Tank 0
Testing Company
Tank Operator
Test &
Tank Data
Water
In Tank
Water Table
Compensation
Preliminary
Test Data
Test Data
Test
Results
Certlflcaflon
Ainlay Tank 'Tegrity Tester™ Field Test Data
2
NAME
Jefferson County
Hob River Division
8. Taflk # ?
b, Tank product
c. Tank dIameter
ADDRESS
PO Box 1220
Port Townsend. WA
d, Fill pfpe length
e. Tank volume
PHONE
98368
(206 385-9160
Reqular Gas
45"
16~"
1000 qallons
3
Start Water In Tank
End Water In Tank
o
o
Inches
Inches
4
a. Height of Water table above tank boltom = ---9.- (h) Ins.
b. Density 01 tank product = ~ (w) Ib.s/cu, Ins,
Density 01 extemal water = 0,036 Ibs.!cu, ins,
c, Additional head required to
achieve minimum 1 PSI at water level = (h) x 0,036 = 9 x 0.036 . .l2....5lns,
W .026
5
d, API gravity 22....- at 2L degrees F.
e. API gravity ~ at 60 degrees F.
I, Coelf. 01 expansion .0006829
a, Start temp. check limIpm 3: 30
b. End temp. check aflVpm 4: 30
c. Time since last IIq, added .l1l:. hrs.
6
- -.0205
a, Total temp. change (avg, end temp. avg. start temp) = 50.9564 .50.9769
b. Vol. change due to temp = prod. volume x temp. change x co eff. of expansIon
= 2e 1000 x 6a ~ x 51 .0006829
c. Total liquid volume added/~atend of test = +.0225
d, Vol. change not due to temp (b +c) = -~ + +.0255 = +.0085
e,Leakrate=(dlx 60 = +.0085 x 60 - +.0085
11me ofTest (mlns,) 60
+ Leak rate means loss - Leak rate means gain
Normal test time Is 1 hour,
= -.014
gals,
gals,
G.P,H.
7
This leak rate d<lllXIdoes not exceed the standard 01 0.10 GPH as
described In the EPA final federal register,
8
This certifies that the tank system described was tested by the undersigned
and that the stated results represent the true state 01 the tank on
this date to the best of my knowledge,
04-15-89
Date
CommentslRecommendatlons:
PanPrinl,lnc.11188
See Page #2 For Temperalure Print. Out
gals.
TU1E
CHI
:~~f
Ar,.,'!.';
Tlt'lE
CH1
CH2
CH::::
A I,ll';
~'H1E
CH1
I-H'~
I:H3
::4!".'G
Jefferson County De[>artment of Public Works
Hoh River Division
Tank #2 Regular Gas 1000 gallons
o :Cll :30
4::: .572::: DEI; F
50 . :::9~~1~} DEi; ~
r
53.54:::0 DEi; F
5~3 .9771 DEI; F
THlE 0 :01 ::::~
CHI 4:::: .569::: DEi; F
CH2 50 . :::::::50 DEi; F
CH3 5:::: .5J:::9 DEI; F
Al'/l; 5(1 . '3726 DE(; F
TIt'iE 0 :01 :40
CHI 4::: .5':.90 DEi; F
CH2 50.:::::::::;::'3 DEI; F
CH3 5:~: .54::::5 DEi; F
AI",IG 50.';'754 DEi; F
TOtal liquid volume added during test:
+.0065
TIt'lE
CHI
CH2
CH,:::
AVG:;
(1 :01 :45
ilt Uit
DEi; F
DEi; F
DEi; F
DEI; F
TIt'lE
CH1
CH2
CH3
Ar'/G
~] :01 :5~~1
~~~ : ~~;~~
5:::: .5409
5~] .9727
DEi; F
DEI; F
DEi; F
DEi; F
TIt'1E
CHI
CHi::
CH':::
AI,le;
~] a31 :~~
4:::: .5645
50 . :::::::9::::
g~~~ : ~~f~~~
DEi; F
DEI; F
DEi; ~
DEI; F
+.004
THlE
CHI
CH2
CH::::
AI.,.II:;;
0:02:00
~t~~~:l
50.9672
DE(; F
DEi; F
DEi; F
DEi; F
TU1E
CH1
CH2
CH::::
A",,'G
~3 : ~:::i2 : ~J5
4:3 . 552E,
50.::::79::::
~~~~ : ~~~~
DEi; F
DEi; F
DEi; F
DEi; F
TIt'IE
CHI
CH2
I-':H3
AI,/C;
0:02:10
~~~~ : ~~~~1;~~
g~~~ : ~~~~;
DEi; F
DEG F
DEG F
DEi; F
+.006
(1:02 15
~~~~ : ~~~;~
.::i:::: . .5242
50 .959::::
DEI; r'
DEG F
DEG F
DEG F
~] :02 :20
4:,: .5464
5a . :::::: 19
e-.:3.52!:i:::
50 . '~6~~16
DEG F
DEG F
DEG F
DEG F
~=1 :(12 :25
4:::.5407 DEG F
50. :::7:::0 DEG F
.53. 5 i:: ('1:::: DEG; F
50,9564 DEG F
+.006
'\ I
'roTAL
+.0225
----~--~~h
=-~h
Jensen Tank 0
Testing Company
Tank Operator
2
Test &
Tank Data
3
Water
In Tank
4
Water Table
Compensation
Prellmfnary
Test Data
Test Data
Test
Results
Certifloatlon
CommentSlRecommendatlons:
p..nPrlnl,lnc.11/86
Ainfay Tank 'Tegrity Tester™ Field Test Data
NAME
Jefferson County
Hoh River Division
a. Tank # 3
b. Tank product Diesel
c. Tank diameter 45"
ADDRESS
PO Box 1220
Port 1bwnsend WA
d, Fill pipe length
e. Tank volume
PHONE
98368
38"
1000 Qa110ns
Start Water In Tank
End Water In Tank
o
Q
Inches
Inches
a, Height of Water table above tank bottom
b, Denslly of tank product
Density of extemal water
c, Addllional head required to
achieve minimum 1 PSI at water level
']
= ~ (h) Ins,
= ~ (w) Ib.s/cu, fns,
= 0,036 Ibs.!cu, Ins,
= (h) x 0,036. 9
W
x 0,036 = .-LL Ins,
.029
5
a. Start temp. checl< alillpm 2: 15
b, End temp. check a~m 3: 15
c, Time since last IIq, added !2:t.- hrs.
d. API gravlly ..lL at ~ degreu, F.
e. API gravity 34.7 at 60 degrees F.
f. Coell. of expansion 0004fi11
6
a. Total temp. change (avg, end temp - avg, start temp) = 48,6181 _ 48.5792 = +. 0389
b. Vol. change due to temp = prod, volume x temp. change x co elf, of expansion
= 2e 1000 x 6a +.0389 x 5f .0004611
c. Total liquid volume ~/subtracted at end of test = -.007
d, Vol, change not due to temp (b +c) +.018 + -....QQL.. = +.011
e, Leak rate = (d) x fiO = +.011 x = +.0]]
11me of Test (mlns.) 60
+ Leak rate means loss - Leak rate means gaIn
Normal test time Is 1 hour,
= +. 018
gals,
gals.
G,P,H,
7
This leak rate CiI)oo/does not exceed the standard of 0,'0 GPH as
described In the EPA final federal regfster.
8
This certllles that the lank system described was tested by the undersigned
and that the Slated results represent the true state of the tank on
this date to the best of my knowledge,
04-15-89
Date
See Page #2 For Temperature Prlnt.Out
gals,
Inill DEG F
DEG F
DEG F
DEI; ~
r
T rr-1E jf1lifr
CHI DEG F
CH2
CH:": DEG F
A\,'r:.:; 51.50'31;:: DEG F
4::: .5:::::::7 DEG F
TIt'lE 0 :00 :25
CHI 4E. . :~:9:::? DEG F
CH2 4:::.2256 DEG F
CH3 5i .52i5 DEG F
Al",'(; 4::: . 5'342 DEG F
TU1E (1 : CU::1 : :~:O
CHI 46.4032 DEG F
CH2 4:::.231 1 DEG F
CH:": 5j .5J42 DEI; F
Al",l(;; 4::: . t,Cn] 5 DEG F
TIt'lE (1 a)o: :~:5
CHl 46 .:~:955 DEG F
CH2 48 & 227';' DEG F
CH3 51 .53'37 DEG F
A"/G 4::: .599i DEG F
TINE [1 :00 :40
CHl 46.4044 DEG F
CH2 4:':: .236::: DEG F
CH3 51 .5529 DEG F
AI."IG 4::: . ",~:(7::: DEG ~
r
TINE [1 aj~::1 : 45
CHI 46 , 4~32'3 DEI; F
CH2 4::: .24(15 DEG F
CH:3 51 .5t.17 DEG F
AI."IG 4::: ,6110 DEG ~
r
TUlE 0 :00:5(1
:~Hl 46,402::: DEG F
CH2 4:::: . 2:~:'36 DEG F
CH3 51 .5684 DEI; F
Al",'G 4::::,6137 DEG F
TH'lE ,
o =CH) :55
CHI 46.4.3>:13 DEI; F
CH2 4:=: .23':,6 DEI; F
CH:": 51 .5679 DEI; F
A'.,,IG 4::: ,,,,116 DEG F
Tlr'lE 0:01 :00
CHl 'IE. ,4012 DEG F
CH2 4:';: .2412 DEG F
CH:": 51 . 57E,~~1 DEG F
A:",'r;, 'I:::: .61E,2 DEG F
TU1E 0:01 :~j5
CHI 46.4(1(:12 DEG F
CH2 'I:=: ,2410 DEG F
CH:~: .51 .5.7?4 DEG F
;:/\,1{; 4:,,: .61?1 DEG F
TINE 0:01 10
CHI .:.lE.. :3'::~.:;.'It:: nEt; F
Cl4;:o 48.i::;41J DEG F
I.:H3 51 . 5,~~.:'."t~ LiE I,; I'
i.~\,'G .l:3 . (~,I \.:';:3 liE'l; r
~~, '.' i .,
1111, I,
111:1, 1
1'1),1, I
nLI~ I
'\U'I'.\\ i
-.003
o
o
".lIlI,1
-. .llfl'l
Jefferson County Depactment of Public WOrks
Hoh River Division
Tank #3 Diesel 1000 gallons
Total liquid volume subtracted during test:
It'
t;
f
~;,
r
tt'
~
.,'
,I;'
I!'
I:'
\
\
t
i-
~,,,
~,,)<
I
,t,.-_,
,,'
~
('"
>
I
I..,
;t,':
J': .
I
~'(
t
"
,',-:: "
:,',,", ": "
Disl riel No.
'.',. .,
" :: , ,', '," ..", ,
, "
I .' . ..'.' "
" ":';,"" ",.;,'
..:'.'i '~..'
, '.. .," :,"
,,'" "..
'u_,_.~,..,.";"" ,-.'~,. - ..... ----,~ ....
Jefferson Co.
"'L.
DEI)ARTMENT OF I)UBLlC WORKS
PermilNo, 0970
Supervisor's n.cporl No.
Supervisor will make de/ailed report with his recommendation Olllhis application Whenever possible show skelch of proposed
work. Supervisor will a/so make additional reporls alld filial report giving dale of completion of work on /his form.
(Jreliminary Report:
1</!ol>Oi>f2.NP/>'O"j .LIV,
Sr j;> ,v' f-c t-f A-N,)
Date:
"""p.
$/JI.f> '
-. ~ -t'...l! .:~.-t -:;};.
- t,.
\ ..:
3-2- -@9
Final Report:
PERMIT INSPECTION REPORT
':;J Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic conlrol .. adequate
.. inadequale
,
~~:' ..' , ", '
.. . ..,,>: " ,.,. '. "
',.' ...' ,'. .' .'
: ,':,: ":',"", "', '
:" " ...', "
... , ,,,' ,
.'.; . .......;
....., ' ':..:..'.
, . "
.... ': '.
;,. ...'..' ','
"',': ': . "" .",,'.:.
. '., ..'
,:,', . '
',.' " ",
, ',;
REMARKS
Uale:
ClU'MI'I(' l'klSTEK!'i, 1M',
.:'
"
,.... ,,'
: "
~...'>.
~ :'., ".
,',:, , :: .' "
" .
l:, I
~ ;
,
3-)7- '8"1
.
,." "
~ 0.8&
Signed:
~/~ K~
SiRncd: ~ mt; U<l.Ni'\l ~-
, '
. .',
,',', "
',: ',", ,', "
, , .' ',"
" .','
,
" ....,
" I',
. .""'. ','.
, .' ",
'''' " ,..'
",' ,'"
"':: ,','
. ,:".<
.,..'. ,'........ ."
',., " " ,
'. " '.'
,,": ':'"
-, ,
I',
"
',.
.::
,,:
': ""
:"..",: ':" .'."
.,.. , ...., '., ;
, '
, ,",',
, .
, ..'
: ,
". ..'.. J
" "', :",
IIIIIIIlI
\
-~J}~",
~ ',":'"
... . '1
ri!.)~\:t~
0970
JEFFERSON COUNTY
OEPARTME'~2~J?,~'!~r~~IC RIJ!SC E I V E If~
P.o. Box 1120
Port Townsend, WA 98368
12061385-9160 MAR
District No. 2 PERMIT
JEl-r;;;" ,-
In accordance with all applicable Revised Codes of Washington and ameli'd.h~~tsl(he;~i~.'~nd- ~'ubre&-ii all the terms, condi,
tions and provisions written or printed below or on any part of this form ,
PERMISSION IS HEREBY GRANTED TO United Telephone Co. of the Norhtwest
75 Thompson Rd" poulsbo, WA 98370 :z. 'li!j-z,9C;Z
~ Install a buried cable along the edge of Rhododendron Ln. at mile post 0.88
County Road No, 242909
Franchise No.
Milepost 0.88
No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with and
received instructions from Jerry Clemens at 796-4194
This permit shall be void unless the work herein contemplated shall have been completed before Ma rch 2
Dated at March, 2 .,19 89
.19 90
&~~~@W~~
By
..<J~/~
1.800.424.5555
GENERAL .'ROVISIONS APJ'LICAIILE TO ALL PEnMITS
This permh is subject La all applicable provisions of the Revised Codes of Washington, e"cepl thaI all)' provision in Ihis agreement nOI consistent ~'jlh
such resolution shall be controlling.
A bond in the amount of S
is required (01 the prolection of the county as !oCI forth in the lerms of the bond.
During the progress of the work such barriC'rs shall be erected and maintained as may be neccs!.ary or all may be diH:cled for the protection of the
traveling public; the barriers shall be properly lighted al nigh I.
In accepling this permh the petitioner. his successors and assigns, agrees 10 protect JeHerl>On COUnty and save it harmless from all claims. actions and
damages of every kind and description which may accrue to or be suffered by any person or persons, corporation or property by real>on of Ihe perfor.
mance of any such work, character of malerials used or manner of instal/ution, maintenance and operation or by the improper occupancy of right of
way or public place or public StruclUre, and In case any suit or action is brought against said Jefferson COUnty for damage!. arising out of or by rea!>On of
any of the above causes, the petitioner, his succosors or CIssign!., will Upon notke to him or them of commencement of liuch action, defend the same at
his or their own sole cost and expense: and will satisfy any judgment ufter the said 5uit or aClioll shall have finally been determined if adverl>e to the Jef.
ferson County.
Except al> herein aUthoriled, 110 eXC<i\'.:Jtion 5hall he made or obstacle placed within the limits of a county rood in such a manner a!t to interfere Wilh
the tra\'el over said road,
If the work dUlle under J.JJis JX'tmil in/effete!> in any "'<l)' with the drLlillOlI;e of Ihe wurll)' rood, the grantee shall wholJ}' and al his Own e>'pcn.!.C make
scch provision as the engineer may direct (0 take care of ~id drainarr:.
Except as herein authuriled, no excav.uion shall be made or ohstacle plOlced wilhin fOUr (41 feCI of Ihe edge of the pavement.
On complelion of said work herein contemplated all rubbish and debris shall be immedia((~ly remm-ed and the roadwa}' and roadside shall be left neat
and presentable and satisfactory to the engineer.
All of the Work herein conlemplated shall be done under the supervision and to Ihe suth,faction of the COUnt)' Engineer and the entire expense of said
supervision shall be borne by the pany or parties to whom Ihis permit is i~ucd.
The Depanment of Public Works hereb)' reserves the righlto order Ihe change of location Or the removal of any strucIUre or SlrUctures authorized by
this permit at any lime, said change or removal to be made at the liole expenfle of Ihe part}' or patties to whom this permit is issued, or their SUCCC~\Ors
and assigns.
This permil or privilege shall not be deemed or held to be an exclusive one and shall not prohibh the COUnty from granting other permits or rranchhe
righlS ofliKe or olher nalure to other public or private utilities, nor shall il prevent the Caumy from using an}' orits roads, streets, ar public places, Or af.
fecI its right to full supervision and control over all or any patt of them, nOlle of which is hereby surrendered.
All such changes, reconstruction or relocation by the grantees shall be done in such manner as will cause the least interference With any of the Coun.
ty work and the CoulllY of Jefferson shall in no wise be held liable for any dOlmage to the grantee by reason of any such work by the County of Jeffer-
son, it agents or represelllatives, or by Ihe exercise or any rights by the Counl)' upon roods, Streels, public places or structures in Question.
The Department of Public Work!> may revoke, amend Of cancel this permit or any of lhe provisions thereof at any lime by giving wrillen notice to the
permillee. The permillee shall immediate I)' remove all racililies from the righl of way. Any facilities remaining upon the right of way 30 days after writ-
len notice: of cancellation shall be removed by the Count)' al the expen!>C of the pcrmillee.
The party or patties to whom this permil is issued shall mailllain al his or lheir sole e),pense the struclure or object for which Ihis permit i!> granied in
a condilion satisfactory 10 the Department of Public Works.
SPECIAL PROVISIONS:
1, Cable shall be a minimum of 30" below existing ditch section,
2. Applicant shall be responsible for all damages to county road
r~ght-of-way.
'..." '(
,.j..
.'
,> ~
'n accepting this permit the grantee, his successors and assigns, agree that any damage or injury done to the property of the gramee or all)' eXpense
incurred by him Ih.rough the operation of a contraclor, working for the County or any County employee shall be at the sole expense or the grantee, his
succeSS7:irs an assIgns. /
' ;;:>::'2' / "L-
*' l ~~ 7< t as, t-:., 'It.J ,C'~ d 'f-- , th, undersigned, herehy a=plSlhi, pe,mit ,ubj","o lh"crms
and condilian~ 8li herein set forth. ,. ...~ _, .
Daled thi~'i;' T(;.y ~r y,/?!/!. e (!. 1-{
~ j,l~ - ,..;7
tr.f1U7tU!J/"~~
~
,19Y/"
~
I
/
J
I
!
j
,
-~
~~ - - J-. I i
-'- :_,'~ ~J~ "1;'
--;}i: I~ 1'[
--~"~I;:' I;
~i', I:
2: i: I~
i":
.;1 f;i; It ~
-. ! S(~3 I; /~
;;j~-1.:L~~
~i I,
~ ~ 1'1
Sf: f~
'-'I' Ii
; ~d ~r ii,
c( : 7'>,
=~ _ ~ ~ ,., e.::-'. ,I
':. ':"; t;fi v.J
~: 2,; :;I~ p,i i
rt i;U ~}) !
~Or--' "
C' ;:1 !;,
I t
I
/',. "II r~J
':" :. It: ~
!,:}~I. ~I ~
,:-,,/. '~l ~i
:,,:: ,;1 ~~., ;1..
,. 'I, r:;: ~~
HI ;.11': Y...: l:'l
;'" .f"' \~
j
: (\01
J '0
~ to
u
."
0"
..~
_f ';;11'
.~t ,..q{
of i L..I
. ~ 'GI
-_~~ ~:f
I\"t:'
. ci'g~':'T'J'~'tSC'LO:;'E
o 00 NO r OI5CLOS[
'J,CI~o"
,.",")1\0 l.,./lj,'. 1 I .JIIl.'111 I .J ljL; .\11 II.H..,,:
.1 Ol~r-ENSE HEI'OHT 01
u:a. orll{R S IU( ,,,, :,... ,,'l "".
(,,'''' .,.,..1;1;....., '.J;!l!.::.~.!::~.'.!~~;.,j___
"'. L."..,"'" ". u,..,,,.."c..
~. (JIll. NO.
'.G.;;~J - [~T~i~T~ri4
Traffic Hazard
6.0.... & r "". CI"". UCC......d
. Middle' of,.,,,N,,.,,,,
ce E.
a,o.!f.
:;
;: C1ear1olater Rd. Fork. 12-11-51
~ l"dlC.1I<1 ....i'h ll'Ol'" coil<l in bO.'" p'r)"'<J~'.. rl'''I"..,.~I.ui"" '0 '''""11''1'''''''', V 1 Viel"". W I ...,.n~lI. flIP 'I'UO' I;'''" PUI.,.. .11:.
~- 11. UfI.S TlIERE A UITIlESS TO TIlE CRIME? IF rlo PLACE AU X III BOX
a; 18. 19. Nem. ',,10"".';0" "'0"'<1.". fl.,. PhO".
~ .
~ 21.
Z
I-
~ 2'J. 24, Nllne
ell.,.
72. .JeUJ"....O..
z;u
0,0.11.
2~. ...IO""H.on P.O....JfI<J
lu~.. ""0"'
R.e.. S.. O.U.ti.
26. Add'e..
ell.,.
Su'"
Zip
21. OeetJu..',O"
(;1011""__
NARAAT I VE: 'R'P 'rprn'Y"tA +},.II+ +hp Q!'ppn nf" t.hp 1:.,.~f"f"i t" I nAmply loR' t"'llC!ks I pntp'ri ni t.hp. Cl~AT'-
ua+....,. "RI"'lAn .p,..nm +.h,.. r.1~R"n.l'A+'fIO'" MJ:.in"'ofnp iR A hA7.n'rn t.n him and his fam.11v and also other
n~ighhn"'A Hp RT.At.~d thAt. he has trolfule backina out o~ his driveway without bein~ in dan~er
_.nf" "",vi ng I'll ('On1 10f RAi nn 'With oncomi ni vehi clE!R. The 8p~ed zone on the Mainline is 55 m'Ph.
ui+:h A .~l1ggp~T.pn Rpel.'!d Ai Ern n1' ~5 rnpll.Southbmmd down hill and curvin2 onto the Clearwater
Fo.~ 6ft~~ +h_ 'n~a+inn n~ ;~e;p~inpn~~~J+'h~ App~n ?one hpginA At 4Omph~ Revpral of the
r,.Q'fn""nb:1 nRn t"omp'Rinpn +,("1 thp .,.,.g1dpnt Df'i!-pnty Rp.v~l'"A.l ye~_rs ~~o:~ut 'Were told that the
95 ntph RofgJ" \.IAA nnly'8 A\2e-aested speed :for' the curve and that he could.not do aDythin~
n",,...,,+ 1+ ,,"',.aa tl'l- ,::zp,..pn ''',,;i+. 'tJAR 1f"1uP'r~n Nn A('O+1f"1n '\JAA 'tRken At: t.hp!t tim.e.
loT.. "'nn+'R~+,,.d -Scnf:.t. K'i1m"".,. At. t.hp ,Pnhl1'~ WO'rkR Dept.,Rnd explained the''Croblem..
u... ~+A+.,..n +.hR+' h,.. loIonld come to Clearwater and lo?k QVf!!r th~ location for a 'DoBs1ble'is::
IIip_A~ 'P"'"A ~hD,:,,'gP R~ I'll' AO "'fIOq,l~At..~n R ~I"'lpy nr +.n... ronmp1Rof n+ "'''pn.,.t: 'fn.,. nncument8tion.
....;: i.'
[!;~_ .~3.",. .,OIU.:~.~,t'l~.'?t~:~?"~?P.~.d n.I1"~,t,!"P it'll, ,"cld.,u.l""', St.~...n.~"'. CII.UO"I, OIR'I,et.c,1
6.,1,1 Nt\
~ .11
~.fllIl NO.
\
~?~r
,iP~if
ff'~)'i."!'''''.
/J.....~ft;
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelterson Streel
P.O. Box 1220
Pori Townsend, WA 98368
(206)365.9160
-- '^-
N~ 0938
District No,
6
PERMIT
In accordance with all applicable Revised Codes of Washington and amendmcJ1ls thereto, and subject to all the terms, condi,
lions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO AclnLral MarLne l\brks 3if5"-.l./1'o r-o
919 I-bLnes 5t" Port TOw-lsend, W\ 98368
Install a Wl.ter lLne across Otto 5t. at mLLe post 0,39, and power lLne acrOsS Seton
RoadriF iriLle post 0.12, bOth to serve lot 14 of Kean,eys Plat,
to
~m_
County Road No, 688319
Franchise No,
Milepost See Above
No work shall be done under this permit until the party or parties 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 January 11 , 19 90
Dated at January 11 , 1989
By ..-Gl~ /(~
1.800.424.5555
GENEIlAL I'JWVISJONS AI'I'UCAIlLE TO ALL I'EIlMITS
This permit is subjl.:Ct to all applicable prO\'bions of the Revised Codes of Washingtoll. except that any pruvi~io/l ill t!Lis agrccnll:nl nO(l.:ombtcnt wi(h
such resolution shall be controlling.
A bond in the amount of $
is n:quir-.:d for the.: protccliorl of the count)' as set forth in tht: termS of the bond.
During the progrcs.s of the work such barriers shall be erected alll! maintained as lI1a>' be IIcl,;cs!>ary or as may he directed fur the protection uf tlie
truveling public; the barriers shall be properly lighted at night.
In acccptiug this permit the petitioner, his successors and assigns, agrees to prolcl:! Jefferson Coullty and SU\'C it harmless frullI all claims. actions and
damages of every "-ind and description which may accrue to or be suffcrcJ by <IllY persoll or persolls, corporatioll or property by rt=uson of the perfor-
mance of any such work. characlt=r of m<lterials used or manner of inst<lllatioll, maintenance <lnd opcrution or by the improper occupanq of right of
way or public place Of public structure, <llId in C<l~ any suit or action is brought <lgainst said Jefferson COUllt)' for damages ari!.ing out of or by reu!.On of
any of the above causes, thc petitiollt=r, his successors or assigns, will U!)Oil notice to him or them of commt=llccmcnt of such action. dtfcnd the same at
his or their own so]c cost and expense and will satisfy any judgment <lfter the said suit or action shall ha\'c finally beclI determined if ud\'crsc to thc Jef.
ferson County.
Except as herein authorized. no excavation shall be Illade or obstadc placed within the limits of a county road ill such a manner as to interfere with
the travel over said road.
Except as herein authorized, no excavation shall be made or obstacle placed within fuur (4) feet of the edge of the pavemellt.
If the work done under this permit interferes ill any way with the drainage of the county road, the grantee shall wholly and at his own expeme male
such provision as the engineer may dir~ct to talc care of said drainage.
On completion of said work herein conlemplated all ruhbi~h and debris shall be imUlediately removed and the roadway und roadside shall be left neat
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall he done under the supervision and 10 the sath,faction of the County Engineer and the emire expcn\C of S<Jid
supervision shall be borne by the party or parties to whom this permit is issued,
The Departlll~~~I~As the right to order the change of locution or the removal of any structure or structures authorized by
this pc~~lit at unA III l 1'1, S. . _ If~be made at the sole expense of the party or panics to whom this permit is issued, or their successors
and as"gns, \, -, " )\,11\ \ \ 11.<'
'& -', ;.1\.\1.1 L . ~
All such changeS:'rcconstruction or relocation by the grantees shall he done in such manner as will cause the least interference with any of the Coun.
IY work and the County of Jefferson shall in no wise he held liable for any damage ((l the gralllec by reason of any such work by the County of Jeffer.
son, it agents or representatives, or by the exercise of any rights by the County upon rouds. streets, public places or stfuctures in Question.
This permit or privilege shall nol be deemed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other nature to other public or private utilities, nor shall it prevent the County from using any of its roads. streets. or public places, or af.
feet its right to full supervision and cOlllrol over all or any part of them. none of which is hereby surrendered.
The Department of Public Works may revoke, amend or cancel this permit or any of the provisions thereof at any time by giving written notice to the
permittee. The permittee shall immediately remOYt;l all facilities from the right of way. Any facilities remaininy uron the right of way 30da)'s afler writ.
len notice of cancellation shall be removed by the County at the expense of the permittee.
The party or parties to whom this permit is issued shall maintain at his or their sole expense the structure or object for which this permit is granted in
a condition satisfactory to the Department of Public Worls.
SPECIAL PROVISIONS:
1. Both lLnes shall be Lnstalled a mLnLrrun of 30" below cxLsHng roacl.\aY dLtches,
2, ALL areas dLsh.rbed cl.rLng constructLo" srall be restored to orLgL"al condLtLon.
In accepting this permit the grantee, his successors nnd assign.s, agree that any damaye or injury done to Ihe properlY of the grantee or any expense
incurred by him through the operation of u contractor, Wor~illg for the County or any County employee shall he at the sole expense of the grantee, his
Sllccessors and assigns.
"*' \< t t-I.. u-. D: l...
and conduions as herein set forth.
D.led lhi'~ 11;. day nr-lf '(S/\\\\.
b~-1'f~
. Ihe undersigned, hereby accepts this permit subject to the terms
,19~q
'Jr,1~~.2~
^I'Jlli~llnl
~ c
fa
~:::e:
... ... ~
i ~ I ~-
!:.-~ CD
:J ;:r ...,
~g. :=.
~,~,'I' 8
r- ',_
~ .i ~
~;~H
:0< .._
E. ....
~~ i
. D
..
"G
D
ID
~(~--
'. r.. <::l
. "1,\
G\~
v~
~
~hJ~
~~~
~~~
~ ~
~~
~.....~
'\. '<
<...,,,",
~~~
~'ltK
~~~
~\:t
~"
~
~
~
8.
t
G)
l>
r
o
IT1
CJ)
()
:::0
-0
-I
o
Z
\
~
~N
o. !t,
"'. ~
- :r:-
~ -
~
~ !
'. ~ ~
~11"
~ ~
() .
~ ill
?A i
l ~
ti '"
i^
III
o
$
'"
~
~
'"
r
IT1
G>
IT1
Z
Cl
F
~
e:::8.
C:::=:::?
~
..L33~..LS
M <;"O,'ZO.ON
" ,\'&.'8502
t-
o
..;.
......
~ b..
r.;
~
~~
~
~
'i
~
,
,<'8"01.. -~
, \,0'&.,22
M "es,'Zo,.
~~~~~I:)
i"\~l;;)~0I'i
~til'1~~
~~~!\~
~~~~~'" <.
~~~:i:U~ C)
~~~~~~ '{
'I '" 'I 11I
~))'-It:~
))G'i~ ~
c...~l\)~~~
~f\~~:::~
~~~ ~~ ~ .O(J'~--
~ ~ ~ ~ ~ ~ II
" "" I) ~,
~Vi '
. "Ol\,
o
"''''~
..LO
+-
(f)
rr1
-I
o
Z
I '
._~
;0
'0 '
J>
'0
I
,St 's..,o~
~"SG, IS.~N
1 ~/w7 ~~1 1l'.s!L../"I ~~S;/Q J-
<,," i9'B 'I)
,.,2'Z2S1:'1
I
I
1__-
~-l"'1'al>
b I. "I " "
"S::S""..t. ~
'" - .z: 0... .
~~ :.. 8'~,
Ill' '..,
. ..1:':.
~
N ~
N .
ClO 0
. \11
~ ~..
. "-l,
~\
-- .oO'OE
\ I
\
\
.....J."':\ ~ //~,..
\' -"'0~,);" I
:::--:,'t.~,~~;:
'=';l:t~,7."-"
1fi~l::I.
I /~r-'" - .~
.> \/:'
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1620 Jefferson Slreet
P,O, 80x 1220
Port Townsend, WA 96366
(206) 365,9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt. P,E., County Engineer
MEMORANDUM
TO: Planning Department
PROM: Public Works Department ~
DATE: March 24, 1989
SUB~ECT: ERA Olympic Real Estate, Temporary Sales Office
Public Works has no objection to granting approval for ERA Olympic
Real Estate's temporary sales office on Paradise Bay Road for
another 120 days.
File: CR 503609
100% Recycled Paper
L
_J
'~
Jeffemo, Co,"" p",:::: B,;ldio, Dep,rtme", c, ',,~ \
P.O. Box 1220
Port Townsend, Washington 98368
(206) 385-9140
TO HEALTH DEPT, / "PuJ'D
RACHEL NA;HANSON /
FROM JZ.N
DATE 3-8-89
l
COMMENTS ERA REAL ESTATE RECEIVED APPROVAL FOR ~
A TEMPORARY SALES OFFICE (A TRAILER) ON PARADISE f
BAY ROAD AND HWY 104 FOR 120 DAYS (UNTIL APRIL
-", 1989. THEY ARE ASKING TO EXTEND THE APPROVAL
FOR ANOTHER 120 DAYS. PLEASE LET ~lE KNOW YOUR
FEELINGS ON THIS. ARE THERE ANY PROBLEMS?
I HAVE ATTACHED SOME INFO~\~TION ON THIS.
(;'J E C C g 'Q~ It:;; C
.!I" 0= '-" IJi:g
;,!r"d\ ..., i30j
IEFFER';i( ,,'J ,-" "'PJT'!
PUBLIC WORKS DEPT
II',"'~"
~. '-......
'...;;.;;:;
E~OLYMPIC REAL ESTATE
February 16, 1989
RECEI'IC:!J
F:3 2 t il~3
To.
David Goldsmith
Rachael Nathanson
Jefferson County Planning Dept.
J[FF[r:sr,~ cauurv
p' t...,..... .... :~, r,", '1' PT
Dear Dave & Rachael,
I am writing as a follow-uP to our phone conversation this
morning, regarding our temporary on site sales office on Paradise
Road. I would like to request an extension of 120 days,
our office is being used on a very limited basis. So far we have
only been using it on Saturdays, and as needed when meeting a
client on the property. Traffic and parking have been minimal,
and we are not providing water or restroom facilities to the
public or our agents. We send them to our other office on Hwy.
104,
We have sold approximately 1/3 of the 600 acres and still
have a way to go. The only property we are marketing out of this
location is the pope Resources land.
If there are any problems with this referral, please give me
a call. Thanks for your consideration,
Sincerly,
n,'l-'^~ k p'" 'j-+> ,~,
.Ju I'.~ I ,__) ...';\1 _'/t___
Tom Beavers, Broker
ERA Olympic Real Estate
r 'f~ ~ 10/,/,,, ~ ~ 3,-11'i'1.
2219 W, SIMS WAY. PORT TOWNSEND, WASHINGTON 98368 . 206-385-4114
l~l""II",,,,..'t"I"'''I....tl..,........I.'''t_'''O'd
f-
-
:,:': '
"', "
"".
_ ;. .', . lit , -, '. n ... ..- /;:-\:i
~ . ;..'.:';':.: '. "!'f< . \ 40 51 \ 100 '....... .,/,
. '......:,10 " , :l~ ~.rlir', "-.. - " - ",J
.... '. 1& '...., i3
r;:; "'::'",,",hic.. Bock'. 1S 51; '..... ......81 liS... 'S ,. .i, ,'...',
T1 -0'''' ~' '0),. '. " ',.-'" '. >> 4' '..... . ./ '", ,,'
II '. .,'. '. "':" .'.. /, ...... .9 ,/ LQ,'
/ ~;l ",'. .,' '" 2.1'" " ..5... . - . - ,- ~".'" '" ',., ,
, .~, V } t, ."'..:'.,!~. '. :". "', . '21"'~ ..", 101 .,.. ..~~ '::':,iJ..r/..;'"
, \'\~~':";" '...) , '011. ": '" ...21... .::'l:. ,:, ... ..",:. .... ':,.... :,,/:
. ~~' \~ ~~"':::::;::::,:: ::::.,::::::~:::.:.:.:::.:,:..:.:\:::~.:::::>:;~~:,::. }'. ..' ,ii.
l r' /-- ',.! iJ Ii;
) . \ ~\~ Y'M ...... y ~(f2:CC%~0X'G ...
~ ~~~"';\ ~ \ . 4 .' (j. J ltlc{i;
. ~/V~~. " ;1-\)) / E,o, ';
(J) ~~,\ ~ ~~ ~~ p\' I~ ......
\' i '\ tI, gt.
lk I' \~ ....
( !l~ · ~~W' ~ \~~. ~::~,:.~;~.,~'
t.~~-,; ~'~ ~ ~\~~~ li~if ~~"'''::~\",'':,l!.,4
r v - ~ 'i ~~ '\ \ ," , \ " " . .' I~" '.
~: ~ \' ~,,~ \ \ '-;j ~i\' ' /~(... {I~)IO 'v;~';';'
\ \ r _........ I ' ,. Vo' .' '~""
. ~-rr7 ~ ~ ' . :,... ,,', :'12 9,":
\ \ V Cl;) I ~ ~ \\ \ A;'::.:: ..>., ~1i"",j~:~i~,~.;;'~':::"
\ \,,, ~ (~ ~ "" l~;:;~' 3SSf. J7 ~~.-.,
~ '" ~.....-c:::~' , ~ il j;r...:... ,-'- ,'" "
, " 0 ~ ", . ..
.\.2 ""'" ~ ' , '" ".,\ I /'2
, ~-..,\..\:: II ./.J /, ' ,:~'/ .j' 12 97_
~ '\. ' ::::'-OO~J: er mina' rq/!.. '" ~i"4J - - - ,.-"
~~ ~~o~'~ ::(/(' 97 -,~<_ IS:
.""" \ '\<,~ /'"' _ =- " 1/,.... , / -. ..... i
='-.\.............,......... /" ~,' .' (8'," ,. / 117 - - i,< "
\.~~ /n:~~ ' " x)~ -':-,-;. ..(
~~ ........ '\'~ '~j rIIED"S'A"~' ''''HORN'(Priv moio/d)'.... - ~ ,,'.;'<'
~ "- "'- "-"........ lP~ .HoaC:~~~1 'l,,;<' ''-103.... 19S -... ;
~=' V~L'O)... VlRH:~U1'l~" / ~o ... / .... - -,.; i"',":
. A~ ,:"I ~ fa "'-';3:~," , Oo....'....I2.S .... /,'
...;:~. .-- "'i ~~ I ~":,:::"51/,,,Jlio'C' ........ '131... . :'; '.,
,. "', .. L. ..,,},I l . of." .... /.... ...." '",
, " ... ... ..... ::',<.';" t;,'
...,'...'.'.,,) ,7 .'.".--::.... -,"'"
.. .',.:<': ,',.:..,) .;
:; ,..,.".,\,;;} .'.' , >Ff
'..:;:"...'...,..,' !
Xi'ii' /+.1" ..,,;'i,
.:, ",,'.i,+;.i: ..,.'i.", '",.
".. ,'.,i' ,':!; ..',..i'..:.,!"...
fiJ'
i..i./.!! .' '.'.. i
'i "i:"",i" ".'." "....,...:
o . $~0 ~
,;;.,''1' ". ;2] .>;)'~)' .'
.i'.,:...",..,. ..' ",'.i;',
1\. ,F ... ii',i ',( ".
'j. ,. ',.,... '" ,i,i '..' 'i'.':i'
t 'ii,...,:"?; .,;:'i
"i': .:..,.,.':> .".: ",i......, '...
i,..;":.?~i ' fJ/{;;1~ .'.
If ",ii."'>::..>':'. "',.'..
>:
, '
"
,;"
,:
'."
"
.:
,'I
[
~.,
g
,!;".
'.
",
<
';,-.
::
"
'"
,
;f"
:"
\
i
I:'>:;!:',:"
""
'"
:',
iif
t".y
~
.fl,
.tr'
~p'
~~.
I:
,
"', "', ,
,
"
""",,. '
"
" "
: '
, , '
--'-
JEFFERSON COUNTY
Department of PubLtc Works
TRAFFIC SIGNING PLAN
Road Nam,,:~Road Lo!,: No, /0750'7
-SKETCH -
Project NO.--=;)
.P, /,03 :0 M.P, ,-/,/3
--. I
~ --- I
','
!
-SIGN LOG-
use addttLonaL sheets If necessary; lndtcate north by arrow
l}j./
VjJA
~I
I~
'_~/t.
'f
~I
~I
M.P. st~n Descrtptlon SLze
I,o,?> I\T P"e",o\!f. ";';peeDL.,,,,:t '10' '8'X~~"
{6~~ WP'S'C "SpeeD 20NE -9t1E'1/t)'/ z<x'}o'
'3.07 u; ~~C71 ;-..~:~Tj"'!_.::~i!. ~'x~"
f.;i~1'!~~5C. "speeJ:> =",f. ""lIl"o 2{X30
3,b~ I<.T" 1\'2.-5<:' "speet> ZoNE. lit/litO 1)../')(30'
'J,.7S Rr. R-z.-{ "speeD L.;",:+ '2.5''' ~'/(30"
A,e.pJ..;,c.G e.xi~T''''''c;. ......J .'1-# ,..,
3,15' .-",1 AlAW "Soee<:> !.;",',~ </0" 2'i x30
3.90 Ri. ~~~~'f~::.::,~..;::. ,~""RV~ ov/zS-At>lJ 30')(30"
"',
'.:
..'
,,::
.'..'...... >~ .' ",'" ' ':
:,i,:" ','" ,',
, '
", :,'; .:
i '<, .,'
c.,':....:,' ' '.'
: ~~~f;f,J~ ,"'. ,.,'. '
,::.", '. ':, "
"', ,.'
"
II " ..
I ."'.',..,
I',:' ",','" ,','
I:, ~.,:. '. .
\ ',: >"
I:; ::'
," "
, "'"
. ':"
,<....,~
. :': '
l.
COMMENTS:
Prepared:
datp.
.19_
by
s-j(..
,
,
'M.P. Sll':n ~escrlptton Slze
-1./4 LT. R2.-/" s"eeb ~;",,:+ 2.5'" 2'1/')(30-:5'/
'f:-15'LT. R2--Sc-" 5p'e~'5' ;~II/e- 4{le/1'D. '2:i"x3<i' /2 c.....
~ A 7 ~A J) k -=-../) /.2W
I U~/(
3/22/0 I
Approved:
dai-e 4!fM~al /~. rj- . 19~
by ~~ ~A~~~1
, ',: "
"'7"
.", .'"
i
,
I
\
\, ", ,~'..,
" " .. '..' .,
: '
, ',.' '. ..',. '
, ,,' ',' ,':. .-
,: "','" "
,'. .,..
,"
,
.
:' ,.,'..,'".
',' "
.', ':. ,><
: .'
. :
"
I
','
,
t..,'.
.'
, '
'.
"
;
i,
,
1>'-
I.
.',: /
. '" '.,:
!: :.:',:
':.... ',;
. ": ,:
'....:,.,: ,,'
" :,
" .' ',.,
.. ",' ...,
.' " ,.,'....
, .', ,:::-\
": . ' . ", ' . ,':' ,'" """h.
''>,'' "':'
,..'..'....... }f~~
','
, ',' "
',,: ",' :': ;-'.
..',...: .
,', . "
. "< '.
,
, ,",'"
" '1 . ..'.. ',....
. "
",,', '
,
De~r Sir:
We, the undersigned residents and/or property owners on Seal Rock Road, Jefferson
County, nrinnon, Washington, wish to brin~ to your attention certain conditions
which we feel are dangerous, uncontrollable hy the residents, and undesirable.
l-le respectfully request that you favorably give our request study and your
priority attention:
1. Hiden the entrance way to Seal Rock Road at V, S. Highway 101.
a. Currently when travellinA north on V,S, Highway 101, in order for one
to make a right turn onto Seal Rock Road, one must drive over a hump and' then
back up to complete the turn. If traffic conditions permit, some drivers will
swing over the center line of U.S, Highway 101 to make the turn.
b, Inasmuch as the speed limit on U, 5. lIiAhway 101 ia 50 to 55 miles per
hour, many vehicle operators behind us wishing to make a turn, have ignored our
directional siAnals and have con'tinued at their rate of speed and pass on the
left before we can complete our turn over the hump9 and many times when it 1. too
dangerous to do so due to the oncommln~ traffic.
c. Those of us familiar with the turn and danger involved, have in view of
the traffic, and especially durinA the summer months as well as road conditions
during the winter, have continued our travel north past 5eal Rook Road to
I~elviks Road to turn around and then cautiously enter Seal Rock Road from the north.
d, Our Fire and Ambulance vehicles have had to utilize the same procedures as
residents to enter said road. This can cause a serious delay when considering
that their mission normally concerns the saving of life and/or property and where
time is of essence.
e, All delivery trucks, Puhlic Utility vehicles as well as Recreational
Vehicles wishinA to enter Seal Rock Roao from the south utilize Il,jelviks Road
for the turn around to enter from tilt'! north.
2. Inasmuch as Sen.~ Rock Roau ts Q "ncwJ End" rand, reque.st It turn around be
provided at the cnll of the rond .,h'ltt1ng ricn] Rock Park.
a. All of tllO ahov~ velltcl~H, to Incluue county vehIcles, ~nrhaRe trucks,
United Parcel Service, Recreational Vehicles, some pulling boats, have had to
utilize private property in order to turn around. Driveways have been gouged,
flower beds, .la~s and small gardens have been ruined, espenslve wrought iron gates
have been damaged, and residents are awakened and disturbed all times of day and
night by vehicles utilizing private property to turn around.
~..
~, .
Jefferson ,County Engineer
Court House
Port Townsend, Washington 9836R
781 5eal Rock Road
Hrinnon, WashinAton,98320
February 27, 1988
3. Request tl1nt Speed J.tmit or ~low sll~ns 11e posted on hoth sides of Seal Rock
Hoad. Tltou~h the rOtH! if> a "nclld Cod" road, it is ~tl11 heavily tro'lvelled and
eRpecially durinr, the summer by siA}lt-scers, visitors and others enterin~ for
reasons unknow~.Some rCRldcnts OWI1 pr~pcrty Ofl hotl) Hides of Spal Rock Road and
many have to cross the road to thei.r mnll hnxes, nod f(.:ar for the snfety of them-
selves nnd children. One reslc1cnt posted ;I sign on hi.s ~nrar.e which has helped
some nnd it rCilIis: ":=;low PIeRRe - eh f Idrf>n nt IlL,y". l.fe fp.f"l tllo1,t county sinns
would he more effective.
Additional i.nforml1tion concerning tile nhove Cc-'lUCRts enn he ohtninp.d hy cRll1.n~
Harln Ootter [It 7Q()-llh70.
1/AMF.
.AIlIJnF.SS
262'70 ~
L/
:5 ('Co,:" " < -{/.. 'T
'It:..,. , <'
j.. tV""
/ if f:" j" l'''''(
/,-./1:;'1 ~ "',"'~'-
/.1:":;; , I'" j",
(,.;1.J ...-: /;./- ;', ~ (J
b""'?'/' v/f7'~ ,
/dN7 ""'-"/5 &' i-:>
~;I oR ~
"-'Aj~t5l~#i~
q..~;;U~..1~.""~
~V"".I'';'''';'''':'''.;.;,'^
"'C7":
). .;.7::,/' 'Z' --::<';,"'./ _ ?' , ~
// C k ~' c-C'- /_/~:,<}","';/(
./ I.. (.1-.
" -<>'-(/ /, - " ' ,
/- ~</,/:: <C_,r..~_,. (_,L~J;,,::,-,,_~C:-'
C ," (-1"
(~-
")-:
.,,-'/,..
/7,:-d;'~>,
.-
(. ,;.i/
-;7- '
".c.~ C ";:_'-<-~_,/)(
y' ,/,
t':'~.c: l:_/_ ;
,S- '. s:
-- '-"".::", /,::, .- '
~~ ~_~_ ,;F'~,",_'..I.._J_-;""C'
~''7/ -~ ,,' ,", /""f;"e~ /;~; ,-~
z:-': '"~'7 ~r'- V"';< ' '-?/ ,:z
..IEFF~ ~TY
DEPAR"'I'l4:NT OF PU8L I C WORKS
FILE
'71.1-."';09
REQUEsttD BY.
ACTI ON REQUEST
.5co"TT'l /11r_~g
~ tJl1<f
1bRfL/A..V~W AU, PH, NO,-
NATUE OF REQUtST. 0 IN PERSai 0 BY fIt-UiE [Kl BY LETTER TAKEN BY-
PERTAINING TO.. DOFFlCE OENG/SURVEY JZlROAD MAINT. o EOUIP. MAINT.
REQl..EST FOR- fA..'77U:Y '(0 C<.-EAA-l u.f9 wo/l../:- 11/2/-/1
LOCATIO'f. IW:W> NAAE 13'7r-""1/nLDtft!-cJ+y ROAD N........ER
DATE ~
~-/5'-g"J
ADDREss -
PHONE NO. ~
o SOL I 0 WASTE
M.P.
PRO.JECT. PR:J.-IECT TITLE
RROJEcT NUMBER-
DESCR.PTIO'f. ~/.e: pr!O,A)1!:
fflv9'Y1 tA.-NIJ G-/Z.- ~..uD
Co U7;vT;1.ACJOIZ- /fA5 (~ /J7~S 5
CMC>~f; /AI FJd.Z4
A":",,AOt MAP OR SKETat /
REFER TO- .;5cu;r K/~t<'-
RESPa'W BY ~
RESflCWSE-
..~J..h'I.....L.Dei!:- Nt');- ,2P ~~ r.:> T":. {)
SCArr,\.c:.~~AJrt."7.... .V'f."I;~LL--
.
r o^-J~.-r-
u. S- W~~.,
REVIEWED BY. '3 -/0 - ~ DATE.
c:::cHTAC'TED REQlESTER 0 IN PERSON D BY PHONE 0 BY' LETTER c;x:lNTACTED BY.
>1~
.
RE~TICH"
PREPARE EST . MAn: ' Fa<.
AOV1'E TO.
o DIRECTCR
o ASSISTANf DIR.
o ROAD 8U'ERV1 SClR
INITIAL
o CXJNSTRUCTION ENG. _ 0 ACCOI.fifAHT
o P~ING ENGINEER _ 0
o ADMIN, ASSISTANT _ 0
"---"---,-,, ',-,- ,,->>~-~-
_ " _PUBLIC WORK~!:>~~T,__.,__,_".,,,.,,___,, ""_,'_,,____,,,_.
~~~.,~~".-~~~~_~=~~-.~~2~-,,(2~::;~~2~~-~~~,--,--.-..,-..--."\ '.' ,'. - .'
.-.--.------.----~~Lf.-.ed~---;;i~ -~",'3d",,-~71Mt:-,-,--.-~ .,',',','.".
.. --.---.....----..--~.M~-~,---~i~-J~~t,7h,~-----'--..--.( ,'.' ',,".. .,
____.________~-4;L.bc~,,-t~t1:.yd----,-,-9~,,-~-..~~-----"-.-----, .. .:.
--~------'iz::J;!:;;)~-"'z:,- #--~ .~----r'
- ~_-~~= ~~~-~~i~==~~:=~-~:];t~;[~)
___________~-~L-/^-~~-~.4-.--~-",.-..---.--.-',I\\\'\\,..',.'.
,. .____._____~--~-~t....~4~.--j;>~-1-vA?)--,,-,-,!'+
,=:=-==_~~~:i~:::;t::-:=--:~-';
====--==--=-a.. -'~~;;2d~_.~:e.=7i;i;k-~~~~~~:~k---==-~-
________"_______#~-,-~"~-.,,.--C~~:k-.~-)-,------------------..-----
------------------- -------- - - - ~ -- - -"- ----- -- ----- ------- ~----------- ---~-------
Q~""" ~t
---~---.--------V:..-.----"-- -----"--/7-.'-.
REC.EIVED".~JLb:- . ....
- "I~AR-l 5 '1989
i . .'"...
, ,,_ ___ ",,___,.. __,___,,, .._-, "..,-,- ..,___.._____,.. _,___,_._.l_._._._,___,_..,,,,.._
_,__,__.__.._____.._,.._...__'____..___'__'. ,-",-,-,"0.,,, _ _, _"......,___,._ ,_", .,_,_~ ~/.----'-'.-_.-.----"'----""- ,..-
--_.._--,._-----=~~..~:_-~=.._~-_."..._'--"-.-_..",.,-"'" --"'--~-.~- ._-=_:.-.._.,:.=:~~=-.._=~=._=~.-.:_~.=~: "'.-
,__.,."..________~_.5._~__S~jJj~l,.C/V\Ovh.- tf.?dcj?~<,.. -
'if;
,:,
"
f,
l
~
!
~
,
~~
!\:
'r
\
\
;
!',
j,
t'(
~
/..
r
(
~..
I""
.'
:,:1
. .,,:
....:_::",.':; ^,~h_"_'(.".'
, C', ,
,
" ,'.", ,".. "
, '
, .' " ". """,
.', ' ,,"" "
',." ",;
"."',, "
, .'.,
:,'...,..:"
J
, '
,
\
--' ',,-<~ ::,~,i,..,'
"~ ~~!'.,f-'?":",
'~~';--
rr. ,...~;.<'
'I.'~- '.
", )''''
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 B20 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
MEMORANDUM
J
TO: Jefferson County District Court, Thomas J, Majhan
FROM: Public Works Department
DATE: 3/13/69
SUBJECT: Speed Zone Signs (Clearwater Road)
Thank you for bringing this matter to our attention, We will be
doing other sign work on the Clearwater Road in the immediate
future and will install "new speed zone ahead" signs.
Sincerely,
...d~ /,(~
Scott Kilmer
Planning Engineer
107509
100% Recycled Paper
,
" ..... ".., .." . . ... ,,'. ""..,' '" '" ,';:,'c..'
, ':', ",' ',"'. ," , , " '. ',"':", :, ,'. .'''
,', " ' ','. :", ' ' ' "," ,,' " '.
,.:..'.", ,".,','. \. " ':: " "l<.
':::,; ': ,,' ," ' :". '< . ,.,' ,'. ',,'.\
',:, , ,'.: . ",-: :"
, ''':, " "'::-: '.',' '" ' :," ", ", .' ",'
" ' , ,',", , .'. "",': ,',. .,,::
".,:", ' " .'" ",,,,':: ',-, ',' ,>'
":,' ":"" ' " " '.' .. .::.
',' ' " " . ." ,,' ":'"" ,,' ,,' ,
," ,,:' """':,, " . :: ,,":,';.: ,",' ,': ,:'.' ' ,
::', " ',: ' ' ":,:-, .;,".", "'i':
;"". " :" " ' ., ,: ,..,'..: .",
:", ,,' ',".-", ", :'" "", --
.: "::., :,.,' ". " . ',.'." " . ..," '". ",
,:,', ""',', '.' ',,' , ". :.
',:, " ' ',',',
;' "';:".
:' ',""'. . ,," ,
'\' '"
,'", , ." " ", . ',::' ',: ..
" : ' ",' :,:
" ' , '
", " "
.;..:-J
<
..-II
,"".
"',
".,:,"
,', :,'
"
~
. .~. .' "
..:
.,'
COUNTY ROAD NO.J:5!li!J
STATE LOG NO.
MILE POST _TO_
OFFICE USE ONLY.
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port TOI'/Ilsend, fiA 98368
PERMIT NO. ~1-a-I'r(
FRANCHISE r~6.----.
FEE PAID ___Y~o
OFFICE USE ONLY
APPLICATION FOR INSTALLATION OF UJILITIES
'.",
Name and Address of Appl icant: t=lI(~'E..o~..ND 'Pov,l€.~:j;. LL6!:L~~..E...,
3J_Q_-Ec.?J.J._g.__~gr,.l.E..g,.~ ~-=.______.
-P"?~-c. _T2k:,l-H::2~J:?___~b--,___'3_<Q3_~.8____..____
I\pplication is hereby made for a permit to constr'uct, oper'ate and maintainES-E.!f.b____
-'0 .::l:r\1<STA.L.i......-~ I <::> F U <= 7~1 _ ,.;.,~1:?.'=-~.b.Q.l'! (".
L-ot--lfi:.P-- I>;D~L,......A cF--A.<::-H 1a-D ~ ?~.J.:..t:l.!..f:JI-P..~::r:.~_L_..l!'::!..__~L"',I.
The utility installation is located (attach map or drawingJ..9.._N_L-",,,,",~1;._.A12E.L.f::1J)..
~....65,H_.Jb'P~_c,J.2T_~__d'= "~""J2_G~~_t;:..J2" :="u....N_______.
Applicant'~grees to perform the work in strict compliance \1ith the terms and conditions
set out herein, and states that Appl icant lIas read and will adhere to the general provi-
sions set out on tile reverse side of this form and any specia'J provisions attached Ilereto.
Appl icant Signatur~~ Date: 3-9.B.7
-10''0 **'- '67 -CY2- 7 (,~
/ / / / / 1 I / / 1 / 1 / / 1 / / / / 1 / / 1 I 1 / / / 1 / / / / / / / / / 1 / / / I I:
8 fD}fij)!IDfiilWlI'EIiil PER M I T
SuiAUft[JIl)I!JIUIQUI ng- t~rms and condit ions. PERMISSION IS HEREBY GRANTED to Appl icant
to construct, operate and maintain utility facilities as requested above.
Thi s permit is conditioned upon 1\1'1'1 icant' s compl iance with Jefferson County Ordi nance
2-81 and WAC 136-40, i ncl udi ng amendments thereto, the general provi s ions set out on the
reverse side of this form and any special provisions attached hereto.
t,
No work shall beh~!.one ..'!onder this p~t ,until the Appl icant has received instructions to
proceed from ~_6..y~L-V"'&<'.k>~, telephone dJ-S -- .3f)or .
APPROVED BY:~-M..~ - Date:~~6'~~'7
/ / / / I I /1/ / / / ! I / / / / / 1 I / I I 1/1 I / I / / / / / / / / / / / / / r
PERMIT INSPECTION REPORT
Vwork covered by permit has been completed satisfactorily.
_ Work is not completed.
__ Recommend permit be cancelled.
_ Traffic control_adequate; __inadequate.
RE~IARKS :
INSPECTED BY: ~=-Q:----,---
{~
~,
l
UTILITY DAMAGE IS COSTLY.
,('
CAll 48 HOU RS
. BEFORE YOU DIG
1-800-562 -6478
t'
I:
i
:\~>
J?;
,
'.,' .
. ......'...,
. '-: '.'.
. .",' :
,
, . ..' .'
,.' .' '. ,
, ,,'
, -
! .'. '.- '.-'
. ',-
":.
;
:.
....
1.
',.....'......: "'~
,. ". "'.: . "'., ,-,'
:', '.',. ''':.. ..... .:
, .. X;" ..,.....:... ," <
....,...,':;.'..;,"....
. "/-:":';,
:.....:'.,... .
\ ", . '
", I:'
I .
'. ,,'. ::-
.' ,. .,' .
",'.' ".,:, '
". .
. "
Da te: ":'1:2_'1.::.&/_
. _iii~,f:,)
~~~~:;~:h
, ,'.
j, .'
;". ...:. "
". ..... - "
. '.' '?
, .'
'. .;.'
',,: ". ". .:',
. 1".:'-' .... "
, '.' "
, : . .
',' ','. '. .
{
Form 114
,
~,.
r'
,(
!
::,.:"
, .
i.
,",'.
r
,i
1-
;;
'. ,",<
'~ . '
:,: -. .,-
". . ''-''",
1 .1 '.". " ,,"
L.L
,
',,':
r
".: . :,",'
.'. '., '. '.>,"
'" :',
I. ..
~J,'-::
", :': ''-'.' .,'.
: ,.,.".,>:
- '.
Gtntrol Pro'lhto"S per Jdh:uon Coullly Ordl... .;e 2-HI .:nd \lAC 136-40.
1. All \IIork done \lnder uid tr~r\l:hlse loh,lIl tJe dom: Hl d Ulon:h,IlJh 411d ..url<.indn1H.l: 11Iallhl!r. In tt,,~ l,,)'ln'J of \,lIldl:rQrlJuIlO "lVt:llJl"~ 4nd eol!ll~~ 01"-' llll!
construction of gth"r fllcllltl.:' IIno tht: Olh:nlnlj of If'l:nct.t:~. th.: t\Jlll1el1uQ unullr cuulltj f"Odlh. f"lljhl~'U'."d)' or otlll~r lu.."tl "rop...rllt.~. lhe 'JI""I~~
,h.!ll leavt ,ueh trenChl:'. ditCfIt::' anoJ tUllnel~ In ,uCll 4 ....oy as to tl1tCI"I,:I'': .IS Ilttl.: os jJo"ltJll: ..1111 pUl,llC t,,,......1 ""d ,!loIll Uh' dl\ d,c o'd
neet:sso')' prt:edutlon~ to ljudrU tht:.~dIUe so that L1o.TIJlje ur il/Jurj ,>ho\1 ..ot occur ur "rl~e tJ/led~on 01 ,ueh ..ur'i ,wJ "l,cre "Il)' ul \utl, lrl'r;cht;\.
ditches or tUnllch dre left open at nilJht, tIlt.' '>Irdllte\: \hill ploce IooJfllirolj 111)hts "noJ \J"rrlCdJC\ lit \',1(.;11 0 I,us\tlon JS lO IJhe 4ce4uale ..Jnllrt'J cf
,>uch \II(ork. The grollU'lI ""1,,11 ue 114blc for "n)' lIIjury to ;.ll,!ntoll 01' ~~rstoll~ ur .Jd.lIld.'Je tu prull",rt)" sl.l~td.lntU thfOI.l<)h ,(S con'l~~sneH ur 1lt"J\<!el, ur
througrl <In)' f'<ll1ure or nt:glt:Ct to proptrly l;juord or IJlvt: ..Hn\nl) of 4111)" trt:!Idle'. dilche~ or lullfl(:I~ oJl.l\J ur md.irlldH..:1l llj lla" IJf4r,tt,.t:.
2. The gr4ntel:, its ~I.lCCtlssor~ or IIssllJnS, ~h4ll CQllllltllce construcl1on untlt'r SUCIl\Il.'l'mit grontc'J l>J tlw Cu.,llty InlJlnt'er ..lthlll thl' tl~~ ptr1o(.\ \uled
In such ~nnllllnd Sh411 /love cOI1ll'lt:ted .snd h4ve III oll",rdtlun. sulo:h portIon ot tilt: S/,It:llI ot l!lfIJl.uvc"....f1l~ "s n"'j b~ '111,'C111CU III \ueh pef1ldt ur till.'
ri9hU tlllln=in COnfern:d upon the grontcn: ~h<lll CI;!4'>t: lllld tlinninotl! Insulor 01' unoCcul'lcd ~tretU. lual,h, t:ll,.,. 41'e LUllLI!I'Ilt;'d.
). The g",ntet:! Shall le<lv.: 411 str",eU. ovt:nues, 411eys. rUoldS, hl'IIl""IS. rl'.ltlts.uI.\;"1 "lid ulh.:r cuunt)' "r,-,>,eltlelo. "Itcr 101110'; dll(.\ IIIH"lllflq
mains dnd dotng construction work.. n\4klng rel'41rlo to e4ull"lICnt. ~IC.. in 4\ 'JoulJ 6n.J "If I! coruJlllOI'I In <Ill rl!lop~(t~ oil. thl:l ...t'n: t.t:!torl! tile U"",ot,:lIlt.
nlt:nt of such 'oIOrk by tht 9rllntel:. its <lIJIlI'IU or contr<lClor~, oI'ld oIl n:cord.:d 11IUrll,lII'tnt~ ...hlch 1141 v." t.l~~/1 d"turl>~d or Ol\I'I<I'""l Lly lht worlo, Sfldll toe
rl:set to the specifications dlld llPprov41 of Ole Count)" [nfjilll:cr.
4. In cHI!! of llny olomoge tu ~oIld strcets, IIv~nu~~. dll~JI'>. r0411s, hlllh....o1y~. dyhIS-Ot"'\<I4Y ur ultll:!r county prU\.ll!rti!.!S. or lu pol...ed or \urt~c.,J 1'001"-
..d.1~' turn.OutS, '>Iull!.!rs, ditches, ..ood ur ClJn(:I'clC "dl~s, df,,;n I'lpc~, h41ld or t:mtJall~lII.:nt 1'41h. liriiJljcs, tr'c..llt:~. ..hol"v",!.. lOlldlll'Js or ~oO'l<,nlClltS
by the grontee. the 'did !lr.:rnte~ 6gl'et:S to n:p.:rn 'uch L101Ml6lJc at the l:orllc~tlO1c pO~$ltJltl <It It~ o..n co~t, Il.llol c~I'l'n'~,
5. \oIhen the County Engineer dctel'1ll1ne:o tlldt an cl!lcrlJCncy !.ltlJo\tlulI dot;'~ I:Kl~l, hc nlJ)I orocr dill.! h,,~c done OhY dnd oll1 woro consil.lcrcd lIce""..,,,ry to
restore to a safe condition /lny such strect, aVl:nUC. "lley. rOdd, hiI)IIW"y, dq!1t.ul...."y 01' othcr COlllltJ tlrO\lI.rty 1~lt l>j tll;: C)rdulce ur d'J,,(\t~ 1/1"
conJtt,lun dOIlC)crou'> to 11ll! or propl!rty. fit: n,,,)' C<ll.Ise to l>t: ,.~plo1ccd or rc!Oct recurded noonuUlt'nU It <I tJrllnt~c Idih tl:> rel,ldCt' or rt.'~et ,~".... ..lthln
d red'i>OMble tlmc afttr completion of construction. The 9rduldc, upon d",lI!iHu.l, s1l41l I'dY to the counti' .Ill COH~ uf such construClllJll or ,,'(;<\Ir <llId
of doing Such work..
b, A.ll-con~truct;on or lnsta11<1tlon of lIIoIins. voll...l:s. pipe.... poll!s. caulds, lilles flttlnlJ IIlld Idci1itlcs, service. repolr. or rel0Cdtlon 01 tilt
Slime, perfonllt!d 1I10n9. uver olud/ur under' tile COlJlll)' rOd.L1~, rlljtlu.of.\;dY or other county pru\Jcrtics ~ul.ojecl to sdld frollc.llhc ,>ha11 1M ,jom' 111 ..ueh
a monner olS not to lntl.!dcn: \<11th the construction. oper<ltion <lfld malntClIollICC of oth",r' utllll1es, jlutl/Ie or yriute. ll,-"ln~. dr<lln<lYc dttcnc\ dud
structures 10colll:HI thel'clll. nor with the gl'odllllJ or Inlpro~\:ment of such count)' rOdos. (\lJht~.of....oy 01' o~her cuunlY Illu\Jcrtlt:~.
1. lne o..ne", of all othcr utlUttllS. public 01' prlvdte. ln~t<llled In ~uch C/lUllty rOllds. rltJht\-of...."y or other COUllt)" llroverttc\ jJl'lor In tlllOO: to
the lInes dnd hcllitle~ of the C)r4ntec ,>hall holVc preferlillce <IS to the IIl)Sitioll MHjloCAtlOIl of iuch utlllties so ll\~t.111cd wlUI rc~pcct to tht:
gr4ntl!e. Such pr.:hrcllce Shllll continue In the cv~nt of tile necessity of I'eluedtln'.j or ChJIlIJHllJ the Ijl'dOe uf 4ny Suth cuunt)' r04d or riljht.gl.""I.
8. The gr<lntee, A'> ("I' olS vr6ctlcdllle. shall COII..tI'uctllew utility f<lctlit\e~ ulldcf"llround. (..tc:nston of o...erh~ll.J foldlltlc" fo\lo"In9 un'els.
dvcnUes, \IIdy" boulevdrd'lo or thorougllfares lolhlll lte umll:l"td~l;'n ullly \<11th ttlC 1I11I'I'u...<ll of tIle County EnlJinccrj PROVIO[D. hO...t:vl!r. thdl u;d oIl)llrll~dl
shotll not be unreAsonolbly withheld. Grante~ ,>hdll cOllvert I!..tstlnq o...~rhcdd filCllitl",~ to l,Iuderqround facilities oIS MId W!1t:11 equl\lml'nt r...ll\oCtc1uClll
I'> undert<lken, or ..h...n other existing overhead utilities 11ft: p101(eu uruJcr9ruunLl. Ul1\~"'\ ...uell r'",p101Cl:!ment is un~aft:. Ir'llrilct1cdl. or i:CUlllllll1(d\ly
unrcosonilblc. Lint! cKten,>ion poJjc1e~ ond proccdurelo esttllilhhed by till! gl'lIntct:. anLl IInl/onldi' 6Ppllt~d throuljh it' scrvtctl Hed, ~t\,111 b~ tIlt:
,un(jord 1n determin111C) \;holt is "practlc<ll, lmprdctlcal 01' cconomtcillly Ullr't:llsOfl<lb1e" undl!r this ordJn<lncei {lrov1dl.!d thllt no I1CW o~erlieod utility
facilities shall be constructed or e~t<lull,>hed hI dllY dreo set oIside for \lullllc p<lr!>.. school. 1lloY!Jround or ottllletlc flcl.J purposes.
9. SpeCiAl ProvistonS:
:':;:'(n~l(~ 1
l;lOOIQ
~I~:/ ~ ~
.d
:-r
~ ~ m \J
!!:l )> !!:l )> ~
:z '" z '" :z
m OJ m OJ ~
:0 c:: ::tJ C :u
a~tl~a
'ti )>
!:'j '"
).. Cu
j= C
~ ~
~g
nC
X2
[!J::!
~ I.
(II FEET - g
+11 33'* 1 ftt.NCIt ~
11 -----.---~
~ FEET _ '"
J' _ _ _ _ ASPIlAlTCUJ ~
~. ____0
L FEEr,I'USH ~
__" CONOult :s
.,- il\ - - -- .- ~Pl.'~N~--.
~, t ICO ' ,,~
,~
I
v_
(.'~ ~ ;; Lj!
o 19. \1 ~ ~~~~
L;r -'-\
~'1 t ~ ~~
1'1 pI' z:..
!Jr.\~ N I .l'l
, z ,"l:!i
~ ~ ~ ~&y ~~
f'J' fll '-
r 111
~I I IJ-l<;:
i:\ jl1 D~
; }" 'Z: -p
s:..
-i (oJ
~I H :!
~ ~ r..j n
o
'i,1 c ~~
'\1 (j'
-~-i -~
~ i h TJOi
~ :...P
..J
I I
~ ~
m ~
~ ~ z~
~ ~ J !
~ -
i
~
g
~~ fEET -
O. ~JHrNCJt
FEET -
2" CONDUI1
FEET -
r CONOUIJ
- -----~.
FEET -
.... CONDUIT
rTI 0 l- en
~:t~ ~
~~~ d nl
;o~ ~ _
~ ~ I'
("') ',j
~ D
{jjJ
)>
'"
5!i!
:z
G'>
\2
52
(jj
I
~
!Ol
c::
-t
E
-t
{jj
~~~
z!:li5
ffig
c:
~
~ ~ ; I~
~ /l;:::
~ 7 g
'" {) ~
)l II ~
;J :lO J
(J 0 \.....
I" ~"\
..J
\' Z
\' 0
(;\
~ OCJl.~
Ii ~~ ~
rJ w~ ~
n
o 0
;::
g ~
~ ~
o
3:
!<l J7- C/
'<;'
,i>-f/
~~~~~
~~~~~
~ ~ ~
i ~ ~ 9
&~~ ~~
~~I g~~
rl f- - Q 6 ll!
~ ~ ~ ~ I
mm t~q}
I 'J
~j
"
i
;;l
:E
~~~
~I~
~:ij~
:J:
g-0-~.,
~ ~ ~J :: = ~ cc tl
~ ~ ~'J;- ~ 1,-1 t~~'
-1 ~~~.rl ~ r ~~1 ,
J! fi [11 if r ~~
tll .1-;\ ,
r:}hl} r~ ~ T-
t. I {,.~ I T-
. !'\ X J ~
~_I J' ~J~
fI a -\I E.
~, \J
J'I
g
III~ J~~'}' tJ '01
1__\ L; i. :i J'--Il
IIF' c ~ lr ''''-u
_' - - 11' (' "~IJ C
d r \ -1 -;rl -\ ' I-
e:; () U ~ ! In
c:J,iFC ,-0 ~
, , ilIl" '<' . ~
~ r, ~ .~ 1- fil Ii'
~ '"~' ,j' -;. FI
Z. ['I " v l'
'-f" (' ['I.
III "~ ' i -r r
1~t1 -:1D (; ~
c ~ z. r~
J' r- tJ I
<;/'1
l'z:..
...
o
Z
....
::u . ~ -:: .. = -- -- -)
F ~ E j I.~ ~ D. ~ Irl
r ~ l' ir~ r1 t- -,: ~ ~
VI ( r .- ~ ~~ -I'
; ~ 1'1' I' ~ {\ R
~, h -\ L~ II\-? \J f:l ,~
o 'I. ~ oj' r. r ~ <:
~ b' i1' ('1 ~. z. J- r
m z:~' N.J r I' Co
(") g)' I' Jl -I
0, ,~ - c. 0
~ \5, z 1Il_ -{ \J ~ .l/{
)7 lA h . . ,Ii :
l\l-J ~' Z. ['I --,/~ ·
\) (). V-- ~-.
. \P . -t'" \
'V'. ~ Qd
n
)>
..-
..-
o
:z
-t'"
:t:Z
-c::
"';;:
"'w
"''''
!::I'"
g~
"'c::
O2:Z
=:0
-t!Ol
oG'l
~g
"'02
f!l0
a~
C:::;j
;:go
:Z:z
~~
~~
-tn
~~
::jO
002
O2~
o
.,,1
~8
!OlO
~ l~
- 1,1
3 ~
""
VI I'
\11
z: {~
(S'ill
. 'fJ TI
r fl f'
rJ..I
\J ~ ~I
. r
-,I C' I
1~ \i ,II
(; v~ l.
7l ~ -1
-I C
() 11 'l
_ \1 91
,.9,l-
\1'1 7> (1.1.
./> ~
r
Il
----,.
~, 'e'l vJ TI
L r V
l:~~~
(', 'f' );:
~ U~\
I'l
\J
H 1\ \.i
-_._z.c.-----'L
---J:0'-----~'
~~ ~ r') ~ {'I C. {): Q~N -\
~ Vi hi! J' f~l i.P --l f\ I":G~ h
.\Jf Tl/. _ flY Ii +
6' 1'1 ,- ~ ell' r:: ]'fJ .i 7l r\ f-
,N , ,1 0 - 0 1; ;- r .'!'
{" -:1 r'!'l ," '- d rl (l
,Ny--'" -"\'(''01'
[fJ1\~ f ~ ~ f J7>
't~' ~ ~~~ ~ ~l
tl1 fft () - c.. -I
fj '-.i> l. VI U1. -{ \J
--J J::! J' rJ (ll
-I' (j r- t'
\ -t
V",
'J'.
l.. (\ __I
o 'l> \j
:- ~-~
~ r (1,-
r1 11\ t' \
-c N
'i: .I~ !~,
......:, V
~-l-l{\
L. a -1'f\ T--
r1 .~ vJ z:.
~tl1 ~~,
_ r
l.r
~.~
1"
~~
-(
~ f :J
< Y. \', II ';~zr ~J
l '~J ~U\ ~lJ
(- -:I r -:-1 VJ \ \J
~ D pi _ _ \1: ~ tJ
-1< 'L \)tll
U 1: \~' 0:- orr V ~::r "h...:,
.,.\ t:. ,(~ Ii.... \ ~ Y ~
l.JV I', O. '1 ._ (' -()\ (oJ
- r L ,,-I
~~ (, ~ :~l ~..~ (;
W G" z., 1! 'OJ"
(j) I' \".:.
~ ~ f ~v J 'b~ J' '
Ti <}" ()
I" r'" 'I
"I . I
O!\~ i
~ g 1J
i.
(}
f'J
!i ILl I I I
,t"
:p;
,
:~
, "
,',' (.. ~ ~ ~ ~~
!.l ~ ~ ,m (' ,.
o ~ ~ '1 'I~
(' 8 r }! If'
'-~(j J'-\
('l z.. "'\ ~J
{'1 CI' z:..
~ N -- h-;:;
!J\ ~ 1" I Lg
(, ::;., ,'''''y' (11~
- ~ /-.. "
L \1 & )1
tJ, rn "-
f--:: r Ii I
m~ _7 1 ~
~ \. fTl ~o~
;. J' ' L.
L
f I '"
_\ 0 [))
,.1 ' -I f--.,;
b~ T. ~g
::: ; 1: -:l r.i
, 0' '"
i'J c. r:~
I<~ t1 G' -::-;:;
~ ~ (\ ~~
~ ~ 0 D~
l. p
< -1
~'
i~
~i .~
1J ~ '" !;
~ ~ rn
" " " Z~
~ ~ i
:: ~ L<;i
I I
~ ~ 0
~ >
g
I~,'.
1.1
-~"
;'f"
"
"
,
,
,
~~~:..
.,
'I:
'1-,
\
f
>,
f
f'
:,
t:
t-""
I 1/ ~ /",:<!;'"
.[yl/
~
r-
r-
o
z
:t~
(i)~
~~
~'"
n'"
:r:0
-'"
UlC
zz
00
-i'"
d~
~g
"'02
f!lo
== ;;;5
o On
::tl~'" ~ ==<
'" ~~ ~ 6
en!li;S ..,;
'" ~tti 2 ffi
T ~!6~ ~ ~
~ ~~
5R
n."
~a
002
:zf':1
~'1
~8
~o
):2~
Q fJ
S~
;;;,
Ul 11
~
III
~~~I In
G1 :x: n n
~ ~ ~ L..
~ s' Q
~ ~ b
n ,I
~ 0
ijj J
)>
'"
'"
I I ~
'"
:;::
"'0 '"
a ~ ~ ~
~ ~ ~ I
t' E ~
:.! 1li
'"
C
-i
;::
=i
;;;
Ul
IfJjl!=l!i1 ili 8
;nl/;,g" 3: Z
~~~~;1
~ ~ ~ ~ g
~:::o> 0
::tI 3: 2; Z
,. m ~
~mo
~ '" ~
~ ~ ~
~~~
;-i ~ fTI
~~~
C ~ ITI
C ,... ::::
n ~ "
~ ~
!S ~
:=
,.
!:l
"
~ ~
CD
~ ~ ~
~ El ~
~ ~ g
Gl 1_ ~~(\
o J
l:s i)
)'
<",:,:.,', ,'" ',:,,': .,' ,
':-', ..')::" ",,' '::"" ",',,' '"
: ' ",..:,', ',,<.."':,,' ,:,': ",', ,':,:: ,
,,:,' ",':',:"--" ",;," ..:,:,',,-'<,',,,,,:: :" ',,<..
" ' '.. "',' ,:' '" " '
..:', "', >'," ",:, ::,', ',' ,,'
" ", ,.- ,",' ":" ',"..' ,"
:, ',":., ''-';.' ,.' "'.,.."',:
'" :.: :" ,,:, """,'.. ;>: ,:
"'" ,:.. ,,' '.. ,: ',:'c':,', · ,'.. ',-,':, ..'....',.'" ,.,...":',,,
"c ,...., , ,..'.. '", ' ":,, ..,.. ",', .,',
" ':," >' '<". i.,.., ',,'>., '. ,'.'".,:: '
, .," .. ,'. ,.."",' '.' ",',. , ,'" ,',"
: '. ' ,: ,,' '. ..'., ,,' . " ::'
',;:" ",' ...,:, ',"":'
, ..,' .,.. .. .',',. . "/;,, .'
'.,.. " ,.,...
< : ", .',., '.. ' ',..,. ""'"
,;:" ., ,.'. .
:', ,',,', ',,:' ' "', "'" ': ,
, ' ' ",,:'.,,'
I ,,' ' ," ..' ',.'. ,,' . '::
r'r' ... ,.. .,", :., '.Y: '
''',' .,.::
"',' '.-," "", ' ':: "
,,'
-"', : '. '.. .','.. . "
,,' >,.' .,': :' ,"'..
': .....: " ',...,' ...",;
.,!,: "
,:,:',,', ' "
, . .
''- ,', '
." "......:.
.' ;: ,.", ,:',:'" ,1
','..,',"2-].',",
~ ~ ~
i:j8ffi~12g
U1 VI ~ ....... ~ ~
, '1 '} 2
~ \ p;:
, ,,,,
,,'
~
::;
(
1'1 T-V- J: \;'.~ ," i' '1',1
__I ? > J' 'v
1m c; Z. OJ "',
II . (.. ~J ' --.1
_, - -!J (\ v'. IJ ~
J /;1 OI-flU _I -\ ;,-
J, u 'l1 Y' ('l
C -\ ;JJ [ ,- 0 I"
t" ~<l ,( f ,\ {~
. (I rJ 't yJ v'
~ ~1 I! Jl -- PI
Z. ({'I <;, J'"
<: r r' (' (1\!
If) r . J; 1\1
f.r1 '"r
1\Jc! (;~
c: ~ r} z. 1'1
,/Ir-N r
<' f'1
{\l:.
i;:
~rJ
?J'l.';
-N TJ
r- fl [1'1
II 'j
\j \J IN
:'-D tll
,I {' I
I~ ~ 1/1
(j V~ L.
TJ :f -1
--I C
o ;1 z:
II 0
J4'- -I
In ~ (fJ
-i"-J'
r
" ,~I 1\ ).1
, 1, 'J - -:. 0: y,
Sj' \' "I _,I (" 1- _" ," -J,'
i~ I: ......... 9. v, filN --
('Itt 'ii," .J' li\ ,p -I . .. (; ,~~,-_....
.\J r,J I':J j\. J ~
. 1'1 I t_ - , ['I Y -~ ,I,
6' 1- ~ ~J ~ T1 .) 7J {\ t.
~N ; f,j () I 0 ] 1: ;- r v'
'''y ," r\-i
/" -, (J .. -- . I I'
{f; J'~' 0'"1(" \J \ .
~ IJ'i'J, (' z. ~ ;f J 1'''
, ~' r (\ V' r L ',~I
;Ii co ()'~ "1' D
~~2 I Jic. ,1
--.j ~ JI ~ - -{ (II
-f'\) r- J'o'
\ n.\ ()
V",
'f\
'~,;,.,\.:,',';
, "
v-' f.J
I < .; t. U '~~ F }<f
_. !\ -\! 'J> t. '7. - I... J' fJ I
Q f J': t fJI.! 1- ~;p
[, vJ-~ Ii :-l r ,I \fJ I (\ \J
-j r 1-1" 0 [II IJ li +r
~ [II 11-J -I < :: t:' = ~ ~ .
Cj M (j l \~' 0-- -"'v il]" -
'i:<dt~1 uJ~f 0,: l' /1)>-:
"-.. ~ ~ j _I nIt\! .
-] (\ IlL "j' I
() -j -1_ OO~ \', ~ ~W 'Aj; 'it
L a -J'l- .(_ J v
B ~ If z: ~ ~ z. 1 L>J ~ T]J'
~ll1fr ~,~ f ~J ~J' I:
_r
7(' T\ -<;>- 0
L (') r 'I
J: -f Ie;--I
_I ~ 1" I 0
)> __ \1'\ ;If
r _ v'
~n ] *
_( - i
r
t
,..!.
-t
~
(J
~
~
,
-i
/"', ,
"',<
RE~ORT NUMBER: EST230-01
"DATE 03/10/87 TIME 09'16
1&0 C~ST ~STIMATE SYSTEM W/O NUMBEII: 870276600
~jATEIUAL ISSUE < T'''f.,j ) I"AGE' 'z. OF '3
-.---.----------------.----..--------------------------.---
MATERIAL DESCRIPTION
11ATL. J:l)
GIIP. ITEll ASSY
INVT. I LOC. I STOCI(I'~M. I DOC. NO. 1 SIC I ACT. I 11C. I I':A I vJlO NIL I EIHlol~EI> BY IiATE
STlJI'lE I S"',I'ST' I I S I I I N..1 1870276600 I I I
OUAIHITY
IlEI;IU J Il[D
UUAIHITY
ISSUED
____MM____..________________._____..___________.______---..----.-..---.--.-------------.--
DISTRIBUTION- POLES, TOW[RS AND FIXTURESIACT.
ARM EPOXIROD SIDEMNTI2.5 87 21100
WIRE 3/~' UTILITY GUY ON 40' 85 85200
ANCHOR SCREW SUUARE 10" 87 17700
BRACKET CUTOUT MOUNTING 48 29500
IMC.
01
40
~?8
27
DISTRIBUTION- OH CONDUCTORS AND DEVICES
ARRSTR SURG[ 7.2/12.47
INS FIBER ROD 34.5 DE
CL[VIS 4-1/8'RIGID INSUL
CUTOUT LOAD INTERTP FUSE
CLAMP TAP OFF lB FITS 18-1/0
STIRRUP 12/14 COMP YCB2R
SLEEVE DE AUTO 14 ORANGE
I ACT. 11'IC.
48 ;!4000
9:5 1390';)0
9;! ~>7~?()0 66
413 901 ()()
;!1 :5:51 ()O
;!2 ~>94(')0
22 20 0 ()(-) 613
111(,. IU I Vl/O
2
2
::!
Ill,). N..1 I vllO
2
2
2
2
::.~
::!
-----------------------------------------------.-.--------.-----------.--------------.
SYSTEMSIACT. ._____IMC.
76 24:500
76 24<,,(-)0
7b ~\4fJOO
76 34900
7b 'l2~?00 76
7b 42~~()0 '1'7
76 62000
:313 4~>00()
76 68:5<)0
DISTRIBUTION- UG CONDUIT, BURIED
BELL END 2IN ABS PLASTIC
BELLEND 3 ABS PLASTIC
CONDUIT 2 IN PLASTIC
CONDUIT 3 IN PLASTIC
CONDUIT PVC SCH80 IPS ?'
CONDUIT PVC SCH80 IPS 3"
HH :56'X4:!" vJ 21 "X24" MHllPAD
SIGN BURIED CABLE' 10"X13
MARKER CABLE PLASTIC
111(\. N,.1 ( vllO
::.~
6
20
:3 13 ()
1
2
2
--------.--------------------------------------.------------------------------------
1()
DISTRIBUTION- UG CONDUCTORS AND DEVICES
CABL 4/0 19ST 3C 600V UG
CABL I/O CN JACKET 15KV
TERM 1/0 STR AL CN 15KV
ELBOW 200A I/O AL 15KV
CONN BLOCK 6-350 b HOLE
ADAPTOR STUD 5/8 TRANSF
ROD 5/8 X b STEEL GRD
1 ACT. _.....____......I l-lC .
86 :3 I 5()0
B:5 9740()
71'1 ~5:l400 74
713 061()0
4B 40200
413 420()0
9() 22600
I 1'1 A . N..1 ( vl/O
~)0
420
2
:~~
3
;5
'1
------------------------.------------.--------------------------------------------
~~ :':, ~ ~ _, ~~ __:.. ~:: ~~ ~~!~ ~,~ ,.:~ I:'~ I': .:,...... __:. ~~:: ~~ ~ I: :::?::'.~ ~.~:-~:.~: ~:~ _. ~~ ~~:::.:-:. ,~.(:I.: ._I.~ __~,~: I~ :1~:.:~, Y-::?_::.!."L _ __.. _. _.. .__ 'm
TITLE: DIST. IMPROVEMENT-OH TO UG CONV. IEASEMENT IPOLE CARD
LOCATION LOWER ADELMA BEACH RD
1 PEI'IM~,FI~AM
-----------------.------..---.---------------------------..---------------------------
It1M'PED
------------------.--------------------------------------------------.---------------
DATE ORDERED IDATE FILLED IENGRD BY. IDRAWN BY. (CHECKED BY IAPPROVED BY
I / I / I I C:::,OWe:.12- I Go"" ~12- I I
.----------.---------------------------------------------.--.--.-----------------------
FILLED BY IRECEIVED BY (STORES APPROVAL IDATE COMP.IFOREMAN SIGI DOC NO.
I I I / / I I
_________________________________________________________------------------1
ESTIMATE No. JMG 137027b6 , IDATE COMP.IFOREMAN SIGI
THIS REPORT WAS PRoDUCED FROM CONTROLLED PROC ( I
DISP'R STR'RM FOR'MN LIN'RM GEN.F'MN COORD. SYS.OPR ENGR R/W ASST.SUP ADV.C-STP
REP~RT NUMBER: EST230-01
~ATE 03/10/87 TIME 09:16
T&D COST E~TIMATE SYSTEM
MATERIAL ISSUE (T-611
WID NUMBER: 870276600
PAGE: :3 01' 3..
INVT.ILDC. ISTDCI(r~t1.1 DUC.Nn. iS/CI ACT. 111C.II,rll .l/D ND. IENTEF<ED BY
,nom:: I SATST I I I S I I I N.J I 070276600 I
DATE
I I
MATERIAL DESCRIPTION
11ATL. JlI
GRP. In'.M ASSY
OUr.tHITY
r.:EDurr::EII
l,ur,NT I TY
ISSUED
WIRE 4 SII 1 STR BARE CU
DISTRIBUTION- TRANSFDRMERS
XF iPM 25 12-240/120 N
04 03700
I ACT. ._._,._...--1 MC.
62 47000
20
IF"'.. N.J I .1/0
i
EQUIPMENT -- EXPENSED
I ACT. ...._.........-1 MC.
Ir~rl.N.JIW/O
lIIV: 6 ICDUNTY: .JEFF. IU"'MAP'::'30lW\'G.8ICI<T MAP'II'O.l-I'~ ICICH' \-g.O.1l IRA: N_J
--------------------------........-....-..---....--..-....--..-..--......-----....---..-..---..---..---..------..----..---
TITLE: DIST. IMPROVEMENT..OH TO UG CONV. IEASEMENT IPOLE CARli
LDCATIDN LOWER ADELMA BEACH RD
IpEfm&FF<AM
IMr~PI::'ED
lIATE ORDERED IDATE FILLED IENGRD BY.
I I I I I I (::;JovJ cz.-e
IDRAWN BY. I CHECI(E,D BY I APPROVED
I ~ovl ~.:e.. I I
Fl U.EJ) BY
IDATE COHP.IFOREMAN
I I I I
J)OC ND.
ES'TH1ATE NIL .JMG 8702760, ,. I J)ATE COMp. I FORE~IAN
THIS REPORT WAS pRDDUCED FROM CONTROLLEJ) PROC I 1
IRECEIVED BY ISTORES APPROVAL
I I
s:r:G I
I
I
SIC"
I
DISp'R,STR'RM FOR'MN LIN'RM GEN.F'MN COORD. SYs.OF'R ENGR RIW ASST.SUp AlIV.C-STR
---------.-------------------------
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Ftc Paid_ Yes _ No
1820 Jellerson Street
P.O. BOK 1220
PorI Townsend, WA 98368
(206) 385.9160
Rcccipl No
Addu:ss Rtqut:!>I_ Yes_No
Milcl''''''~~
AI'I'UCATION FOH I'EHMIT
To Department of Public Works,
Jefferson County, Washington.
Tile undersigned U S WEST Cm11~UNICATlONS
herebyappl_ for permission to place bur,; ed cab \.T,'PIPU~I\.~~t'~"_IIJJ ~,9J~,r;UJRoad
Please see attached sketch
S - 8
T' -29N
Il - 1 E
..Telephone Company Engineer: Jim \~illiams, 478-4404
Port Townsend - 89-8-5593
SKETCH:
PLEASE SEE ATTACHED
RECEIVED
MAY 19 1989
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
On County Road:
between
(Slall'lIl'tlr"I/CTIl\I'.I"l"l'tflTmll<"HJlm)
and agree_ 10 do the work In accordance with your rules ond re!,IlJlotions ond subject 10 your Inspection and approval.
Dme May 17, 1989 19
M~~"~,~",~.",,s-~k. ,e"""",,,,,
ur applicant is 11 copartnership. set forth names of copartners)
AIMICU
^llllr~~~
Phone No.
Jefferson Co.
District No.
s
DEJ>ARTMENT OF J>UIlLlC WORKS
Permit No. 00 cis
Supervisor's Ueport No.
Superl1imr will make detailed report with his recommendation on/his application. Whenever possible show sketch of proposed
work. Supervisor will also make additional reports altdflnal report giving date afcompletion afwork ollthisform.
Preliminary Report: ~ocu.J..J
~;',Is'* <>.S" ~~,J.
o.\-1t"'-, V-..l...,\. ..:,4
4r "".il P .;:,N PI"!"'-- IZ </ .
~'" "-l' Sb \'P'~l <("-'>'1 ."...~Idw>- .......,~"'-
""~~ " S' <\''''''~\ "\.",,...\<l.J...... (<..,,~ \<
I'--' Q A< ('c....\.-\- <~~'-I'
o;\,,~
c.\....~~ r......1..&-"
J""< ''''.. , " '::1, "t, 'h " ..
.~~-~ } .~:~ '.!..' ;.1 " - ::;...::
"," .~. ,
r '..,
Date~T j 1I,~:',77;~';~':'.1", .......
Final :'le~~~: I:; >~ I:; C " '!.1,' :;; ,! [1 t '~
PERMIT INSPECTION REPORT
Signed:
D-d-
Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control.. adequate
.. inadequate
REMARKS
Da'.:
SI~n.d:
- ~
1" r
r.; (f\
C'
() :::,
~ ~
OJ ~
f;" ~
~
~
~
::.
,...
'0 ~ :? ~ ;;0
;::, ~D o.-lI>
C'y ~ J;:; ~
:P?~--
"1 0' ~ V' I
r.-t C'"'\:) t-..J,
"t::.1 ;- ':0 ",,-
~i-'i.o
~ + II \:::,
~Ef1?;,
'"j ~ r> ::, Ii....,
"-I 2. '"
1" --( ~
...., (j t !Il:;'
...., l.l-1 D ::1.
;:. ,0 Cit
tv G'
;f '-
~.
':-
....
'11-
i>'
-:>c/VJ$'
o~G'_
r'^.'::t..
,y ';1 -.
. ;:3
~ '" N C
(:.. r;:. ~ ~
~~(1~
~ c-
d 7: ;;:
~ r.:
,....
[!]
l'-l 01 D'J D' ~, :::
o {} r:> :: f:' '!:
6" o(l ~ E i::
~-:'",l;"-'0
;;;;~~s ';If-I
. ,. ' fA ~. --:.
~I -I::> c-
ot 111 ... ;:
.c.oE '''St
"VJ~ c
<. -D ~
"'" ).'
~ -I
D ;;.
e
'"
c..
:-i L. "t>
~ ~ ~ ['
~ t. ;'-J ~
"f<> ~ -,
..f_",-1
o r.j C' -=
l;' v. i:- r:?
:l> 1';) t'
r ~C>-(
f':\ C
oa t
-I
'-{
,
,
7J
r
"
"
r
~
~
0'
\
~,~~0';;;Y.,' ,i
";;" ' , ,.",-
~ . '!..,
rt~<)'~.
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. Box 1220
PorI Townsend, WA 98368
120613!!S-9160
N~
0045
District No.
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi.
tions and provisions written or printed below or on any pan of this form
PERMISSION IS HEREBY GRANTED TO
to
County Road No.
Franchise No.
Milepost
No work shall be done under this permit until the party or parties 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
Dated at .19
.19
By
1.800.424.5555
GENERAL I'IWVISIONS AI'I'UCAIII,E TO AI.l. I'ERMITS
This permit is subjcct to all applicable provhions of the H.cviscrJ Codt.'5 of Washingtoll, except that allY provhion inlili... agreement /lot consistc/H with
such resolution shall be controlling,
A bOlld in the amount of $
is required for the prOlcctioll of the count}' us set forth ill Ihe terms of the bond
During the progress of the work such barriers shall be erected LIlld mailltained as lllaY he ncccsSOiry or a!oj may be dircclCd fur the protection of ttic
traveling public; Ihe barriers shall be properly lighted at night.
In accepting this permit the petitioner. his successors and assigns, ugrccs 10 prolect Jefferson Coullty and save it hannJc!>S frOIll all claims, actions and
damages of every kind and description which may accrue La or be suffered by uny person or r~n~ons, corporation or propert)' by rcas.on of Ihe perfor-
mancc of any such work, character of malt:rials used or mallner of inst.allation. mai/ltcnallce and operation or by the improper occupancy of right of
way or public place or 11Ublic structure, and in case any suit or action is brought against saiJ Jefferson County for Jamages arising oUI of or by reason of
any of the above causes, Ihe petitioner, his successors or assigns, will uJlollnoticc to him or thcm of commenccment of such action, defend the same at
his or their own sole cost and expense and wiIJ satisfy any jUdglllClIl aftcr thc said suil or action shall have finally been dctcrmillcJ jf adverse to the Jcf.
ferson County.
Except as herein authoril.cd, no excavation shall be made or obstacle placed within the limits of a county road ill !luch a maflner as to interfere wilh
the travel over said road.
Except as JJcrcin aUlhorized, /10 cl(cavation .shall be made or obst:Jdc p/:Jccd within (our (41 (eel of Ihe edge of the pa\'ement.
Iflhe work done under this permit interferes in any way with the drainage of the county road, the grillllee shall Wholly aud at his own eXpen~ make
such provision as the engineer may direct to take care of said drainage.
On completion of said work herein contemplated nil rubbish and dchris shall be immediately removed nnct the roadway and road!oide shall be left neat
and presentable and sati.~factory to the engineer.
All of the work herein contemplatcd shall be done under the supervision and to the sati!>faction of the COUnty Engineer and the entire expensc of said
supervision shall be borne by the party or P<lrtics to whom this' permit is issued.
The Department of Public Works hereby reserves Ihe right to order the change of location or the removal of any struclure or structures aulllOrized by
this permit at any time, said change or removal to be made at the sole expense of the pany or parties to whom this permit is is~ued. or their successors
and assigns,
All such changes, reconstruction or relocation by the grantees shall be done in such manner as will cause the leaM interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any damage to the grantee by re,lson of uny such work by Ihe Count)' of Jeffer'
son, it agelHs or representatives, or by thc exercise of any rights by the County upon roads, streets, public places or structures in question.
This permit or privilege shall not be dcemed or held to be an ,,;e1usive one and shall not prohibit the County from granling other rcrmits or franchise
rights of like or other nature 10 other public or privatc utilities,nor shall it prevellllhe COUnty from u!oing any of its roads. streets. or public places. or af.
fect its right to full supervision and control over all or any part of them, none of which is hereby surrendered.
The Department of Public Works may revoke, amcnd or cancel this permit or allY of lhe pnwisions thereof at any time by gi\'ing wrillen notice to the
permittee. The permittee shall immedialcly remove all fncirities from the right of way. Any facililies remaining upon the right of way 30 days after writ.
ten notice of cancellation shall be removed by the County at Ihe expense of the pcrmiuec.
The party or parties to whom this permit is issued shall muinl4lin at his or their sore expense the structure or object for which this permit is granled in
a condition satisfactory 10 the Department of Public Works.
SPECIAL PROVISIONS:
In acccpting this permit the grantee, his successors and assigns, agree that any durnage or injury donc 10 the property of the grantee or any expense
incurred by him through the operation of a contractor, working for the COUnty or uny County employee shall he at the sole expense of the grantee, his
successors nnd assigns,
and conditions as herein set forth.
. the undersigned, hereby accepts this permit suhjeet to thc terms
Dilted this
dil)l of
. 19
\
~
S$y()?t.-~
JEfFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 ~'r$OO Slrelt
P.O. Box 1220
Poet Towns.nd. Wit. 96368
12001 ~~9160
District No. 5
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject 10 all the terms, c<mdi.
tions and provisions wrillen or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO u..s. w....1+ CoVY->o~ ~'''c.. \,.,,;......
(,,11 (..~ s\-o ~'"^",.Ao..., ,vA. "1B'"SlD
to \lVc;\ll. :1."'< )C "!.o'
\'.-0....... ~-, s\..,
~of~'7,
~i ("'-' u.....u.-- Fk..~1.e.r- R.-A "'\.- M. \-'. ~,'S B
Clos~",,- 1:1 31, ~, _ ~_.'" I.
, ,-""-_. ~ ~ \4 -\0 ~N~"""
c...>.<l.'* '8"1. - 8 -:- s;- S "J 3
"J S2 707
County Road No. ~
Franchise No.
Milepost J. "? ($
No work shall be done under this permit until the party or parties 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 r-1 "t ~ <{
,1990
Dated at M+f ::2.l{
,196'9
By
1.800.424.5555
.'
GENERAL PROVISIONS APPLICABLE TO ALL PERMITS
This permit is subjcct to all applicable provisions of Lhc Rcvi~ Codes of Wa~hjnlton. except thai any provision in this agreement not consistent with
such resolution shall be conuollino.
A bond in the amount of S
is rcquirr:d for !.he: protection of the county as 5Ct fouh in the terms 01 the bond.
During the progress of the work. such barriers shall be erected and maintained as may be n0c:es.s.3ry or a.s may be: directed (or the protection or ltic
UI\lcling public:; the barriers shall be properly lighted al night.
In accepting this permit the petitioner. his 5uc.cess.on and assigns, agrees to protcct Jcffcr50n County and save it harmleu from all cll.ims. actions and
damages of every kind and description 'Which may accrue to or be suffered by any person or persons, corporation 01' properlY by reason of the perfor.
manee of any such work. character of matcriab used or manner of installation. maintenance and operalion or by the improper oocupancy 01 ri&,ht of
way or public place or public structure. and in case any suit or action is broughl against said Jefrerson County for damages arising OUI of or by reason of
any of the above causes. the petitioner. his succes.sors or auigns. will upon notice 10 him or them 0( oommena:ment of such action. defend the same al
his or their own sole cost and expense and will 5.atisfy any judgment after the said suit or action shall have finally been determined if adve~ to the Jef.
ferson County,
Except 35 herein authorized. no excavation shall be made or ob~ucle plao:d within lhe limits of a county road in such a manner as to interfere with
the Ira \lei o\ler said road,
Except as herein aUlhorized. no eJ.C3vation shall be made or obstacle placed within four (41 fccl of the edge of the pavement.
If the work done under this permit interferes in any way with Ihe drainage of the count)' road. the grantee shall wholly and at his own eJ.pense make
such provision as the engineer may direct 10 take carc of said drainage.
On completion of said work herein contemplaled all rubbish and debris shall be immediatcly removed and the roadway and roadsidc shall be left nul
and presentable and satisfactory to the engineer.
All of the work herein conlemplaled shall be done under the supervision and to the satisfaction of Ihe County Engineer and the entirc expense of said
supervision shall be borne by the party or panies to whom this permit is issued.
The Department of Public Works hereby reserves the right to order the change of location or the remo\lal of an)' structure or structures aUlhorized by
lhis pcrmit at any lime, said change or removal to be made at the s.ole expense of the party or parlies to whom this permit is is.sued. or their succcsson
and assigns.
All such changes. roconstruction or rellXltion by the: granlees shall be done in such manner as will cause the least interference with any of the Coon-
Iy work and the County of Jefferson shall in no wisc be held liable for any damage to the grantee by reason of any such wOfk by the County or Jeffer-
son. it agcnts or represcntati\lcs. or by the exercise of any rights by the CounlY upon roads. SHeets, public placc:s or structures in question,
This permit or pri\lilegc shall not be dccmed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other nature 10 other public or private utilities. nor shall it pre\lent the County from using any of its roads. streets. or public places. or ar-
feet its right to full supervision and control ovcr all or any part of them. none or which is hcreby surrendered.
The Department or Public Works may revoke. amend or cancel this permit or any of the provisions thereof at any lime by giving written notice to the
permittee. The pcrmillcc shall immediatcly rcmo"'c: all facilities from the right of way. Any facilities remaining upon the right of way 30 days after writ-
len notice of cancellation shall be removed by the County at Ihe eJ.pense of thc permittee.
The party or parties to whom this permit is issued shall maintain at his or their sole expense: the Structure or object for which this permit is grarned in
. condition satisfactory 10 the Department of Public Works,
SPECIAL PROVISIONS: <....) ;ILl IPZ"-" S
'3c....
b..1......
skll ..... \)0..>", e.d
ex. is.J.,,.,,'1 d;-kt. ~
k\A- ,('c.Sf"""-si.bl... <j;,r- ""-\\
Rd-., "'9.'-\- b' --0.....;.
0...,
""",-t_~ "",,",u_ "r
(2.) .A f'rli~cv.\- st...\\
dt..""""<yz$ {"
""'-
c..o.....J. "
I
In acuptini this permit the grantee, hi:; success.ors and a5.'iigns. agret that any damage or injury done to the property or the granlee or any expense
incurred by him through the operation of a conl1aClor. working for the County or any County employee shall be at the safe expense or the grantee. his
succ.ess.ors and assigns.
and conditions as herein set forth.
. the undersigned. hereby aa:cputhis permil subject to the terms
Dated this
day of
.19
"!,(lhun,
,.
. ,"'~""'" .' ",
~.....
A,
~
iJ
:z,
r:i:I
~
ti'
Y\
~,
~
~
g jJ,
~ .,
::'.f<
,1->')
'J .v'
~,
\~
,':l'"
t~ ~
~~2
C;~
'"
'^
~:
;;;~
:: ~.
,~~. '~
,~ IV
I~ '<,
~
~;.. .:~..ir,
?;'~'d:
::j~ 'V
~.) '-;:
"
,~'./ &:
~~
~
........
P:1
........
~
~
(J)
..J
<C
Zm
-ID
CCi=
I-
D..
<
(.)
~
~
~
~
~
~
~
~
if;
d
7
o
u
.
~
~
f"'?
,
-..': ..~
, "'t.
~!'
, 1
~.....i
~.... 1."-;
,;;;
...,2,;> ""~
'~'~~\'"o,j''' ~.,~
~~-,; ,~~-,~'~':~" ,'t:."~" ~,:,~
~:''''''\::;''_'''' '<C', \'..... ,~"'..':~
",~',.,':\".',.,',~',",..,,:t'1, ",~~.'. "IS;:'" ~,'4',
"';"i~,">\:':"~-''\t, ','~"~~r.::t
". ~.~ f: ~ ~l:-0-~
~~~'::~:"":~'~~:' ~~,~
..' ",~:t~<~:/~"~::,i:~~,
:,,~~t)l:'~:~,~ :,~"- a,:: ~> 7;
'<.L~:'-!~ ~' t' '\:l~."';
'-., ~i'\;:\:';,h,S'~; ~~\ :'-
~)~\.;:1,',-:~,~,~,' ::':~;r_'
-~"'~';"!;'''\'-'~: ~', dOo) \
,-:. ')~;'-\j::\/..~' ~ '-"'.}( :
~'~",:~\-:1,'::: ;:_~.~ '~""'~"~
~,~,~~<t~~~;, ~.'~~,,:~ r
'"-,~,:L~.,,, Q~)\,
t~ -:",.- \:j~!'_\,; "I~.....~,,, , ','
~' <::::~. '''',~Li ,.~ ~~. <'
'....~.: .,'" );'~":'<"'-:',.,~,.' ~'.'.' 'i"\ ~
.":-t-"':~>'I~.J ~,~. "
. ~ i.:___'i "'(,"'~,~')', ~~.... ~,"'!, ':3:
: '~. ..... -.;<'i'~ ~;", '=:f.: f" ~
~ "'j '~i'''~~1',<\ \;
,~~ ,:<~.. ;e,';~,'~\.~
\"~~\;:,~ l~'~,~~
:,;;~,~ t ..~'~", ~':..(~
~ >;"-:,; ~,:1J,,:4,...~_~~~~
't...~~\;;'~,,~ _:::~ ,';..~>:,~.~
'~:~~ ':1~~~
"\,,~,.;:~.......~'
,-' \"~~~':~:~"
~ ~'. ,,~ ~~.:: ..>. ,'-:- ~."..~
.~~..:..~ .''''),; ;.~~,;-'"' .,,~
.," .""')~'-~"'-<>-~:'"'
,,~">.t~J~.~~,'t.~
~,'" ..,tJ.~...",,,,~
~. ~.~ J.-~,,::~":'~:g
~,"0 ~~~f"\,,:~~,~,,;~
'f~_~~.!','.:, ~,:l...s'",~
..~ ~\i"""\)'~';':':",l,:f"-:
.. ~}:,-;~,tt~'~ ,:,~~,.~, 't~
~. ;~ ';;',~~~~" 'i ~~':~'~
' :t~,~~i~ J:
, '-(
'.
~~
"
'"
)...
"
....
~
"
G.,
'>:
! '
Ii
~l -\lo,
)-.!
'"
D 'n
"-
'" ]
(~
'"
'. ~
"
>.
.,
'"
:If'
t,
.J.II./
~o
~
"'((;'
'~~=r~
'7p
;;
,.I
\~
::>
:;:
'~1/ -"..( 'J!,. ';f
'l/ 'vo, ','1
..,
", I,l
"
" '"
"
"
'"
"
~,
...
'.
~>.,
"I I ''-
"" "'~
-.-..
if'
'"
'"
:::
'"
I,
"
--..........-.,
'"
'"
,~
"
,,"
~
\,~:.~~.. ,,'~t
',<
"'-
'c; ,~
/'.....
",
'" '"
1/'
'~ ",
"" " "-
~ ^,
"
'"
..,',~
~ *~
----.~ ---- ._- ~
~-- ~~--> -+-
\S' '1' <'\\
'0 .,>z,\
[(fit. \ \
-/, ... i
[IbJ- -. -- >:!!..
...~, , .' '" ,~. ,'::~.::~~'-:~. 8J' -.~ :.. ~
- .'. .- ".-. '.'.
... '"
\',
<"
). .
f\.
",
'\i
"
;I:
\"
", '
"
~I"l
t~lVI
)~
"
'"'
'0 .." '"
'~
I, " I\, ~
..
-, , '.,., '~
I"->... I I ~, !
"
'"
~~~ . .
'" '>~ /1 "
::::::.." 'I!;:
,,"O-;;";"':'1't;; "ct '~j .<),..., '<'l'~"'i:' " 1 :"'JI ',~
t"':,'r,,' , J"--: '~,:-' "'I..:d>~~,,- "f '>jJ ."
,:".,...,JL,..,.. ~I_"'_.'''''''''._''''~ ......._~" __,'.,. ~,~~,""",'"''
l~ ..'.. '9 '\. ~'1 -..... 'tt ..\, ,",,' ..'" I~ ~" "{':', 0:.., l~__~~o..~
,'" ,I'.., ' , 1--'':'-1[--:;;--' --:-": j-'~ ;~-~ -Ii ..;'
'- -' -' ---...-
/P
nCB ~rs~ c- ft8I' ~
; ~.~., _______________ I ~~":>::~ ~r~:;- -~.~._' ~
l..~ --~I'''I ~ ~_..._...,_.-----~ ---....... ; '~q_.._.- L--::'Bl-;:;-- ,
. " ",...,.---_. . "" -......... !';:;-' -:'-':--' .~.:~- ~::_-,'
~f /' /./' /' ,"\.. f-'''--;:-'-'''lf ~ ,- '-..." -~~-,.,.
, I /' " ',-
~m ~t // ,
; -:' -I: /-2-d' ,/ tr l~
. t' - "'" r '-:" I I
~ ": ,.:- ~I- ~., I (!
~..:.
~;l~ 'm' Oft
tb1B ':'w ~'" , I{, )
,I'/" ~ '-....: " !
: ~:J: l ~'L~~__/:~:"' r~
.\ ,~ " '"'~,::--~' --------.- ,/ EEj_.::: '"
~"~~ ., ~
/r'
~ : JU,: r /1' ~ (~'-':~-"" :,tl' :
,,-."~ ''''',~ '~- 'N .., ,":~". -, ~." ',~ ~. .\" I "'''''''
,-." --=~.._... "'_._~""'''' "----~. ""~ " ~ '., ~
;Jf'
" " \, " '" '-'
'" f\. .. "- '" "-
,\. '" ", ,
.., ,,------
,~ ," ." ,., .,' '"
" ._.~-' \' "~
,
-')/
'" " :,. " :,.
", ~.. " .~~
," "- "< :-.. .~ ,
."" ,,,~ ,"...' " 1')~ "
''''9
,~ J' .. f t .1', .'1 ,ill. .. 1 'f'll..
,-,..
",
,. ,
, "
~ ~
,
~i\.~
...~,
'.
~} .",:
"
., ,
"
"
"\ ~~
I ..~~ ~
,~~\.,
\.~
'-,,<
~,
1
'~
tJ~
~,~~ "-
1':~
11"
:1: ""
L..:'."~ _
J.l~,-
..........
.~ f- ..:~.~ '~~'
f .-~'.~-l)~-~'.~
, " .,~
---'
th~[d' '~
''l.'
, '" li .\..
".'-':'~"'""
" "~-::';,P,l':,;-
"," .. '1 '<,-
" ~ ,
-<
(.)
~
~
.............~, ~... ., '" '" f '.::.,......~
~~~;.~ t'i :: ~,,~, ''"',,~ "~::
~'l"~C i'~ ~, ~ '\.....~:...~ ( \'
~,."" ~.......~ ..........' ,'-b ~ .... >
~ 't ',~ ~''',.' ,~~_ ~$: ~
i: _~,: ~ ' t '~ 4-!: ~ ~:, ,.~> ~., '';, ~
~~ ;,' ~ ~ -,:>~ -'~ ~ ~~~'~
"~,:.~. '''".,~... l' ~ '=: ::'~ '-I. 't-..
~,"~~"~\ ; .... t ': ':,~ ~',~""
, .. ,~. ~,~ ~~ ~ ~."'\.~ ,,"....~ "'~'-',f"-~
,~4 ;~ ~. _: '~'.::-',',""; ~ ~_~ ~
..,;:: ',;,: .J'~' ;'~'J, ,~ ~..~ ~~~
~,~~~~~..~---"..
L~~
!~~ "
I~
'>
>;;"
'.";:'
"
,.',~ ";JI' '"
~ ...,,,,.'~ - ~ .+" ,~,
...
~,.~
t.:::,>.>~ ..
'0"':'0
,--' --"''''''
"
~
"-
~ " ,
~ "''I.
1-'
. ,
~
'"
"
''l
'"
''')
'"
'"
,
, .,'\
\ \,
\ "
.,... ''\
\ \
" "
\ \,
....., \,
\ \"
\, "
'-"
W"'I' ,...
.. ~ ~'-,~=-- =-::'= ~-=~:--
,~"':o 10\, ~ ':' ") ~
~.._--... -..-,.... N -----
~,'~ .,',.,' ,,<..]_..,~,... "'J ,-",:""
" ~ "
".t
L"
'"
,n_~,~,.
"-
'~
:-
.
~~
~J'
... ~l.i
..... ('I
'- '>I
';;-.
c
'"
~
t
"
Co) '>:
, ,
l ~
Jt,
;;\~
.
,,\
\~
, /f"
h:r 09
.., ,",,0
I~ -.~--
- -.-
,= ~IT: /
) ,
I--
-::",'\;-,~ ~,~.
~,'l ~ -s........~ ,"} -.l~~ .
'" '~"')~ ~ ~,'li! ~ ,,'--~ ::<l
~:-- ~ _~ ~::' ~ "'-~ l\i",~ .~
"'" ,,-' ~ ,~"f,~) W ,'" ~ '>":.,,
" :'" ~ Y '~ ~ ~~' ~,::..,'~~
,. ~,~ q~j ~~ ~,~
~ ~,) ~~ ~ ~ ~~ ~ ~ ~
','~'~ ~ ~ ~.~ ~~. ~.. ~'~~
': ~, " '" ~ _ ~ ~ ~'-'i N. '(
~ :'~ ~ ~ ~.\~ ~ ~ J' ~ ' ~ ~ ~
. ~ :,~; ,~ 0-:- ~'~ ' ~~. ~ ~ ~
~ ,.: ,~~ ~"~ ~~., ~ ~ ~
1 :,~ ~ ~ ;: "1 ~ ~~~ ~~~"
~ .... ~,' ...,... ,0) ~ ~ ~ \i
\~ ~'1 ; ;~~ ~~''\';~ ~
, ~ ,~ 'ii" "'. ,,,,,~~ ii ""'ll ~ ~
""". ::;.. ~.~'$~~:+tX ~!:'-~'
11 :: '" ' v "", ,~" '\~ '.' ~ <:; ,
'. -J ~,., .\. ~ :-- ~ , ., "} ~ ~... '.;
0:i ~ ". ,~ ~,~ ... -..;> ~~ ~' l) ~
,~,~ ~~ ~.~::?~.~ '~~,~ ~
...~,~ ~,~ ~~. -.l ......; ~~ ':-l
~ <'" . .~.,,~ :t il ~ ~ ~~ ~
~ "6 ..., iii 'i ^'" "" ~ .' "
~ '''l ~ '" ,";:",~, s"", , II ~~
"'i,,~ ,,'fl "I'l...... "" ~ ' ,..,
~\~,~ ~~~~~' ~~~
~~ ,,~, .... (;j ~ '-. ~~~ ~ t\,) ,"' _
' "",:l '" ~ ~ _ ~ .:,.; O'j ~"
:\.::, ~~, _ ~:J ;J~g. ~ ;\",'~ ~
~:~, ~-,~ ~"~c.~~ ~ ~~~.~
'* \~~'\ 0 "-. ~ ~'" .;:"'....' ,~
'...$'~, ~ ~ ~ 'N~ . . .~'( ~~ '<~~
'~ " 1.... ""~-~~~s :t ~ ~.;...:
'\ ':;;! ~ ',;; ;., 'i!'h " ',~ ~ ~
...:~:,.;: :--: ~ :~t ") ~. 'l? "
~ ~. ~ ~ ~ - ~ ~ ~ ~ ~ ,~'
"'~~'-~"~~~~ ~~~
~....~ ~ h~;.. "i "-< "1- <:l ';"'-";;;
-,;i" '" "i-.~. '" ,,' '\.....~ ~
. 'l1 "t '~"''''''''_ ~ :;; " .
~ Ii to... ~ ~~ ~.~ ~ ..... :'t
~~~~:;'-~~~~~~
;~~~ ! ,~~:: ~ ~~~~
~\:-,;,,';i.~ ~:-.i~ ."'~~
, , ,,~ ~ " l.,,~ t;' ~ ~ ~ "- '\i-..
~ ~ .,'''''"''' '-- '\-,. ."l;~~
~" ~ ..., ": ~ ~ '" ~ ~ :: ~ ~
,. "~ ,! ~ ~ ~ i1 ~. "', ~
~, ~ ~'-: ~~'-\' t'~~'-'l.~
" ~I.o~.....~............ ,-.......t\.. ~ ') .
i~-.."., j ~~Y~'I
~~~~ i~'~,~
"" .",?: -r~~ ~.
. ~ ";;" , ~ ~ ~~ '1
'-'l~~~~~~
~~~~~",,~, ~~
t: ~, <;; ~ :s-'-..:
~ ~" ~,~ y~~ ~
~,.'~~ g~~it,'~
'" ~,..' ~ .~ " ' ,.
~ ~.~....~.." ~'-< ~
~ ::>--ss '''' "';"''''''-.,-.
~ ~~~ ~ ': 1i .
~~ ~:l~ '>: ~,;
~ ~ '!..:~ :! ;, ~
~~i~~ ~~
~ ~ f~.~ ~~ ~
~ ~ ~~~~, r~
~ ~ ~ ~); ~~
"'1 ~ -...__", ~ ;:$ ~ ~
~~I'\~~::;~
~ .. , . ",;""
s" II <;'" ~", ~
.~ '~~''l~ ~
~,I;;~ " ~ "X:;~, '
~"'''';! 1 ~'iI
~~r~~'~~
~ ~~.~~ ..
'v ,.",,~~~
1~~~.~~ ~
~,~ . ~~'R ~
~{..J.~~~ ~~
,; ~ ~.li ~ ~ ~ ~, ~
~......~ ~ ~ ~..~ ~ ~.::: ~
" '~~",'ii'" 'l"':;
~; ~'..,~, :"'.,
~~. ,~ ;j .'-~ ~~
....~,.;:- 'il '*' " --: '" ' . "-
,""'~ ",' ;S:; ~ 'l-.:: "-
~ ~ ~~~~... ~.;;'::
(,~" N ~ -$; ,~~""i' ~~''''
.'3 . ~ ~~ ~~}~ ~ 'b '"t~ ,~"
~~-1~~~
~~ ~ ~'~~ ~ ~
., ~* ~ t..:,~:"
~"'<; ~ '''' "',~
~ ,~, ~ ~ ~ ~ . ~ ... ~
~'~'~''il ~ b~ ; ,::,.~
,,,,,,,,~ '~ ~ ~ ,.. -"'j~ '
"t1 ~ ~ ~ ~ :~ ":.~-~'
"\~1~~~ ~ ~ ~
~ ~~"~"';: '}~~ ~"'~ ~
); ..~ 1< ~ ~ ". ~
~'''~ ); 'N ' ~\~
.~...} ~...~ .>~ ~ ~
~H'~~~) ~
:~,~ ~~'.~'~! ~ ~
.~;;~ ~ ~ Jt-'io~
~ ~~." ~ " . - .'
~ ~ ':..~ '~~ 'l ~ ~
~ ~ ~ ..~~~.~ ~ ~
, ~ ~ ) 'i{ ...; ~ i:\~
~~' ~~.. i<...
~\~ ,)..) ~ ff ~ ~
.. '" '.:: ...::-.; ~'\"
" ~~"<-..,h; N "".'
"4 ~l'~ ~ ..~:. '- ~ '1! ~~~..
~~.,:s ~."~~,,,~ :i'-
.;~t !~'.~'~ ,0~
~~J~~'~f,~, .;
',,:l')i 'i,~ ~ ~,~
N~~ ~).~.~
'ilt~ :i '" ~ 1'l ~ '
~..;, ~~ ~ ~,~ ~
~,~~,~<;;,z:-gi .' ~
~~rS1 ~ ~ ';1 ~ ~c"
r::~<l~ ~'~.... ~',:,
~ .....1:: ~.~~tt~~.~
... ~ ,~,..~, .. ~
~ ~~.'-""\,)'~~
~ ~....>J;:N ~ ,,',.
"'..>t ~ ~ ~''1'~',':;! ~,
.<l;., ,,_,~~~% ~
~~t~~~ ~. ~ ~ ;: ~~ '
~'-.:"'. s''::.><'''~ :;, \il r.:.:
~~ .:.~. 1\~ ~ ~ ...:-..
~'\. "" ';"'''1<; " ~.
I..~"il ,~;:-i; ~~'~~
,."")~ "-.,;nL/_
:--:~~'"
1\
09 __ 5~_ _ 0(&:_, 0[;
~ ^'
---- 1---.---
~-'~-
'" Ol
-',-- 1--::.>-'
. "?~.-
'"
:-~_~1
'"
, ,'" . -'~ "'9.?
:__,~:.._ "&~'~'09 0>,"'''<6/
"-- -;;:--' --", -::- -~ ~"7
0,9
'"
"l
'-~
~~
-~~ ..,
-'~,:,~ .* ~ ':~ ,
~ '-,--
-_":_,- ~ :-,~~
" ~ '.'"
,
<0
1\
..,
;,.
,\.., ..----- .."
~ -- ., ,
'1/
""
'--
,<J)
~-
" ---.-
\
''\'\
\
\
\ I
~\ J
,- '. -- _.,J :~' m::,-' \ '''l
, ~ ~
~._' ,>'"
~J -~ E~~ ~= ,=
\
b
FIliI.
-j,
~~~
~e-~-- -~ ~ .--;--
. . --""".'. '" -,-- '.
~---~--':' '" ~.,
~ "...--- --- ''"* ,----
~ .. _~._ '-J,) _'::._.
--- ~ - ':;:.... '" ...
, L--- .-::...-
-
-
"
--
J\,
~
.~-
~ ":>
~"J '"
\1'---
,
""
'"
-~'-~--
. r--l ~ r-;---; ~ '~
'-
'" "l '"
'-l~,,!,; "
T .c< ~~~~
<0 .~ ..., t '''l,c:>';
------ - ~ - -. , '", t---'
~ 1-.~-' t,c"-, -'~ ':J.-::,'.;
'" ", "l ::>'" ~ .,i:""'"
~ '-~---. ;::,~':~;~i~
..... . ...... ~'(~,~~('l~:" '...~(~
" ?-'?/I/'-?f;5"
""
">
---,-
'"
--
...
""
,
C')
'C-; c-
...
0)
<0
"
'...,
<}
,
""
(1')
-""
,
~
n)
'"
-- '---
....
~
.... .
~
-
<0
-
l\,
-
""
'"
'"
C\
....
-~-
'.,
'i)
:,.
--------,
.,
"
'"
'"
'"
...
~
<0
~ -;:-
--'-
:,. "-
----, .----
f,:\ i,lo")
1---- '.----
'" '"
-.--;"--- ~
l--_
J\,
'"
,,,.,
.,
Co
'"
....
~-~--- ~"~
?VlJ/rjJ'
.--- ~
~ (c
..,
,----.,-
~
--;;;-'''C
~
...,
(\.
'"
'"
<---.----
'"
.....,-, --- --\5-
, "
--
-
<0
,--
..,
_...~~ ~^.- "_.~.~_._-
'--,/ (~;z:--
_2-
:- ~ri-2-~1 ~ :~~-~::~
- -- ~ ~ -- - - ~-- -- ~ - < ... --.--..'.
- ~_.- ~ - ~- ._~- \,~ -.--~-" ,~,c;--
~ " ~ \ '- ...
N.l)/rt,
---3-
....
,;,
'"
,,. I
J":! ~
i:~l:
:::::::~-....
r ~ ,,:' <'l:.
-....~'~
"1--1. S I$.
~j
CD -$ ~ ~- ~~J~'
;;;- ~ ;;t~1
" '-t' '" "
'::. ~ ~ ~ c-i d
-~ "~ ~ J ~~ .
~~, ~ ,,'~ .i ~ I'~:
- ' --i.-~-
~ ::;',~-!
. ::{ 's~:t- ~ '
1~_~~\f:2:.J .".
, ' ' '-'
," .';:> '..,., .,'..
", " ,;' ,
" '..', " "
, ':-, ,:":
.' ". '
.' .,'.' ,".' ,
<;)-' ':"":',
J- ~",
}, J """.
J' "" ,',
'.',' ."
,
~ ~"<
~ ,.'.' "
~ ?i ;i",
J
~ ?:I
,':1:',;:;;'
~,
~
.~
"i';
~
'""I !.
'"
"l
~~
<s:-
c;:p
~
D>-
€)
\(\
,-
l.:.
"'-
)
<-
(Y, ;:.
0) ~
~l.
'--
\)
"c
,
-
" ~~
~ '.... 1"
"'\."" ;.,
--;-: ~ ..,
C'> ~ '"
--",- --,"-
,~ -
"
~~
,,",' ~,
~ . t
<0 ., '"
~ l\. '''~.- "-
-;;;:-, -",,- J:,' ---;;;--,' '--::;-
r' _--! .l-_-.-
,,<', "" j, '" ""
~-- - ~ - \ -,- -~
~,:,~:,:'1;,' ~'/'d.. ","~"b "1
~ r-,
'-1 , ("." ~...
'-":0; --, ' "- 'oj.
_. ~~ ~ --;- ,1' -:~~'- :
<It ""
"
...
y, ~_ f~~~'
"
...
~ I
""1 ~:~\
'"
f\. '::1 ~ ,f\,...
-;;-'- .~, ." --;;~
'" ,~-.-'-;;--' --", 1 '~
. ~ ::: 11/
~w_'_.__'__ ~~ _:____.. _~ ..~~
~ ......'1.... '. 1,.. 'I;.~
~
~
...
'<I
l\,
'"
00(
C)
..,
~
f<:) ...;
I\. ~
.,
l:.1C'\ ~;
<It
"" ~
--~
" "
"
~
~ ~
..,,-'-~
~ .,
~ '"
,~
u
~
r.!\ ~
--" :;.,
:; t;
"" ~
-T-"F
-..::..-:
"
~~ ~A ~
'.,
'"
. "
''<
~
'"
:--
~
~
..
,
;',
, ,
" {
,,'
..
,
"
;:r
,,1
J'
o
6i
)-
<>
<.
" '
',"', ,..,
,', .', .', ',:..:"
.. ..:.... ,.., '
,
..
{[ ;</-'
t~ 09 ~
I.-O~_~_
I;;:; ~ ~-.;t
I-'=-- \1 '" '"
~ .... ~
"-) l~~ '..: ',; ~~. ,.~" '~, ~ ~''''~~
~ ~ ~~ ~ ~~"~~ ~ ~.,)~. ~ v
,\:"~~~~ ~~'''{:~,~)~~
:__~~~. 09 ,~'i'-_ ___~~,
1\ .,. tv
-'--- --,.... -----
'" -:.......: )-~-
'< 0)
-..,----1------0-
~~
0)
~
.,
0[,1 ,'f.j/
'>
---'''c,
. -':::'..:
'"
'\
..., '.
,'^,
--,,----
.,
I~
....
"
I"....;;:'.:" '" 1\ ~
l':-~ ~> '" l "" ~-----;;;
V ""~- '----- \J
~ ''-_'"'' ,.,., '\I
~ ',-..,. ~----=......~ "
~~
\
)1 '
f1 fll
~,
",
~~:.::;::.:/'
~-,~
..,
, \
\
, )
~..:----'
EBm
-'-
f--:'" '" l~
~ ~ {\.. ~ ""
' ~ ~ .--,-
.~ ~ 00 __ , ~~
\:l '\I '" ~ 0(
~ k--;:-- '-lJ
~~ "
...,
'" I\.
-~~ ..~--
1--
, ~ 1-; .
-- ~
'>
-~-
'"
---
I\.
~,
11'j
"<
1-
2'r
I
/"1
1:
;.
~
~u
-
~
l\.
I--
~
~
~
<0
I~ I- CO
'" I\.
, ----:- --
"l ,~ ""
'"
C3'\
....
<?
.~~
-~
'"
'"
<0
----~
I\.
09
'}-
\,
(0
~~
'" l\.
1--,
'"
'"
....
'"
,;..
'"
"< co,
~~
'"
"'>
Of)
"<
>."
, ',.,'.-.
:i, ,'.".'
:' "
:./' --
'.-' :,"', .
,'"
..,
"
~\.'-
l:;~<;'
"~ ': ~:\ ;.: ~.' ~ "::, ~
.~ ~,,~ ~ ~ (~~ ~~'S:
~ ~,~ ~\,';; "'i 't; '. <"
....
'"
C3'\
C--;'c'--
....
\0
I\.
~ :
<.,
'"
~
m.~~~~m' ~,
~ ~
--.--
"< G)
~--~
'.,
'.::...
.,
f-,
'It '"
,-, --- ---
~~
..,
'"
'"
"
""
,c-,
<Ii
0)
~
~~
<C
r--- r---
'..-, <Q
~ l\.
,--
~ :=---..: ~
-It
t\,
--
""
,,,
~~
...,
r---- r---
~~
-~-' .::.-
<c
I\.
'It
l\.
'to
']9 >~. ~,
.J,'~~t' I ~~."G,~~ ,"'.1'
:"
,
,;;,:~,^-.,:, . :;, .: ~ ~ ;'\~~
"'",;, ~~~~ "'\.~h..
~"'l~;"~ ,,:..;~~ ~ e:'
~~"\1 ~~~' ~,~..~..~
.." , ," ~ rJLl
<0
, ~
'J to' ...'
~ ~,,' "';"
C\.
..
"'> C'
'"
....
'0
f\.
'VIJ/rj)_
" <0
'"
'" (
::,.
."
'"
0,
.....t ~
-~- i---;i-
I_~
';Y'7
.--- r---
"-- -~
'" ( '."
'-;;:;-< ._~-
'-----'.,-
>. "",
Co
C3'\
!2
l\.
'"
I';'
.~
;;"fF'
'"
<0'
,t\,
o, "
Cl
'"
....
~-
-,-~
"> (\,
":\ r '"'
'" OJ
----- I~
~I~
'"
--',;--r.
IJO
......--:.
'"
''I.
'""-,,
~
"
C) "0
I----,..-.. v
"
I~
.---
~-
I\.
'"
'"
C)
",--
L....'._
'" <l)
-:- ;- -~
L..--- I~
Jl'I'lj,{,'
.~ ~ : ~~ : If :,} Lf
~~~_~~_ 0) I~ "< CI ~~
~~ ' ~ \~~ '
f"f'J)/!.&., '-
...--- ~ ,~
.., lo ..,
-.,--
<\ ~
--
~ I...,
"
"
~
<..,
~''-\ "I."': .... ;'~~lY~0\f~~~J~S:,
:~ ,"'c-:~ ",:: :','..c c.
\;:.
'" .." c..,,, " ,
\~ '" '" t;~ ~.:o:~,' ", :-' .';;:
~ -'--'~ ' .,..
'" .... I '? <.,. '... ::;':
~ I ";
:
, ':, ..,
, ,...'i; '.
. ,,' ,:'"
"
',: ':',
,
"
~ t:
:,..
."\. '-
~
~
,.
---
~
-~ q
"> t
~ ::
~
~'-- ~
~ l\. ~.
,---I~
~...: La ~
'\i 0) ~
--~ ~ 1
.----
...,
Q
~
f~
.<\, t:
~
""
., "':
~ ~
"<
'" "
.....
~ \'
r--- ~
It) <0'" ~~
---,~ '"'.
'" '" ~ "-S
".,
'...,... I.t-
"
'"
--.:.......:
'"
C) t
~
.
"
(.,
...
----
..,
..., I.t'
C\.
--_:.-
. ,,,",
~D ~
-~
-:""'"C;fo,
""
" ',.>'::'<;:
, ""'': " ,
" ,,':'"
",< ',,'
.;;.~
~.
'"
"
~
~
~
~
',~.".
J>
e-
el
'f\
I..: ;:(
" .J.
~ ~
3<21
<.
~ ~
I
?-'
J-.
}
J
~
~
~
,()
"
I
'~
I
,
I
IIII
;r-:
~
~
~
D-
(::,
~
)
"",
~
r.!.
P.
;r
.J
:]15
':t:;;E
)-
<:l
<.
)
r
.
Jefferson Co.
DEPAlnMENT OF PUBLIC WORKS
Peflllit No, og 68
District No,
6
Supervisor's Iteport No.
Supervisor will make tletoiled report with his recommendation on this application. Whenever possible show sketch of proposed
work, Supervisor will also make additional reports and final report giving date of completion of work on this form.
Preliminary lleport:
""',yo 0,'2.8
TAeR.e- ~~
w A-'l'e i2.. e.,u e. R..
~eA.
Roe..co >MMe.,,; b
CV" \,j e i>-\' .
j1--Del..-vlrt /)<u+ct/ At>.
/I- D '-/-01 '" Q. f{ e. f3 '^ \'
K\ANS ,'.; j-t
veR-'1
;+- ;5
'5> I4-r-1 G>'I
oiJUio....s;,
G1<-o\.lND /'",
N't>
f1.,: $
ft-LL-6 tAl ; ,J~
-h
:V"':;i rJ9- U".,
fr?? P,O//C tI
w;f--l.o....,
B /"'1/9>9,
I f
Signed:
--<J ,,~ KJl~ f{
Date:
Final Report:
PERMI]dNSPECTlON REPORT
( / Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
REMARKS
Dale:
'--{- )t.i' S(
Si~ned:~~
-
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
N~
0926
District No,
6
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto. and subject to all the terms, condi,
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO U. S. West Coml1lun tca Hans
2720. Oakrtdge Dr., Port AngeLes. ~~A 98362
Ins:t:aLL burled servLce wLre from mLLe post 0.06 to mLLe post 0.09
and open cut road at mtte post ..0.0.9 On E. Mtddte Potnt Rd.
to
RECEIVED
Job #88-412
DEe 9 1988
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
'5{J/VD C"'?i/
:Iu 7fl"c~-,-
n~~~
CP~r5'
County Road No. 62810.9
Franchise No.
MilepostO.06 to O. 09 ;~~J/.ii.:i..:.:t.~~~..~~,.
No work shall be done under this permit until the pany or parties to whom it is granted shall have communicatcJ~ml and
received instructions from
This permit shall be void unless the work herein contemplated shall have been completed beforpecember 6 ,1989
Dated at December 6 . 19 88
~ww~mmm
By --<J ~ ;<~
1.800.424.5555
'n_""~'H'-_,"; ---~"',~'-".'..'-'_....~",-_1..'~':';; '. ~__:..__.~~ '_."'.
This permit issubject to all applic<.lblc provisions of the Revi.<;ed Codes of Wa~hingtoll. exccpt lhat an)' provisilJn ill tllb agreemcnt not coll~i~teflt with
such resolution shall be call trolling,
GENEIlAI. l'Il0VISIONS AI'I'UCAIII.E TO AU. l'E1IMITS
A bOlld in the amoullt of .$
is rCLJuired fur the protectioll of the coullly as ~el forth in the lerms of the txmd.
During the progrc!>s of the work such barriers shall be erel.:teu anumuintai/led as Illuy be lleces~ry or a!> ma)' be directed for the protection of the
traveling public; the barriers shall he propcrly lighted at night. I
In aecepli/lg lhis permit the petilioner, his successors and assigns. agrees to protect JefferMJ/l COUnt), alld !.avc it hurmlells from aI/ claims. actions and
damages of every kind and descriplion which may Uccrue to or be suffered by any pcr!>Ull or persons, corporation or property by rea.!oon of the perfor.
mance of allY .!ouch work, churacter of lIluterials uset1 or manner of illMallation, maintenance und operation or by the improper occupancy of right of
way or public place or public structure, and in Cllse any suil or uction is brought llgaill!>t said Jefferson County for damage!. ari~ing OUt of or by reason of
any of the abovecauscs, the pelitioner. his SUcccs~ors or U.!oSiPIS, will Upon nOlice to him or lhcm of commCIIl.:cment of such action. defend thc same at
his or thcir own sore cost and expensc and will satisfy any judglllelll after the si/id suit or actioll.!ohall huve finally been t1etcfrnined if ad\'er~e (() the Jef.
ferson County.
Except as herein authorized, no excavation shall be made or obst:lcle plllcel! within the limits of a cuunty road in such a manner a~ to interferc with
the travel over said ro.:\d.
If the wor" done under this permit imcffcrcs in allY way with the iJraillage of the Cuunty road. the grantee .!ohall wholl}' anJ Ul hi!> own cxpense make
such provision as Ihe engineer may direct to take care of said t1rainage.
Except as herein alilhorizcd. flO exca\':Hiun shall be Illude or ohstacle IllaccJ within fuur /4, feet of the edge uf Ihe pavemcnt.
On complction of said work herein colltcmplated all rubhish and debris shall be immediately rcmoved ant1lhe roat1wi/Y and road~idc shall be left neat
and presclllllble and satisflletory 10 lhc engineer. .
All of the work herein cOlllemplatcd shall be done under thc supervision and to lhe s:uisfuctioll of the COUI1l)' Engincer and the entire expense of said
supervision shall be borne by the party or parlies to whom this permit is issued.
The Depanmerll of Public Works hereby rescrves the righllo order the change of locatioll or the re111ov:II of allY structure or structures authorized by
this permit at uny time, said ChUflgC or relllovalto be llIade al the solc expense of the party or parties to whom this permit is issued, or their !tuccessors
and assigns,
The Department of Public Works may revoke. amend or cancclthis permit or any of the provisions thcreof at any lime by giving wriltcn nOlice to the
permittee. The permittee shall immcdiately remove all facilitics from tile right of way. Any facilities remaining upon the right of way 30days after writ.
ten notice of cancellation shall he removed by the CounlY at thc expense of the permittee,
This permit or privilegc shall not be deemcd or held to bc an cxclusive olle and shallnOl prohibit Ihe CoulllY from grallling 01 her permits or franchise
rights of like or other nature to olher public or private utilities, nor shall it prevent lhe County from using any of its roads. streets, or public places, or af.
fect its right to full supervision and control over all or any PMt of thcm. nOlle of which is hcreby !turrcndered.
All such changes, reconstruction or relocation by the gralllces ~hall hc dOlle in such manner as will cause lhe least interference willi an}' of the Coun-
ty work and the CoullIY of Jefferson shall in no wise be held liable for any darnugc 10 lhe grantee by reason of any such work by the COUIll)' of Jcffer-
son, it ageflts or representatives, or by the excrcise of allY rigllls by the COUnty upon road~. slree(s, puhlic places or structures in question.
The pany or parties to WhOllllhis permit is issued shall maintain lit his Or their sole expense llle slructure or objecl for which this permit is grantet1 in
a condition satisfactory to the Department of Public Works.
SPECIAL PROVISIONS:
1, CabLe shalL be pLaced a mtntmum of 30" below exi..sti..ng road surface.
,:2. . ('\LL areas dLsturbed durLng LnstaLtatLon shaLt be restored to
il p;':;Cgi,';lit'('Cfir.dq: Lan.
illt'li 'l;il,;;JI}~I',d~1 lei
....,r:j ,: t~ Oil J1 lJL;J
In accepling Ihis permit the granlce. his successu" und assigns, agree that any donmge or injury done 10 the property of the grantee or uny expeose
incurred by him through the operation of a contractor. working for the eoulllY or any COil Illy cmployee shull be lit the sole eXpense of thc gralllee. his
succeSsors and assigns.
nnd conditions liS herein set forth.
..,. Dated this
'i5 1troy of
OEe:
, the undersigned. ht:rchy accepts this permit suhjccllO the terms
~ 19 2i'5?
,c,;,_L
Jefferson Co.
District No.
6
DEl'AlnMENT OF PUBLIC WORKS
Permit No. () g 2-1>
Supervisor's n.cporl No.
Supervisor will make detailed report with his recommendation oil/his app!icalioll. JVhelleller possible show sketch of proposed
work. Supervisor will also make additional reports Gild fillal report giving date of completion of work 011 this/orm.
Preliminary Report:
""p.
(h-
0.06 .f.o
.......f>. 0.0'7.
CU) '1
;; - ",,/C 0 '-~ Fbt;...r,r- /Zo,A-p.
tJfeN
~r--
;.)0
p,-\-c.~ en-) t-l,,,,-
R- ~ A-1:> .
~ lA.~FA-c.e.- " S ;? ~e--l... ,
'f"'f '.~->.1 'l) ,. .I!f, ...""~ ,/;",.,~ ,..~.~ .."
~,-.-,: -.::l .~/ ~,:~~\ '~.~l, .",j ("';:
.. ;.1'';1 (~J!
\~.;~~;~;? ,~~;'i~ ~~~\; ~ ij! !;,. / ? - z - (3 9
Final Report:
Signed:
_<J_~~(~~
PERMJl' INSPECTION REPORT
V Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
REMARKS
0.,.:
'?of. 1 <;. k(
SIAn'd~ ~ <:.
:-;~_; ..'..,:.;" '" ',', ,',' , ", ' "c',' , ,; '" '
," , ' "..":' '.' , .. ' ': ", '.''- :,,',
:.. ' '. ,:' : : ' ' , ,.., ,', '.. " .,' :,::.' ':' ',' ' ," ,." ',': "
',.] ,". :' ,'.......'..' ':,:,', .. ':: . ,;'; ':,' ':
, <i," : ,', . ,,",... ., '.,' '"",., ", .,'
':' ' " .' ,:",:,
" ",:' ,: " : ,,' '. " ','.,
::,: :' ,:. ':', ' , "
", " " '....', ,c.., :....'
::'>": ;, \'" ,. ',: ,'j,
, ' ", ' . ": : .'.'
'<' ' ::
,::,' ;:' . ',:": , " ' ,,: " ,
~:c ",',.." "
"", " " ,. "'-
, , ' " "
..",,',
',< '.', " ' '
,',
:,,, _, f',', ,
i, ::" ,',
I L I '... " ....', ,', ",' ',' ,
L' '
.. ,',.'
,., '
~'> '
~
i
~:
I ~ ~~: ~
"'i ; ,<I ~
T\,;>- t ~
~ if ~
l--- c.~ ~ ~
i u:' ~
t I '" I .
-X~111:!~\~=
% [l\
h l! jL
H 81
'" U1 j'
~
o
~
~~
,~
"'0
:t
k.7
, f,)
ri
h~\1
. .
~ ~ e!
(.
t
Jl:
~,
"
'~,
l~.
~ ~ LI 't!i ~
! ! '"j -ia e
! ~]df
. ~ ~ 0
! ~ J~
~L
c"
D'
c\!
,J
i'
I
~,
,",
~
,
,
, '
}
i
},
-c;."
~:' ,
"
,
o~oo
@~~Uz~
\ .. ' .. '- \
~~;j . . . - ~ I
(")"11 ',. \
< ., {o II I, L\ :;;
~ \O~ t',:i ~. ~ ~,
\\ ~~~0n~ U0~
II [, \~ 11 I' ~~ -I
" l' ~ ~i (j' d
~_.,~\ -'-..u',"' '-'-,0 I) t; ,I
.., (; tl 9 r~
E./l.)~' ,l:'> "..;;/ ~ UJ M
v '"' '. <;:' i I
;:-.\ _ /lrf\.. !' ~
Q, A '2' I--
Z ,/:{ l<
_\ / ' k
"(>,;o.'~,;:--- -- -: ;:1::~ :::Xt
, 'i.~~.../,..------........
\ ~ ~Cf,
-'----p'1z, Ul}. ..-' r;
~ :: :j _ E ..:: ~
~ It (; - '-1 ~
,. ,,10 ~G;:;
,,-rV'S-i
'0 !~ IJ ll~ III
f7 III l!I ~. 0 n
:- -l-1 ItG -:;.
gq~, <I~~r.
fi1" II rJ ~
n ~ q ~
?
tog
,0
Ui
i~Ft ~I~ ~\~
_, !i! III "flit! "~::o Gl <=>
" ~n II> 3~.oB~ "-.C>-~
\1 ~~ h~ ~ r::o D ~ ~.J
tJ m l) ,\,.hI,0':"0
~~ ~ ~l ~
~g . '-' "I ~r," (;rl
~i ~~\!!~~ l~~
0:11 ~:'H'" tjg
[DO +..~~v;~;Pt. [T1 f4
~~ - -I r rn . fJI
'" ~~ ~.:" ~ ~ ~;I
o'll'll cli '" tft g'
:ill!5!:: 210 10\ . Iii (\
~!~~~ S B~
~iil~ ~i ~[n ~~
ai ' ~ ~~
::10 ..,A r}
!i!~ Ix{-' lJ-.
~ ~ --\ \ 5 f5
~ , l- ~;';6GCE-P;;"'r-~_--, \0 ~'"
~ I:~ ~y.:F~\ 'pJl ~u F \?,
li ~~ ____'.c\ J\~ ~;;
\ ~ ~l;' ~ 8
t:::i .~\J r-1'1
t,;\2
I~I ~
llli\l
'D
III \ I
~
~
~~ ~ ~
~;Q 0 I
II i
~~H~
U~' ~
~ <. g
~iq 5
~h ~~
H~ !B ~
aF~ ~6 ~
F a~ \ i
'U~p -\I:'l
IU~~-~ ~ 0
- \/;1 ~
~ ~ a:
.
n
9
G
c
~ f, n
-,1;:;: d
kf~[; ;1.1
0,10' A
"~11 ...::..\
1.; ! 8J
0.,,0-
-l t.~ ):>
~Ci'\
c; "
~,: ~
r.; c:
-n G\
rl ~
~ (jl
,)j h-l
C, -rI
~ [3
-l :t
7J \!)
c: ~I
;;:. p
~ II,
ftl 23
~ ~,
;t
-I
'1,
::
, ..',..
t .,', <";, ~"
: , '.',', :"
I, ',,'.',..'. '.. "
',", ",: '-;
i .. ' · '
, :- ',".
',',', ""
"..
,,,,
>.
"
,,', ',' ,'.
,'.'.:>; I
: ",', ",,':';;'
.' '
, , ,. I ;::;~
,'. ',---:-':':,
, ' III
'.-
..', .-
".:.,
': ',-:','
"",
.~,
t
'1/"
\1'
."
,,'
''',
.'
,',
\
(';;\-1), ""-1
1;rg. {t':-
>~~:I,
fI<~r'~'-"-'"
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Je!1ersofl Street
P.O. Box 1220
Port TQwnSend, WA 98368
(206) 385-9160
District No,
6
PERMIT
....r..L.
-
N~ 0876
In accordance with all applicable Revised Codes of Washington and amcmimcnls thereto, and subject to all the terms, condi.
tions and provisions written or printed below or on any part of tllis form
PERMISSION IS HEREllY GRANTED TO U. S. Wes t C omm u n i cat ion
2720 Oakridge Dr.. Port Angel es, fJA 98362
Install by direct burial, a telephone cable on the west and north side of
Arabian Ln.
to
Job #299
County Road No. Private Rd./ Publ ic R/14
Franchise No.
Milepost 0 . 10 - O. 27
No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with and
received instructions from
This permit shall be void unless (he work herein contemplated shall have been completed before Se I' t. 16
Dated at September 16 .1988
,~~
J~~ir
CALL 48
HOURS
BEFORE
YOU DIG
.1989
&~~~@Wl8ID
J
lly ~/~/?J?~
1-800-424-5555
'J
,.",:>," ',:', ". " :'.. ':', "" .'
, ,,,,'
'" :,' "
'"
',.,
,"
.
,,: ,
" '.-:
'..' ...,
.'
, , :',
..'. '. ,,:
'...,.. "
"':: , " ' ,
... "",
...'" ',. "
.,'L
, ',' ," '.',
,",' ",.," ',,:
''',: "', "',
<
,':
:":';';;:'y ,':",
" ,!'. :', ,"
,'" :/,"'':.,.
I; I ,'. ,
'---7
"
I .-
--:
! ,
,"
" ',., ,I
: ..',.'.,.." ':'"
" ' ", j
, ' ',: "
, "
.. ,
, :,
" '
" :
.:,
'"
,'"
. , :.' .' " ' . . .'., '
" ',.,.".
" " .', ,.:.'
.'.,":
,.-,": " ':"',, :;,
'" " " ",:,,;',
.. ' :, ..'"
,,' ".' '::
, ,'." ,',
',",',' :
, ,
"
'" ,
, '
, ,
,:' "
,
,"" "".' :,'''::'
',:':, /,c',' ,;'
" :, '! ".- '::,
, ':
".",',
",;,"
\.,
:, :,'
;..
',:
:,','
: '.'.',".'
'. ',' ... 'I ;. .,..
.'
, ',,' .. ..\
, '" '"
,:i ' : I": ':-'
,~I'
G"NERAL l'UOVISIONS AI'I'UCAIJI.E TO ALl. l'EltMITS
This ~rll1it is subject to all applicable: provisions of the Revised Codes of Washington, C),ccpllhul any provb.ioll in this agreement nOI clJf\!>btcl1t with
such resolution shall be controlling.
A bond in the amount of $
is required fur the protectioll of (he CHUIll)' a~ set fonh in the terms of the bond.
During the progress of the wurk !'ouch b:.micrs shall be erected aud mailllaincu as may be IIcccs!.ary or as Illay be directed for tht: protection of the
traveling public; the barriers shall be properly lighted at night.
In accepting Ihis permit the petitioner, his successors and assigns, agrees to prOlect Jdfcrson COUIH~' and save it harmless from all claims, actions and
damages of every kind and description which Illay accrue to Of be suffered by UIlY person or persons, corjxlfatiun or propert}' by reallon of the perfor'
muncc of any such work, churacter of materials used ur mUlIller of instaJlatioll, maintenance and operation or by the improper occupancy of right of
way or public place or public struclUre,unrJ in case any suit or action is brought against said Jefferson COUllt}' for damages arising out of or by reasun of
any of the above causes, the petitioner, his successors or assigns, will upon notice to him or them of COllllllcncelllent of such action, defend the same at
his or their own sole cost and expense and will satisfy any judgment after the saki suit or action shall have finally been determined if udven.e to the Jef.
ferson County.
Except as herein authorized, no excavation shall be Illude or obstacle placed within the limits of a coullly road in such a lIlallner as to interfere with
the travel over said road.
Except us herein authorized, 110 excuvutioll shall be made or obstacle placed within four (4) feet of thc eJge of the pavement.
If the work done under this permit interferes ill any way with the drainage of the c/Jumy road, the grillllee shall wholly and at his own t:xpen~ make
such provision as the engineer may direct to take care of said drainage.
On completion of said work herein cOlltemplated all rubbish and debris shall be immediately removed and the roadway and roadside shall be left neat
and presentable and satisfactory to the enginecr.
All of the work herein contemplatcd shall be done under the supcrvision and to thc satisfaction of the COUnty Engineer and the cntire expense of said
supervision shall bc borne by the party or parties to whom this permit is issued.
The Department of Public Works hereby reserves the right to order the change of location or the removal of any structure or structures authori/.ed by
this permit at any time, said change or removal to be made at the sole expense of the party or panics to whom this permit is issued, or their !iucces!>Ors
and assigns.
All such changes, reconstruction or relocation by the gruntces !ihall be done in !iuch manner as will cause the least interference with all}' of the Coun-
ty work and the County of Jefferson shall in no wise be held liable for any damage to the grantee by rcason of any such work by the County of Jeffer-
son, it agents or representatives, or by the exercise of any rights O}' the County upon rmllJs, streets, public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other nature to other public or private utilities. nor shall it preVCllt the County from using uny of its roads, strcets, or public places, or af.
fect its right to full supervision and control over all or .IIlY part of them, nonc of which is hereby surrendered.
The Department of Public Works may revoke, amend or cancel this permit or any of the provisions thereof al any time by giving wrillen notice to the
permittee. The permittee shall immediately remove all facilities from the right of way. Any facilities remaining upon the right of way 30 days after writ.
ten notice of cancellation shall be removed by the County at the expense of the permillee.
The party or panics to whom this permit is issued shall maintain at his or their sole expense the structure or object for which this permit is granted in
a condition satisfactory to the Department of Public Works.
SPECIAL PROVISIONS:
1.
Cable shall be a minimum of 30" below existinp
ground elevation.
All disturbed areas shall be restored to orininal
condition.
_-.._'~ , 2.
~~W@OO~~6~
In accepling this permil the grantee, his succe,~sors ami assigns, agree that any damage or injury done to the propeny of the grantee or any expense
incurred by him through lhe operalion of a contractor, working for the County or any County employee shall be at the sole expense of the grantee, his
successors and assigns.
aud conditions as IIl:rein sea forth.
Dated this Z'ir day or 57/
API'''"""/P: ~
, the undersigncd, herehy accepts this permit subject to the terms
. 19 '('lS
., ,." '~':;"''^~'''': "~'_~"'.""-'~.'''~' .._~.-,'''''":,::,~
\
7"S.~~~ @fJ}<l7
~' ~
-;: "l~
fP/$ r."-
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fee Paid_ Yes _ No
1820 Jlllferson Street
P.O. Box 1220
Pori Townsend, WA 98368
(206) 385.9'60
RCI\;:ipl No
AcJcJre!.S Request _ Yes _ No
Mile Po~t
AI'I'I.ICATlON FOIlI'EI(MIT
To Department of I'ublic Works,
Jefferson County, Washington.
The undersigned tl.5: 4/..."f- 2720 C?/!k/f'T,t)C", ,olf. .I"~ .4/....k~ tC/..4
herebyappl_ for perlliissioll to .8tc.r:J Cl. t*f:,,:::~iII!:~:"J:u:c::.J:h""~!'':':.} Wesf ?iC'O~
-1r&l61o"n ell 1/"'-'1 5'o",h{ n. C<)r"..r </lId tf..k:st- aI.'Y' ~;'e .10
Tso..rn..1 t..c 2/.5'
RECEIVED
SKETCH:
J;UG 3 1 1988
JEFFERSON COUNTY
ENGINEERS OFFICE
On Coullly Road:
d,a)fd.'t
,Ie< '" e
bellveelJ
(SfOll'III'flIt',\/Cff>II-\/N'l'/orl/lil"polm/
and agree_ to do the work in accordance with your rules and regulations and subject to your inspection and approval,
Date 5;'- 30 19~
k 5: u.I"",.,r 44,~er &d"(.,,,,,
ISiHnalUle Ill"licanll ' lCtlnlraClorl
(If applicant is a copartnership. set forth names of copartnersl
--Z7.-ZZ.... ~.r//':Y- A
^dd"~ ""':'.J'oC<: r;d 75?:?c2 ^""""
Phone No, ft"$"2- ~'729
Jefferson Co.
District No.
(
DEPARTMENT OF PUBLIC WORKS
Permit No. 0876
Supervisor's H.cllOrl No.
Supervisor will make derailed report with his recommendation on this application rVhenever possible show j'ketch of proposed
work. Supervisor will also make additional reports and final report giving date of completion of work on this form.
Preliminary Report:
/9?V'H3,; fl-N t-N.
/:::>
d //2,''/-:'1-7'''- ,<2D.
eN ,4 j~.. 13'--''- f(./ t,o/
Reco..........~,..; D ..:z:-.v'r-~ " /It/IV. 30"
(?e~oW' e--,< :-5""',.../) 9R04dD.
lIe(2B>"!-L. /'1-l,/,)r';>;v~,-- "}- / Y-$S S<...
Date:
9- ;.::>--88
/)~~K~~lj
Signed:
Final Report:
/
PERiT INSPECTION REPORT
l Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
REMARKS
Uale:
"\- cil)- 8,<1
c,~ .
SIJlJled: .1.)rJO-- ~
", 'h
",,'"
.,' ,~.,."';,, '. "
,..' , .-
"," _JI8.
, ,
;:,'",
:: '," ',:'" 1-
,:,
"
, <
" '
" ,..'.,.',' ,
.,' :,',
-:
~,
.
'.
','
;'"
",'
:,.'
i,
',;,
'" .."
,'.
:':-'.
':' ,',
",',: ",
',' "-
"; , '-
:" ", ..,', ' ,
, ':,' ,
, ,"..',
:.. ..' , " "
!,:i: .',
: ','>>' , "
<'" ,L
I;'" '..,.,', .
I ~, :" ' "",,
I! :
;: ':/: I'. ,;
1\ " ": ",'
" '
\-
';
,
t';
~>'
,
t
'I
I,"
r ,,;',
Ii
1,: "
tPor t Townsend Garage POI
------.. ,\
. //~-!fr~)
@_. """'.... ~_ J!/// ~;::':,~~:''' WI,..
WORK LOCATION CONTRACTOR'S ACCEPTANCE
Address ~71 fl~~'ilIA.J L..J Firm
Clly'f'r 1="lJ,j:t~County ,I ~ State lI.iJl Signature
Name_..f:1~$.~I.,.. . })lhHD_,_.__"__ TlU,,_________ Date_._
Un II Prlcl 0 COli Plu. 0 Flit Sum 0 S____"
I
Sketch Work Raql,.drftn ~ Includ~ LArIal" 'Jr'lH'" wl,p. :Ii7f'l f.'!nd HfTl()...H"ll' .
, ' ' . , , , " SI-JI'ot-J' {')RI\NSC, 1"0<;,1-
, 3110. ,
~ f\~/IaIA~ UJ ('DI~T'L' --- -
.... -----,'--.
2 g,
88
?l.J
Ci J : 1 7
ORIGINATED BY S~.? P-l-~ Date~
New D.(f 5/0 NO~g.U- Duo Dal~
Repair 0 Tel. No, 3S/'2.~U."-'L- Temporized 0
Rearrange OSlO No, ___,__ Due Date__
~S!N!C.~ ,..
eBL p,lr CQlcrlU,P. T.rm. A.ddt'(,lSl
,..J__ ..,I S '15 1iC,' ,-- -Le'') 12.___
i
:::=-=;::-......:-::-.:.=--:..:.--=---....:::::~ .;.:::....-:.. --COnIIMet - - -. -.
__ Deacrlp\IOl'l 01 Won: _ RolorOl"lce O.,lS,,\I\y
r.l. IJ 02.lJ....:J.,et. 'r;r \ __
I .. =>r:! COft (/1 '?S~} ;;,._ '
~_L5_1" ........A_ ~k -,.-J-,-.--,~
~~ ""'~"I/~JAJli"';. j
~?--r~;,;- .~. .- C-- -,--
~:I~Q==;;;:; _J
-'-:":"
, -:-
", ,', . ',','
" .," '
~: ".';.:,'::.::<
f:. ' '
5311 [ ,', "
~ "". ","
-. ',,',".','.':
P8JlllO te,el) ,1 ,
No.~ . ","'"","'..
Complete by -.--..- 1', ; : : ..: ""
I "'" .'
.. "
I, ",
,
..' "
':' ",:'
,
B'1I10' PACIFIC NORTHWE;5T BELL
Attention
AddreS6
City ___
Zlp___
APPROVAL For rI.t Sum/Colt Plu. S
Recommended
App'oved by __.
DSle_
081e_
PERMITREOUIRED 0 Yes 0 No
Rcceivedflom VeroalD
Jur\soictlor't__No. __ Date__
COMPLETED BY
Cull
Date __
for Service Connection
Indicate North 'l
,.,.+.
. . . .
. . . ,. '
';\
\
, '
I
I
I
,I
.1
,I
l_~__~~_'_~_~._~,..~.__..'- ~......___',__ ,~~:,L_~
Not.:. 'ft'l,R Mttlr.h m...v 11(,1 OH "" Ju':Cw"t;. rp("..r./,nIAllO,' In hll o~l..i\f) 11 '"mellr)111r,tt conlUICl0"O rltopOnlilo1ll1't 10 tIIropeily tocalQ work In '''''' field
)
---- ". . ...nov
eo i4iJ'... 'Pg:R',y.. i-I
, . ' I ' ' , ,
"
''7-,.'::.,.
.
"
,::; ,',
, "
",'
":"':,
,:'
"
, ." ,',
'; ,
"
i, .','
i" ;,
"..
", ,:,:,;,
,.'
',: "
"
,:
:'(
",
"
':
,
, ' :'"
',,' '
. ""
'", ".,'
, ',<, ,
" ' ",' , -- ' '.....',
"",," , ','"
, ',"" , ~>
" .
,,' ,',
"":' ':, .'
"', ;'"
I ' ,~:",:' .-
',' ''':'
, , '~,' ,"
": ",'-'
:' .'
" ..
": ."
,
" '.',.",;,
, .-,
,~r..
.
liliiii
,,!i
j'
"',
COU;HY'HDAD NO.
STAIETmi NO...69/ooB:
MILE POST ~b.9_T0.b25'
OFFICE USE ONLY,
JEFFEHSON COUNT'I
DEPARTMENT UF PUBLI C ~!ORKS
Jefferson County Courthouse
Port Townsend, fJA 98368
P EIltllT NO dl::/o.=..:J~
rrWICIIISE NO.
FEE PAID _yes-- No
OFFICE USE ONLY
APPLlCI\TlON FOH INSTALLATIUN OF UTI Ll Tl ES
Name and Address of Appl icant: PACIFIC NORTHWEST BELL TELEPHONE COMPANY
---61.-=-6ffiiSTREET;-BASEMENI
__~R~~I!!()!!. ,I<!~~I NG!!l_C 9l!1..::cL'______'______________
Application is hereby made for a permit to construct, operate and maintain_____,___,
bury cable on Hastings Road _______
tele~hone company job #87-7-6143 Port Townsend
The util ity installation is located (attach map or drawing)___,________
(please see the attached sketch) S - 5 T - 30N ,~~____
Applicant agrees to pet'form the work in strict compliance ~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.
Appl icant Signature: ~ "'\.O~_~ev.> u'-"'"
Staff Clerk
T I / I / -1./, ,(-...1 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~UI~IYJ PER M I T
.nJU U UU
Subject to the following- terms and conditions, PERMISSION IS HEREl3Y GRANTED to Appl icant
to construct, operate and maintain utility facilities as requested above.
Date: 9/29/87
Thi s permi tis condi tioned upon Appl i can t' s compl i ance witl, 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
APPROVED BY: ,,{J~ ~ -' Date:..LGJ-6'-87
/ I I / / I / / I II I
UTILITY DAMAGE IS COSTLY.
CAll 48 HOU RS
BEFORE YOU DIG
1-800-562~478
I / / / I 1// / / 1// I I I / / / / / / / / / /
~ PERMIT INSPECTION REPORT
!work covered by permit has been completed satisfactorily.
Work is not completed.
Recommend permit be cancell ed.
Traffic control_adequate; _inadequate.
REMARKS:
INSPECTED BY:_~ Date:.iLl..:L:.a_
t
!j,.
{"
'~Oc
L
t
s'
f:
~:
f.
~
,
I
t
I"
t
)"
."
i
"
I
.---;::',.
"',..'"" .,.". '" "-:'
Gen~ul PrQ."htQn~ ~r Jcffl:r~oll COlJnt)' O,dl, ..I: 2~Ol dlld wAC lJ(,-AU. :fi~;:~~i~~j> >,;
1. All we," dO'" ",'" ,," ."",h'" .,..11 ,. ,,," '" . "".,,')h ",' ,",'m",m, '"'''''' ,,, to, ,."",/" ","'""',,' ",.10,.., ",' ';~SQ~\i;';F;;i!ii{;'
"""'""''" ,. OlhO' ,,,lilt'" .", ,h. """,,,,,, ,,,,,,h" , "" ,,,,,,,ll'''' ,,,""' CO'",, ,",d>. '''J'''''u''.'' "' ","" CO"," """''''':..,."..,,''.,
::;~:,:~:'~,:;~~, ~;~:":~' ;,:: ~'::: .::~, '~~":~,:,'~.~~~: :/~:'J:~' ':h:';\';,::' ~c;:, ' :~':: ,:: ~~'~:~;:". U;".~;~' ::,;':;;,: :',:~,;"::,: ::':.;:,', """. ,.' \
""h" " ,",,",Is '" ,... "",., ""'''. "" ,,,,,t.. ",,11 ",." ."""", "'Jh" ",' ,."".,,,,, ...,,,. ,.0>"'""" '" ",,, '"'.'", ."".., "",,",J,'
,,,h ",I. Th. ,,,,,,,, ",,11 b, 11.01, f" "" '"J'" to ,.>>"" "' ,.""",,, ,,,"" to I"""" ,,.to,,,,, ""'"'J" ," "",,,,,,,,, .. """". "
""o"h .", f.II... """,,,, '0 P"'O'" ",,'" "00 """,,' ", ,,,, ""''''''. ",,",' " """." ",,, ""',,"''',' "' "" ,)""t",
2, Ih. ,"""'. 'ts ",,"""" m"'''. "..II c."",,,,, """",c"'" ,,,",, ",h ,.",,," "",','" "" COO"" [.""",." .'toj" ''', ".. "",,, ,,,to'
,,, ",h ""no" ,,,, ,h.ll "'" ,."pl.", .", ,.." ,,, """",,, "ch ""''','' 0' "" ly""" of "",,,,,,,,.,,,, ",.,", "","'" '" ,uch p"..It", "",'
d,hI' th""" ",f"", ,po" 'h. '''''to, "..11 "'" .", """'''''' I""'"'' ",""P'" ".'",", ,,,d>. ,le,. '" CO",""",.
......
" :,''':''
"
J, "" '''''Ie. ,h.ll ,.... ,11 "".t>. "'''''' , ,11.", """. h\',,,,,,., "",,",0"'" ",' ut'''' ''',,'' P"","'''' .1lO' ,,,,,,, .", ",,,,II',,,
..,... "" '0'''' """",,''" ."'. ""kl", "",le, "'4""""'''' ",.. ,,, " ",,' ",' "f. ,.""",,, ,,, .11 "",,,,, " "", .,," "to'" "" cu',,"',,'
..'" of ,ooh "',' by lI.. 'co,,"" ." "...,,"' ""'co"",, "".11 """'" "..","'..,,, .h\,h ,.." b""" ,,,,","'",' "",,,.,", "" """ "..11 ,.
n:!ollt to the iP.:clflcHlolllo "nd ilpprov.,l of tlll: Count:l (n!Jint:~r.
... '
[' "',
I" ."',
I'",,:,
4. ,,, "" of "" '''"9' ",," "".". m""" .11",. ""d,. ''''I''''''. ",h""""'"' ut'"'' ''',,'' p,,,""'" " to ,m'" "docc' ",'-
..". "",."ts. ,."m. """... WO"", ""'",, "",. ,,,',, p"'" ,..",,, ..",."""",,, .,.11'. ""'J". "',,,,,,. .""",. ,,,,dI",,"' "."''<''''
b, 'h, ,W,,,. 'he ,'" ,m'" "".. to ",." ",h ,,,"', " ,hc ..,II,~ """ ,>0""'" ,t '" 0." ,,,' ",' ",..".., ,
;, "e" tho C""" ,,,,,,,,,, '"c'''''''' ,h,t '" '"""J'"'' ,,,,,II",' do" "'''' ,,, ""y ","" ",' h... ,,,' '''' ",' ,11 ""." """,,,,, "",,,,,, "
,.,toe. to . >of< m'" "" '" "," "'c,,. ",,,., , ,11". "",. '01"..." ",,,,,,,,.., " oil"" '"'''' ,"'''''' ,,,' b, ".. ,,,,,,.,. " ,,""'.> ", .
",,""'" ""'0'''' to Iff, "p","Ii, II. .", ,,,.. " "" ,"",,,", ",' "..., ",""" """""'''''' II , 'Ico"''' "II, t, "'I'''' " m.' ""~ .,,,,,,,
. "",,,,,,.,,,,. .f,,, ,."p'ot'''' of """"",,", 'h, ,,,,It",. '1'''' '''''''''', "..II p., " lite "'''Ii .11 ,.,,, " "d, ""wue"'"'' "".j, .",
ot doing such ~orlo:..
6. An construct lOll or jnHdl1ation of mlli/l~, ~~lvl:~, pil)c~, po]c:>, coll.llt':., line:; fittlwl ..!ld fod1tl'eS, SerWl(C, rl:lll1ir, or rc10(oll0n 01 till!
~ame, perfon~d along, ower 4nd/or under tilt! coullt)" rOdd:., ,-j'Jtlt:.-of...."j or other counlj prul'l!rllc~ '.\JIJjcct 1.0 .."id fr",m:hl'.l! ~II011 be t1IJnt' 1" \1,.101
a m"n/ll!r "'~ not to intt!rfcr't' ....itl1 the consvuctlun, ollerdUon <lnd tll4tntcnllllCC of othel' utlllttc:., IlutJlic or prlV<llc, u,..lIIlS, cr<lin"!lc d\lO'cl. <ltlll
~tr,"clures loc4ted tht:rein. nor ....11.11 tIle g"4dlrHJ or 100prowl~nclIl of :.uch counl)' ,-Olla:., rlyht:..of...."y u.. other' counl)' 1".u~lcrtlll:..
7. llle o....ntr~ of all othl:r utilitieS, publiC 0" I)rlvlItc. tnstCl1lcd III such cuunty rOlll.h. rl'Jht:..of...."y or oth!.'r count)' prCllJ!.'rltcs 11r10r In t'n~ to
the lIne.s dond focllttlc~ of tilt lJrolntee ~hlill tlliVC p..cft'rtwCe I1S to tht! 1'0SlttUH dlHlloClItlUIl of :.ucll ul.ll1l1c:. :'0 in..tollt:d ...itn rcsp'c.:t to tilt:
'co,,,,,, ;ueh p"'m",, ,h.ll """"" ,,, "" "'", 0' 1I.. "",>>It, 0' ",,,,tI,,,,, "..""", ".. "',', ,f "" >och ,,,,,,, co"" ",hI-oI,.."
8. The_grantee, as fdr 4S pnlClicdblc, :.hd11 co,ISl1'UCt 1It:\'j utility fdCllillc~ unucrqrounu. [~ten~lon of ovcrhclld focilttie:. fulluwh'q :.tr'l;'l;'t:..
.i...,". ""', bo",wd' " "",,,,h'"'' ,h.ll b, ""'",'to"" ",I, ",h "" '1"""'" of "" C""'" C""""" 1'1l0v1DED. '>0."'" ,h.' "" "''"'"
~hllll flot b~ unredsondbly ...lthncld. Grclntl!e sholl1 couvert eJO.I:.thlll uVl.'rhc.ld fcacilllie.. to umll:rqround hc11itlc:. 6:' calld when e(juilJlnt:nt relllolCI.'IIll!nl
is underlol<.l:n, or ....hen othotr l!JO.htln9 overhellu utilitIeS .Irl! p14cell unCerl,JrIlUJlI.l. unle!i.S such repldct:l1lent Is l.Hlsart:. llllJrdct1cdo1, or l!cunlJlnu:Cllly
unre4sonllble. tine eJO.tcllS1on policte:. dnd prucedl.lres e:.tdtJli~hed lJ)" thl! (J..",nlt:e, Cllld untlonnl)" Applied th"OulJh It:. !i.cr...ll;t: drCll, Shdll r..l! llle
sland4rd 1n delennlnin9 wildt Is "pract1cd1. 11l1prllctic41 0" CCUI1(j1uICdll.y ufll'e~SOIl4bll!" under thl:. ordJn4nce. f.rovided tt,"t no new O~trlll!lld utility
facilities Shdll be coratructeLl or estdobli!i.lled 1n an)' a.ru set aside tor publtc pllrlo:., schuol, p1~Y9round or athletic flelll purposes.
g. Spilthl Provistons:
,. ....... ......... "
.. -;:-:' -:- '.,.., -, "
"",::.,: ,',': " ",.,' ,'..
.,\"":'.. :,: ' . ,: " ' :, '>",o'
.>: ,.... " ',,' " , '.'.:-.. . ' ,,:e, ':",' ,:,
::.'> ,'. ':.',.. ,'. ,'.' ',...', ',>
',,' :/ ':.,.::'.':' " '. .' .:-." ' : ,.,.' ',. ':. ,,',," ,', ,:,"
'; ,"::' " ", ,,>,',' .';
-., ," ,:,:' '", " : ," " ". :...:'
:: ' ': ,:,', , ,,:, ',' ' .' .",' ," : ,
': " ,', ':,'<.' ,,' ,.,', " . .,'.,.' .' "
,..,', ,. ,," . . ,..,:" ,"...
'.. ". :.',,:", " ' .' " ' ":'1'", ':": >:~ ': ,"',_.,.. ',.,.'...': .
,:' , ," ,", ,,'-, ," ' :,.'
" " '
'... "-' ".".', ,'.,' .' ", ",. "."",: :,:
>:. ,':'. .-'
;,:' ..::.', ":, . ,..'::', ..
; >;
"
',:,.... , ,'. " "
.' ','
",: : ..' ' " :', ':
0_>0', 0 0 00' 0
;i:, ",:'
" '
:
':,: .:"
..
:\,:, '
":,.,::,
,',:,:,
, "
<:
"'. :'
,:':
,
':.,
. , ,(
, "
II1II
...,., '"" ,'.-".....,
t
l
"
I.
,
;~':
k
{
i,
..
i:
"
l'
~",
~.-
.
't..
,t:
r,<
J
:
.' "
,
, ""," "..' ',',,',
, '
, , ,...:,
:rEFT Er-:::D\\i c..o U 1\\1'1 \'==8:. M \ T R. E..r:l' t,
~OR
PP>C.I ~IL 1\.\ IJ.} l".JElL I'la-E PHONE..
ENe,,\<.. TR.. C.OMS\1x...J<.
l1::."LE 410' 5(",,'3<2,
R .0 , EST/.&' f4:::J
S5 1
T -::UN
l( \\v ./'
l\1
1-
to
<<'
~ t
;y
/)
I
&CI'
CJ
\~'
I I gIN I I r
I I
t;
\'\.lSI-J ?JJ:--1
:3)' OIL MAT' UASTIf\l6S RD
I
\ ( .. '- .../ 't- EX 1ST T!l Ci..L'b
) i"V' (..-;-1,,1.1 \y (OP8\\C{j~RM 1EL CLOS
P\f.::,H 19' 12:75/1 4 KP~
CPENCl\T ZO'DIRT
l\ ~p~
17..' DIRT 1"L f\\E.W O,ELE 1M
DITC,H @'.1D" DEJ7Tt\
C.i\5LE ID Ef:.. RL'D m
Rnv, 81'::>TII1[' C.RDLlI\\O
LA \ D CA ElI..E'
=
~
Z
d:
;q
C(
"'"
"'"
,
, "
.-. ,',..,(,.., ,
,'- ",," :.',; ,,",,, ,: '>", "
, ;::' , " :: ,'" :." ,';
:, ' ,'" :'.' ',< ' ,", ...,,: ':' -' '- " ," '" :'"
".. ''-'': '
, ' ,,', "" """ ,: ..'" ' \ '.'
" ':;' :'," ':: ' ' " ' ,-,"
, ,'" ',',: ",' ",,'.', ,':, .,',", ">
I" ", ,'" " "',, ,;
,: ' " ,'" ,:, '" :'.',,' , ", ,', , ,,' : ':", ,- ,,' .' ':':..'
," , ,',:, , .,. ',,' " ,: , ,,':, ,,', ' ',."i . ,'\X,:, ','
'",:'< ",',:, ' ',' ,:, " , " ' :"", ,'.,' ',".' " " " :
",,:, , :-. .. ' " '" ", "
""""'>\',' , """. ',' ..,':,",',"
" ',," ",' " '
,'" ' ' I,: ".",, ' , " "', " :,'-, ", ',.".:
,i, '..' .. ,'- :', . ,''- '
: ',,' '. ,,'., ,,': ,. ~"..,,"',,',", .:
.'; ",' ' " ' ",
, ' ,:..,,",' , " ',' :'. : :-,.':' ,
",:: '", ,," "',' , , " ','
,,:':: ',:', ' ""'..
"'" , ' "
" ,..'
, ," . ,',,'.,
" '.""
,
',,:'
"
',',::"
:.' ',i<
":::,',
,:,:
,7
',; .. "'.:, ,,' ,:
,
I.
!,
)
~
~,
ft.':-'
~;'"
"
5,;
;;:
t
5.'
J..
r
}
i'
.
'-
~,
~
,
,
.'.
i
!'
~'.
~.
,
<i:
I
1.-.
A'
~;
\
I
I'
,di,"
.
'" '.' '
":".',- ,,' ...
, ,
" .: ' ,
,', .'''''''':',' ..
i.::, . , ',:, ' "
" "':,'., ','..
"'" ."',,',,
,',:
, .'. :-" ,i,: :,:
" ',.., ,',
", ..
" ,'-- ""'"
',.: ::'
" , ,"'..,,',
" ,':,'"
'" ,','
, ':':' "
",I
": """ '''':,
:' ,.'.,
"":, ",
, , "
,Ce'
i,/ ':,' i: ..,..,..,i'
"1;(t>',I'"
I. All work oont! und~r uhl frdtlchlsc ~holll lie dUlll: 111 II lIuJrou'.Ih "'lId worlllld,dH.\:: In<lllllcr. In tilt.' lol)tlll'.lllf 1,01I01:1"':I,'u\luO ",11.'(l1'1I"'~ '1\13 ,..t..ld d".)
. cun~tructlon 0' otlier f'cllttlt.'s ""0 the open!"\! of trcr1(ht.>:., tt'l: tUIIIll.'ltnf) undIH',c\,)ulIll rU<t(h, rh,jht~.uf.~6j or Ullll::r.t......"lf lJf...~lllc~. {"" ".....t"..':.'.:-:: :,<~,
. ~~~;~ 5~~;II~r~~~~t ~~~~C~~5 ~u~;~CI~~~ .~~~c: 1~~"~,11: t l~d~~~~ ~r tj~~j~~_y t~h~ 'II~ c;;~ ~' ~c~~r 1 ~~ 1 ~; I ~~ ~;:'~-;~~~n" ~;'\ ~~~ 1 ~~r~j:<l ;~;~ :;:~ ..~":.',: ~ ~ .~u: ,1,1 t ~;~c ;,::; . ,:",:> 't':} :'~/',::
~ ~~f,h:~r~~ t~~~e ~ ~4~ ~:e 1 ~;.; 1 ~p~~ f ~4~: ~II ~or t~l~y !I~'~j ~:.; ~~<l ~~/"~~~C~/'~~~~~;~:. 1 ~ ~11~:IlI::;~ ~~";;:_~:~~ ~t <I ~u~~~'/":d l'~~~~~~:: ~ ~ ~ t ~,,~,~ ;::. ~~;~~d ~~ ~;~r,'~~'t." ~r ;\',\;
thrOu\lf1 4ny hlJurl! Ilr n~91e(.t tl) propcrly YUl1nl or !live w.,\ndlll.l 01 4111' tfen~htl~, LlilCilc~ 1.11' tUllIICI:. Uy<j or '''<lllltoltlcu 1.>.1 ll'l' '.If,,ntt:~, :~;"_>:
Gener4) P,-o"hlon\ ~r Jcffer.son Count". Ordl... ,~e 2.ijl dud WAC 1)6.40,
2. The qr~ntee, its SUCCc$Sors 01" 1I5si9n:., ~hllll Clll11111'IICt: cOrlstn.:o:.tiu'l \.Ifldc,. ~uch pt:rllllt 'jr.wtt'd lit tl't: CUYllt)' fll'J'Ill'cr ..-Ithlll tilt! t1110l' flcflod ..t4t~d
In Slll:h 1Hl,,1l1t 'lid Sh411 '101'0'1: coollJletl!d ,HId tlJve In UIlCr4tion ~udl IlOflloll of tllll ~IHClll or "I"It'IIVt:II~!It~ "~11",)' l>t: ~lJ~clfled In S,"o:.'l J,lt!fllllt lIf (I'l'
rj\lhlS thureln confern:d upon thll !]r4ntClt: 5110111 Ct:dse MId tt:"lIlfloltt: 111~utdr liS UlIOCClJIJ1",J :.trcet:., 'U4d:', etc" <lIt: lUII...t"'Il~Il.
J. Tht: 9rolntee :oh<l11 1~lIv<: 411 nl't:t:u, llVCI\Ut:~, 1I1lcys, rO<ld:., hll,II'I<4)'S, rICJIit:..ot'WIlY IInd ut"",I' ClJunlj IifulJcrtlc~, olt~r I,lylll'.! lln(l Instolllll'.!
Jll"tn:. llnd doing c/,lnstruUton work., nl<lk.illg ..t:p41n to 114ujl~Ilt:lll, etc" In 4S !lOud llllJ sdlc conl.llthlll In 1111 rt!:'Il",ct~.J~ tl1"'l",crt' lot-torI:: tilt: l,;t#llllj:IICC.
rn.;nt of SUCh work. b)' tilt gr4ntct!, It:. ..g~nt:. or eOlltrdctor:., dml IllII rt:cor(\~d lIIunurnl!llt~ ..tllch 111I~\l tlt:CII ohtyrlled UI' dh\Jlllct:d b)' tl>t: w;Jr.. ~hlll1 t.t:
n:set to tht: sptlClflc4tlons IIna apPl'ovol of the Count)' Engincct'.
4. In cue of /Iny d<lrfid9~ to :.otd ~tn~et~, Ill~CIIUC~, <llle)':., rOold:., 1i1'1h..<1.)':', r1!lhU.Uf....<I)' 01' !JtbcI' COUllt)' Ilropcrtlc:.. or' to Vll~CO UI' ~url'<lcc<J 1"I.l"d-
Itdys, tllrn.Outs, yuttt:n, ditche:., ",ood or COIlo:.flllc "'<lIb. droill Jllpc.., h,Uld 0" cllltldll;.ulCnt ...~tl~, hridge~. trt:~tlt:~, ..hllr'",es, Illndlfl9~ ur '''OIlI..oIllCI1tS
by the grdlltet:, f.tll! ~ald !Jr,mtcc dgrccs to relJlII,. :.uch dlllfl1l9o.' H tht: c<ll'llc'>t tlmc Ilu:.sitllc <It Its OWl, (o:.t dud CAI'l'Il:'C,
~, Io'hen the Cuunty (nq(neer dt:tcrmlnes thdlllll cnlcr'.ll:ncy :.Itudtlull due!. l::xl:.t. hc melt ordcr dlld helve dOnt: <If I)' <Ind 0.111 ...orl.. conSl(\cf"l'd IIl'l"'~:'llr)' to
re:.tort: to d. uft: condltlun <Ill)' such !.trtlet, IllV~nUC, <liley, rU4d, tdtjhwllY, rlyt,t.Qf.W4Y or utl,,,,I' COuI,ty Vn,llJCI'ty lelt 111 tilt! '.ll'dlltec 1.11' d'.ll'/It:. In d
condltiun d<ln91'rous to lHe or pro~crty, Ilc 1f'1I)' c.Juse to tll.: n"J14ccd or I'C~t:t rt:l:,I,Jrl.It:d nll,Jnul'lcllt:. if <I tjl'<lnt"'e tdtl~ t... ....l::flldCC or rt~~.:t ':.<1"'" ..-Ittow
, I'CHon.l.bl", tlmtl <lftcr cl,llllplt!tlon of constructjon. Ihc qrllnlct:, upun dCIIl.Jnd, ~h.JII I'..IY lu the county 41l COH~ ul sue" cun~trUCtlun or n'val" aroll
of doing sut:hwork,
6, All constructIon or !nH411atlon of ",41ns, v<ll'1t::., Jllpt:s. polcs. cdlil~s, l1f\cS fJttill~ <lnd fdcllltlt:s, ~cnjcc, rcpJIr', or l"t!lOCdtlOIl 01 HI...
same, perfonood along, Over d/id/or undcr" the count)' rO<llh, d'.Iht:..of-wl1)' or otllt!r coullty prupcrtics !.utlJect to :'lIld fr<lr,c.tlht: :.',all tle dont: III ~uch
~ m.Jnnl!l' ,.15 not to Interfere wIth tile construct/on, OfJel"at/on llud II1a1ntcndllCll of otlle'. utIlities, plll.dlc Of Iirivlltc, drdln:., d"atno\Jc dltChe-:. dllll
stl'uctures located tht:n:jll, nor ..,1 th the qf<ldlll'.l o/" 1n.VrO~t:ml!r1t of ~uch county rO<ld~, rtYht:..of'way Ul" llUlt:r cOunl)' PI"Uf'c....t h:~,
7. The ownt:r:. of all Otlll:r utlllttes, public 01' prlVdtt:, tnstlll1cd In :.uch County rOll!.!:., rl'.lIllS-of.w<l)' or Otllt!r county p....atJcl'tlcs pr1ol' ill ti.,~ to
the line\ <Ind f<lcilltjcs of thl! 9rdntel! shall hdvc Ilreferl!IICC <IS tu thl.! Jloslt1uII elll'" lUC4tlon uf SlJClI uttllttt::. !.o IlIstllll.:d ..lth rt:wcct to tile
grllnttl~.. Such prefercllCt: 511411 continue In the l'VCl1t of lllc net:l:~slty of rt:loclllllI'j or chllllyln'.l lhc lJr.l.dt: uf 1I11Y :.uo:.h count)' I'oo1d or ri<j"t.Ot....dy.
BOo Thtl gr<lntee, as fdl' liS pract1Gdl.llt!. shllll CllnHI'uct ncw utIlity fdCl111ic~ urlllcf'ljro"nd, (.tcnslollllf ovt:rtll.:lld t<lc111tle:. followln') Hrt't:t~,
lI'1enul!5, ways, lIl)ule~anls or thoraughfolrcs :.h0111 bc undt:"l4kt:1l ullly with thc <1(1pl'uv<ll of tlic COuntj [ngln!:!!:!r; I'flOVrO[O, Ilo..-e~er, thdt ~did <ll'p'-uvlIl
shall not bt! unredSon41.11y wlthhcld. Gr4ntet: sholll COII'lert t'xjstinll o'lcrhe,ld f<lctlltl!:!:. to und!:!r\lroulld f<lcilitll:~ oJ:' MId W!lCrl l:qulplTIl'nt rCII!llcltIut:nt
I~ ullderUI..t:n, l)f w~\en olhcr c.lstln9 o"t:fhe4d utilttlt:s drc pldCt:d ""dC/"IJ"II11lld. WIles:. :.uCh rCJllllCt'lI~nt IS UIIS<lf!:, iJ1llrllctlclll, or t:COlllllnlCdlll
unrcll:.andbll!. Lint: e.llt/:Ilsion ~ulicie5 and proccdure~ estdtlllshed lJy tll... 'J"dntee, elnd unlronnl)' d~pllcd throuljh i~s Sl:r~ic... 4fCd, sh"l! be tI'\l
staflddl'd In detcrmlnlng W'ldt Is "practical. tlll~r~ctlcdl 01' cconolldc~11y unrcdSOn4blc" under thj5 ordJn.l.nce; prOVIded ttldt no Ill!.. uvt:rhC4ll utility
f~c1I1tlt:s :.hall be Cun5tl'uctcd or establIShed ill IIny IIrt:a :.ct Hidc for public p<l....I.., School, play!Jroulld 01' dllilt:tlc fleloJ pyrpo:.t:s,
9. Spccllll PrO'llslons;
"'.':,,:,": :,.: ,'. ,'" ,'.' -,.." '... ' '.,
.'.... ' ,,',' ,., '. ..',. ,',' .','.' ,:';" ,.,'
': " '. '. .' ,',,: :,',' ,','
,.' ',', ',',." ',,, ..' ',', ',: ,...., :" .', ',"
":, ,':. ',',' " '."'" '. "',.
.,:' "'.',' ",,\,, ,', ."..'. :.' ,:"i'
','" ,: ,,' ,":' ',' " ,:' ,. ,',
"
,..' '",,' , "'i
:, :,':. '.,', ,.'
,:,i", ,,>,:,:, ,
,
',: ,: ," ' " ,',. :.',"
,:'".,; :;:'>'
,:.' "
',I,: ,
:":\: ,', :,' , ,
:'
" ,,'.,:, ,". ',' ,
..', ,
:.- .. ".,
/'\", ',': ,'..,":' ,
I': '" '
,
. .. '::.
...'..,: "
, ,:, ":'
/
,.:"
;;:
"
, ",
'" '
'"
;1i
': I,:
','\ ::',.,::
",
,",,'
i!
UNTY ROAD NO.
STATE LOG NO.
MILE POST _TO_
OFFICE USE ONLY,
I)
PERt11 T NO ,.f..f=!.~i:=:J",_
FRANCHISE NO.
FEE PAID _Yes No
OFFICE USE ONLY
JEFFERSON COUNTY
OEPARTMENT or PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, flA 98368
APPLICATION FOR INSTALLATION OF UTILITIES
Name and Address of Applicant: fro ,", },-'vC- Y\.w, (lup
M'ANA'GiNI-&-~~
-------272D1JAKRtDGE-ORIVE'-------
--PORT'ANGElES;-YIA-98362------'----'-'
Application is hereby made for' a permit to constt'uct, operate and llIaintain,~U-<.rU
~~_I ~~~_Ci~ l~_~~4~(_ =rD--___~~~~~J
The utility installation is located (attach iliaI' or drawing)___________,____
___,_~.=? @ s;:: 1~L..___,'______,____.
App1 iCilnt agrees to perform the work in stri ct comp1 i ilnce wi th the terms Mid cond it ions
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 forlll and dny special provisions attached Ilereto.
Applicant Signature: tv- /2, .Jr.?U/2A/L- Date:_LO-~-JZ,.
-..A//AGE1?1ir7.1
272D OAKRIDGE DRIVE
'~ rQ9T f"9tLf-S.f\Vf. 9,83117 I / I I I I I I I / I I / I I I / I I I / /
rolf'lf'lilllW~~UJJ PER M I T
Subject to the following-terms and conditions, PERMISSION IS HEREBY GRANTED to Appl icant
to construct, operate and maintain utility facilities as requested above.
This permit is conditioned upon Appl icant' s cOlllpl 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 form and any special provisions attached hereto.
No work shall be done under this permit until
proceed from
APPROVED BY:~(!! ~~
the Applicant has received instructions to
telephone
Date: /p~1 /tf't>
-- "
/ / / /
UTILITY DAMAGE IS COSTLY.
jork
~CAll 48 HOU RS
-dEFORE YOU DIG
1-800-562-6478
covered by pennit has been completed satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control_adequate; _inadequate.
REMARKS:
INSPECTED BY~_O--
Da te: L\' 1_.Y -..,
/-
Gener.1 Pro~tllonl per Jcffer,~on (Ovllly Ordl", ..t: 2.81 .nd 'o/AC 1311-40,
1. All ..orll. done unoer ~'10 fr<lnc:lllse sh.ll tll: 001lt: Ill. ltlorou'.lh <1110 wOd.III<llllikll m<llll,er, In lhe l<lylnlj 01 ulllle"QfOr,lfiO Vlllell"l:~ <lnu e~t.>ll'~ ~I,.J tho'
eon~lructlon of othllr f.cilllh:s 4nOlhl: 0\1I:1I111'J (,If trt:n(he~, the tUfll\Cl1u'l unOcr cuulll)' n.l'o~. ri':lllt~.uf''''<lY Uf othllr cu""tt Vrl.illl:'lll'~. '"'' '..l,~htl''''
~hllll le<lY" luch trenCIIl::lo. llltClu~s .nd tUllllt!l~ in ~uch 4 W4Y 4~ to IJltl-'r'cn: d!. little II!. po~~itde ...ltll Ih.lI,JH. U"",l' I ,1IJ :.1t"Il tHe .11 CLJe <I,,,j
nt:ct:j,SllrYlJrec,ulion~ to ljl.l'l'd lhtl.S'~le so th"t dO'lu'Je or Injur)' sh"II 1I0t occur or' ~f'I<.l: Ullt:~~l)n 1,1 "UCll ...ur"; .IIU ..!.e!'e <Ill) 01 ..Ulrl tr...',(h.....
dttche'.i or tunnels <Ire left oolen ,It n1'Jht, thl: 'Jr".lIltec ..It<ll\ 111.!.:e w4I'n1rI(J JlrJhlS "ntl t.l.:lrrl"uh:.. .t ..",,, .:I lmsltioll .... to '.11/~' ~<ll'4"dt~. ..Hnt',.; ,~
such worL The ljrontee sh.ll lle It,,lolc for 4ny Injury to pt:r~l.m (II' persollS 01' lJ<lm4/je to proll~"'ll ~u~t<lllle~ olrO<J'JI, It~ t.,...It:"~'I.'~~ or 111:'ll"lt...,
through 4f1Y f4llur~ or nt:glect to propcrly gUdI'd ur 'lIve w4fnlll'.l ot <III)' ll'cnC/'t:s. ultchc~ lIr tUflllcl!. ,Ju\J or nldlllt41hl'1.l IIf Ull' IJr4utrt.
2. Thll gr.ntllc. It!. succt:s~or~ or ASSt/jrlS. sh411 COllllll'ncC con~tructloll I<"dcr ~ucll p../'ndt 'Jrelntcd!"y lhl! (Ul<lIty ~'\lJ;"eer ..IUlln the tlh: Iltrlod ..Idtee
tn ~uch wnntt lnd shell! 11"...e cOlllplt:ted "lid hdvl! in ollcrdLton ~UUIIHlI'llor' of the syHem 01' ""III'UyelHelllj, O~ rr."\1l.l... ~l'etlllt:d in '.iyen j.I.:-nr,1( or t"\.'
rl9ht~ thl!rl!ln conferrt\! UPOIl thl;! gr.:lntcu: shill I Ct:4~C dno tcl1l1ln<ll!! if\\OI<lr dS ul\occupit:d Hret:U, I'u..h. t:tt,. .n: (,..meen,cO.
J. Thc 9r.ntl:t ~114111l,!elYC all streets, "...t:rtlll!S, olllt:)'s, rO<lll.., hi(J'M'/~' 1'1~llt..-of.....y 4nd ou,.:-r cuullty j.lrOj.lertll'~. dltt:r I.yl,,'1 "nil IIIH.:Illllllj
11141n~ 4no doln',] construction >lurk, 1n4klng relJ4irl. to t:4ull~llt:llt, tltc.. In O~ 'lOUd ,wlll.<lt'c COlllllllofl In 411 rC~l;o:(;H.1o tile, ..lIr~ (..C I Oft: tIlt' lUll&hCr'lCt:~
I!ll:nt of such work l.l)' the gronttt:. IU ollJent~ or contrdclor~. dnd 4\1 "cco,'deo mOllulllcllh ..tlich t'~VI! beell ohturlled 01' 1.lhl.lJ.ICcd by H,e ..on. sn411 (.;t'
rnet to the spectfjcdtjon~ 4nd Ilppn:lv61 of tilt: County En!Jincer.
4. In cue of 6ny d4/11<1gl! to sold strel!tS, "vt:llue~. <l11t:ys, ro.d$. hllJh....oly~. rl\lhl~-ul-w~y or' other ,eullty prllpert1elo. or to j.I.vell or ~lOrf<lce<l '"Odd-
..4yj,. turn-out~, guttt:r~, d1tchc~. ...oed Or COllcr/.:te ..411-~. <lr"tn pipes. h"'Hl 0,:" elnl.l.sfll-mt:nt 1',,11... t.lrld<)t:~, ll'estlc~, ""14r"t:~. I'Hldll\ll~ or ft.ofllO,ht:llt:.
by the 9r4ntee. the s"'d yr.sntt:e 4gnt'j, to rt:lJ<I'" ~ucn U<lnl6!Je o1l tht! 116r\le~tlme pO~j,Il.lle <It It~ 0....11 (:o~t drld elll<t'IIj,t:.
5. When tht: County [nglne...r dete,ollnlnt!S th.:lt ,\II tllll.:r'Jt:ncy ~ltu.llon doe~ l:Alst, he mdy order 01111.1 hdve done .1II)' 4nC <Ill >lO,'1; cOlIsjd...rell fll'C~'Hdr)' tu
restore to " S6fe condition 4ny !Ouch strl!et. 4~t:nUl!. 411ey. ,'olld. Idyh...<ly, rtyllt-ot....dy Or' otll&:I' COUllly prtllJcrty Iclt by the fJrd"t~'e or <I'J~"ll~ In ..
condltlon d6ngt:rous to life or properlY, Ill.! molY (.<lUSt: to lll! rcpl4ced or !"t:Set rl:cul'tlo:ll monlOllIt:f\U II ot yr.nlet' lolh to l'I;'I,01,,cl1 orro:~et. s,,,1t: ...n'lll1
<I rt:1IS0n4ble tlme 4fter cOlllplt:tion of construct10n, Thl: grontl!e. upon dellhlulJ. :.11.11 IIOY to the county .11 co~tj, of suc" CUf\strotllon or I~'pol'r ~1Il.1
of dojng SYCh work.
6. All constructjon or lnstotll<ltion of mdins, v.slvt:s, pipes, palt:~, C<ll.llt:s, lilieS flttlnlj <lnd f.ctllt!es. ~t:r"lce. rt:!l<ljr, 01' relOC4tllm Of ttlt'
same. pedon!lt:d 610ny, O"t:r and/or under" the coul1ty ro~ds. rj'Jflts.ol-w.y or otht:r COlmty prol'el'tlcs ~ljl.ljt:ct to l..ld fr4ncrllse ~",,11 be dOIl~' III suCh
. molnner 4S not to interfere >lIth tht' conHructlon. opcr~tlon .:Iud 1lI.lntcn.ul'!! of olhel' utlIHit:s. pul.dlC or prlvate, dl"<l1ns. (frllln'lje dtt(fll!~ .:1(...:
structures IOC.:lteo tl1t:l't:ln, nor with tht: gl'ddln'J 01. IlIIprovt:I!lCl1t of ~uch cuun1y rO.:llls. ri!Jhtj,.ol.>ldY or oll'er coul1ty prollcrtle",
1. The ownt'rs of 611 other utilltlt'S, public or prIY"te. ill~l"IIl!1J In su(;h County I'Q<lII". rl'Jhtl..of-w~y or ottl~r county IlrOI.lt:rtll!~ prIor 111 tlllll." to
tht: lInes 4nd f<ICllltlt:s of thl: gr.ntee Shill 1 hdYl! prcfl:rcJlce <IS Ul till: floslttoll .,ILllocol<tl01l of ~ucll utllllll!S ~o ill..l.llt:d wiLtI rl!spel.:t to ttll!
grllntl!e, Such preft'rcJ\cl! Shdll continue in the t:Vt:flt of Ltll! ntlCl!Htty of relo(;i1l1/1Y or Chdllljll1l] the I}r4dt: of ~ny "0,11 cuunly road or ri'./ht-ot-.."y.
e, Tilt' gr"ntee. 4S f<lr ilS practledt.llt:, Shdll construct IIt:W utility fdcilitle" ulldCl'lll'uund, [denS ion of o\/I!rhe.ll Id(;111tlc~ t'ollu..ln\l Hrt:cf~,
4venues, ....dy~. boulev4rllS or thorOuljhf"rt:S Sholll bt: un!.left.ken ollly ..lth tht: dPlJruYdl of the Coullty [nql"i:cj-i f'IIUV[U[O. ho..evl:r. UI<ll U1J 1l1l1.llUul
sll611 not bt: ullrl!4sondl.lly ....ithheld. Grdnte!: Shdll COllvert e~jSllrlll UVcl'hedf! fIlClllllt::. lo underground fd(ilities ell. dnd wh!:n equl~llt'nt repI4Ct:lI,eflt
Is undert,,!.!;!n, or ....hen OUICr' t:..IS11n9 OVl!rhl!<ld utilities <i....: pl.sced ulldefyrllulllJ. unleSS suc" replelcclIlent Il. un"4ft:. IHllrilc1kdl. or It'onomiCdlly
~~~~~:~~<I~ ~ edet;~~1 n~~~t::~: ~n I ~o !,~~~~~ 1 ~:f . P~~I~~:~~~~<I is ~~t.l ~~~~~~ll ~~ 1 ~~l! u~ ~~~ ~~~~l.l ~~~ U:~~~~lll~~ I :P~~~~~d~~~~u~;o: ~~e~ II ~~~ ~e J1~ r~:; ~~:~:,t:~~ ~';ll j ly
hcilitlej, ~h.sll be conHruCtl!d or endllljshed 1/1 dny 4red Sl:t .sidt: for Ilollllc p.:Irk, ~chool. pllly'Jround or dthh:tlc flt:lll pl/rI-lOSeS.
9. Spcc141 Provisions:
,-"
':',<,:'.' ,",' ,,"',' '.', ..':
.' "',,,', ,..,
,:, : :,. ",:. ' ,'.,
, ""
"',. ,: I .' ,'".
:;' ,.:
,,' " . "
,:, ';"."
. ,.',.' ,
,.." ;'. ': .",. "
::'. :' ,Ii,',', 'I':: "
I . ,
: ,:
'"I..--,
,:. ,
""', '
.'- "
, ,,':,',,:'
{,:
",
',:'
"I-
t'--
e
~".'
r
~.
t
~,
"1'.':
~
f
-r
1
~,
....:.
~,
,l
J"
'~,
"
.
~
"
.
(',
f
t
4~~ '
\
~\' '
\
Ii
I:
1\
... "
, ' '
'; ,....,"
I:: '. .':" " '
": ..'..,' ":'., ..
f>(
".:.
.:
.' ,
:," ,.', ..,',
'" "", ' , '
.'. ' '". ""
"~',:, ': c;:: .:'
" ,'<I:," :::
'",' ':i, ',:' :'
':, '. '... ',' ...'
"', ':
'i
i
I
@ Paclflc Northwest Bell '
Buried Selvlce Wire.
Work Order
P6;?C1 io.S1)
No. S(" -L!IZ-
:::omp!el. by__
!
.,
"
WORK LOCATION I J' I ,CONTRACTOR'S ACCEPTANCE
Addre8~ _~")' h8!.~ FI'm
City .P-T TllMIN\""""COU'"Y ~_~StefeWA- Sl'~nature
Name--/'UC::: e.oV' ",,"1<...1< ..___, rl:le Oale~
Unit Prl<;s 0 i:o.t Plu. 0 Flat Sum 0 $
ORIGINATED 8Y :1.11-1 ';:,4!.- Date IV" ~..~
New 0 $/0 No. __ Due Dale' _ I~I'I to: PACIFIC NOIUHWEST BEOLI_
, "Repair [J Tlll.'No. Tllmporiz,~d 0 Attention
" Rearrarigs OSlO No. ' ' ,Due Date ---'-- Mdress
. Typo of Servlc'! City
CBl. . Pair o,IOfIB.P. Term. ,!.dcres::;;
Zip
,
I
I,
I:
I' ','
, ..
APPROVAL For Flat Sum/Cost,PluG S
Hecommended
.\pproved by __..'_
Date_
Dale_
R~~~:e~~
" ,00""lo\lon of Work
~antily
/
1
DYes 0 Ilo
Verbal 0
No, __ Dale .__'____
PEORMIT REQUIRE~:
qecelved from _.". '.
Jurisdiction
fl.' I -:ld,th" tiMJ.:'
.J I~l;'" I!!'....,;, .:::"'"
Lr:., 'z..~Il-. ....:. Ie.
~ -!;. .. _ "'- ",of. " &)...." "p aJ~,
" , COMPLETED BY
Call
Dat8_,_~
. t.:lr Service Connection
1
r
I
i
, f
I
I
I
.,,0
~I -~ I
Sketdl Work R.qulrO<!- fnc u~;.gl"G. dElPth.. wlr.. .Ize and 8mount
. . . . . "C!- .. . .. . . . .
. . . '. ~( .
, . ,~.. ~\. .
. .. ~fI..;......: . -:-:-
... ~,;...~ . -~J(
/r: .' .1.. .
Ir.. , ~fl'J~"',
,
\
".b;-
I(
(.
'\~ . '. :-.
\ \. ". . ,
. ~'r.$1'
..
. . . .
~l-107',L.J?:;'i7- ,
..~ ;
;
.1:ndl~,atO.No~ + 11
5>
..
I
. Olv.-f::
'-
~rD CM."t".tII~.
-: ~p..
t.l~ 0'0
\. Nole: Thll (l.keto~ may nol 00 l!n aCOI,lr!UI:'I repr~,ehtllllcn n i1n de11lllBi it remain:ll "oon,raclor'. r~pcmtbHl1y to proporl\' IcIMfD work In th.liflld
," ..' '"",,', '
, "C..,
,.,.TJ
',:' .",
:' -
, ".., '
..,' ,','
".,'.' :,
" '
",
, ,
I "
.. "
'-,
r
I,
f'
~/;
,'..:..,'-.
.'
,
,: ",'
, ,;
..' " "
,
, "
, '
,.' ,:,',
. " ..
':", ,", "
.".,: .>
: "
'.,',
, ':,
1,.'
,':-," "
:, 'J
~ :'
l
~,
%
,~
!~ '
;t.
r
f
.
I"
t
$',;
{'
t
~
i
I
;
"
,
i
y
~
,,'
, '. '.. ': " ":.,, I"
"',:'':-'" ..:.,.:.."", I" ..."
"\',,' '''''' , ,
, ' " ",: "<< ..-li,'-' :,' :' .-"
:' " ':', I'''' ' , :, , ' .' ,,:',
""'" : ,:-': :.:':'-' .." ' ':' ,;'1: ' :,,: "..: ',:', ' ,,' ":",' .,', ,',:,':,
.. -' ," ....,' , " .'.,':.:"., ,", '..,
',:;,:' :' ",' '. ", ':' ,,':,' -,," .i:
','.-" ", " , ,..' -,"\, , '..
".,:, :' '..'.. ',: ",-" '." ,::,",:> ':',':,' ".'/'"
"', ' . :," .' '.
, ',' , , ' '
, "
" "
, '"
" ,',"
.' " .-, ::i
,
",' ':"
" ' ' .,
",. '
, ',:' ,'''' ,: '
, :' ',,' ,-',.""','.".",, "',.,,..",
" ., ,'., ':
',' """ '... ,,'. I>
: ,', , "
''''', ..
~
. . ';;".~ ,,...' ,'.-.',:>'
,
,
, ,,' .
,--
.., '
, "
COUNTY ROAD NO.~15,
STATE LOG NO.
MILE POST t(.d.b_T04.dJL
OFFICE USE ONLY
PERMIT NO. ~8''' '1-7 - <I
FRANCIIISE }i(J':----
FEE PAID _Yes _No
OFFICE USE ONLY
",',-, 1',,0 .', ",
I L;' 1...J., ";1 ':! ',', ',1"
;1\\: I.', \1: i!' 'I'" i!.I.'
JEFFERSON COUNTY
DEPARTMENT OF PUBLI C WORKS
Jefferson County Courthouse
Port Townsend, WI 98368
APPLICATION FOR INSTALLATION OF UTILITIES
-
,I "
Name and Address of Appl icant: Pacific Northwest Bell';,+r~~~i7Ti
611 6th Stree1;." Basement ------i20J:.(4j.J~GAA_l4J!:;"fG;:.,~~'
_~~lert.Q..n.".!I_a2i!.i.!:!g.!.9..".2.!!~lQ..______, ' '~~.~~ I,
Appl ication is hereby made for a permit to construct, operate and maintain_ Proposed_burj.ed
cable across Hastings Road (Please see attache~ sketch)
S-7, T-30N, R-1W ,_,_______,'~
The utility installation is located (attach map or drawing)_I:!.~U.!l!t~!l.<:I..._____
Applicant agrees to perfonn 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 tile revel"se side of tilis form and any special provisions uttached hereto.
Applicant Signature: Terrie Comstock, (206) 478-5688
-c-ar-z=6241'0ol'tIOWns'enQ
Date: March 30, 1988
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 I 1/1
PERMIT
Subject to the following'terms and conditions, PERMISSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above.
Thi s permit is conditi oned upon Appl i cant'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 Applicant has received instructions to
proceed from , telephone
APPROVED BY:~~ ~ Date:-B.-7-88
TT77 F I
~ERM;;/INSPECT;ON REPORT I ~ DlI~~ .
uJU u~lffiLW~\b\1J).
lleen completed satisfactorily.
I I
UTILITY DAMAGE IS COSTLY,
_ ~ covered by perrni t has
_ Work is not completed.
_ Recommend permit be cancelled.
_ Traffi c control_ udequate; _i nudequate.
REMARKS:
INS PECTE[J B Y.:0>_,b----.-r
Da te: II-a ,:..-ry
,
CAll 48 HOU RS
BEFORE YOU DIG
1-800-562 ~478
Form 114
,
.. --, ..
:
':,,:
",'
,-"
',,:
,
" "',' '
',,: ,':'
,/. " .'", ",
.. '
"', ,'"
Ii':'.,: "
:..', "',
., " '.
," ,,', '
,
','
"",
,. ,. ."
.,..."
"
."" '
!,. <',..
I
i
',.':
, ,.:-' ~ .,,' , ~
. .' ,."...,.,,-,..,~ ,-" ~ ,~
'01'-,0-,;
''':' ,
\",
",:~, ,:,"<'
'-'^" '
"".,",_,..,..lI- ,c_~"_,,,.
Gen\!r,) PNl'lh\u.ns' po;:r Jl:ftt:r:~Ofl County Onll... ~l: ~-1J1 4ml wAC 1 Jt.-.lO.
". "'\"~:;::i':,:~,
:;.,~~~,~~~: :~":,~~~';,~;;1, ~::";::~ s:h~h~:,~,::~" '~';' '~~";h~';~'::t' ,~::~,~::,:"'~::~:~' ,~~::';;' ;,,~~. ";~ ,:.;~ ~~~ ,~:, '~~'~::;~:"~,~:;:;' ;:'::,,:';1,~~O::,~ :::;,,~~;.,:.,
,h,ll ,,," 'ol" ,,,,,,,,... """" '"' """,h I" sue'" .0, .. '" ,,,,,...,,, .. Ilttl, " I"''''"'' ""h ,,,,,,,,, V"" .,," "..11 "" ,II e,,, ,d '"
",,,,s"y '''''0'''''' '0 'UO;', ",",s~'" SO "to, """, '" "'J'" "..II ,,", '''''' '" H'" '" ,,,",, " ,,", "",' "," .",0< ",,", s"" ,,,,,,,,,,,
""".,", '""''' '" I,ft "'"" """" ",. """',, ,h,ll 1,1", ..m'''') 110M' "" """""., ., suc'" ",,"0" .. '" .),W ""1"" .."",,,, "
suCh .",. I" 9""" "..II b. 1I,ul, '0' ,"y "'J"'" to '''''''"' '"''"''' " '''''''J< '" "",,,,, ,"""",,, ,",,0")" <I' ",,',,',,'" " ''''11<<', "
W009h '''y "'M' " nt"~'"~ to ,,,,,,,I, ,m'"' "" ."",,,, 0' ,"y ,,''''''''', ""''''.'' ,"""'" '0'"' "",,,,,,,,,, '" .,... ''',,'"',
,. Jh' 9"""" 'IS ",,,,,,,,,, " ,,,I,n,. 'h.ll c~"'''''''' '0"''''''''"'' ""',, ",h ''''',,'' ,,,n"" uy ,h, CU""" ""p",.,, .1'"'' "" ".. ''','''' ."",
,,, "et, """'''' '''' .h,\I "'" """",tt' ,,,' n." 'n 0'"'''''' so,,, "",tI,,,., "" ,,'..... 0' '''''''''','',,'' OS ,uy b. """,,,, '" ",,, ""m" '" ""
"9h" "'....." ,.",,,,,, ,po" ,,,. ."n'" .h.ll ",,, ..., '"''''n''' ."",,, OS "",,,",'" ,"'",''', ''''"', ,tc" '" ",,,,,,,,,,
), T", 9""'" ",1I I"" ,\1 "'."'., '''''''', ,1I,y', ,,,,",, h"",,,y', ,,,,,,,-,.'.., ,,,' 0"'" ''',,'' ,'",,,..,,,. ,It" I",..,) ,,,' ,,,,to\l',,,
.,"os ,,,' dO'''' ,,,,,,,,,,'on ."', ",,,". "','" '0 '4""""" "e., I" ",00' oed ,," ",,,,It"',, ,,, ,11 """,,, OS '"'" .", "".<< "" c,.....n'"
"",,' ., SOCh .,,,, bY"" ."n"', 'IS "",,, '" """""", ",' ,\1 ''''''',' ,,,n,"""" .hl'" ".., b,'" ,,,,,,b.,",, """", b, .... "''' ,,,11 "
rt:~et to the ~pe,\tlcdtion\ tlnd O\l\ll'uv,l of the County ElIlJilltll:r.
.. In CO.. of ony ,,,",. " sold "",IS. ,,,,,,,,. ,11,y" '''''.,h'''''"'y', ",,,..,",,.',",' "',," ,."',,, I""""'''''' '" om'" ","m' '''''-
."', ",,,,,",s. "'''''' "tc"'" >00' '" co"c"",' ",I", """ ,,,,,, "",' oe """,,,,,,.,,, ",,\., t.""'" ,m,I", .'"'''' , I",,,,,,. oe """",,,n"
by 'h. ,m'", I"~ sold '",,''' ,,'eel to ",.1' suet, ,,,,,,,, ,. ,hOt ,,,,,,,,,,,,,,, ",,"', ,. ,', "" ''''' ",J ",,,,,,,.
I, Wh,,, ,,,. C,,"'y '''9'''''' ,,,,,m'"'' th" ... "",,,",,,,, sI""tI",' """ ,,,st, ,,, ." ",'d" ,,,, 10.., ,,'" .", ,,'C ,,, ..', ,",,,,,,,,,, "."','" to
",10" to, sof. "'",,,"',, 'n, So'"~ """. ",""" ,",', ,,,d, ,,,,h.,y, "')10""""" <I'''' ''''',,'' V""""" "It uy "" OJ""'"' '" ".".. '" .
COM.tton ,..,q...", to I'" Ot p"",,'" ,,,.,, ,,,,, to u. "V,''', "f "", """", "'0",,"""" .. . ,,,,,,, "", 10 ",,'''' p, ,,," so'" .<1"'"
, ""","0\' ,I,", ,ft" c~"p\,ti"'., ",,"""'0", It" ,,,"',", 'V"" 'to,,"". ,10,,, ,'y co "" '''"'''y ,,, ,u." 0' """ ,",OS.M"""" ,,'v'" ,,,,
of doing sl.Ich worK.
b. All CO,,"'",,,'" '" ,,,.,,""'0" ,f ",,'os, ,,\,._, "'V'" p.'" , "bl<>. ,,,," fill'''' ",J ,,,,,,,,,,. ,,,,,Ct. """." ,,\,,","0" '" '"'
".e, ,,,',",,' ,'0"', "''' .""" on'" tI" """,, ,'",d>. ""h"""'''' 00' "''''' ''''''''' "'1'"""" ."uJ'" CO sold ,,,,,,,,,.. ,h... t,,, do"" '" ,",10
'"'"""" no' 10 .",,,,,,. .", '" ",,,,,,,,,,,,,, ""','," '''' ",.,,,,,,,,,,,, 01 o'h<,' ",,11"". I"bll' '" """", """", "',,oo'l' ",,'," ,,,'
"m,""" lo""c """'''. nOt ,Ilh It" "'.c.,,'" ,.,,,,,,"'''' 0' ,oe" ,oo"" '''''', "'''''''''.'y ",' '"'''' '''"''IS ''''''','",
7. Th, 0."" 0' ,1\ at'" ",11\"". ,"bll' 00' ,,,,,,to. ,,,,,,1\,, ,,, ou,h '"""" ,,,,dO, ,I,,,..,o""y" 0,10" "'",," ''''''','" '''''''' ,,, '"'' to
'ho 1\,,, ,,' ',,""'" 0' "" 9""" """ "''' "","'""" to "" 1",,,1,,, "'~ loc,lI"" ,f .",h """,,, So \"st.,1\,,' _Ilh "'t"" CO ""
,,,,,,,,. loch ,,,,,,to,,, ,h." ",,,tin" ,.. lh' """ o' "" """.IlY" "Ioe"'''' """""", "" 9"" 0' ,"y soch COO"" ,,,' ",'9"',o....y,
5. "" 9"""" " 'Ot " V...,tt"bI" .",,, ""'"'''' ,,,. ,tI'''' ,,,,1\lI" ""''''1'00'''' ,,,,,,,,... of """"", f",,"'" '0"""'" "",IS,
",on", ."', bool<'"'' " """"9h'"'' ,h." b, ",d,,'to"" ,",, .<t" ,h, .",,,,,,, of "" COo"" ,,,,I,,,,,,, "RO"O[O. ,,,...,, , ",,' "" "'1;00..1
,,,,II "at "' "",,,,,,,,o1y .'ti,h,Id. "",,'ee ",,\1 ,,,,,,,' """,,,, .....',,'d ,,,Ill"" to ''''''''1'''"''. ,,,"ot'" " ,,' ."", ,q,'""'''' "",,,~,,,",
" """""'" at .'"'' ath" """", o..,'h'" ",\1,"" '" '\"" """","00"" "'"". "'", ""I"",.", " """,,, ,,,,,,,,,'tol. '" """"",',,1\y
"""....."'" U'" """,to" '011"" ."d ,,,,,,,,,,, ""bll""" b, '''' 'I""'''', "" ",\10"'" ,,,,II.' c""..." 'I' "",,, .m. ".11 '" ""
...",,,, I" .".m,'"'''' .hot "-,,,,,'eo', 'm,""'''\ ..' """.",,,lIy """"..,,",," """ 'his ",.1"""" I''''''''' ",,' no "" 0"""" """"
,,,II1l'" .hO" "' """',,CI<'" ""b""'" I" ony "" '" ..\d, foe ,IOb1l, ""'. ""001, ".",,,,,, at "",,,,, f"" ,,,""" ,
9. Specl41 Provisions:
{' /( :J';'; '1' 9'0 ?
'!~i':'::;H"1J
VOL.JJ "P,:,GE'9-!:'Z
OF U';UIT~L REGORDS
1(!mIf'Sr~
JEFFmSO,N e~I!1J . _ Prth,',
,."" J"II to Pi, ~: '):l~
.Ln:E,:~'~;~{' "i;'.~t~'J\ ,;L~~1;;;1 C:~
I NT E RS ECT I Otf- i R~frUT(
/
31.91.54
WARRANTY DEED
IN THE MATTER OF OAK BAY ROAD-FLAGLER ROAD
IMPROVEMENT.
KNOW ALL MEN BY THESE PRESENTS that the Grantor, BEVERLY A. BENDER,
as her separate estate, for and in consideration of TEN DOLLARS
($10.00) and other valuable considerations
conveys and warrants to the County of Jefferson, the following real
estate, situated in Jefferson County, State of Washington, to the
same extent and purpose as if rights herein granted had been
acquired under Eminent Domain statute of the State of Washington.
All that portion of the following described Parcel "A"
bounded westerly of the southerly prolongation of the
westerly lot line of Lot 15, Block 7. as shown on the Plat
of Bay View Addition. recorded in Volume 2 of Plats, Page
47, records of Jefferson County, Washington, and bounded
easterly by the southerly prolongation of the easterly lot
line of Lot 14, Block 7, of said Plat of Bay View Addition
and northerly of the existing northerly right of way line of
Oak Bay Road. County Road Number 569908, and lying southerly
of a line described as beginning on the northerly right of
way of said Oak Bay Road, County Road Number 56990B at a
point opposite centerline Highway Engineers Station
(hereinafter referred to as HES) 49+12.78 as shown on the
Oak Bay Rd. _ Flagler Rd. Intersection Right of Way Plan,
County Road Project 73B, approved April II, 19B8, and 50
feet northerly therefrom, said point being on the westerly
lot line of said Lot 15, Block 7, of said Plat of Bay View
Addition; thence southeasterly along a curve concave
southwesterly, having a radius of 2914.79 feet and being
concentric to said centerline, to a point opposite HES
50+24.39 and 50 feet northerly therefrom; said point being
on the easterly lot line of Lot 14, Block 7, of said Plat of
Bay View Addition. and end of this line description;
PARCEL "A"
That portion of Lots 14 and 15. Block 7. Plat of Bay View
Addition as recorded in Volume 2 of Plats. Page 47, Records
of Jefferson County, lying northerly of the Oak Bay County
Road Number 569908.
The lands being conveyed herein contain an area of 0.0521 acres,
more or less.
It is understood and agreed that Jefferson County will replace a
road approach at the time of project construction at a location
agreeable by the grantor and the County Engineer: which approach
shall be maintained between the right of way line and shoulder
line of said road by the grantor, her heirs, successors or
assigns. The grantor herein further grants to Jeffers6n County
or its agents. the right to enter upon the grantor's remaining
lands where necessary to construct said approach.
Dated this J..1/nJ S;/
day 0 f -:cJ.-1fhI
-:&~-$ a
.198.1:..-.
~d'~/
.EfFERSON COUNTY ~Cl$E TAX
All: ~{'.ro- J 1./ 0-
'I' ~. ~.:L.1J-
~~
....- '". ~.
vo. 272 ';'.1 51
Page 1 of 2 Pages
STATE OF'\~,a)
COUNTY O~~r
ss
On this day personally appeared before me
~tit(I't. 4. -rse'/?#AZ-- to me known to be the individual
escr1b d 1n and W 0 executed the within and foregoing instrument.
and acknowledged that she signed the same as her free and volun-
tary act and deed. for the uses and purposes therein mentioned.
GI~, under my hand
~Z/~ '
P
and official seal this
198~.
#)
-
day of,
_ '1M1!'.Y J!
OFFlcrAlSEAl
BETH WASHINGTON
t1:;T:.~'( FU:;lJC.C~LJrCnflIA
Pf\:NClPAl OFFICE IN
LOS ANCrLES COUNTY
t.l~ CommiSSion Exp.llInc 12.1990
V()~ '2.72
'52
'~..r,
Page 2 of 2 Pages
/
.d~
j-;2' 'l'r'o '/0 7 Rt;;(\~ut\llr/~~
? ~~~~?#r[~~~~
;:l,r,Un1.Qf6" ,.~
1 ''';'to ~/I'" """".....
~~1I 20 ~H 1\' Ot;
31.9,138
WARRANTY DEED
;;.- ;,;"".J~t(~{\.~ (:,.~.S~.JJt{?t~~, 1':':
',-" .4~ I.,,,L, WUl r
~~!.J;I'~(V
IN THE MATTER OF OAK BAY ROAD-FLAGLER ROAD INTERSECTION ROAD
IMPROVEMENT.
KNOW ALL MEN BY THESE PRESENtS that the Grantors, fUGENE K. PICKENS
and SHARON L. PICKENS. husband and wife, for and in consideration
of TEN DOLLARS ,($10.00) and other valuable considerations.
convey and warrant to the County of Jefferson. the following real
estate. situated in Jefferson County, State of Washington, to the
same extent and purpose as if rights herein granted had been
acquired under Eminent Domain statute of the State of Washington:
PARCEL 1;
All that portion of the following described Parcel "A"
bounded westerly by the northerly prolongation of the
westerly lot line of Lot 1, Block 4. as shown on the Plat of
Kuhnsville. recorded in Volume 1 of Plats. Page 35. records
of Jefferson County. Washington. and bounded easterly by the
northerly prolongation of the easterly lot line of Lot 8.
Block 4. of said Plat of Kuhnsville and lying southerly of
the existing southerly right of way line of Oak Bay Road.
County Road 940407, and lying northerly of a line described
as beginning on the southerly right of way of said Oak Bay
Road. County Road Number 940407 at a point opposite Highway
Engineers Station (hereinafter referred to as HES) 42+11.49
as shown on the Oak Bay Rd.-Flagler Rd. Intersection Right
of Way Plan, County Road Project 738. approved April 11.
1988. and 50 feet southerly therefrom. said point being on
the westerly lot line of said Lot 1, 810ck 4, of said Plat
of Kuhnsville; thence southeasterly along a' curve concave
southwesterly. having a radius of 2814.79 feet and being
concentric to said centerline to a point opposite HES
44+56.57 and 50 feet southerly therefrom. said point being
on the easterly lot line of Lot 8. Block 4. of said Plat of
KuhnsviIle, and end of this line description.
PARCEL "A"
That portion of Lot 1 and Lot 8. Block 4, Plat of KuhnsviIIe
as recorded in Volume 1 of Plats. Page 35, Records of
Jefferson County.
The lands being conveyed herein contain an area of 0.0822 acres.
more or less.
PARCEL 2:
All that portion of the following described Parcel "A"
bounded westerly by the northerly prolongation of ~he
westerly lot line of Lot 1, Block 7, as shown on the Plat of
Kuhnsville. recorded in Volume 1 of Plats, Page 35. records
of Jefferson County. Washington. and bounded easterly by the
northerly prolongation of the easterly lot line of Lot 7,
Block 7. of said Plat of KuhnsvilIe and lying southerly of
the existing southerly right of way line of Oak Bay Road.
County Road 940407. and lyiny northerly of a line described
as beginning on the southerly right of way of said Oak Bay
Road, County Road Number 940407 at a point opposite
VOL 'C.72 ~.t 19
IEFFERSON COUNlY EXCISE
All. 110. ..!J7? / .3.s- lM
~, Rb---
I .-_ c-_
r~
Page 1 of 2 Pages
'.--',.-
.
~,;:",
" "
:,
'I, ',':.
, I ',', :',',.
:;, .. :":,
, . '," ,'.'"
. ,,' .,':
.' ',' ','
,- ,',',' ,
, ..',
, ,
:
'iT 3c ___;:,..:,...._.,.._., _________.'_,_..~,_---_,
,.i.:';;;l COUN1Y ROAD NO AMI/ 'Z-- PERMIT NO. 'C'i3~'5- '5' - / "'''\
""',.:,:; STAT~ lOG NO. ~ JEFFERSON COUNTY FRANCHISE NO. \
f'..,.,...'i',--."..:".,",.,' ", ,MILE POST _ '- TO.:=., DEPARTMENT OF PUBLIC WORKS FEE PAID I/"'Yes _No I
',i;,!g:';r -,:, "',:, 9FFICE USE ONLY Jefferson County Courthouse OFFICE USE ONLY j
i,/:::.';U','I ': ,~,' _. Port Townsend, WA 9B368 ~,..... DAi,.., c-nS-'/ 11
;',..::' .: ~ ,o,PPLlCATlON FOR INSTALLATION OF UTILITIES 0-'1-98 ~ I
;f'JI~ '~" ,'i ~~~~i<p;'~ Ta...')/..Icr-IJD (J..ARtP T.\!, ~~~;r:r-Jf';" ('.o;.JS;12Ue.-no<-u Co. \
.'.' '.
\, 'i'....', AddreSS-}n~~I-1~~~''''(,)4 QP,,:;';b6 l.ddress r~l:;:~\.J~~0qs::30fl I
,', '..,::,.".. ", I . !
':', r Phone:I-~,)-:5b? '>]'i\.,-.,\'11 Phone". '
". ,,' '::,--.r Application is hereby 'made for a permit to construct, operate and maintain AK) r?rvDi!'R biC.DuUJ I
! ' '..: CAgLE-- -r;V, .sy~ Il1 -r-;.JF SEAMou^-rr E<"TATE$. ,qIAJD tsh..4e~ J
" 'i: ';'0 "7'1
": ".. VOIA.J,TJ-.srA~ o.'PF.A.
',i., The utility installation is located (attach map or drawing)6ZI U/..\()/\.l (.DtA-s:.i-\
'fU.' __ SEt=' AT'TAI'MFD I'-IA'PE; .
I ,',,:.;";'.,':-,,: .',.;,.:::':~:::.i:'..:.,',' .6.pp1 icant agrees to rerfonn th~ work in st.,'iet compliance with the tenns and condit.ions
1:>" set out herein, and states that Applicant has read and will adhere to the general provi-
I'; '",- " i',"'!:;,)!' sions set out on the reverse side of this form and any special provisions attached hereto.
IF":>..; Applicant Signature:,~ ~~ ((J1:;1lJ4C:,E/2-J Date: ~/~/8P,
I;'> '.,".,"
I..."
"
It! ",
';.'
..
.",',
-:
:!
... "
,'..
',' ,',
: .'..."".."",', ~'
,,"
'.' ,,' ,",
',. "" '..' :'ll/Ill1llll'"'- "-
" '
\ '" ':" ,
',":::'3' " ,', '..,", .. ..
, :"', ,
, -:"", ,,-:.' "..
", .:.', ..,
;'< ;~ ',:,:',
," :..'., .
:, "",' ",'
;.' ". ..' ,,' .'.',
" :;
:. ,',..',
: ' .
I' '. '
I!
"
,
I;,
':"
',,::,:
.fr", "';~t\~;
~.
';
), .,,:,':<,}',
\
L
L,
,
:,
,
, i
. ',':,:
. . .
" '
.r ',:'.-
.'
:.. ,':"
,
",' \
<', ,;'
'" :' ':,
,':,'::'
I .'.' ,
'.,.'..,.".....',:.
'.,', , "
,.. "'-' :,
" .,':
"',' ",:,
',.,.'", ,.,',
---~',',','.:
'" <', "'.,.
, ,,' :."
":"
,
",:'
I I I / I / I I / / I I I / I I I I I I ~ ~ ~ ~ ~_~ I I ~~' I / I I I
Subject to the following terms and conditions, PERMISSION IS HEREBY GRANTED to Appl'cant
to construct. operate and maintain utility facilities as requested above.
This permit 1s 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 1nstructfons to
proceedfrom -reRR'J c-{Pn>Pt0S ,telephone .
APPROVED BY: /)/~ ~ Date: ::;>-<1--88
B"NOTE SPECIAL PRDV!SJOIlS ON REVEii5~
I I I I "1 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
~'covered by permit has been completed~atisfactori~
_ Work is not completed.
_ Recommend permit be cancelled.
_ Traf~fc,control_adequate; __inadequate.
REMARKS:
INSPECTED BY: ()(\.IW\.O/t,~
~~~
J~~
rALL .:... ,
BEFORE
YOU DIG
. . @
1-800-424-5555
)-~O-"lsC,
Date:
--
L
d
I "--, ','"
',' ",
, , .: '::'
, " " ." <
" t' "
, ,,>.-' ,
;' ,'" i..' "
".,:.,. :
'>: "
", :,
, "
"" ,
,"
, '
,>
,:;
"
. :;i~~\
\i:;;;s,
. ' '
:' .. ..
'. ,',': , ' ,:',
,:' '... .",.'::.
,:' ,'..'.
" ..,'.', ,
;;':" ",,'" ':'"
.' ',' ." ,
.'::"::\"
" "
"I ',', ,."'.'...,,
---.J " , ,. "
":",,'
d"~
;
...-
'.'.'
, ",
, ..
<
" ,
" ,,",
':,' ,':, '
", "',".. ,
,,:" ".-, ''-',,', ',' "
}: ", ,i,'- "
: " ":,,,"',
;""".,',,' ,
; ',':,,"
'i"'." ." ,"..'
I "", ,
" '; '" "
1', " ,': :':, "
: ," ,.",' ',' ,:" "', .',
, :" ",
, ' ,
~, ,i:," ,
. :'., '
I "",, ,..,"",' ',.'"',, '
" ", '
,. ",' ',"
: :" L
I:,
':i~:?i~
it"~
.' ,:-
I:" '.,
,': "
,I'
..'
..
, '
~', '
.~ , '
1
i
':'
.i:!
!
"
"
r
i
~:
I; ,
L'
It
Ii,
I ~
I~L
'.-'"
"', '
.- '
,'..',' "
, . {
" :; I
:".',:',',"",1 '
....'
..",:", '
-; ',:
",
,:' '
, ','
:'>"
",' .'
, " ',"','
,
,
:" ,,:"-:
..,",
.-,
",
, i
,,: ','.:
" "
.:> I
~ .
" r
, \,
"J"
,
,,'
.'
", ,..'
',:
',:
','
, '
":,,,
,;,
L
'(
Gener.l Pr-o'f'htons per Jeff.rson Count)' O,.dt
,
) 2-81 And \.lAC 1315-40.
1. All wort done under utd (,..nchlse shill ~ don. in. thorough .nd worlunlonlH.e mAnner. In the hl1n9 0' undtr9round plpellllu and ubln ."d the
conloCnlctton of ott<el'" ,.ctlitha .nd the openlnljJ of trenches. thl: t\l"".11n9 under count)' ro.ds. rights-Or..'t or oth.,. county properties. ttle gunl..
ShAn luve such trenches, ditches ,nd tUllneh in sue". Iol'y II to Interfere AS little u possible with public tun I .nd sn.ll ut.. .11 41.1. .'ul
"ectlst,,)' precautions. to guu'd the sarr.e so th,t d'~ge or 'rlJury sh.ll riot occur or arlse by nason 0' such we,..ki I"d ..h.r. anI of such tr'.tlct'les.
ditChes or tunnels are 1In op.tI It nlght. thl grlntu sh.l1 pltce Iollrnin'j lights 'tld burtc.du &t such. posltlo" u to gt.... leequ&t. _urlttl9 of
such wor.... Th. grant!!. sh.ll be 1 f.ble for .ny injury to p!!rton or p-rrtons or d'l!'..ge to property susUftled throygh IU elrehUness or tleghcl. or
through .n)' f"l1ure or rI!!g1ect to properl)' qu.rd or give wlrnlng of Iny tn"thes, ditChes or tYMeh dyg or ~tntldntd bl the IJr."tu.
2. The gr.nt... its syccessors 0" IIsigns. sha11 eClrlJllence corlltrllttlo" under syth pemlt gr.nted b)' the COy"t)' [ngtneer wltMn the tl".. period tot.ted
irl such pemlt .nd sh.11 hAYe eanpleted .nd h....e In operAtion such portlon of the Slsttfll of tmpro...eme"ts AS """)' be spectfled in SuCh perwr.1t or thl
rights th.rein conferred upon the gr.ntee sh.ll ceue .nd terminate insofAr as unoccupied str,IU. ro.ds. ItC.. ue c<:nclrned.
J. The gr.ntee shall le..... all streetli. ....Inyu. .11els. ro.ds. hlghwl)'s. rlghu-of.loll)' .nd oth.r COlolnty propertln, .ftlr hllng .nd tnst.lltng
Nins .nd doltlg CO"struction werk. IIIf,klng repllrs to equfpment. etc.. In IS good .nd ufe condition In .11 rUPlcts IS the)' wire before the c~nce-
ment of such work b)' the grantee. its .gents or contr.ctors, 'tld .11 r.cord.d monuments whtch h....e been dhtyrbed or dhplAced b)' the work sh.ll be
rlSet to the spettftc.tiotlS .nd .ppro....l of the Count)' Engineer.
4. In cu. of any d'lIIIgI to ..ld stre.ts. ....enufS. .11tys. ro.ds. hlghw.)'s. rights-of.w.y or other count,)' properties. or to p.....d or surfAced nud-
...)'S. turn-outs. gutters, ditChes. wood or concrete ...lks. dr.ln pipes. h.nd or tmb.nklflll!nt r.tls. br1dges. trestles. .,..".r...es. h,~dings or ItlOnl,Olrltnts
by the gr.ntee. the Slid gr.ntee .grees to rep.ir such d.llIIge .t the earllest time pontble It its Olom cost .nd ..pense.
5. When the County Engineer determines th.t In emergency sttu.tton does eaht. he m.)' order .nd h....e done .n)' .nd .11 work consld.r.d tleees"ry to
r.sto,.. to. ufe condition In,)' such street. ....enue. .111:,)'. ro.d. highw.y. rlght-of.w'l or other count)' proplrty left by the gr.ntee or .gents in.
condition d'ng!!rous to 1ffe or prop.rt,)'. I'le ",.y cause to be replaced or ,..set record.d rnonl6l'otnts tf . gr.ntee hili to rtp1Ace or reset u... ..Uhln
. r.uotl.ble time .fter completion of constructton. Th. gr.ntee. upon demand. sh.ll p.)' to the cOllnty all COSU of Sllch constryctton or repair .nd
of doing such war-k.
6. An const~ction or install.tlon of ill\Atr.s. .....hu. ptpes. poltl, cables. lines fitting an<i facnttlu. Slrvlet. rep,t,.. or r~lo=.n~on or. tt.
S&mf:. pertolT.lt:d elong. oy.r"nd/:JI. ...nJIIl" tl.i (o1llnty ro.ds.,r-tvhts-",f-Iol'I.or..oth.r.l:ountt....Droo.orttet. t.ubJ:!t:t 10 ulot 'r...~M,,, ,t..ll t-. ~Cl!. 11: Sl.,:t:
-.......-:-... 11"""cr-tU'trut:to'tnurfcre.wltn-1;n.'construCtl0n.' opentfon .nd m.lnun.nce of other utllitfes. pUbllC or prh.te. dr.tns. dntn.ge ditches .nd
str"\lcturU located therein. no,. with the gr.dlng Or illlpro...tl'"ent of SIKh cOllnt)' ro.ds. rlghts-of-"'I or othtr count)' properths.
1. ft." Owners of.ll other utt1tttes. public or prl....te. inst.lled in such county ro.ds. rtghts-of...,.,)' or othe.. county properties prlo~ In tb. to
the lines .nd f.cnltfes of the gr.ntee sh.ll hne pre'erenc. as to the posttion and lOCAtiOn of such Iltl1ttfn so tnst.llld with ,.upect to the
gr.ntee. 5ych preferente shall continu. In the ....tnt of the netuslty of relocAttng or chlng1ng the grade of any such count, rod or right-of-..,.
8. Th. gr.ntee. as f.r as pr.cttcable. sh.ll construct n... utl11t,)' f.cllities IlndergrGynd. btension of o...erhead fAct1tttu fOllo..'ng streets.
....enues. ....)'s. boulev.rdS or thoroughfAres sh.ll be undtrt.ken only with the .ppro....l of the County E"gltl..r; PROVIDED. hawe...,.. thlt htd .ppro...l
sh.lI not bt unreasotl.bl)' withheld. ennttt sh.n co"...ert existtng o...uhud fAclHttes to undlrground facilities as .tld when tq.,lprnent rephctfl\l"t
h underUken. or when other uhttnljl o...erhud utilttfu .re phted underground. unless such repllcelTent h unsafe, i~racttCll, or econorniCll1)'
. unreason.bl... Ltne extension po1tcfu And prOcedyres .stlbllsh.d b,)' the grAntee. Ind uniformly .pplled through iu Slrvlc. arll. sh.n be the
stlnc!.rd 1n dete,rmlnl~1jI 1ol!J.f; ls..~e.r'Cwmr'.s:. "'l1QjAC\ICll or economically unreuon.ble. und.r this ordin."cei pro...tded th.t no new o....rhead uttttt)'
f.cilities sh.lI be c..orSrrqqt'4 ff'r,1 ~~ ""'rl "/ar1 .rl:l set nld. for pub1tc park. sthool. playground or .thletlc ftetd purposes.
1.1 ~R.q'\l\'/i IIIH\J1l!. . I
9. Specl.l Pro...is'ons:~"'''!l \"I.qrr.! !j i,/:,t
_~.t.::'.~ ,,;~' . ;JL: ;1 I.;l! ~ .
I
OF ?ri-veD
(:oR.
"";t..l-
/110 oreAl,
/JI.-LoweD
c. VI rr-;,vJ
CO~P\Aj+s
C.Ro:;.s ,';vJ $HFJ-Lt.. Be
30" BeLow e><';~"';^'J
Be.
i,vS-"'''''LLeD
Rol"}-<l:>",,~(
m;NI',..y1vf"'"
of
/J
,O'-+CHe.s
2.
-J,;M'U-
.".L/rves. prU"-/9LL",t'/../N'j +/,e
Be iNSn'1J-l-ec> 4 "",'N:nJlA-v1
,eo A D "..,,'U' S
301'
BeLo,-,
of
ex is'riN?,
9/<0""" 0
.~.
"
...t
! /
J' ,
<;I,
to
~
-
~~
: '
'. I,
, ,',\,:,
, ',"',--,', ,,',
~,
-- .1',; .
" ".,
,,':: ,,'..','
, '".'
:-:'
I, ,,:,,'" ','
'. ' .,:'
,','; ,
I, ' ,.'.
..
,':
,..'
" :,-:
" "
,,,',, ,';:'
: ' ::" ",
, '
:" ' :"
':', ,",
1< '"
I,
I
'.. ,'.
1
~
: '
\~'\:..:\:?:I
~:~{~il
I'" :'".
I' ,;'..
",~',
I '
I ",::,.
i ,,""
I '
I,
..
:'
i.>
.. ' ),
1"'-,
i ".,.
: . :'
,,:..' ,;
I ,
I,,;,
._.___J, . ,...'
" , " "
,,', y :' ':,':':':
" "..
,'.. ," ,,'
:.': ,'.... '
,,:,', '.., "
.. ,'., ",:., "', ',.:"i,
, ':, ,....",:
", "",',' ..
. ,',' "':
'" ':":' ..:'..'. ':
'..," ",
, i ,-'" ','
, , : ' "
." '.'
,; '.. "
',. :", :: ': ',\ i',
. ..' '': .",-
, ",' ,"" ,
, , . " ',:'
" >
, ,,"
, " ':
~"'"
,
.'\~,,'.:...,
,
..'
',"',;'
;~;}/;/
d
,':. '
'.. '..
.' .... (~D NO
~ ' 'STATELOGNO'L':tL-f7~
Ii MI LE POST
"'<--':-":":"':"'Iij OFFICElJSE ONLY
,
.,.,.> ,
, ":,',, ..
, "":",,',,
,'...... '
, '" .'..
".: ':, '.":: '
, '<, "." '
, '. "..'... '
"'" ,
'..." "
" ' '
1:, ' ,
t . ':: ':",".-,
. , ',',
I', '.,.'.,. ,.,.'
....';
"', "
I; ,..".",. ,.',
t~:,'r
",' ::'
"
'- "
, .~:I'.:,;:;::,
,:;;";>"~')'
/ .,;.
" :','
"
I:' ,
1;( "
,;'"
":' :,
,'"
I ~\""
)
1-'
\
,\
f;'.,>
,:
>
1
{~,
I;, ,"
.. ':;
:;"
: .',
: "
:':,,,,";;i//
~
", "
\
I;
I:
I:, '."
I.,
! ;.
I'
"
L
:.
:: ' ,
, ,
,.", . i
,"~,', ;
r~
: I.
" , .
. : ',"..",,'
.. ' ,
;";
',' ...' "
'. ':.
, ~:
(
,,' ,
I
'/ ..!
" 'I
, .i
:,','
, ',.
.;\
,..' ,,'
" "
,," '
,
"
..,',
i',
" '
, ;"
, ,,:'..,';
'.;
"
>
"',' ,",',.
. :
, ,',,'
. '
...'; "
L
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 98368
,
~",""
", ,'.';, ',',~,
~':"'"
" ".
"', '..' ',,',',' ': ':> 'J '-"':
'.. ,',
" ,', ..'
, . :'..',.. "
..." "
" ",', ',:,
,', '"
, ,"
", ..,' ".:
, ,':
': ;','" ','.' ." .
'."', ',,'.':'. '.',':
"', " "
,',' "
;",,' ,,'
, "
: "
. "., .:
,''',
':..:, ,'..', ''-,.
, , "'::,'
..: ',:' , .
". .
., ','.' ", :
I '-:-, :, ",
i,,"
I.
I,.
.\
:1
...1
PERMIT NO. fl"?",ol-.)?-/
FEE PAID ~Yes ____No
OFFICE USE ONLY
i'/4:ctt, 7//N $.?5~
.-;</.:;>t-/o"/ 711. pY'FC't,,,.J
CHeCK ONE:
(Sf RESIDENTIAL
v
APPLICATION FOR ROAD APPROACH
'I
,
i~.r J
\~.~::.:[i~,t: III
o
COMMERCIAL
Applicatidn is herby made for a permit to construct, operate and maintain a road approach.
Please describe loaction (attach map or drawing)
See c<.-+J-o..c.Ju!,d? des'cv. ph 0,., ""J: 10 C<N.!-, 0''/ 1-0.. tOY', V<T<k vo....,j(
""?/"VOo.-cJ1 .' , '
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out here~~J and any special provisions attached hereto.
APPlican~ NameM Vmcent;.4, (-. jJOvnl'~YI T. iI-b/Io,'/ Contractor Name S-....rn~ uS "'ppi'C.-vn 1:.'
Address 302. Sill 3251'L Address
, ;:edevo-I W",y;!oJ/'!- '1YOZ:?
APpli~ai'.t $ignature~d:ln., l'lZrwn#'l-
Date a/xz/g'7 ;r: W:J;tm
Note: Indemnity provisions of paragraph. 2
Contractor Signature
Date
and 3 on reverse side.
l' f~'r? rtF' ~H"rn\
, t~ r\f)i~nl\\j I, .\~'
~, ,
,PERMIT
Subject to the terms and conditions on the reverse side, PERMISSION IS HEREBY ,GRANTED to
Applicant to construct, operate and malntain a road approach as requested above, and any
special provisions attached hereto.
No work 5MI1 be\ donLe u~der thisP9rmit until the applicant or. contract.or has .~o.tified
jJ I \ '()!_ <" \/'/ Q 'i k . telephone 7 1 (:, .H I q t. (
K r 1\ .., " 7. .- '7 ( J
APPROVED BY: ~tJ..-v \X.'QJY\\.Q N\I\_ Date, -, ":\- ';'.
" ---v ,.,,~!...,;~w ~P,cj0\:.H !l,11~\1\ "
, ", ." '" ,. , ... ",' ~~ - .-
,I'
~
~ V ~\" ~ ~ ',' .'; .;~,:"'..,~~9~' ,'5 (, 0' I "0;:"
":;'. f~t~ll~'Jrl:'r;"" --EERMI-'l'-INSPECTrON REPORT
'.'. r""""<~~'~~:~11,~;::.-~~;'" ~~I" "",". ' ',r'-":
,'>t,;'i':; .,}, -,--Work covered by permit has been completed
":"HY"'':;'.','(, \, satisfactorily.
"",::...' '",. --york is not completed. .
______Recommend permit be cancelled.
______Traffic control ~'adequate
inadequate_______
5~~ R
,Mo
CAll 48 HOURS
BEFORE YOU DIG
1-800-562 -6478
'" ':",
,:" ,
: '
.
, '
· ".', d
:',.." ..'
i ~",: ,,':
..Jr": ......,/. '.,' ":",
, ',',"
'. .'".:...
, '.. ".:i ,..,'.\
".".' .:.: "
:. '.:"', ,:.'..
',,'. ' "
'''"" ,"," : :~;;~~i
" "", ..:. ':" '.
", " ',,:'" .....,'.-
, .,.,. .i" ',' .'
.. .' ...'. r
, , , , :.-
':, ':,': .,' :,:
;. "'..,;..:,,,
, '
.'.' .':":,';
",.:""
'~..
, '.
'~""'.
IIIIIIII
J ,.
0", I' w:'\ \ <.0,
, .. (' V-
C (....'11 (, (~.,tll'ltrl')
'Form 113-0 IROIYA 2-.,B2) B-~.J~'I.'J -"
REMARKS
INSPECTED BY:
DIITE
" '
C',
L
~
,
GENEMl PROVISIONS
1. THIS PERMIT IS SUUJECT TO Rew 36.75.130, ,]40 AND .]50 AND AMENDMENTS THERETO,
2,
TIlE GRANTEE. I IS 5UCCES$ORS AND ASSIGNS. AGRHS TO PROTECT JEFFERSON COUNTY AND SAVE IT HAf(MLE5S FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF eVERY KINO ArlO DESCRIPTION WHICH MAY ACCRUE TO OR aE SUFFER[U ~'( AUY PEHs~tJ.
PEHSON(i. OR PROPERTY BY REASON OF THE PERFORMANCE Of ANY SUCH WOHK. CUARACTER OF MATER IALS U~(V Ok MANUER
UF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST TIlE COUNTY FOR [JAHAGES ARISING OuT ~F Ok BY
~~~~O~F O~u~~y Ag~1 b~~ ~~~~~o C~~~[~AM~li~TP~~~T ~g~~REx~~~S~u~~~s~~n s~~ ~~I~~gG~i~~~f ~~~~1~~1 {~~R~~Rg~M7~uCE~
DETERMINED ADVERSE TO JEFFEHSON COuNTY.
IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WIll'I A THIRD PAIHY TO PERFORM THE WORK AuTHORIl[O
~~O~~~~ F~~R~b[D ~~~Mr~~~o A~~Rl~Fe~~ ~H~A~~U~~/7~ ~g~gkg~~~1~7T~0~HP~Rge7~~~~~ ~V~A~~~~~~~'2~G~~~eE:O
q. ~~Y T~~~A~~R~~T A~~ ~~Nl~~ ~g~~{~~g~~o~N~o~~Q~~:~~~~i~ ~~~~l~ ~8DgAy~Rs~~LtU~5a~~c~H~H~~R~E~~liH~o G~:~~~t_
LATlON AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE MAtlUAL....QtLJ.UilfQRt1....l.RAf.f.l~
~JOR STRFETS AND HIGIft1M-S. PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLf.TION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND OEl5RIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATl5FACIOR't' TO THE COUNTY.
7. THE COUNTY RESERVES THF. RI6UT 10 ORDER lHE CItANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTtWRIZ[D B't' THIS PEkMIT AT ANY TIME, SAW CHANGE OR fiFMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES 10 WHOM THIS PERMIT IS ISSUED, OR THEIR SUC:CES~OI(S Arw ASSIGNS.
8. ~~k ~~~~T c7~~~~~ER:~~~N~I~~cl~~N O~R T~~Lg~C~+$~ S B~O~~E A~~A~~~~E~~~~L C~~N~~N~H~~L SY~H N~ :~~~E:f A~E ~~ Lt I ~~~~E
FOR ANY DAMAGE TO TilE GRANTEE B't' REASON OF ANY SUCH WORK BY JEffERSON COUNTY.. ITS AGENTS OR REPHESENTATlVES,
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN aUES110N.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT so THAT
A FINAL INSPECTION CAN BY MADE.
3,
0 l.
F2.l 2,
~ 3,
~ 4.
0 5,
0 6.
0 7,
o 8,
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
~o~~;~ug~I~~EA~in~~lz~~A~~ ~~lgNpi~~I~O:ln1~'T~~Dc~~~i~~~Egl~~~~O~~~A~;EMENTS' AT ALL TIMES DURING THE
THE APPROACH~L ,BE CONSTRUCTED IN ACCO~06fc.E. WITH THE AlTAC"EO DESIGN PLATE TYPE_ 0 =1,__
APPROACH, A '. FT.LENGTH OF "INCH DIAMETER CULVERT PIPE SHALL BhACED IN
DITCH AND LAID 0 A T~RiTE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHUWN ON
o~~E~~f~G A~~ ~~~f~~~D~A~~R T~~O~P~:~C~~E S~~~~E=iy I~N~gcg~~~~~E R ~ ~~~_~~~H:~OC: t~ ~g~T:~L p~~MI~~E~;AN.
TIlE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TU
PR(VENT ANY MUD TRACKING ONTO THE COUNTY ROAD. ANY MUD TflACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY HIE GRANHE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED Ff<OM BOTH SlOts or HIE
e:r~~A~~^LLT~~TI~~I~~~~h~}~:'~Eo~U~~~~~yO~u~gR~~~~i~~~~wl~~B[R OR DISFIGURING OF ANY FEATURE OF SCENIC
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A,M. AND 4:00p.M. UNLESS OTHERWISE AUTHORIZED BY THE
FNr.INFF.R.
A SURETY BOND IN THE AMOUNT OF $_. , WRITTEN OY A SURETY COMPANY AUTHORIZED TO
no BUSINESS IN TltE STATE Or WASHINGTON. SHALL BE FURNISHED TO INSURE COMPLIANCE wITH ANY AND ALL OF THE
TEHMZ AND CONDITIONS OF THIS PERMIT AND SIIALL REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED B't' TilE COUNTY.
BEFORE AllY LOG tlAULlNG OPERATIONS BEGIN.. A SURETY BOND IN THE AMOUNT OF $______.__ -... SHAll.
BE fUIHUSHEO BY THE GRANTEE TO PUOTECT THE COUNTY AGAINST AN't' DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPLHE 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 THt BOND WILL BE RELEASED.
SPECIAL CONSIDERATIONS
Form 113 b
Febr'/Mwj Zl, /'1'i/?
ol!tOz!P(/O)../ O'P /cO/jO 'I;.PflZO/x/P'L'OC/J.r/oJ.:.i
R<.rha-I Ke<l.! PYOpav'i- 1;:el'Cy'p/-'M r
T/w.'t Fvf or:. the S'o(,~,,fl., htJ.-lf'- ot 4-ol/evnr7?e~l1f l.or 1.)
Jechov> /0) 7Owm~hlr 25' Hovt-h) e."nJe z. joJe.~ W.M.)
Iym;; eosl-ev/::j o/. file. O!jmpJ(.- I-h/Jhw,<,! No, 101 ....nd
0. b~I-J-IY)J- fh~vel-{)) LESSf-lu-<,j- povfle>>1 JeecleJ. 'Iu
l-lenrekke i~'e/v)jl. ~(..nJev Jef.f.ev,o" 6)(l..nly ,4u.J,J-ov;'
/.J{,Vh1bev !i'495'S') ve coveje.Jl Sepfernbev /6) 1'12(:;) a.nd
Togelhw i1l1l-h .. < .
(~
\.,_.)
-rile o..c:f().o.,/ /oca..l-1o,., ot /:;he pV!Vlk.fe voo..d o_pj:>rOA.-C/'1
hrJ.s been dlS cu..~,e& In pey-,on ...,4-h :TeVl'{j Cleqm.lJ7s OP!j
if/A../} 'j,) 1'15'G. BYlefJ-a) I-he YOM avp?Y7Jq..-d., wtll be
/oc()vl-e.J2 a-ppYO/- 1m ...J-~/"J- lOrD if Jou-fh -:/- fhe ;JonhUIJ'l
pro'pev.J..o; Jmc a,,, /;-he Wed- suJe of. -I-he l'iN,) fi<r.Je
Ih311 L<J~" I#h,'cI. fVl/o..vevse.~ Jhe fwoj:>avl-j Je:;cv,be.Jl. o.-bove.
~~ ?/t, alJt:n
'~-1V71- J: ;,d.Jrhn
reI, j./o~, 6'3Y-6()S'Y <JV
'g73-ltO>
:])
\
..,.,.F,,_. ~W"1
\:';;::4'&~;;;'
';-#.J~r:Z
11/\ -lY-'
I, ')'
,^,',L.,. __
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. Box 1220
Pori Townsend, WA 98368
(206) 385-9160
N:: 0888
District No.
3 :;>~
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi.
tions and provisions written or printed below or on any part of this fOfm
PERMISSION IS HEREUY GRANTED TO U~Lted Teteph)ne of the r-brthwest
75 lh:Jn-pson Rd., Poutsbo, w-\ 98370
(0 Inst-aLL I:x.rLed conm.nLcatLcn cabLe from mLLe post 0.80 to mLLe post 1/14 on flee MLLL Rd.
and mLLe post 0.00 to 0.25 On l\a ~ PoLnt Rd., LnctudLn.~ One (1) road push on
Bee MLtt Rd.
County Road No, 273408 & 269509
Franchise No.
Milepost See Above
No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with and
received instructions From Jerry Ctemens 796-4194
This permit shall be void unless (he work herein contemplated shall have been completed before October 5 . 1989
Dated at October 5 . 19 88
&W~~~W(8ID
uy~K~
1.800.424.5555
J-JlI'
/:'"
, ",:, " ~-'_.~~~_c_____
'" . ,',' l r
:, ',' ,.." I
,', : "'I
I
" I
",'., i
,j
::',
:"..:',
, ",
, n
'"Ii
cc.,
I',
i
:,.
:' , ::
,::
:-
,j:"
" , ,:"
I ;',
""',
:
'"
.. ,
,,:,':
"
'. ,
'-:
(,,'
" ,
i,
'-";
',,:, " ,
"
:'
'.', ,
..':,
I
::
'Jt,
"',
rt,
I
>
.
~
i
j~ .
, '
r
,t".
f,
\
I
)'
,
I,
{
r"
,:
':""
"
':,'
,,>
':, '",:,C"""c..
,..
,
'i
," .. " '
" : ':
> '.":,:,:' ,
": ,,'" """:,,,,':' ',,:' ,
','. :'.-.".. ': ",:,,:," ,',' '
, ,:,'
~}f~;?: .... .
I:' " :,! "~I ',' ',' '
.-
I' "',
I' ',' ',:,
:,..' 'i'
, ,:' ,: ."
i " , "
:'l
'" "
l\L'
(,'
,
,~,
:,
, " :',:
-::
"
',: '
':, ',',',,'.::
',:' ,..:
, :
,',' ..
I, ," ',',', "
I' " ,,','.,. ,,'
r '.,' ,"
! .', ':' ',:
,'" "
",
','.' '"
: :
,'- ".
,: "
:,' ::
.. "
,"".
,
GENEI{AL I'HOVISIONS AI'I'L1CAIILE TO ALL "EHMlTS
~-'--"""""""'----'-----------""""~~---'--'
This permit is subject to all applicable provi~jon~ of the Reyjsed Oxlcs of Washingtofl, CXCl'pt that any provision jn this agrcclllclIl nOI wllsbtcnl vdlh
such resolution shall be controlling.
A bond in the amount of $
is required for Ihe protection of Ihl~ county as M:l forlh in the tl:'rms of the bond.
During the progress of the work such barriers shall he erecled ulIl.llI1uintaincd a!> lllay be ncccss...ry or a!i lIIay be directed for the protection of tlit:
traveling public: the burriers shall be properly lighted :It night.
In accepting this Ix~rfllit the petitioner, his SUCCC!isurs and a!isigns, agrecs to protect Jefferson ('oulllY and save it haflJlle~ from all claim!i, actiom and
damages of evcry kind and de!>Cription which lllay accrue to or be suffered by any perSOll or per!iom, corporation or property by rCU!iOIl of the perfor'
mance of any such work, character of materials u!ied ur manllcr of inMullatiofl, Illaintcnance and operation or b}' the improper occupancy of right of
way or public place or public structure, and in case any suit or action is brought agail1!it said Jefferson Coullty for d:l.Inage!i arising out of or by rea!ion of
any of the above C<.Iuses, the petitioner, his successors or assigns, will upon notice to him or them of commencemcnt of such action, defend the S:.lIllC at
his or their OWn sole cost and expense and will satiftfy any judgmcnt after the said suit or action shall have finally heen determined if adverM: to the Jef-
ft:rson COUllty,
Except as herein authori....ed, 110 excuvation shull be made or obstacle placel.! within the limits ufu county road in !iuch a Illallner as tu imerrere .....ith
the travel over said road.
Except as herein authori....ed, no cxcavation sball be made or ob!iJudc placcJ wjJ1)jJl f"ur /4) fL'C1 "f ,he edge of lilt' pa"'emclIl.
If the .....ork dOlle under this permit interferes in uny way with the drainage of the ct)ulllY road. the grantee shall Wholly anI.! at hi!> own ellpcme make
such provision as the engineer may direct to take care or said drainage,
"
On completion of said work herein contemplated all rubbish and debris !ihall be irnmediatcl}' rernovel.! and Ihe roadway anI.! roadside lihall be left Ileat
and presentable and satisractory to the engineer.
All of tbe work herein contemplated shall be done undcr the supervision and to the !iatiftfactioll of the COUnty Engineer and the entire expense of!iuid
supervision shall be borne by the party or parties to whom this permjt is issued.
The Departmcnt of Public Works hereby reserves the right to order the change of locution or the removal of any structurt: or structures uuthorl,cd by
this permit at any time, said change or removal to be madc at the sole expcnsc of the party or parties to whom this permit is issued, or their successors
and assigns.
All such changes, reconstruction or relocation by Ihe grantees shall be done in such munner as will calise the least interference with an}' of the Coun.
t}' work and the County of Jefferson shall in no wise be held liable for any damage to tile grantee by reason of any such work by the County of Jeffer-
son, it agents or representativcs, or by the exercise of any rights by the County upon roads, !itreets, public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclU.\iive aile lllld !ihalJ not prohibit thc County frolll granting other permits or rranchise
rights of like or other natUre to other public or privatc utilities, nor shall it prevent the Coullty from using any of its roods, streets, or public places, or af.
reet its right to rull supervision and control over ull or any part of thcm, Ilone of which is hereby surrendered.
The Department of Public Works IllUY revoke, amend or cancel this permit or any of the provisions thereof at any time by giving written notice to the
pcrmillee. The permittee shall immediately remove all facilities from the right of way. Any facilities remaining upon the right or way 30 days arter writ.
ten notice of cancellation shall be removed by the County at the expense of the penniuce.
The party or parties to whom this permit is issued shull maintain ilt his or their sole CXrcllSC the strucllIre or object for which this permit is granted in
[( condition s.....tisractory to the Departmcnt of Public Works.
SPECIAL PROVISIONS.
1. Cabte shall be a mLnLrrun of 30" below exLstLng dLtch. ConcLLt for road crossLng
shaLL be a mLnLrrun of 30" betow exLstLng dLtch.
2. Alt dLsbrbed areas shaLL be restored to orLgLnat condLtLon.
ji '~.'i~t'f!;<i:"::,_~~~i,. <; i \
,,;, 'i "!j'!\"U r'lf',\'
,-,::.:J V .L;tJ~') .il~ U,' "
In accc ti I); rmil le'fj:rniiiCC: ili successorS and assigns, agree t1mtuny damage or injury done to the property of the grantee or any eXpense
incurr y' 1,rough t Ie openui 11 critH ' .tor, working for the Coullty Or uny COUnty employee shall be m the sole expense or the grantee, his
. ICC sors I sSlgns.
. / :-V' -(;7 (7-
~:~ed'~:~~fil~::' ~;rthOe;~ ~, ,the undersigned, h~r~:Y;;?liS permit suhje.'lo Ihe terms
API'IKIIIII
~ ,:.
,
,
,
L
,
','
I"';'
."
:;'.:
:':;".
,:' :'
,,:
I '
I',:"",
u: ,.'..', "." '
'" :', '", ~
, '
",', ,.." :,.'i .
" q,:;"
,,: ",:,
, ";'" ':"..-: ..
: ': ,"
, ..,,,:,- ,"':'" ,; :/:',
" ',','
,,'I' " ". .,;,
,~""".""
. . .'..,t
," ',,'.
':,' ,",,'
-1.'.1:\:'"
,I ':;::
, J':',",
, ',..,', .'
~:
\
--=\;;;-1)&,,;
"~~,~li;~;....
,-#.l'fi.,..
f'(?}.,~:.--....
/"Y'
111,
~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slratl
P.O. Box 1220
Pori Townsend, WA 98368
(206) 385.9160
r\j~ 0946
District No.
2
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi.
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO United Telephone Co. of the Northwest
to
Install communication cable along the North side of Dosewallips Rd. from mile
post'O.19 to mile post 0.33 including crossing of Dosewallips Road at mile
post 0.33
Job 1/29252820
County Road No. 250008
Franchise No.
Milepost 0.19 to 0.33
No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with and
received instructions from
This permit shall be void unless the work herein contemplatcd shall have been completed before January 25
Dated at January 25 . 19 89
,1990
~~~~ww~w
By
Jj~ K~
GENEHAL I'HOVISIONS AJ>I'L1CAflLE TO ALL I'EHMITS
This permit is subject to ~II applicable provisions of the Revised Codes of Washington. Cl\.ccpllh..u allY provhiuJI in this llgrcc/Ilcnt nUl comlstcnl ......ith
such resolution shall be controlling.
A bond in lhe umount of $
is rC{juircLl fOf lhe prolccliu/I of the county us set (ouh in ttlC tcrms of the bond.
During the progress of the work such ban ices shall be Cfl'clcd and maintained us Illi.l)' be llC(;CS~lrY or as IllUY be uirc(,'lcd for lhe pru(cl:lion of tlic
traveling public; the harriers shall be prop;rly lighted al night.
In accepting this permj( the petitioner, his succc~'ors ami assigns, agrees to prolecl JcffcrMHl ('oullt)' and save it harmless from all duirns. uCliom and
damages of every kind and descriptiun which llIay accrue 10 or be suffcrcu b)' any persoll or persons, corporation or propert)' by rca.\OIl of the perfor.
mance of any such work, character of materials used or manner of installation. maintcnance and operation or by the improper oa:upanc)' of right of
way or public placc or public structure. and in case allY SUil or action is brought against said Jefferson Coullty for damages arising oUI of or by reason of
any of thc above causes, the petitioncr. his succc!)Sors or assigns, will upollllotice to him or thcm of COlll/llcnccment of such action. defend the !N.lIllC at
his or their own sole costund e>:.pcnse and will satisfy allY judgment after the s;Jid suit or action !>l1alt have filially been determined if advcrse to the Jef.
ferson County, '
E>:.cept as herein authorilcd, no cxcavation shall be Illade or obMllcle placed withiuthc limits of a count)' road i/l such a munncr as to irHerfere .....ith
the tra\'el over said road,
Except as herein authorized, no exc<lv.uion sh<lll be Illade or ohstacle placed within four l41 feet of the edge of the pavement.
If the work done under this permit interferes in any way with the drainage of the cuullly rood, the grantee shall whutly and at his own expense ma~e
such provision as the engineer may direct to take care of said druinage.
On completion of said work herein contemplated all rubbish and debris shall be immediately removed and the roadway and road!>idc shall be left neat
a'nd presentable and satisfactory to lhe enginecr,
All of the work herein cOlltemplated shall be done under the supervision and to the satisfaction of lhe County Engineer and the entire expense of said
supervision shall be borne by the pany or panics to whom this permit is isslled,
The Dcpurtment of Public Works hereby reserves the right to order the change of loc.nion or the removal of any Structure or structures authorized by
this permit at any time, said change or removal 10 be made at the sole expense of the party or parties to whom this permit i!> issued, or their sUcce~sors
and a!>signs.
All such charges, reconstruction or relocation by the gran lees shall be done in such manncr <IS will cause the lema interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any danHlge to the grantee by reason of any such work by the CoulllY of Jeffer.
son, it agents or rcpresclllatives, or by the exercise of any rights by the Coullty upon road~, streets, public places or structures in question,
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the CoulllY from granting other permits or franchise
rights of like or other nature to other public or priv.ue utilities, nor shall it prevent the County from using <lny of its roads. streets. or public places, or af.
feet its right to full supervision and comrol over all or any part of thcm, none of which is hereby sllrrendercJ,
The J)cpurtment of Public Works may re\'oke. amcnd or cancel this permit or uny of the provisions thereof at any time by g.....ing written notice to the
permittec. The permittee shall immediately remove all facilities from the right of way. Any facilities remaining upon the right of way 30 da)'s afler writ.
ten notice of cancellation shall be removed by the COUnty at the expense of lhe permittee,
The party or parties to whom this permit is issued shall maintain al his or their sole exrcnse the structureor object for which thi!> permit is granted in
a condition satisfactory to the J)epartmelll of Public Worh,
SPECIAL PROVISIONS: C 1'0 I:> k-5
1. Underground calbes shall be installed a minimum of 30 inches below existing
ditch grade.
2. All areas disturbed during construction shall be restored to original
condition.
'"V, .
: : ~'1 ~ (: ~~
In accepting this permit the gralllee, his successor!> and assigns, agree that any damage or injury done to the property of the grantee or any expense
incurred by him through the operation of a contractor, working for the CoulllY or any Count~' emplo)'ee shall be at the sole expense of the grlllllee, his
.:~cccssors ~~n', L' 5, :J r(
~ ~///t!.;~ (- . the undersigned, herehy accepts this permit suhjcctto the terms
nnd condi~ls as herein set fO~, ~---M./jA
Ihi, 30 duyof r"''''.''.'/vy ,]9*#3
J
I
I
Jefferson County Courthouse j)FFICE U.SE ONLY 1\,"
Port Townsend, WA 98368 St25'~ !O-;z.7-g::t--
APPliCATION FOR INSTAllATION OF UTILITIES ec<.--z:Ct- ~
Contractor:
Name 'ScCteneCr C?dNSTK'. ~. ('7,-.
COUNTY ROAD NO :2;;;Zoj ,
STATE LOG NO.~eA ~
MILE POST ~__TO_____
9FFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Applicant '..---
Name ;::bY'1 /oUJII1S'END ~.rmIE---n/
Address Pd 7?rJ;<' 'BIt'
'[1;V'( ,fti'tUNSANo. wa. ,?,8?,/,8
Phone: /-'l;Vcj -aZ. - '2-'Zt-? Phone,
Application is hereby made for a permit to construct, operate and maintain
r.4,~C- IV S'ys:-re. cq. -;'4 ct-V1-- c!", avtJu,Jd. ?,ve.wc--e.~U ~~.
The utility installation is located (attach map or drawing) <;('V'e,ec- I-rs(' rr-~"
Applicant 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.
Appl icant Signature:/4~~~~ Date: /e;) -2. 7 -.?-'7
f I f I I / / I / I / / / / / / / / / / / I / / / I / I I I I f I I I f I 1/1 I / f f
I' E R M I T
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 TeRRY Clt0J'V10 ,v.s. , telephone 796- ~'lIif .
APPROVED BY: ~.-r~ <:.~ Date: /I"J- 2R-f',-?
c=J NOTE SPECIAL PROVISIONS ON REVE~SE
f I / / I / / / / / 1/( / / / I I / / / / I 1// / I / / I / 1/1 I I / I I I I 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~~
1.800.424.5555
hddress
Fa 71d7<
?cJZ"l'.
Date:
1- ")0-'81
Ceneral Pro~lslons per Jefferson County Ordl
'} 2.81 and IOAC 136-40.
l. All ~orlr. done under said franchise shall be done in a thorough and ~orkmolnIH.e molnner. In the I"ying of under/;lround plpellrun and C.blu an" tl'1e
construction of otl'1er f.cilitles and the opening of trenches. the tunneling under County rO.ds, rlghu.Of...../ or other co...ntl properties, tl'le 'ilunte'e
sh"'l1 leave such trenches, dltch~~ and tl,JnMh In such", 'dy olS to interfere as little olS poulble with IhJbl1c tra~el and $l'Ioll1 uke .11 cllle ....d
necess"'ry precolutions to guard the ume $0 thllt dllrl\tge or i'lJyry shall not occyr or olrlse by reason of $ych work. and ../'Iere anI of SuCh trenc:l'lu.
dltc:hU or tynnels .re left open .t :"light. the gr.ntee sl'l.11 pl.c/: 'o<4I"nln9 liCJhts IInd b.rrlc.dl!s lit such. position olS to ghe .ce(;yate w"rnln'iJ Of
Such ...ork. The grolntee Shol1l be 1 i.ble for any injury to person 01" persons or d.molge to property susUlned throu9h Its carelessness or ne'}lect, or
througl'l IIny f.tllure or neglect to properly gUllrcl or give ....rnlng of IIny trenches, ditches or tunneh dug or lTI4lnuined bl the ']rolntee.
2. The gr"ntee, its successors 01" uslgns, shall cQlllllence constryctio'l under such permit grllnted by the County Engineer ...ithln tl'le time periOd stated
In such permit .nd sh.ll have completed <lnd h.:lve in operation such portion of the system of improvements as rrldY be specifitd In such pennlt or the
rights therein conferred upon the grllntee sh.ll ceolSe <lnd termln.te insofar as unoccupied streets, roads, etc., .re concerned.
3. The grolrttee shall lellve all streets, .venues, IIlleys, roads. hl9hwllys, r1ghts.of-way and other county properties, oIfter loIy1ng .nd Insulllng
mllins oInd doing construction \o'Qrk, making repairs to equipment. etc., In as good .nd safe condition in .Ill respects as the, w!:re before the cQrrTTlence.
ment of such work by the grolntee, its .gents or contractors, and 1111 recorded monuments whiCh n<l~e been diSturbed or displaced by the ..ark. sndll tie
reset to the speciflc.tions and 4pprov,,1 of the County Engineer.
4. In C4se of any dalll4ge to uld streets, avenues, alleys, ro.ds, high..ays. dghts.of-wlly or other county properties, or to p.ved or surhced rOIC_
'Ii.ys, turn-outs, gutters, di tcnes, ~ood or concrete w.1 Its, drllin pi pes, hand or embankment rllil s, bridges, trest In, wharves, ll1ndlngs or' trJQnu~nts
by the gr4ntee. the Solid grantee .grees to rep.ir' such dolmolge.t the e.rliesttime possible 4t its own cost oInd e.-pense.
5. When the Coynty Engineer aetennines th.t an emergency s1tulltion dees eJ01st, he may order' .nd h<l~e done .ny .nd <lll lofOrk considered necesur'y to
:-. nstore to a safe condition .sny such street, avenul!, 1111 f'y , road, hiqhw.y, ri')ht_ofowolt 01" other county erClOl!rh le.ft by t!':- 'Jr",,~~e cr .!:ll:r.:: in ..
~:':i~~;~;~~:bi:ni~;~w:fi~rl ~~Pl;t~~~p~~t~~ns~~~ao~~u~fh~O g~:n~:~~ R~~~n Od~:~~~ ~~~11d~~y ~~~~~t~o~~t; ~Iin~~;t:a~} S S~~hr~~~:~~u~~i~~s~~ ~;;~ 1 ~i;~~'.
'~~ of doing SUCh ...ark.
6. All construction or installation of mains, vahes, pipes, poles. cables. lints fitting and f.cillties, ser~lu. replir, or relocation of the
same, performed along. o~er .nd/or under the county ro.ds. dghts-of-w.y 01" other county properties subject to uid fr.nChlse sh.ll be done ;n suc:h
A manner as not to interfere ...ith the construction, oper.tfon .nd maintenance of other utilities, public or prhUe. dnfns. dr.in.ge ditchu .nd
struc:tures located therein, nor 'lilth the grading or improvement of such count)' r04ds, I"lghts-of.wly or other county propertfes.
1. The owners of all other utt11tfes, public or private, inst.lled in such c:ounty ro.ds, dghts-of.w.y or other county properties prfor fn time to
the llnu and f",nlties of the grantee ShAll have preference as to the position .nd location of such utllitfes so installed with respect to the
gr.ntee. Such preference sh.ll contfnue In the event of the necessity of relocating or ch.nging the gr'de of .ny such county ro.d or right.of.....y.
8. The grantee. as far as pr.cticable, sh.11 construct new utility fac:l11ties underground. [JOtension of overhe.d f.dltties following streets,
avenues, ~ays. ,boule...ards 01" thoroughfares shall be undertaken only with the appro....l of the County Engineer; PROVIDED. hO"'h'er. that uid oIppre~al
sh.ll not be unreasonably ~ithheld. Gr.ntee shall convert eJOisting o~erhe'd facilities to underground facilities as .nd ...hen equipment rephcernent
is unl!ertaken, or IoIhen Other eJ01stlng overhead utilities are pl.ced underground, unless such replace~nt is unsafe, i""ractfcIIl, or econOlllic.lly
unreilSonable. Line e..tenslon policies and procedures establfshed by the grantee, and uniformly .pplled through its service aru, shall be the
sUncard in determining wh.t fs "practical, impractical or economically unreason.ble" under this ordinance; provided that no new overhead utility
fadlitles shall be constructed or established in any area set ulde for public PHil., school, playground or- athletic field purposes.
g. Sped.l Provisions:
/
I
I
, ~,
",,',::' ,
i '
:'
,";
'!
t
l'
I-
J:,.
f-
l.
~(i
f.:
'1:
f
!
t
I
W'
\~,
\..,
,.:
c:i
SPECIAL <i.
INVENTORIES
DOT ~Fetli~14~~3, REMARKS:
-,;~",~,.- ..'......':~ -, ,. --
.. . ',;'
" .,',: '."..
, ~, ': '", , "~," .-
. ",' ,".. ,..,.,. ~
::" ,,:',", ..
'::, ,'".".." '.
" " , "
, ''',
: " ,"
,",.: ':,.
'", ,'" :',
" ':',,'.'
" ..
:.,.,,:~..'.'
':':, ' ,
: , .':, '. .,.'" '.
'. " ",'
,': '-\':: :",:":,,,' .-
':,
;'
'If, " ,',",
l~L""'" .
j','_,
>
t,
~
!i
.~
,',
!
~)
I'"~
,
>
I (
'\
1\
00 l--'
t-.l l/) is:
I
U ~ l(
z
;;
::;
o
o
~
<
-'
u
~ J: ~
I- I- '"
W 0 OJ
~ i ""
~ ~ t;;
~ fJ (5
"
~.
'" ..
'"
" ::;
() FIACI.Le.~
,+ '75?707
vJ
I' '
~
c
'.t.
f.1
<I."
C", ;J
~ ....
j..
4
o
'-
"
I,
Road Log
I J
~
I ,
0
'"
I
....
H
E^D
~.O'3
_e ";-/
, ..
,
..,.. "
0.00
ReA-\.:>
P/t, 1
..~"',..
co-
V'
Chief ~..t._Co.A..t._Co.lI~
I
Soc. '79 Twp. ~:,,() N, Ro.. & Del. 1- 2 {. - $Lj
Shut II / of I FA" Rd.. s9i,zo 9 I
,..,':" '
.. ,,' :,(.",,;
! ' '".,' '.. .".
i, ,,'or';
, ' ' '-:
",.',., '.--,
'.
': ',,',
',",,",.',.
':,:
-- , .,' j,: ' .' .. ':''', j
: .','
, ',' l,
,',.: .:'
:" '" "',', "
" ,
';
"
:.: :,'
,': ,
, ,
, :
.J >,
, ,>",:,
'1,'," ''-', ,:,:
. .,',.. ";0:,
.,',.':~J
'. ",:,':,
" ,'"J '/,;
, ~',",
,
Parcel - Reid
PARCEL 2:
All that portion of the following described Parcel "A"
bounded westerly by the northerly prolongation of the
westerly lot line of Lot 7 and Lot 8, Block 6, as shown on
the Plat of Bay View Addition, recorded in Volume 2 of Plats,
Page 47, records of Jefferson County, Washington, and
bounded easterly by the northerly prolongation of the
easterly lot line of Lot 12 and 13, Block 6, of said Plat of
Bay View Addition and lying southerly of the existing
southerly right of way line of Flagler Road, County Road
Number 952707, and lying northerly of a line described as
beginning on the southerly right of way of said Flagler
Road, County Road Number 952707, at a point opposite
centerline Highway Engineers Station (hereinafter referred
to as HES) L 2+71.4B as shown on the Oak Bay Rd.,-Flagler
Rd. Intersection Right of Way Plan, County Road Project 738,
approved April II, 19B8, and 90 feet southerly therefrom,
said point being on the westerly lot line of said Lot 8,
Block 6, of said Plat of Bay View Addition; thence north-
easterly parallel with said centerline to a point opposite
HES L 5+46.61, and 90 feet southerly therefrom, being on
the easterly line of Lot 12, Block 6 and end of this line
description;
PARCEL "A"
That portion of Lots 6,7, B, 10, 11, 12 and Lot 13, Block
6, Plat of Bay View Addition to Hadlock as ~ecorde~ in
Volume 2 of Plats, Page 47, Records of Jefferson County.
The lands being conveyed herein contain an area of 0.2066 acres,
more or less.
l~ is understood and agreed tha~ Jefferson County will replace a
road approach at the time of project construction at a location
agreeable by the grantor and the County Engineer; which approach
shall be maintained between the right of way line and shoulder
line of said road by the grantors, their heirs, successors or
assigns. The grantors herein further grant to Jefferson County,
or its agents, the right to enter upon the grantors' remaining
lands where necessary to construct said approach.
Oated this \ ~ day of ()r({I"\I)'\:R.. , 198~.
~ ' ; ~r!f'J!
r?. /) . ~ , ~
, . :::~/j/ I ~
STATE OF IL{."'+""~/
COUNTY OF .)L'=(i.~
On this day personally appeared before me /11, ({,(tv-!- ~
ss
;((10 ~
vo,
)'""2
'1_ . ,..~{
1.0
Page 2 of 2
>''' I /-,,,
19'
<1-';)<>'"3,
, " '
, ',',,',',,' '"
,,:r.,
--
,", ,'"
.,;, ~'"
"
,
~,
I '
, I
, '"
:---, ',',
, ,
,>' ", ' ,
- .;;;;~' :
" . ",' , '..~:;:;...H:i
,':, , ,',
"
,
: "
.:: -::
I, ,:-'-',.: ;'" i, '.
I ,,:,,:::
',',: ,,'. "
: , ""', '/
,,-- , :..
,', :;'
':' ;',
,
,', ,...
. ',::'
',: :'", , ..
, ',:';',
! ' " ; ,
I...".
,
.-
:
, ,
',:",
':,..... ':',"
':, :,'
,
"
5679o~
.JEFFER:SQII c.oc...iTY
CEPARTNENl' OF PUB&.. I C WORKS
FlU:
"
-- ': "
".'
, ,
", ,
'"
"'" ",
';";,'
i', ':.' .
:
.","'.' :
.. '"
,
" :"
,
"
",.,
'".
,
:
;
.,.,,:
::':
'-,',
;:
'"
,:' :
ACTl ON REQUEST
REQUESTED BY. lOtl z. IIA,i.,(, IS DATE- q / :21?/~
AIXlRESB. e i J S. ~;l.O/ iJA-V Pf-O'<E NO., ;/37 ~ '137 J
I ,. -
L ,IU..T. PH, NO.,
HAT....., OF REQ<.EST_ 0 IN PERSa< ~ BY PI-ta'<E 0 BY LETTER TN<EN BY, ./(;1,,6
PERT'AINING TO.. DOFFICE OENG/SURVEY o ROAD MAINT. o EOUIP. IotA INT. o SOLID WASTE
REQ<.EST FOR. 4JJ,r,-O.N41_ c5,/JE/'J 6,"",.- T~ 15,N Rv,.,,J
LDcAT ION. 1lCUU>_
;'
;" \
,
'"
<.,
:':',::,
ROAD NLNBER
M.P.
PRO.JECT - PRO..IECT TITLE
DESCRIPTION_
RRO.JECT Nu.tBER-
:;.
ATTAai MAP OR SKETOi
REFER To- &-6,C:;
RESPOND BY.
,9.:.... "",,'J
~PC.~,/~~
~
RESPCWsE_
IS
20 NIP>>
Ar'
1
~ '
r 4A1/IJ", .,-
.- j .J)FJ!...
f- e.>d
~5 "e;,J
~
4AJ~T /'1/..)(1
I /
__ -S 4 ~;e/ ;II>.
2.6 A-</W
,e~~1</ """'.>OJ de ()
hE.
.v.!J "7
o #;.cc..
REVIEWED BY- DATE-
CONTACTED REQUESTER 0 IN PERSa< )4J' BY PHONE 0 BY LETTER CONTACTED BY.
\
r.fir)/,
RECXlMoENDAT ION.
PREPARE EST .........' FOR.
ROUTE To.
o DIRECTOR
o ASSISTNn' DIR.
o ROAD SI.FERV I SOR
INITIAL
, ~
CClN.STRUCTIQ'lI ENG. 0
PLAM<'NG ENGINEER ~ 0
ADMIN, ASSISTNIIT _ 0
ACcxx..NT ANT
..:
, ',:
:':
: ,
',,'
, "
:,
.,
" .;,
. ',',
.......~.~:;',...."'..."...,...'"
. .".", , ',':
,',' '., :.,:' ....
","', ",:."
..:' ' .'
,.' " .'.
, ",', ,,::,', ',;
, ".- ' :.' ,'... . ',',., ~':':~'~~,~):"~/'::
' '"
" ":"" ,.,','
, ,":": '.,::\":/.
, ,:" :";,,.',::;(::
" '''''','
':" " ,'" ,':
, ..
" '. '.
.'
,i. :
---I,:,
'1 ," ,,",
---l
':",:,"
'.:'
'f
~. I
,
.,.".'- "
,',
'.. '" , ,,": '
,;' ;', "
, .' "
'.;:, ,':'
~. '. ,<'
, ,
i,:':\~'!:~:'.".' ' ," ,'.'. '
,>:: ..,','.',.'.,..,
Ii ,'.', " .';'
I; "
: :' '..
I;.,> ,';,
I, ,.,,'. .,,'.,",.,..'..
:, ,
; ,,'
I:\L
".:' ,
~
1
Qj
L
27::OY:lp
Rf.:GOHiJEU III ,f2/G,:.(r ':--~F'-'J.lr:.'.J
VOI&'-;?.1_PtGE.27lLY5? ..2-
OF (JffICl,\l'RECOIIOS
~t(wq 8>
Parcel ,280 8
iS39 FEf3 27 AN 10: 05
,- . iJ,~:.J.' ( ~~. ~'. '.fJOUHY
'~~~'I':SOli COU1TY AVD/TOn
%/.. ,. , un
IN THE MATTER OF JEFFERSON COUNTY ROAD PROJECT NUMBER 05 POINT
WHITNEY ROAD - BEE MILL ROAD IMPROVEMENT, KNOW ALL MEN BY THESE
PRESENTS, that the grantor, REED CHARLES GUNSTONE, as his sep-
arate estate, for and in consideration of TEN DOLLARS and other
valuable consideration
conveys and warrants to the COUNTY OF JEFFERSON, the following
described real estate situated in Jefferson County, in the State
of Washington, to the same extent and purpose as if rights herein
granted had been acquired under Eminent Domain Statute of the
State of Washington:
, ,
ri
n
3200'14
WARRANTY DEED
That portion of Government Lot 1 of Section 7, Township
26 North, Range 1 West, W.M., described as follows:
Beginning at the quarter corner between Sections 7 and
18, Town.hip 26 North, Range 1 West, W.M., thence North
0025' East 262.96 feet to the true pOint of beginning:
thence North 8go57'32" East a distance of 25.14 feet;
thence Southwesterly along a curve concave to the North,
west having a radius of 507.47 feet to the westerly line
of said Government Lot " 101.66 feet southerly of the
true point of beginning; thence North along the West
line of Government Lot 1 to the true point of beginning:
EXCEPT existing deeded right of way of Point Whitney
County Road No. 275908.
The lands being conveyed herein contain 0.007 acres more
or less.
Dated this
/6 'ft-
day of
Fe-bl'tAo...ro.f . 198'1.
~~~~~~
,STATE OF WASHINGTON
COUNTY OF ~
On this day personally
ss
appeared before me ~e/ dd~.o ~
to me known to be the
Individual described In and who executed the within and foregoing
instrument, and acknowledged that he signed the same as his free
and voluntary act and deed, for the uses and purposes therein
mentioned.
GIVEN under my hand
1987.
. ,~~",'~~;:L~?."(.~;('j
, f~.J.';'<,\O,\/1)",<,;,:,..:-
! i .....:'& ,~\~.nY '.~, ,':
; Ll::."" .-~... ,
'l:.l,O, .... \'" .
1, \P'~"PUC " , ,.-
\u'';'' ~"lC'"''
. ";.:....
""':,1" Ii,: \'
and
official seal thiS('~d7J. da: Of~~NA,.fd~
~~4fIC~the S'tate
ofAashi."pgton, residing at
~ Z.';JI?M~A~~ aJ~
Il~'FERSOI/ COUNty EXCISE fM
.\II. ~o, -4:B:~....f3.
~~~
. ~ . .
Page 1 of 1 Pages
(")
952707
o .;. ,/hY"T of ".ill y
Parcel - Be~~mooN€k~~;'~:t3~~I~S Y'.rJ"'1f~
Or OtEiC!;\,L RECOiiQS-
,;~J htOtJcST.,{lF. ~ .
c; ;Ji\l FE ,~~~
'. " 0 2 7 t.'~ 10: 05 t-a~
3200ii,3
WARRANTY DEED
~.,: .;r:':,t.\,. '.: ^-.. ~jJU,!~Y
.1 F.:"JI;., ';.,.:Y AuCarO,:
B~~~Tr
INTERSECTION ~D
IN THE MATTER OF OAK BAY ROAD-FLAGLER ROAD
IMPROVEMENT.
KNOW ALL MEN BY THESE PRESENTS that the Grantors, BENMOORE ENTER-
PRISES, ROBERT D. MOORE and JOAN L. MOORE as trustees for BENMOORE
ENTERPRISES TRUST ORGANIZATION, for and in consideration of TEN
DOLLhRS ($10.00) and other valuable considerations, convey and
warrant to the County of Jefferson, the following real estate,
situated in Jefferson County, State of Washington, to the same
extent and purpose as if rights herein granted had been acquired
under Eminent Domain statute of the State of Washington:
All that portion of the following described Parcel "A"
bounded westerly by the southerly prolongation of the
westerly lot lines of Lots 3, 4, and Lot 5, Block 6, as
shown in the Plat of Bay View Addition, recorded in Volume 2
of Plats, Page 47, records of Jefferson County, Washington,
and bounded easterly by the southerly prolongation of the
centerline of that portion of MagnolIa Avenue vacated May 19,
1980, by Resolution No., 53-80 that would pass by conveyance
and attach by law to Lot g, Block 1, and Lot 16, Block 6,
of said Plat of Bay View Addition, and lying between the
existing southerly right of way line of North Old Flagler
Road, County Road Number 654509, and northerly of the
exfsting northerly right of way line of Flagler Road, County
Road Number 952707, and lying southeasterly of a line
described as follows:
Beginning on the northerly right of way line of said
Flagler Road, County Road Number 952707 at a point opposite
centerline Highway Engineers Station (hereinafter referred
to as HES) L 4+36.50, as shown on the Oak Bay Rd.-Flagler
Rd_ Intersection Right of Way Plan, County Road Project 738,
approved April 11, 1988, and 117.17 feet northerly there-
from, said point being on the westerly lot line of Lot 3,
Block 6, of said Plat of Bay View Addition, and being 9
feet, radially, southeasterly of existing centerline of
North Old Flagler Road, County Road Number 654509; thence
northeasterly along the southerly right of way of said North
Old Flagler Road, on a curve concave southeasterly, having a
radius of 707.20 feet and being concentric to said center-
line of said North Old Flagler Road, a distance of 270.69
feet to the end of said curve, said end of curve being
opposite HES L 7+04.78 and 97.05 feet northwesterly there-
from; thence continuing along said southerly right of way
N 68"03'37" E, a distance of 24.90 feet, to the center-
line of that portion of Magnolia Avenue, vacated May 19,
1980, by Resolution No. 53-80 that would pass b~ convey'
ance and attach by law to Lot g, Block 1, and Lot 16,
Block 6, of said Plat of Bay View Addition, and being
opposite HES L 7+28.80 of said Flagler Road and being 90.50
feet northeasterly therefrom, and end of this line
description.
PARCEL "An
That portion of Lots 2, 3, 4, 5, 14, 15, and Lot 16, Block
6, as shown in the Plat of Bay View Addition, recorded in
Volume 2 of Plats, Page 47, records of Jefferson County,
Washington.
'''''''1'0'1
VOL '- I v ~. It;."'~"
imERSON COUNTY EXCISE TM
All, No. S~--'.L
~~~;2~, rlll..::.I?:::::
" -,.- ~,
~IJS
Page 1 of 2 Pages
8)
~
Parcel - Benmoore Enterprises
The lands being conveyed herein contain an area of 0.5274 acres,
more or less.
Dated this
..::1--1 -<1-r
d'~J~~
rustee
rfk"'" /~, , >' 2t,~2?~
rustee
STATE OF CALIFORNIA
ss
COUNTY OF
Riverside
I, the undersigned, a notary public in and for the State of
California, hereby certify that on this ll<t day of
January, 19S9
, personally appeared before me
ROD.mr ,D. 110C'R.':: and JOAli L. };OOHI;
to me known to be the Individuals who executed the foregOing
instrument as trustees for the Benmoore Enterprises Trust Orga-
nization, therein described and acknowledged to me that they
signed and sealed the said instrument as trustees for said
principal, freely and voluntarily for the trust, and for the
uses and purposes therein mentioned, and on oath stated that
their powers of trustee authorizing the execution of this
instrument has not been revoked.
GIVEN under my hand and official seal the day and year last
above written.
'r\.h'~O Cfl U"""'~
~ot:'ry PUbl1c: In and for the
State of California,
residing at I.loreno Valley, CA
My commission expires
OctQber 13 , 1 g90
OFFICIAL SEAL
NORMA D. DUNN
NO!:Jry Publlc-Californla
RIVERSIDE COUNTY
My Com~~:;,?ct. 13, 1090
VOL
273 ':, I ,t~9
Page 2 of 2 Pages
A strip of land 60 feet wide, being 30 feet on each side of
the following Q~scribed centerline lying within Parcel A:
Beginning at a point on the North line of Go"",: """'nt Lot 2.
Section 7, Township 26 North, Range 1 West, W.M., 453.27
teet East of the Northwest corner thereot: thence Southwest
along an arc of a curvt: to the riyllt with it radius of 450
teet a distance of 242.99 teet; thence South 49- 321 421.
West a distance of 16.20 feet: thence Southwesterly along an
arc of a Curve to the left with a radius ot 477.47 teet a
distance of 424.66 f~et and the terminus of this line
description. The aide lines ot sa1d strip to be shortened
boundaries Dr l~ngthened to terminate at the northerly and
southerly ~f said parcel A.
EXCEPT existing deed~d right of way tor Point Whitney County
Road No. 275908.
PARCEL A:
That portion of Guvernm~nt Lot 2, S~ctjon 7. Township 26
North. Range 1 Weat. W.M.. known .s Tract 1 of the
unrecorded plat of Olympic Beach Tracts. described as
follows:
Starting at thE: quarter corner between Sec~ions 7 and 18
TownShip 26 North. Range 1 West. W.M.. thence North 0-25'
Ea~t 2366.64 fe~t to place of beginrJing: thence North 0-2~'
East 262.96 teet; thence North 89-591 East 802.41 feet;
tllerace Soutll 2L2.~b teet; thence Souttl ~9-591 Wes~ 804.32
feet to place of beginn1ng; excepting therefrom any portion
of the resurveyed oyster reserve at Whitney Poifat included
within said boundaries.
The lands being conveyed herein contain 0.260 acres more Dr
less.
VOL
273 '~,.. 494
'/",\ -;:,"f.<::..<";;':
-,-:<':,<";'.
,. ,-",/~"",-; ~:,~"{:,,,,:~'.,;;L.T;;";~" :,.;" . ,'-' ';,~:.
~:",,", "r",,"
i;;';',~'"
I",','.
I.
.:,c'
\
;': ';'i
f
<-
to':'.
STI\TE OF OREGON
COUNTY OF MULTNOMArI
ss
On thi s 14TH day of FEBRUARY . 1989, before
me. the underSigned, a Hotary PubliC In and for tne State of
Oregon. dulY commissioned and sworn, personallY appeared
and
DONALD R. BERRY,
MICHAEL FLANNERY
to me known to
be the
respecti vely, of POPE & TALBOT, INC. ' the
corporation that execu e e oregolng lnstrUment, an
acknowledged the said instrument to be the free and voluntary act
and deed of said corporation, for the uses and purposes therein
mentioned, and on oath stated that THEY ARE authorized
to execute the said instrument and that the seal affixed is the
corporate seal of said corporation.
Witness my hand and official seal hereto affixed the day and
year first above written.
VICE
president and GRP.VICE pRESIDEHT X'l<~ll.X'm1XiXIOJl'.
i~li11~tJf.~;;\
!'lY!.', m1}.s'!O;rr(;!xPires
\ 1!\~<,.~~~G\C\'v:. .
" ~"''<;:~712.1-f91
" -7,<', ',.'
t.b;~~
tlotary IC In an u.
the State of or~on
11~i;;a.fl;\Ji;;iili ., ';1.11,:;/
~ .
Page 3 of 3 Pages
VOL
'273 "',' i1~n
{,
I
~.
t. '
L
t
:},I,
~,.,
.
,
.'
f.
~..
t
,
t
\',
',~ ,
'"
~"I':,:,r::>
'2:j'i~:-'
G~i
'..' .." ',,'
!,: ",,'..'; ..,',
" " ".. ,':'.
", ',,", '.... "
, ",", " i',', " .. ..
, . ' , , '.', ,." , .'
'--', ,,' .'.' ", ",
'. ','
,,", ': '"...."'.:'..,.""
, '
, ,"." :
", "
:,:" ,
"." ,", '
,:':':
,"" .
.. "'.... . ,,' i
" :, ,:"
" ,','
"'" .','",'
';' ,:, " ,
"
. .' ..' ,
" ", ,.- ."'," .'" '" ,/
. ,":' ,,', .,'
" "":, ,'. .',
.., ."..,'
., ,",',' : ',' ."'.,,.
'..' ''''''.''''' ,.', ",
..':'.... ...' ,,: ' ",
, :':"
,'", ';. :' .,'".'.",'
> ", '.' " .'. ,.'",. :',
,.' ',,'.'
, "" .. ,
.',., , ,..','.. ";.., i'
, ,', ", ~"
,
''-''',,: ,;.,
"', '
, '
,
..
,,'
:::'':'" '-. "
. \ .. '.'. ,','
Robert G. Nesbitt, P.E.
March 13, 1989
Page Two
property unless and until all of the above statutory and
constitutional requirements have been met.
Please let me know the county's intentions within two weeks as my
client does intend to pursue this matter.
Sincerely y;;u~n~
~C\(~
Craig A. Ritchie
Attorney for John Dugan
and Deena Dugan
CAR/bjw
cc: clients
John Raymond
Jefferson County Prosecutor
.-, ,::
, ..
I',',
I, '"
"
" ":,....,,.
l ' ' '. ',',,'"
," "
":,,
,
,
,
"
.:..
;
"
",' ,,'
',,;:":,'. -'
,>',
:';'1
..:
':''-'''' ..
, .' "',1
... I
".: "
'" , ':,'" '.', '
"..' ,',', ',::"';
, ."..':',.
':-..' "'n'
',' " "I'
,,' --,:':': , ',,', "
" "':-,. <
, .. , ,
',>'" '.., ,',,.' '.- '
." "",',
,',' :
""':
, ", :
, '
:' , ',.
.-: ,"
" "
, ,".',",;
" ,"
, :, "
...,','; ,
, '
"
"
, ",
)
',0," "
..",',
'"
I"
I' ,',
"',
~..,: :;;
"j"
"
.-
, :,
,";
''.'
',.',' '
J.:'.3?,
?'
~ "
"
,
;, ,',
"
" ..
,
I ~ ...
: '
1
I;
ii,
I', '
,:
,:' '
":'
L
IL
,
"'.
.:
, ~
.:,.:- \~
C~I.
\,.... 1
~
.JEFFERSQol c:x:M...I'1tTY
DEPART'M:J'4T OF PUBLIC WORKS
FILE '>- .
ACTION REQUEST w
REQUESTED BY- -LAt2tN ,LAM,~;i<:iL-:' DATE- 2. - 13 -/19
ADORESS- 275/ 1#570.165 Av~ W PHONE NO, - s€5. /4-/7
, P. -r: ALT. PH. NO,'
NATt.e::. cW"'REQl..E:ST- [3-rN PERSai 0 BY f"HC:HE 0 BY LETTER TAKEN BY. ~
PERTAINING TO- 0 OFFICE 0 ENG/SURVEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOL. I 0 WASTE
REQUEST FOR- ~l!'fJA"t t$P /&uIb 4,p~~
LOCAT,O\I- ROAD NAME ~:577AJGS /l1/€ VII ROAD N....BER {..>7100?' M,P.
PRO.JEC'T- PRO.JECT TITLE . RRO..JECT N~DER.
DESCRIPTICN. It/H-tE;</ 7'1-I€ /.,(A5rnv';" 41/1" I PdO./crr Vt/AS i'ouF'L..C:7P-LJ,
rtlZ ?!,u-<M'-,,-S /Jlltl/1C.o"VA'I' /+r.JLJ A ";.iVJ<4i> "/AJ ,r 7HKf r I/I/A5
'';:::IXF-O'' /5<-1 7Tf~ ("()NntAcrOIl... /-fa ~~J/..(,,-,;::,z5 ~A't'5
/-I-t::.. :57'/L-L /-/-14:5" 11t.~f/t5c..1E. r,:;/E:-rTtAlG /IV /{ N I'J tJuJ 8,eJ:'&/:.€
.4 HUJt-lKJ :S7?l,C- E'XISr5 -r#-J4T r+.e rl-l/AJI!:.S / 'S' 10(') If) - ,,-
A ,<//-IOt-JE CA6L.L 7/:1-147"' C/UJ:5"SE5 -rH~ ;<J,PjJ,l&Jt1CH- arJ,t -7 .
'"/i+AT w;A5 fU4C/f;"L) A-r r;,r-c:: 77Mc /'),C' r'(w:rr/2ucr/1JJ ;-I-K,
Wo,.ll...o ./!.-1.e1'E: U::5 7'D p/J( I 1. ('AL-L. pf~,cQ.rl~ cf~u t//(...,
( L(Jc:~r-A:- ':>r--/<),-..Jtf: L-I/J/t:) .
A1TACH NAP CR SKETa-t
REFER TO- h'A.P
RESPOND BY, ;Z -:7 {....)..P,Ju.
---- --~- '~
RESPONSE.
/'
(
"
,
/ ----------.
(1-<:7'?~~~
~
-
~VIEWED BY. DATE- '
~A~D REQt.ESTER 0 IN PE~ 0 BY PHC1NE 0 BY' LETTER CONTACTED BY-
RECCM.E:NDAT 1C>>t-
PREPARE EST I MATI: . FOR -
hDUTE TO- INITIAL
0 D I RECt'l..'R - 0 CCNSTRUCTI~ ENG. - 0 AC~TPHT
0 ASS I STAHr DIR. - 0 PLANNING ENGINEER_ 0
0 ROAD BlPERVI SCR - 0 ADMIN, ASSISTANT - 0
.<~'
L
.
!
f'
!
f
I
i
!
,
(
i
!
I
!
1
'~
.... '.
~ .:.'.,",,:
",', ':'''",
, .." '.',' '
'. ",'..':: ;
.. ,':' ..
.. ':,,' '..'.., ,
, '.,," "
" " " ..
. ,';
'.,. '.
, ,'",':
"" ':,'.',
..
, """
" ,,:,,:'
",:
" ...'
'"
" ' '..
" " , '
" " , ' : ,",' '..
" ,'.', . ,"" .,.'.
',..:, ' .:,
'" ',', ,,' ,.,'
, ' .-: :-- ,",.
",; ":,"
, .. ,,'.
,','
'-- ',..,
, ,
. ,.' ,.' .
.. i . ,'. ,,' '.,',
t " ",., '. :-
~ ',..
-a:
;; " . .." '. .'.. ': ','
~t, , :
"
, : "'"
" .,'
" . ,," ':, "
': .', ' ,,:
, ,:,'" ,"
',::'" :' :- ,,' '
"
. ',:
-~~
'.,:"
...,'.'/:;1~;<..i
'..
'.,'
it
--1
,,' '>, :'
,.,' .,' ,::'
. ..;;
,',: ,', ,.,,":,: "',
," '
, ,
:, :."'" ..','
,':,.. ,",
','c..' '
, , :'
,
" '.....,, ' '
,.'. .',
, "
,
.-J
"
~
I11III
.I
~
,i:/",.{j~;t~f:,~r:::t:;;1~:,~~::-
, ~' , ." ' A.
~.~,: ::-:-- '~' .-""";-. " ~
I.~~~~' ~
P ~ \ ,: ,) j
f
r
l'Tl
G')
l'Tl
Z
o
n
o
c.. c:
", z
~ -f
"''''r-<
1\:0_
QCIl~;C
~ ~~IT!O
~ ::;iN... rl>
Sll ~ g I ~,(") IT! 0
~' t> ~ S g r
~ ClI ~";;I II Z to 1J
II ~I r..~ '-lz;C
l' '" ,,~-<oO
~ ~ ~I ~ :0 c...
... ~I I ~J>Orr1
.... !'l ~lIlJ>(')
~~' ~I ~=o-f
~ ~ I ~'I ~
, _t ~I A,~~~J:, .:~.~ , "'
~I"t
--~~~: .
-!-' 7.
"/
I
I.
I
,
_...._"-O..___........__4..._..._"'"--"A... '
;'
~' T:
<~
A~
:) I:
~, .
,I
I'
I '
J'~:"<'" ,
~l ' L,
~ ,~,.. t"~O.J. g?:
. II,. f'.
~ :'~. ~~:"''''
W...' '. //
1 t1i · ~,. ~~/
" I
" /
(: \
I" . / '
\: ~ v-'++Of' ./
I .., .---L _, '--_~._._" J__,._..~_ ...__.. ."_.. -'..,,_..,..,
.,-- _._,._.,_.,.~.._._._-_.... _.. ... _--1to..__..............,.. ._
~1'.:.i0. .'~:
')> " .-~ " ~/
nt' '.<
p , , ,
':t- ' ~
~ J. .
t ',',
j'. -\
'? '
/~ '
1"/
I /~
I." ..
rv
\
....l:~
,
/Pese
"
......
.
"
......
......
"
:...------.'~._-"t"--":-..
" ..
-,Ii'.. ~
,
--
,.':.Aj._""l! .
L"r.:.
'-c-r/
,""
,.
......
t-c.H
a 711 O,""S
, ;", >,
,..;"
': ,.,'.
,c, , ,,','
, ..
, " "C
','
I '" "',
c, " :
".
,
.-,' ,
'.'
.- "
,
'..
:
'..
....
.-,:
:: '
--
"
..
'. : ".'
:',
.."
'.,',' ,',
~ ,<
",'
"", :,' :':
'::'--" .'
, ':,
1"
:-. :', "" ,,-,. ' " ",
" ',.1,
f :~I::~:;;;I J,:,o, ","
,
., "., :" ,',
" .. :""
,"::::'.". >, "'" :'
" :,
I:: I:; " "
i ~ " ',', ' "
: '
.', ',,':"
'" I., " "
IL::," '",
J" ,""" ,:,:,\:, ""
,> .,','.'., "
It' ",: " , '
I '
I;,L
l'
:}+;':)
. ",'
,
I.
',,',:'
I'::,
::; "',
!i
"1<'
?
.~.',
\-;
~r
["
f'
t"
(
~o
,
~.;
l'
<:
:", '
,
:',:
','
.' ,,'
1
JEFFERSON ~TY F' u:
OE:PARTNEH1' OF PUBL I C WORt<S
REQUESTED BY.
ADDRESS .
ACTION REQUEST
7) AIJ6 Iv IrEJJ
DATE-
::r -;).J-'69
PHONE NO..
ALT. PH. NO.'
NATLIiE OF REQt.EST. 0 IN PERSa'< ~BY PHONE 0 BY LE'lTER TAKEN BY, z:;'16--K..-/
PERTAINING TO- J2IOFFICE DENG/SUR'VEY DROAD MA'NT. o EOUIP, NAINT. o SOLID WASTE
REQt.EST FOR. R!J u.J
I..OCATIa<- ROAD NAME PpLl-b a~ fV~. ROAD N.......ER 43q 509 M,P,
PROJECT. PRCUECT TITLE RROJECT Nl.t.tDER-
DESCRIPTIO<<- 11. - Vf?1.a0-LLOuA..P.cI /(J~ ct2rJu.) wi.-~ .
ATTAOf MAP at SKETOt
REFER TO- ;:;1 POA. I
RESPOND BY - 3 -;)-/ -f9
RESPa.\SE- RA-fJ d (.AA A -;;, r. J.. (1,1. - "YVl /l:.. -r;. . .0'/ .AJA-Y~) A 0.:31
""",'~ ()......" ~I! A. AA I i.<> ~tJ - ~J ~+-- t,(J' (~I lk. 1Y1'1-'./'s
hvJ...) 0 r
REVIEWED BY- DATE-
CXJNTACTED REQlESTER 0 IN PE~ ~BY PHONE 0 BY' LETTER c::oNTACTED BY. --f-1'{(}/J../V1
RE~TICH-
PREPARE EST .....n: ' FCR-
AOC.trE TO, IN'TIAL
0 DIRECTCR - 0 cx::lNSTRUCT ION DG. - 0 ACc::ot.l\lTANT --
0 ASSISTANT DIR. - 0 PLAM\lING ENGINEER _ 0 -
0 ROllI> SI.FERV I SClR - 0 ADMIN. ASS I STANT - 0 -
-
"
.-
~,' '.
I ,"
"
,,' ," .'
:, "
" "..
" ""', "
',-" ',:
.',':' , :
" ", ,
:.-' ,,'
.' .'
, '.' '.~ " , '
.. ",'~7 ,
: ,",.,. ",
, '
,: :'-
" ",,' ..', ,-'" ""
.' "
, ,:,
,
,":
.',
,:'
"":'
i
I
I
I
I
"
','.
:".:::~ii..:;:.'~ II
" , ,
" ,
...".'.'
I'. >; ,
, ,',', ,
":,':..",',' :,
,
, .. ",.'" '
" :'", ..:
, ,",
, ,,;:.'"
.. .-' ,;,
, ;:
"': ,.'"
, ,',':'"
'.. '
"", ", "
, ,,',' '.\::
';'f'. ;,' "':
, : " ' :, ' , .,'
, '
, ,;':--,::
" ','
.'" '."
" ,.','
. ",:
,;.. '
~
,
" ", ,
:",'.." ,
",
, ;'..,
, ,.'.
. "'.:, ::': "
" ",'
:' ":',,, '>
-.J ",' ",,',.'
'~."
,
,
"
REQUEST TO THE CLALLAM COUNTY ROAD DEPARTMENT
FOR REIMBURSABLE WORK
TO THE CLALLAM COUNTY ENGINEER:
Pursuant to terms of an agreement between Clallam County and Jefferson
County adopted and approved on Februarv 25. 1986,the undersigned hereby requests
Clallam County to perform the work listed below at a time and in a manner
convenient to Clallam County. The undersigned hereby guarantees reimbursement
to Clallam County for all work done on Jefferson Countv's extension of Undie Road
for oradino and oravellino. Cost not to exceed $2.000.00.
SIGNATURE 4~_ t!.--4i:-~
TITLE Chair. Jefferson County Board of commissioners
DATE~/,r.r
********************************************************************************
TO THE BOARD OF CLALLAM COUNTY COMMISSIONERS:,
Date March 28. 1989
have examined the above request and make the following recommendations:
This is a reasonable request by Jefferson County. We will do the
work in conjunction with grading our Undie Road so it will be of
minimal impact to our road work and benefit Jefferson County at a
time when their road grader is broken down.
/~ 7/ ~
Clallam County Road Engir. or and
Director of Public Works
********************************************************************************
ACTION OF THE BOARD OF COUNTY COMMISSIONERS:
~v-ed VlZtUW cJ ~ /'/5'9.
BOARD OF CLALLAM COUNTY COMMISSIONERS
txI~ k~
Chairman
~~J~&4'
ommissioner
~~~
Commissioner
A T T- EST:
JIll !lIllv... j(pu; -LJ
~r-tne Board
~(J: Pu.J&~ WorKS
)( l.-It~
:.7"
'"';;;,,
flllJ
\
APPLICATION TO OPEN RIGHT OF WAY
T 01".3-0 1>.;s"'..
Cte. M'13 ('1
Application is hereby made for a permit to open right of way.
Please describe right of way (attach drawing or
map). orf-o ..,-r- .6''i<-Tt..Jr",,_ F/l.r::.dP/~/.-' ,4vc /ide/ ;;:./"'" C;;"c../?cI,
Applicant agrees to perform the work in strict compliance
the terms and conditions set out herein, and any special
provisions attached hereto.
Applicant Namej},fCt/-t't:/L'( T", ,(,crt Co
Address .I-/f7(/ ~ ~J'~v"~.fl'/ tl?cI
k/l.{ ~/ cI C;'vr 7P?c'
Signature: ~f'~'4...--C --. Date:
with
r
'7//1 / f? '1
I' .
****PERMIT***
Subject to the terms and conditions below, permission is hereby
granted to applicant to open right of way. Applicable provisions
are denoted by an (X).
~ Applicant is authorized to construct a private access road
to his or her property in accordance with applicable
standards for private roads. . -
_ __... . The permi t does
not prevent other lot owners from using the access road. In
the event users of the road wish to have the road maintained
by the county, the users shall improve the street to minimum
county road standards, or may form a road improvement
district per RCW 36.88 to pay for the costs for
improvements. The right of way will be located and staked by a licensed
land surveyor at the expense of the applicant.
Applicant shall construct a roadway to county road
standards. The right of way will be located and staked by
the County Engineer. After construction to county road
standards, the new road will be maintained by the county.
*Note: Applicant shall pay the county one-half the mill value
of timber removed from right of way in order to offset
costs to the county for future improvements.
RECOMMENDED FOR APPROVAL BY &...'Y9i/1'tfJ$ DATE)~I/YR:9
APPROVED By,A~(/..~..._<.h~ DATE ~I/ 7/ t
Chairman, Board of Commissioners I / t"
c,
APPLICATION TO OPEN RIGHT OF WAY
Application is hereby made for a permit to open right of way.
Please describe right of way (attach drawing or
I map). spp nttllf'.npn ft.:...d,-jr.ii. r\ 'lY\r1 ,"yhi'hit B
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....l,... u (~n~r1"'Y"n
Address ?09 01 n On1.... H~'" ~,;lrl
Signature:
.f)~;e,';e" .~:~/
Date:_)'-/~-:? 7"
****PERMIT***
Subject to the terms and conditions below,
granted to applicant to open right of way.
are denoted by an (X). '
L
permission is hereby
Applicable provisions
Applicant is authorized to construct a private access road
to his or her property in accordance with applicable
standards for private roads. ~l::. 2i3'-~ I ......1 ..111 L
J".."',....'.l III I i_a ~J ~A.g ("........-....1,: r.o-~h:l. f":'l':... The permit does
not prevent other lot owners from using the access road. In
the event users of the road wish to have the road maintained
by the county, the users shall improve the street to minimum
county road standards, or may form a road improvement
district per RCW 36.88 to pay for the costs for
improvements. The right of way will be located and staked by a
licensed land surveyor at the cost of the ap?licant.
Applicant shall construct a roadway to county road
standards. The right of way will be located and staked by
the County Engineer. After construction to county road
standards, the new road will be maintained by the county.
Applicant shall pay the county one-half the mill value
of timber removed from right of way in order to offset
costs to the county for future improvements.
RECOMMENDED FOR APPROVAL BY~~Y~J~, .
r' ~
APPROVED BY _~.~ 0:-,&--7-<'-<'<.____._
Chairman, Board of Commissioners
"'Note:
DATE 7'//:;/~q.
/
DATE 1/;/1 ~/.rt
L
L
SXIlIIJI'l' J.
'_1
.'.'j
J
J
1
j
~l
. ~'j
illl road right of ways ore in Eisenbeis Bay View
hddi tion to Port ~loItJnGcnd, 8S per pLi t recorded
in VolulIl(? 2 of PInts on pDi;e 54, records of Jeffcr-
son County_
Tile number Dtt~ched to eacll street deBiGn~tes tile
order of their development.
'j
j
I
j
I
I
I
I
I
j
I
,~
~
.I
I
I
,~
,11
l
1
,~.~~_.
1.
Louisn Street.
BeGinninG on tile florth side of
Elwood Avenue and Eoing Souttl to the Clld of the IlIat.
2.
Eisenbeis Avenue.
Bc~inning on the East end ut
Highwuy 3R20 and endine- 11 t t.O end of the plat on
High Street on the West end.
3.
Jtvenue.
Beginning ontlle East end of
Charles
JIighvJtiY ~iI.{20 and endinc at the end of the pInt on
High Street at the ',Jest end.
4.
Bay View Avenue.
Beginning on the Eost end of
HiGhway SR20 FInd ending Dt the end of the plat on
llirrh Street at the West end.
5.
Elwood i'.venue.
Bep;inning on the East [1 t HighvJl:1Y
SR20 and ending on the West side of Louisa Gtrcet.
EXHIBIT B
The attached map (Exhibit B) shows nIl roods, that
re-
quest for development is being made for, sllsded in
green.
~
.j'J_
..;.i._......,
'-' -
~ . :...
- ~:
~' ~..)
'_~':'" ~............l_I.i.:,.
..t...~~'-_......J..,. .
.t...l....:....,~~...:J...._,1~ ..u... ;~ ::J~L:r~.r_ '
~., ~,,).....1~ _J..~,.__.",,__ \,..:....l.:':".,..::l:-
-'.' '.~ "
_1_ .'_'__ .....; ,:,-,--'~
..... L':"-:: :..: .-..... .I:' ...,:.. 1...J..;I.,..:-:-
,J...i- ":"i~ J,..."."_J ;;""':'f."'_-t. .:v.'_.t
,;.,~ .......J_ ..-\....L1..t...J..'...... .;............., ,)........... J._.r....r.... _ -'
The n18p is for your inlollf1Jt!)>;J,Jtis no,Lin~endGd.l;__
express YOllr f:)lacl baun~:lrias nor l~~ it IntGf"iqad to di:,pic.t
1hB actl!;,,:II':lc~~jr:n oj existing C'isr;fllonts-,. strc~!s.- fOGOS -
and nig~lways. Th,) Company 3ssunw:; NO L1MIILlTY tor
any LOSS occurring by reason 01' rebance tllofet>n:' "
of' ~^I ,,;.. JEFFERSON TITLE CO!V\P~tIY -;.':'~ -, '
V"lc..(}r~D S'/.
.....'.)..... ....-
;_' I..
pRopo-;,ec
Ne.IN
s.--.
E.vA/..6/i ( Q)
- ,
.. K' '- . .'1..
~ )..
J
i7"f: T'rTTcT:;-o
! ~ i \ I I :
'i=;-''':::'=}-~~'
'.' : \ .
j ~ .. ~ 1 '
lYj ~ 5
"J '. >02 o:T"r"l" i--:ii ~JT:-'-j- ; 'I-:::;r:t' ': ?;J' :'[ ':,:
I z ~':'...!._\I / ',,:- J '" ,.,.,.f~<' 07'7":.3:::..: " -:-- ~L
, I, :7f~I'S 'Jz\' If> :"", c ~ r::-7J
.~~~' ,_.i'l,~,_.L
- ~-~7-0 ,J r- r : I (;- :-' ;--1
'~_l....::_l/. "- II L 0 v L' - \
:'{,;~"G:10.R,~. ':;:-r,-:1. ;.;
.'~ ' 11 !
I :...!__ 2 ~ I.J ..lL~_
I.
~ -r~' i
"
;;~-L 1
; ,~( -;:,c::-),:-t J'
I ',1
: ~!. rT~~; ~,::,::...~'.:____~ ",.", ,.,'::,~. :..~i.=.~ :,\:;,~;;y~7: ";i':--: ,''I'
i~:: I \, I' ", F r -:'.'[ - j ~ 11h'-r,' .- ; I, "l5Lhl~F: "1" 'J'
"'l ~ I:. I : I I ~ I! : ~ ::? ' " ~
~ 'r-- ~=-=%:G--r--~-] Q. ;==---:;:,9''1- rIJ"~' ,1::0'\-,-, ~=::g'6C~"="::::::J r--
..... . I \) '"-1 I " , ' -I
:::: ,:. I I I' :: 0, . · " i
~ , J ... , " I ~ I (.) " VJ 1_. I I , J C J ' ,. I.. -.4 I' .~ ..J.. ,.:.. 4.J I I"! I / I
. I ~--~-_..:-, 'i'~;,':,S:'~::i:~_"'.?s~~':':'~:-;;;'::1: ---
" , 1
.L_--,::-=::*~'-=-:=-~ -:-=:,3:0: __J:; -:--31',;,c==.'i :::;.:;-.:::-::~&-'~ '~'
. .' J.,.. . [,-,' J
-~,=.~-......,..,.---. o_~~-' ""'~"":"\""':-" I,L_;:-.,Y",..:C-I'.\' - '0...' ~r-I--
~ "~~3~'~~~.:._~'.. f - v - - - .J
4 ::: -'1' J ,"" '.., -"l-;,-,c-'l .-;-.. '1:3 ~ .' .'
-, .--.. ',j -_._---~--_.- ---. j --- ---. - ---j.\;
,
,
i,.
...
.:
t
r
\
~\3;,,;;.,7f%}/1
<:":,j'l!Ji;~.,it, /
:Jj:1~,{;;;-:c-
r:a;;~;i~;;-~\
,~!-"''''1~<
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
p ,0. 80x 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
MEMORANDUM
TO: Board of County Commissioners
FROM: Public Works Department
DATE: April 14, 1989
SUBJECT: Discovery Timber Company - Gene Seton Open Right-Of-Way
Permit - Otto Street
PROPOSAL
The application from Gene Seton is to open otto Street from
Fredrick Street North to Glen Cove Road, to county road standards.
COMMENTS
1. This area lies within the upcoming Glen Cove Transportation Plan.
The Transportation Plan may have an effect on the right-of-ways
in this area. Otto Street is considered the best location for
continuing a frontage road. Otto Street to the South of
Fredricks Street is presently used for the frontage road.
2. There is some timber on a portion of this project. The terrain
is level to rolling. There will be some moderate cutting and
filling required.
RECOMMENDATIONS
1. Clear and grub entire width of Otto Street from Fredrick Street
to Glen Cove Road.
2. Construct otto Street to minimum county road standards, from
Fredricks Street to Lake Avenue. Connection to Glen Cove Road
should await outcome of Glen Cove Transportation Plan.
Applicant shall pay the county one half the mill value of timber
removed from the right-of-way.
100% Recycled Paper
,; J
,,:
'" ,", :'.
.. ,
"?~)';':;}i') ,",i,.,
"1;;: >:
1:,'.:: "', '
i,., ,
f::.<",;
; ,"...,,'
(, ',.',
"',.. .'
',,: .
',.,",.,
:, :
.: ","
,
:: ,',' '
'. ':':
... ',: ,'" .-
","'." ',:,::'
':: :' ',: '.,.. "
I, ,','
t, " '.',
i. ' " '
\ ,'...:..'.,.,.. ",.
I ..",' ,.' '
1 "'" "
~"?
i
I;
Ii "
I:' :;:;/;:";:::;::
I: " ..
I' ",
'.' '
:,: :..: ,
" ,
::, ','
:
" "
;,
, ..
'~
"
t
t.
If. ...:
,
\
I
,
\
; "+,: , ,
1
'"
I"L
'"
:':0.',
',' , '
,',' ,.",.
:
.' .
:..,'
',::
, "
",
::"',
','. ..:,',
,
... "
.
"
:,
,
,',
,
,:"
,," "
,,',
"..,'
.'-,
":'.,
':.
L"
. '.'.
" ~
.JEFFERSQ04 ~TY
OEPAR1'l€NT OF PUBL I C WORKS
F'LE ('I J':. "TO r;,;:co'",
,T/) Norr/s~C};ION REQUEST DATE.
~'))3 Iud/ow 2)",1.1 Y2J/. PHONE NO. .
(I< J..,. I ALT. PH. NO.-
NAT~ OF REQt..EST- ,gJ IN PERSa-I 0 BY A-tCNE 0 BY LETTER TN<EN BY~ f:::1'~
PERTAINING '10- DOFFICe: OENG/SURVEY ~ROAD MAINT. o EQUIP. MAINT, DsoLIO WASTE
REQUEST FCR-
~STED BY.
d,';'Q,2'5-
ADcREss .
1.;'"31 - ~.;f U I~
LOCAT I CW.. ROAD N.AI.E:
ROAD NLMBER
M.P.
PRO.JEc:r.. PAO.JEcr TITLE RRIO.JECT Nl>>otBER.
DESCRIPTICH. 7J/fClllit'( /lt1S ca~'9d 5//1-,-/'7 1- A.t's lab.. o-n A,s
'/JrMJerlu. /1'5 I/erd ""'udr/,,, -- {nul ./,;r j.~~('k J)/-!CJ;l-es l7e,;>d Vet7eTa-
r-h~Jn Wi 'tJrei/el1 r Y-hTeYoSiOh '-/-/lcd' I~<; rrrISh,'/1a laKe., l-/e:S la!.ft.ed
I)JI'.J/l F/u-( 0... //H-Ie a.hOld- ";;''-r:. who:? ca." he ./dc--ne ?
ATTAai MAP CR Sl<ETa-t
REFER TO. 130b 71.
RESPOND BY-
~I}-p !
E>-J '" /
RESPONSE. /' /9Z-1uuf '7/'z:>
8r-f 0A~ ~hw ~
,(old, ~e.. ~
-
y?;,p #~ 7tpt4?- PJe "
()irr . (~>>thU(i dau.J~, ~ /f(.'S
~ /"" 7;:::0;y !:t::.r ~~ 77 /7t.,P"
REVIEWED BY. ..R~ ,;{<J8#'5 'f- tfi:>b ~tt /7'"' DATE, ..;,?-..3'$ -8"7
OJNTACTED REQl.ESTER fa IN PERSON 0 BY ~E 0 BY' LETTER CX)NTACTED BY.
REc:cr.-.ENDATICH. 71Je.
JJJ W,. -:?~;;
PREPARE EST 1...111: - FCR-
~ltov,,-'
<::::"DI-I ;.0/;
{
T;;..:;/ 141 /P--A-5r"
N+-r-";:;.-.u /.j ~ .
/It U4
ROUTE TO, INITIAL
0 D.RECTCR - 0 CXJN5TRUCT ION ENG. - 0 ACCXKIIITANT
~ ASS I STAHr DIR. - 0 P~ING ENGINEER_ 0
n:::lAD SlPERV I SlClR - 0 ADfrt4IN, ASSISTANT - 0
, ,
._~-'
~":
;:.1:
1;"\;"""
------.~ . '_ '~f;:}~';<'
",',
L
..
~'>
-
!~l.','..:..'.
, .',. ' ,'.',
! .;,' ',' "",.,.,
I "".., .
I '. . ,.,'
r ,",' '".
I' I ',', ,.
i: .','.. ',,'.'
~. , '
~; ".".
I' , ,'. '".',
" ':' " ',.,
" .. .., ,.,' .
;. " .
f, ',r . "
I,,: , ". ," "... , .
.. . ,'.','
j ,
; ,'.'. ,..'
f ,.' '".., ','
I~' ,'., ':
, .. ",' ,'.! "',':,:.,
, ,', ;', "
" "
, '-,'
, ":' .
" ::",,:..
"; '. "',
" .. '.
. ',:
" . , .
,,:':,' ,'.:
. ' ",", :'.: ,ii',
. ..., .."::
:' ':..:c ,;,',:"-
, ,'..,'.,'"
, ,',... '.'... .,.'.,',;).:J:;
';\,:. :i
, "".' ,',
.",,',. ;,
.. .'" ,"
,', "
::
-.J
',', :
'" :,
" !' :,
'," :'
.' "
'. ::
" . ' ','.
" . '.:",'",...".,.:' ','
" .': >;
'. ,,'i, .'
... '
-.J .'.
, ','
~
;"
......... ..... ".: . ......
. .
,'. ........
,
:.'.:. .
. '.' .
.'. .
. . .'; . .
.... ..
...,.... .,'
. ::.:'.' ".
'" .' .' . '.: ;.,
11'(\,::'>'
,.... :. ..... . ','
II:~.! .' <:., i
:'. .....
. ',"^j .
.... .... .:' .
. .
.' .'
....
. ....:.....:
.';' "" ".
.:
.
.'. .
.
.'.
':
....
.:.,
. .
.
. '.
'..:., '.
.' ........ . . .
" . .
"'. .';
::,..'::~
.:.; ',,' < .
.,' ...": ..
,," .". " , .
'. ..' ", ':
I'. '., ". .
.... . ". :i.
I; ..' ; .
I . .':
.. .
Ii .' ........ .:.'
Ii:""
I: .'.:>. "
h .' .:: "
I' .' .
',' .,."
':<
I...
: .....
. .
I] "".
.'.
i
i' .
:
;:
I~;:,;
," ,',
,
','
"".'
.. .,,:.'}:';
".:
,
I.. .
I;
,': .
Ie
'.' ...... ,..,'
I;" ;..':" .:....
.... .'.
..' "
.,'L
I:.. '.
I
L
.,':
"
,JEFFERSOI" ~TY
OEPARTNENl' Of" PUSLIC WORKS
FILE _(7/ ~. '; /_~"~)7
ACTI ON REQUEST
IlI".Ql.o;:STED BY - '7;, WI W1 C> N /!De'- DATE .. 9' -/8 -8'7'
ADCRESB. /~780 @ C,qAJ7e-/2. PHONE NO.'
QU/Cc.e..uC: ALT. PH. NO.'
NATlAE 01" REQl.EST. 0 IN PERSai 0 BY A-tCHE 0 BY LEITER TN<EN BY.
PERTAINING 1'0- o OFFICE: DENG/sURVEY 0ROAD MAINT. o EOUIP, MAINT. o SOLID WASTE
REQlEST F'CR- C.t.,:.'-'lN tAP ~-,r2./) V(". L "" AJ C<!3-iV r<,-Il.. /2.D __.v 4><<I<..CC....+
L.OCA'rICN. ROAD _ C("'?AJ7GIZ- J?-p ROAD NLNBER ~ M.P. /"f7/.5O -/J
PRO.JECT.. PfIO,JECT TITLE
FJRO.JECT N~BER-
CA.JT c"-r rr.
""';-~L./) KAlt>t/ -'J6tl'ur 1/
DESCRIP'TION. '?"'=tE-/2- .g~
~y )/;5 ,L/~S(:; 1l4//e
ATTAOi MAP CR SKETO-I
REFER TO-
~AU
RESPOND BY, #5A-tP
RESPCNSE ..
e~u-j
),r-
1:).-1J,k' e.tI-
(8 o..~lbJ,
REVIEWED BY- DATE-
OCHTAcTED REQl.ESTER 0 IN PERSO'i 0 BY ~E 0 BY' LETTER CON'TACTED BY.
-" -
~J.ed)~-.e.,tP..- - ..-::s- -~ - ~9
,
REc:x::a..E:NDAT ICfi.
PREPARE ESTIMA'rK.FQl-
ACUTE '1'0- INITIAL
D D I: RECTOR - D CCNSTRUCTION ENG. - D AC~TANT --
D ASBIS'rNn" DIR. - D PL.AN'lING ENGINEER _ D -
D RO.AD SLPERVI SOR - 0 ADMIN. ASSISTAI'4T - 0 -
T.~
"l'I~:a_I~IIilIIOll/jIUJW'" ""' n-.r~_"_...alolJ._
L
I
I
I
..,
-I,:.,
. "",.': ,
"':...; ".""
. ..... ......: ;
~'. .::....'
.. ..1.... '.
".'
......
.' ...... .'
.. ': ','
'" ..:........
.' . ...' ,
. ..:'.>.:.' "
. '. '.: .:' , '. "" ..
.' ......:....
..' . '. .......',
. ....: .
:'.'
i. ' :. :. ."
I
I;'
f .'
: .
.'::.
i.. .:..... '.
....
.... .,.
" '.
'. '.
.
I '
!
!.,.': ....
i....;, ','.'
I . ."<i.
: .... .'.
!. ..:< .
!...' .,:
.'.
.' .
. "'. :.
'. '..'''::'
.... .... '. .
. '." '
---:~:: , ,';,' ....
. ..... ....
'.; '.: .. ....:.:. . .:: :.
. '. .....' .', ;....:
. '. .:.......
''::'..::.,''.
';, '.. .....:
. " '"
.... ".
: : .... ..'
". ...:
:. ' ',','
::.
.:.
::'
d
, .'.
'. .. ....
. ';:'" '. .', :.:
:. . , . ':. ' . ',", '"
.'.
......:,.
d. .:..".'
. '. :..... '.,
'd'"
\
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
Robert G, Nesbitt. P.E., County EngIneer
May 15, 1989
Eric Duff
21935 Pacific Highway So.
Seattle, WA 98188
Dear Mr. Duff:
The right of way of Beach Drive adjacent to Lot 1, Fuller's Acres,
is thirty feet each side of the center line; however, I cannot
assure you with absolute certainty that the road currently lies in
its center. This would have to be determined by a licensed land
surveyor.
Enclosed for your information is a copy of the portion of the plat
of Fuller's Acres which includes Lot 1. If you have further
questions, please feel free to contact me.
sincerely,
b.lJ.~
E.D. simon
Administrative Secretary
CR 564809
~,ci' c..'-
a.w.
52.0-40'"
::~~~
~o"'-...
:e~~:=
E.. -to:;
~.........
II %~W"".
=;::~1;
:~!;o~
,~cZU'l
!~8..mUi
:~:~~
: ~::~:;
... :r
;;
'''_ .~ ;: 0 Z ";:r: ~ ~ 3:..... ria
~~~~;:....~-~....~~:~
;:2!!...~e~.;~:JJo~~
~~;:~~~~~~~8-~
(t~..~ ~ ~ ;..~~~::: i ~..: ~
2~~:~5g#:~~S~;:
~ "',.. ~ (.O..~ ~;: = ~ IE. ~
~~~o ::PlKr-O~"
O"'PI%S~"""'l'YIozn..
"" ..:z:"'...... z -tcZ z
CII~~QI Z..............I:'~~
~~~...;~g%~~...~~Z
i:z::r~rrt."':~~~~:~
z~t~r;g~Plg~~ ~
~~~~~~~~~~= ....
~W.VI".loIS~Z !:
rrtJ.o._~CiC:::t:z: III ~
~lIi::;:~~~ ~
......~~~~g=1.
O.....t....w .~
~t:;::~;::~,...
:~~~.~1;
ai....~~..~......
...m ...
-<
::!-=t..AJ
2'. -
~:. "
~~ -I
.,,-<-
;:~o
~..raZ
z-<
g~
c:Z
~!
..< ...
~:
!~
30'"
c-<
..:r
C'
.z
""T1
("1
l>
-f
m
~..<fl
."'......
<, '%1>'"
~G,/Ou'
~.
0/'4
::::....
....0....
~~z;::
~~ a
~g ~
0'" '"
:o~ ~
... n
:: z....~
~' I~! j
a ~ ,.:: .~
i". . l( )0 ~
: ~~i ' ~f
Hi]
,......
]:.::-
.....j
.....!
!"i'j
C)
_!v.: ?
....._i_4>> ~: I ....._
_ ,.....-.i.om---r--
0. 'I) ~I
"
t.! ~\! F:: L../~ -r'-r E [)
5..05'.10".,
304.,Z
C)
o
<
:-of
r-
o
-i
~
=;;-
I
I
z
-
;:;;
..
o
..
~~:I ~ ....~..>) ~
~ ~ I U' a:J... ~
....!!.....O-. ~...'''-- '"
z._-. ......... :~
A !,D .....
~
c:...
m
""T1
""T1
I'T1
::0
(/)
o
z
."
C
r
r
fT1
;:0
-
en
I
I
I
I
10
I~
r
1-1:
I~~'
.....
o
'Io~ .,;
_ f~
. .::;:
Il; :1
IU: I L]
I · -3
,'. ~
I .(,..,~~ '"
, , 11,. ~
l!i~liiiif~_~
~.~':..,-.,.'
en ("1
g 0
r C
ITI Z
. '-f
. ~-<
o
q
l>
(')
;0
fT1
en
~
(/)
:r
z
Gl
-f
o
:z
.: ,',,:<'.
".', "",'
'. ,
: ' ..~
'''j'}' ,',,' .j
,,' ,,: .. ',,',' !
> ~
j:;.'''',:,:,'':, ',.,." ",.1
,:", I
"., '
,.,'.', '~
'. ','
:' .'
, ,", ",
" . ,.',
.....:,:,. ,:",'..
". ";~fr~c" ::.. ."':
f "
i: ..',' ", ,'"
, ,",
, ':' :", .
I:: ", ," ,'.'.
';. ' ' :, .
,..:, , " "
; ',' ',' ',"'.',
j, ,,', "
;: ,'"',..', "
.. ,,' ,',
.
.', '
"
.:: ,',',
: .'
.'
".,
, ,
..'
", ,',
t
,~:
1i- '.
,';,
", ,
,: .'.".
,": .: ,.
:,' ',"
',:
, ' '" "
::""., "
,," "
',: ,... '.',
.'... :,:
',"., ,':-'
" ..' .", '
'" ..'
"" '.,
':. '
i "
~. ,?/~'1;:::;
;, .'.'
p
,,'\',
"
. :", ,',"
I ...
.' ,", '.,', .',
/: ,.,,'.'
... ',.' , :.' .",. ' "
." ,'...
, , ' .
:, ,."": '
I'
, , .
(.
,
L
,L
, :' .
,",'..'. /:
~',"'..'"
,,' ,,',:/'
....------.:1I""'."""".Jl' "':, .,'
, ' " " ,
" ,,' ',.
.." ' " :'
" ',:: ',';
,.'." " ::':
, '.., "... :'
;,.' ," ':" '"
.. ' "'.
" :,:'".
" "",'., :
',.,,: ',' '::::,
, :
.
" "
..",',,'..:,'", '
'"~,I
"':,:, ",:" ,,'
'.,', <"
.. ,
.', ':
JEFFERSON COUNTY FILE
DEPAR'TMENl' OF PUBL I C WORKS
ACTION REQUEST
IlI".Ql.o;:STED BY. f:KIL. 'DiJR:= DATE. 514-18'1
, J
ADDRESS. 10 BeAcJ+ "PRIV"" PHONE NO.- ~ 87B-~II:Z-
}..JORl)LAtJr:> ALT. PH. NO.- =3Fi\;;~~~-
NATu:E OF REQ4.E:ST. rrlN PE~ 0 BY Pt-tCHE 0 BY LETTER TAKEN BY. Jt5
PERTAINING "R)- DOFFICE [3J ENGjSURVEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOLID WASTE
REQlEST F'CR' R[ vJ
L.OCA'rION. ROAD NAME BeN'l-\- "DbV(;, ROAD NLNBER 5b'lBo9 M,P.
PRO.JECT - PfK).JECT TITLE
RRIO..JECT NLNBER-
DESCRrPT'a'4-
WAf,J'rS
112EOS
"I'D "BuILD t='P..-Un'_
~ tAl 1 N.rrJ,,-,,^P<'<'1 o.J
IMA-lI..... 110;=0:
2.1 q 3'5
5~
"'P A<. I He... I-\.uJ ^"
CfBlag
So.
Ftt-t&".r Ac-rM- / ;ZLU4. n
ATTACH MAP QI SKETOt _ \
REFER TO. EILEB'v
RESPC'I'<U) BY-
RESPONSE. 30' ~ ~I -i-r ;;"." fhjjM"<: /v....
REVIEWED BY- DATE-
c::c:NTAcn:D REQUESTER 0 IN PERSO'I 0 BY PHONE m BY' LETTER CONTACTED BY. t:;l tJAAA../
REc::a.-ENDAT ION ~
PREPARE EST 1_'" , FO>'
ROOn'E TO- INITIAL
0 DImz:CI'OR - 0
0 ASSISTN<< DIR. - 0
0 ROAD SU'ERV I SCR - 0
c::cNSTRUCTICN ENG. _
pLNaiING ENGINEER _
ADMIN, ASSISTANT
o ACCOl.a'\lTANT
o
o
L
..
,,' ~.,)
" ' .'"
";' " .~, ;
----:l" ' ,,' " i
.',', '
",.', " ','
, '.. " '"
:.- ' ""
. ,'." "',.' .""
,
",,'. .', .'
.. ,":'.. '
, ,:":""""
: ' ',:.
, ,,',' ".' .,:':
", ..',' '.
'. '.<""
" ",..,.,."" ' ,
, ,;. ','
.. ,,:. ." '.",,'
: ,',:'
" , ..
'..,".', "
" ,
, ':
.", ","
, ,
"
: ,'.
;.
',:.: .'" "
,"': "
':;';}
.
,,;
: ..
" '...
" ,;'.
"
,
,:: :,..
}:'
iJ
;"
;;:i,,~\..>
,',' "
,,' ,
"
:':': '
,~"",
'. '"., ..;
" ......
. '.' J "
---1
.
..JEFFERSa.I COl..Z'\ITY
CEPAR'Ilo4ENT OF PUBL I C WClRKS
FILE
REOlESTED BY..
ADCO'lESS -
,/;,,, ~.}'..r;'0'J
1fL/'! tV CL.-':"~
/;D"/
ACTl ON REQUEST
DATE-
p// I. rr:;
~?": - o:;'"J7
fl"f-tCW"tE NO.-
ALT. PH. NO.
(::d 20",
NATI..aE: OF REQt.EST.. 'GJ IN PERSai 0 BY f'HCfiE 0 BY LETTER TAKEN BY-
PEFlTAININO 1't)- ~ O~FFICE 0 ENG/SURVEY 0 ROAD MAl NT . 0 EQUIP. MAINT.
REQUEST FOR-
LDCATION. ROAD _ "';'h,.!'&.,:v.-;o W-tX ROAD NLNBER InQ/O/7
{,
(K()VJ OP"; 0 l' O"'I-f-
D SOLID WASTE
M.P.
ARlC),JEcT NL.M8ER-
Y-d 5Pfk ,p Y!Yf.l.R....,,-iv 7
o
7) f. S'<1 SE, sc, 30 /'<1
/h.yn! (1)/- o~l/-{;()(p
ATTACH NAP CR ~
REFER 'rOo [P.e,rA/
RESPD'<<] BY-
RESPO<SE. Su- ti71a..d.t...d pAAv Jejf. I d:k,..
REVIEWED BY- DATE-
c:x::wTACTED REQl.ESTER 0 IN PER5O'-J 0 BY Pt-tCWE 0 BY' LETTER cx::INTACTED BY.
RE~TICH-
PREPARE EST ,....n: . Fen-
ROUTE 'rO-
D DII<Ecrcn
o ASSISTANT DIR.
o ROAD SU'ERVI SCR
INITIAL
o c:x:INSTRUCTI~ DIG. _ 0 ACQ:X.NTANT
o PLANNING ENGINEER _ 0
o ADMIN, ASSIST....T _ 0
,', p
.,~.t\,
. ,I.~i. "
3rd, H3G;,}:),
Seminole ',{,t,
, "
I ~ ,",
~ .,' ~.
1-560
ROAD WAIVERS
, '16183
Fillld september
Louis G. Selk and Emily Robinson S".elk, his wite, ot
County, Florida,
to
County of Jefferson, State ot Washington.
v
,.'
~.:ll :/
Q,UIT CLAIM DEED. Dated August 25th, 1'336. Cons. $1.00 etc. 1\ ,'.
'Ii'
The grantors herein Louis G. Selk end Emily Robinson Selk, hi~,
wite, ot Seminole County,Florida, for the consideration ot $l.Od
and also of benefits to aecrue to them by reason of laying out~and
establishing a public road through their property, and which is,
hereafter described, convey, release and qui t-olaim to the Couhty
ot Jefferson, State of Washington, for use of the PUblic torevef,
as a public road and hignway, all interest in the following describ-
ed real estate, viz: J'1
A strip of land '10 teet wide being 1'1.5 feet wide on the west
, side ot the cBnter line and 52.5 feet wide on the east side of tpe
center line ot the Cape George to 28th Street Road as the same ,r~s
now surveyed and located over and across the NE S\'1 SE Section 6";'
Twp. 30 N. R. 1 W., all as shovnl on th~ plans of said road appr9ved
by the Board of County Commissioners, May 6, 1936, ',>I,
situated in the County of Jefferson, state of Washington. 'I';"
Dated this 25th day of August, A. D. 1936. ',,,,,,
WITNESSES:
Ruth L. Stewart
Lloyd F. Boyle
Louis G. Selk
Emily Robinson Selk
Acknowledged on september 1st, 1936, in the state of'
Florida county of'Saminole,'~efore Lloyd F. Boyle, Notary
Public in and for the State of Florida, residing ~t Sanford.
Fia., by Louis G. Selk and Emily Robinson Selk, h~s wife.
, (Seal)
~,
'-
"I '
: II
1\,1
I } ,
III'~I ~t
"t.
'.
~ I1,{
'rl"
.,','{
r",'
),1,1(
It, .
',' ,I
i,l
,I: ;'
'J ~
:1 :
,i'l
\',1,
"~I ;
"
1'" ;
,
,,'
,:1,
?
!+ -----
,-----_._~-~--
; --- ---
j------------- -
-----L-4---
~
o
z
I-
W
W
-------------- J:
lJ)
81
tll
\ . =-tl
8 \ '-.:: -
j '!j '--- --
, --
~-----------4----------
COUNTY ROAD PROJECT 0589
HASTINGS AVENUE WEST
COU~~.,.ROAD # 69/008." ,'79
M. p.::J:58 TO M. P. -232 -
JEFF ERSON COUNTY, WASH.
SCALE IN FEET
~._____~ I
00 0 00 -
APPROVED: ~ '2.-1' 198 ~
,~ /.--=:/~.::ff" ~fU
COUNTY ENGINEER
\
~~-~
)',t~ [~
h"" ,t:..
f<,~, -"
!-- ,.,t' ,
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
May 18, 1989
.Joe Benson
11'44 Blaine
Port Townsend, WA 98368
Dear Mr. Benson:
Enclosed please find a copy of Vol. 1, Page 560 of Road Waivers,
wherein Louis and Emily Selk quitclaimed a seventy-foot wide right
of way to Jefferson County. I have also enclosed a portion of the
project plan for the area done in 1986. The right of way remains
seventy feet, although the centerline has been realigned.
Please feel free to contact me if you need further information.
[,cKk
E.D. simon
Administrative Secretary
Encl. (2)
xc: A02
691017
100% Recycled Paper
, ,
,:......'.',..: ,
','. ,."
, >:
','
<. '
", ,""
,;:; " :', '
, '::' "
." , ',' ..
nt/~~: .:'"
l . ':,
.' " ;,;'
.. ":" ':
" ,,'
" " ':":,
,', ',..', '
:" ,'..' '..
,;;',;',', ", "
,.", :;;, ':, ",
I; ."... :,: .",., ,"
! '~. . .,... .,' "
," " ;,..; ','..
I',,,'::; ",.,;'
I;,' .,'.','. ' "
I; '."
, L'
, .." ,:", ",
I:. :,,'
t
~,,",,'
';~:""
, ,:.
I,
,,'
, ,
,: ,
:\"
~ .: ':'
I.> "
I'::
I.;';
1/'"
I~ ',' :
::.
r ~j
It
t....,
,"
""
,
;..
..
;:
':1'
,','. .,',..
" .
," ""
',':, '
'. ':
,
,,: "
..'
.< '
" ",,'
,
:' ,:' ' ",'
:::.'.." ,',.::
.. '
" ""', ',;,'
, ,'.,
;,',':
, ',',',
>, ",
,'" "
";,,
""."" '
,.,' '."
,
',,','...
, '
,;'
.JEFFER:Sai ~"tY Fl LE
CEPAR'TMENT OF PUBL' C WORKS
ACTI ON REQUEST
REQt.Esnc BY.. . k~t!"',.i~ . )/C"J'.~/:.nd"~ - .4;,,;,.... /.~2:/...-
/ ~
DATE-
&.--;/~ 'iSy
ADa<ESS .
PHONE NO, - /-,F"'V--,-S",,?-.:2/R9
ALT. PH. NO.-
NATlfiE OF RE:QlE:ST.. u:r;;. PERSai 0 BY PHCNE 0 BY LETTt::R TAKEN BY. c-:6
PERTAINING "n).. 0 OFFICE ~/SURVEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOLID WASTE
REQlEST FOR-
L.OCAT ION. RQIU) NAME
ROAD NLNBER
M.P.
PRo.JECT.. PRO.JECf TITLE ARO.,JECT NUMBER.
DESCRIPTION. r1"/.,4/?';?/.,?///.J d/<",,/~: ;;;Z//4<' /~ ~/?.-'#//~ /l./A'4" .J.-..--j1~,N'~
4 /C//" '/'
j,f&".L~ d~"'-,,~.pA"'?f
ATTAa-I MAP OR SKETOi
REFER 1'0. U/4
RESPOND BY _ .,c - o?'::' -Jf?
RESPClNSE .
~
d /...cr ViL,,? A. 7. A
{/
,/> nr rd.fi/YI" /
V IJ
REVIEWED BY. DATE.
CXlNTACTED REQl..ESTER 0 IN PERSQ'II ~BY PHQ'oIE D BY Lr::TTER (XlNTACTED BY. b'(pp.A..1
RECI:lMoENDAT ION.
~PARE ESTIMATK. ~..
RDUTE 1'0- INITIAL
0 D I RECI'CR - 0 c:cHSTm.JCTION ENG. - 0 AC(X)U'IIT ANT --
0 ASSISTANT Din. - 0 P~ING ENGINEER _ 0 -
0 ROAD BlF'ERV1 SCR - 0 ADMIN. ABS I STANT - 0 -
L
,--,
.
"
. "'.,
~.'.' ,'C'!
'--:-" ,.:,"
,,' '
"",'. ,
:, '..',
",... "",, ",,'
, ,,",
, "
" ,,'; , ,";,
" , : ' . ',:
",'.' "" ,:'.,
",',
" "
, , ,,"','.' ','
.. , " ',' ','.,
, ',,' ,
, ,,' "
'," ','.'
,'" "'..
. , : ,;
,
,'., :,
,',",' ',:
,', ".',
,', .',
:: '
;,..,,;'
" ,
.. ,',',.'
, ",'".
, '
I
r
r,
I'
~
!
I
t
i
:
":
,:' ',',
," ',..: ,."
. ,',.,.,... ','
, '""" ".,
~i"",,:',::',
: ',' ,
:,", ..
",: "
',.
"
"
,;,
;,
~
, , , ,
",' ",' ",
" .'.., "
, ..' ,:", . ','..:
, "":"":'" ",
',' ' , " .'
':.;...,: ,',"
"
'.',',
. .' ',':.;,.,.,'.,',"','.
. '"i: .
",'.' ..
"',
-.J.i
128-162 and le)
DEEDS
120500
Filed "alluary 10, 1950.
Fran!, N. ;allion ancJ. l-,lary ':leber Killion, huzlnln'l anti vlii'o,
to
County or "errsroon.
I'El1.!.JAIlElIT E.l\'sEI::!ElIT FOR nIGlfr OF ';lAY.
Cons. 01. 00 .
DatocJ. Iloyombcr 113, 1940.
1:1:10':1 J\.LL L:J.:!f BY 'TIlES;'; FHE8ZilT3: 'i'ilat :!.'runl, IT. ;:i11icn uncJ. 'I:ar:r
Vicbor Killion, huzbunu uncJ. '1li1'c, :1' * r.~:tyo :mcJ. Grunt unto ~!lo comnr,{
OF "EFlmnSOH, a municipal corllorution or tho State of.' Vlashincton, but
wi thout '1:arrunty or any !:ind, a perpetual riGht and onZClltCnt ror a
riGht 01' '!my ror C\ public road ao zurY:).I'cd oyor nJl'l '.lcroe:; :met upon
'tho rollovlinC cJ.ezcl'lbecJ. landa oi tuuted in thc County of: J'c1'ferzon,
State of \'Iashington, to-vlit:
J A otl'ip of: lancJ. )0 reot VlicJ.e az ZUl'yo:,'ecJ. oYer nwI acrosz and 11.r.on
'l'ax lTo. 1, Soction 34, '!'OI'mship 27 Ilortit, HC.ll(:;O 1 ','lest, 'ilU,lOJr.etto
Meridian, runninG f'rom the al'pro::imate centor 01' the lTorth line therGof'
to a point approximately in the centor or the :Bast line thGreor.
It: and when the aboye deocribcd land, or any part thcreof:, ceazcs
to be usod and r.laintained by thc County of: "o1'ferooll aa a public roo.d,
'the eazement anu 0.11 riGhts herein cro.nteu zhnll cense ancJ. te:l'minatc,
~'l'
'fIY'I-o
emu Gaid lunda shall rovGrt to und beeono tho I'rol'orty of' the
Grantors, their OUCCCOGf)r,z and nonien:J, free 1:1'om any clllimo
hereunder.
Tile Gruntors ul::JQ c;runt to Jei'ferson County tho ri;;ht to
co!w'truct m,<J. maintain neeeso>lry cut and. rill ::;10p03. culverto.
special <litches. ancl uppurtenances \'!hcre the :::HJ.llle !:la,! e;;tend
beyo!ltt the limi t3 of' the land hereby convecTed.
n If
\
~\V--~-G}'7i/
"\.~--l'_'II',.',/),,:~. ,
~(~~~.~~
~'firl:<
rri/~~'??~
J!.-/,
- VI
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
May 15, 1989
Steve Hauff, P.E.
Clallam County
223 E. 4th
Port Angeles, WA 98362
Dear Steve,
Jefferson County would like to request Clallam County to dust oil a
section of the Undie Road in front of Mr. Brandenberry's house.
We would like the dust oil to be one half water and one half CMS2
applied at a rate of 0.15 gal. per square yard.
This work is to be paid on a reimbursable work agreement. I
believe we have a signed agreement from 1986 that will cover this
work.
If you need any additional information, please contact me.
Sincerely.
Robert G. Nesbitt, P.E.
County Engineer
cc: CR #150009
100% Recycled Paper
_:';."';.'"
CJr,- .e~,?
"'",'" """";",
.. '''''''''''tt.
;r,~~I~t
--.J~ <~r'l ..
",,..:(.,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820JellersonSlreel
P.O. Box 1220
Porl Townsend, WA 98368
(206l385.9160
N~
0887
District No,
5
PERMIT
)
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi.
tions and provisions written or printed below or on any part or this rorm
PERMISSION IS HEREBY GRANTED TO U. S. West Communications
611 6th St., Bremerton, WA 98310
to Install underground telephone cable and cable crossings along Paradise
Bay Road from mile post 0.00 to mile post 0.85 and along Oak Bay Rd.
from mile post 8.32 to mile post 9.46 and numerous projects along
minor roads in Port Ludlow. See Attached sheet for exact locations.
5eN D
C~E'J.
MENDOZA &
" , '.., Ac.c.OC lNC.
:,~f~i;'t::.\0~i,-~'.0 't. ~~ .,
1!IJff.~
-k vl-f'p .'
k.dd\
~?P<A\
---"~,
Project no. 76-9192
DA"IEL 1'., ME"OOZA
(206) 336.2238
General contfo~~~~p.s
~1~9~E~~~'~~~~~ ~~;; 3
Mount Vernon,
......-.
County Road No, 503609 and 569908
Franchise No,
MilepOst numerous
No work shall be done under this permit until the party or parties 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 Oct. 3
Dated at October 3 ,19 88
,19 89
m~_
Dy --<J..u;:q- K~..uV/
1.800.424.5555
GENERAL I'I{OVISIONS AI'I'L1CAIlLE TO ALL I'ERMITS
This permit is subject lO all applicable provisiuns of the Rcvbcd Codes of Washington, c~cCrl that any pruvi,ion in thi... agreement nOI comiMt'lIt with
such resolution shall be controlling.
A bond in the amount of $
is required fur the Pfotcctioll of tile (;UUlUY as !tCI furth in the tcrlllS of the bond.
During the progress of the work such barriers shall he erected and ll1ainlaincl1 as JIla~' be /Ic\,;CsS<.lry or as Inn}' be din:clcd fur the pruu~ctiun of the
traveling public: the harriers shall be propi:rl)' lighted <It night.
III accepting this permit the petitioner. his SUCl.:cssors and assigns, agrees to prole!.:! JcffcrMlll COUllt)' and !k1\'C it harmless flOm all claims, aClium and
damages of c\'cry kind and dCM:riptiul1 which Illay accrue tu ur he suHered h)' any pcr~ol1 or pcr~uns, corporation or propcrty by rea~{JIl of the ~rfor'
mancc of any such work. charactcr of materials used or mallller of installation, maintenance and operatioll or by the impruper occupanq' of fight of
way or public place or public structure, and in case any suit or action is brought against !taid Jefferson County for damages ari!tin8 out of or b}' reason of
any of the above causes, the petitioner. his successors or assigns, will upon notice to him ur them of conUllencement of such action, defend the same at
his or their own sole cost and eApense and will satisfy any judgment after the said suit or actioll !thull have finally been determined if advcr!o.e to the Jef.
ferson Coullty.
Except as herein authorii'.ed. no excavation shall be Illade or obstacle placed within the limits of 1.1 county road in such a manner as to interfere with
the travel over S::Jid rood.
Except as herein authorized, no exc<lv<ltion shall be made or ohswcle placed within four 141 feet of the edge of the pave/lu:nl.
If l/ie work done under lhis pcrmil jnlcrferes in any way with the drainage of the cnunty road, the gralltcc ~hall wholly and at his own expcn~c make
such provision as the engineer ma)' direct to takc care of said drainage.
On completion of said work herein cOlltemplatcd all rubbish and debris shall he irnmcdiately removed 1JI1d the: ruadwa~' and road~ide shall be Icftneat
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall be done under the: supervision and to the sath.faction of the Coullty Engineer and the entire e>ipen'"-e of said
supervision shall be borne b)' the party or parties to whom this permit is issueu.
The Department of Public Works hereby reserves the righlto order the change of location or the removal of any structure or ~Iructures authorilcd by
this permit at any time. said change or relllovalto be Illade at thc sole c>ipense of the party or parties to wholllthis permit is issued, or their successors
and assigns.
All such changes, reconstruction or relocation by the grantecs shall be done in such manner as will cause the least interference with any of the: Coun-
t)' work and the Count)' of Jefferson shall in no wise be held liable for <lny damage to the grantce by reason of any such work by the Count)' of Jeffer-
son, it agents or representatives. or by the exercise of any rights by the COUIlIY upon roads, streets, public places or structures in que:stion.
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other nature to other public or private utilities. lIor shall it prevelllthe Count)' from using an)' of its roads. streets, or public places. or af.
feet its right to full supervision and control over all or any part of them. none of which is hereby surrendered.
The Departmcnt of Public Works may revoke, amend or cancel this permit or any of the provisions thereof al any time by giving wriHen nolice to the
permittee. The permittee shall immediately remove all facilities from the righl of way, AllY facilities remaining upon the right of Wil)' 30 days after writ.
ten notice of cancellation shall hc removed by the Count)' at the expense of the permillce.
The pany or parties to whom this permit is issued shall maintain at his or their solc expense the structure or object for which this permit is granted in
a condition satisfactor)' to the Department of Public Works.
SPECIAL PROVISIONS:
1. Job to be done according to attached plans and specifications from
u.s. West communications.
2. Applicant should have an inspector on the job at all times.
3. Drainage around manholes shall be done by open ditch instead of
lttl1~@~~~&
In accepting this permit the grantee, his successors and assigns. agree thut any dam:l.ge or injury donc to the property of the grantee or any e>ipcn1>C
incurred by him through the operation of a cOlllructor. working for the County or an)' County cmployee shall be at the sole expense of the grantee. his
succJ:ors and assigns. (2 /I, S. 1.. J<....
~ l.G1Y'Y\ (l) . the undersigned, hereby accepts this permit subject 10 the terms
and conditions as herein set rorlh.
Dilled this
4 day of
o c..tD-tUA...!
, 19 S"(
AI'I'II~lUll
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fcc Paid_ Yes _ No
1620 Jellerson Slreel
P.O. Box 1220
PorI Townsend, WA 98368
(206) 385-9160
R<<;eipl,,"o
Addre~Rcquest_ YI.'S_No
Mile p()!)t.,
AI'I'LICATION FOil I'EUMIT
To Department of Public Works,
Jefferson County, Washington,
The undersigned U. S. West Communications
hereby opp/~ far permission 10 place bur i e:d
cable and conduit al~n9 Paradise Bay Rd
{,lpJllinllll ..ill d"\(,TlI,,'!ully ",IUJII1.. ,",'llht'.\ ItJ dll/
and Oak Bay, Rd. See attached for further deta'ils.
SKETCH:
Attached
\RECE~VED
SEP 2 1988
JEFFERSON COUNTY
ENGINEERS OFFICE
On Couniy Road: . see' attached
hell,\'een
{.~)alt'III'f''''\f Cft/\\'\/Il't'/f>' mif.. flll/IIO
(0 do the work in accordance with your rules and regulations alld subject to your Inspection and approl'al.
(('oolraClorl
Brelllerton. \,A 98310
Phone No,--A~BR
^ddf~"
~::~'lL=7_===.!l::C.
ot'o\<. 10 A)' ,'>.D
R,q,,,-, .
(~U"'L
//
l/
Ii
//
-/
/1.
.. 1/
Q-" /(~
~6A'
, ~ I,Z,
~~'//
0:;;
., /
? ;
~.lj!
~L!.-
/r
(;' Hj~ H
c.\'S ,',...)
,t'~
a,
-.3
....
...,
o
f'e.n.I';"" ?,l:/ul
~t::.~r:t...-.l!:.O.....J ~bo.JJ.JT'/
i?. T
:"'ti:'"<-
,
---l N
NoT' 1"~ S.:"IQLL.=
t'OfLr Lvi"':':lLd......J
:>15?
~;S '" 3
l-t 8 z..
~
'" :r
<::i
"
'i.. "-
~ i
0
0
t-
!;1"JH7-p/t: J 11'--
Il\J~~. .....{i-C:.: ";::,
..... ~ c;..r /\ <:.)/..
~ ,/:":l
\...Ls'.W/i.\7'" CI"""UA..Jlr-o-l't.ltt'l.!:.
? I2.c..n.:.~T 7 (., . <j / q 2-
.::r K...10 I Lt.....'l...., ~
(..., tt L."t(....;"\
iZ ~L G )1 (.'\J 7 , ,,( q~
~ .<..1,\ (,:'-'310
~uc.
:'0
'lS
rl\(;..L'.
i c:.. I": 2-
f'i
"j' ..-
~c.(I..J ~/~/
"".....,//
~,/
rnc-----,.
;~ :fl""-"'""4-/1,
~ 7, l.'\'-'\
'''"l ~! '-).
,~. .I..~; 0"
,- ," _~"( f..
lJ-I"~1.;~LUl/"l- \ Y., RAi,f\Jil.:CVL L..~ _,'l~
~ ,....J 0 .,~ L],.
~ ~ ~
"'C --:" ..-
i<> ~
..'2
"-,
;;
!i? I' .,-,
b 0 p\~,.- " _,.+ .
_~__....:::;:,::::'::;'-" ::'__'--'$'--- -' 0
c.
C"
t<.
..J
;:"'.J't -L
):1.0,'1 -t
-'I. > 0." L
)l/y ...",
I ~"'':'''I:>
c S 1 C.,1f
-.;:,
:;.
li'
171
L-I ~> ~
.. ,,,
'1' ~.I (
[ !:I I"
r .... "I
r ,-
4' ')
~ 0
;,
."
(', 0
f
"
\,
~.
.
I'
tf 00 ~.,s ""'1'. o.e.?41
I> '00-1'00
1 ~
, '~"P
P~\~",,~ ~<v,~
/tJ1]"'1/r>Lf.. \ -"'-",~-:?'i~,
,r,,;'. ~'\\ ~~: .~-" '::::"~?c.~~:..:::.::::::
\' !' '\f "? J';
.,.1 ~,."(~~.,\)
t {l:~
.\j')
i'V 1-.
'\.> ,,"
1, ;,;
....f'. ",1>'(
"
;,
r.) (;'
(' ;:.. -
..
II ~,
:: ~.
p' g i'
0 "
,Q . -I
M L
t
",
-,I
~\)
0
'<:'
-'.
IJ
fI.."
~ c;>.,
'<5' "'c;.
'<e-
t ~ Bl>
,I
" " ..j
z
"" roo 0"
r> E. r
r,;
"' "C>
!; ~ r,
~ 0
~ ?;
rr t;\
c ~
~. ?- 0
'" ~I
"' (I
0
U)
,~
//,
~ "I
....Q ~l\
"
cD '/~
:..0 U,
".....
t"' ~ Z
\J ''{, t
c., V ,"'- I" oj
I:" '" "1 -1 it
r J,
t
rJ ~
r ~ ;;-
Q r
f. r" t
t.
"'\
~ -:
Page 2 of 2
Conduit Run
Build manhole and conduit run from telephone offlce on
Paradise Bay Road to Swansonville Road on Oak Bay Road.
Number of ducts varies from four to six. Ducts are 4" "B"
telephone duct two wide and two to three ducts high encased
in concrete. Conduit run varies from 12' to 18' from pain~ed
centerline. Manholes vary from 18' to 30' from painted
centerline.
MH# From Pi:L MH# From p CL
2 20' 8 18 '
3 24' 9 24'
4 ?~ . 10 20'
-"
5 26' 11 30'
6 28' 12 20'
7 24' 13 22'
Open cut diagonally from existing manhole at telephone office
across Paradise Bay to manhole #2. Open cut Paradise Bay
Road at Oak Bay Road 57'. Compaction to be in conformance
with "1988 standards specifications for road, bridge &
municipal construction" issued by Washington State D~O.T.
All blacktop disturbed to be replaced according to county
specifications. Contact Scott Kilmer 385-9160.
Direct Buried Cable
Replace existing buried cables with new cable minimum cover
in ditch bottoms and shoulders 36". All road crossings to be
pushed except as above noted for concrete encased duct run.
Place 3150' buried cable on Osprey Ridge Drive, Walker and
Rainier Lane. Place 1150' buried cable from telephone office
to S.E. on Paradise Bay Road. Push two 4" spare ducts under
Oak Bay Road at Walker Way. Place 3950' buried cable on
Swansonville Road. Place 4050' buried cable on Pioneer Lane.
Place 725' buried cable on Wheeler Lane. Place 1200' buried
cable on Fleet Lane. Place 1075' buried cable on Pope Way.
Place 825' buried cable on Condon Lane. Place 225' buried
cable on Gove Court. Place 4047' buried cable on Montgomery
Lane. Place 190' buried cable on Baldwin Lane.
,i\)
,'/,
a
q,
i'
~
'"
A
'<
,/Lr-"",,"vOo '
\f:::::"-::..::::::..::..:.:.~(:~,,,,,
.'"~'''~,,'---~..'''''''
1"
->'/
,[V ,/,'
....."'//
u.>" '/'
~
[1-"..'. !1
~L:.~
' RA\,-
I,01.f~L(J\I1..- 0
\.t--JPL-,...J ~
'"
j
~~?_r...I<c:r-l(
-:::::'-::'''~4;
.-....----........:::::
t~
II
J.j
""0,"'1
..r.
.\-
0;)
.!.
'!)
-l-
II,
\li
-t\
.\
""
'"
:7 '"' -I',
o E.
? t 0
(l', t s
t1 :'l
V' _
c "'.
f, ~fi
ro, {"II
[7 "Q
Orl
~ (J
~ ~
.., '"
F.( ':Y.
t.
... >.
r,y
~.:>
,..
,.
'"
"" t:
1..1", II>
~\: 7' ~[ ,
f ~ - f.. C1 1'1
(;\ ~ ~. i- .... ~I
vi !; r ,.., ,~ ,0'1
() : ':1 ~ .j\ ~
;Q t. ....i)::
.... I" t
c ;
~ -\.
:;.~ ~.
(,~I I"
6 \~
I^ 1'J W
", ':I
"'l.I Z r "
0 C --( ~
F' -l ~
-1 ~~ 0
r t.
~ ,,, ""
rJ ~ . ~
r t
0 t
E -I
X
Z.
o
~il
l'
~ ...
Page 2 of 2
Conduit Run
Build manhole and conduit run from telephone office on
Paradise Bay Road to Swansonville Road on Oak Bay Road.
Number of ducts varies from four to six. Ducts are 4" "B"
telephone duct two wide and two to three ducts high encased
in concrete. Conduit run varies from 12' to 18' from painted
centerline. Manholes vary from 18' to 30' from painted
centerl ine.
MHl! From p~ MHl! From p 4-
2 20' 8 18'
3 24' 9 24'
4 23' 10 20'
5 26' 11 30'
6 28' 12 20'
7 24' 13 22'
Open cut diagonally from existing manhole at telephone office
across Paradise Bay to manhole #2. Open cut Paradise Bay
Road at Oak Bay Road 57'. Compaction to be in conformance
with "1988 standards specifications for road, bridge &
municipal construction" issued by Washington State D~O.T.
All blacktop disturbed to be replaced according to county
specifications. Contact Scott Kilmer 385-9160.
Direct Buried Cable
Replace existing buried cables with new cable minimum cover
in ditch bottoms and shoulders 36". All road crossings to be
pushed except as above noted for concrete encased duct run.
Place 3150' buried cable on Osprey Ridge Drive, Walker and
Rainier Lane. Place 1150' buried cable from telephone office
to S,E. on Paradise Bay Road. Push two 4" spare ducts under
Oak Bay Road at Walker Way. Place 3950' buried cable on
Swansonville Road. Place 4050' buried cable on Pioneer Lane.
Place 725' buried cable on Wheeler Lane. Place 1200' buried
cable on Fleet Lane. Place 1075' buried cable on Pope Way.
Place 825' buried cable on Condon Lane. Place 225' buried
cable on Gove Court. Place 4047' buried cable on Montgomery
Lane, Place 190' buried cable on Baldwin Lane.
~,;;:,
~,
~"
r;;
'6'1"\,'f
tl \:,
':::::--.lv "<
~~~~~'<Jrl,;
~._,....--........:::
'1lA't'3lJ ~
:N~
Cij~.
~:-
-r-
,..~
"\ ,<
U)
'"
..n
.,
,'>
U,
t ~
"
~ f"' -,
" E
? t 0
IT. g ~
~ ;I~
rr i'>:;-
c 0
p U~ ";,
.' l.4 ('
"' ~-1I
0 " 0
g I'
" CI
'" ~
r; ..,
ii{ ~,
t
";>.3
"to,""t
.\-
"l. >~/y
..L
.'"
""
..L
fl.
/8-'1.:,"'0
~ [>
.. l-I ~ I.~
S.l _ 7' ~ ~
f '" - r;; ~ c..
" ~, . (., -I r::
' :: ~ i- ..J !,
~. g I~ ~' ~ ~l
'" "'1 ~ :.:.
,Q t.. '" -a ~
M t-' c
t t
~'
.
"'.
l'- 00 "\~S'
o
"
"U Z
o c
f' -1
-I
r
r
rJ
r
o
l
"
i ~,
rJ
-.(I
'Q
'"
z.
D
..
,.
11r...3 ("
\..f "'"
~, TO r. ~
r, ";\ ~
(' II~,
-I ~ -\
'" '"""
n ~
t. t;
.....
l>
t
t
'"\
'-.(
""':1"
i {n:,.,....
'-A' {:l
~ ;
:/,
'-.
~, /-!J '3
j ~ ~ j- -~...,
i
~ ,i '0 Q'
() ::t-
r '~ :t- V
:2 ~ [1 ~ ~,
~ /j '1- ,......
<r 1- '::r
<t <>l.
J~ :t ~ ~ c::.- I I
H~ ~ 0
() 0 il
'rJ LL
(rJ IS ,3. ~
~
r-\
IJ'-
;)::. )
, j
~ ~ f.)
".. ~
l~ I rd..J
. -.: /.... ~ 1-
~!0o.1q....
,Il~
~ ~
1 , -I _ _ ~__ _ j -<I ~ ~
----'- 'J' _S2"7'/-, ' ~ t<l q.;, "
,-.., R.: LA''''.J 2-7 . ' <:<) ~ ....J
:r'." S2-+l7 ' " K. I:)
~ "', : ' 't:!"""''r~Ila-''>t.. (l(,fI"'(:-f'ft.r' k I \..,~ J
..... I V " ' ,,<) ,s/-T/ S- I 'to ~""'<7 j) i rct-f ",-",ndl ~ ~ ~ I-
V)~ '?~}: I I !! Ii! &:~iJ..r> Mtf q~ ~c:...P. 0..
, , ~. o~/+-o:S-'
Ibf. ' ' , " . I I , ,
"t' ; CO;LJbv:~;-~ ~ ;
/} U..;.....l>'ovT: DT' -t-8~
cd", v.JGo'(5 I i
I ,
!' 00 "t''12.-
SO-lLD I
it!
~ : Jl
,rv: ,)..-,
'i'):' ~ ~
,g ',\):!J (.:)
';:1. ,"?,QV)
i""'~~
;'f'~',":
'- .. ~,
)1.'1,
I) ,"','
,~\:i: '
~.< , I
i '
I I
\ \ ,
. \ \ \' ""1
\ I' "',
\ I ': ct: ~\
_L-\_"':'..- . -,0 ..;,
I I' de <(.
, ,j' 0;' c::::[)
n : ' -1'-::!"
t; i '!!
. (
III
Ii'
v
~'
~ ,11
. ' ~:
A <::l.. t;
u ,e ~.
J'
.' <I c:;:!.'
,;l ~ .J-:
:r -.J :
0 ~ '-r! 0
:r , I u!
..J .'~
<>;- -- $:
I:l
('( <::>:. ~ '), ~
! a; '::l:: ~
! ::;; u
"
i "'"
~ ....e;Q ;
-~ ,:'0
'"", h .~
~ ':t:. " \~
0 A
J '~ .:), "
. ;~ :Q
,l.t) i
I ~J~ ;
!-
, I
-:r
. ";l'
'@
! :t
i , ;
-1 1 ;
::t ; ;
() . I.
,... , I
"';- I I
l:r I.!) r
" j", i
-fl
j\3"" i
~: .
....j 10' !
1- I:) ~
.~ ~ I
8E
, t;::I.-,
'I i
\ I
''-I g-\-"'l)
"
,
Ii i
'. l
'0
...
"'.1 '
~ ~
I'
~: I ~
r
i
I \'
':l- '
'" I E1 fJ:
~1):1jC ,C'-t
10 u~ I-:II-:t:-
? I ~~ : ~ ~
I I' I '(J l!J
~ul1'T I
It 1.~1 ~.... ~<!lNT" I
a~'WG lit
'-/ Ia" 1S"
~
a:
, '
I
I Iii
I I I I
~ \"'01. ~
I'-'i~i
-
""'i'.;...'
-c,,;'.::',":-::1'
, "~ _'",..:..-;>,..;~C~;.~~"""""..""';....>.,.._.._'---~-
~-...'
.. \
\ "\ :;'" \ 1,,\
\' \,' i I \.
'" 0cto:Cj
,~j ':f -:r "3'
\, \'A~A
\ \', I, i
' I
\~\ i
'" \
:~t.~;\ \
\, \'! ." I
,\1~ ~i 8,'i
~"... '\1,'",0, ,?}':,e.:
~ t~ \.(B>~ i
"2\'2.1~'6;
JF'i r'V ,
l~l
, I
I ,
i
,
\
\
,
'1 i
;,(. \ I I
\!5 ~ "\ -f'o,? ':'
e. :3.oQ ". \, I
I ~ (t \ :~. \"r.;
k.l \ "I "-' 'I
\ \ ,,\ ':~\'~ '
: \~ ~'~1 :. ~
' : ',:I~: ;~...;."' J'
':0-... iJ, '.....'=:'\' ._,
:.w"~, <r~ ~ ',:
I:~ ':'~ ~.J.
.~ ~ It't~,
, "$,'<;)' ". '':,:1<:, ~'
'-.1..0c::......"" ..
.;"""'~l+.~""i.. c:P
-' E:~ F....-: ' ;r
'" ':~ 5":;' (.l5\.-' ,
' ,;;, '-'~ '
~l ~,. I r ,}
,Cl~ I . \.;,..
9
~
(r.. .~
Q- .3
'\ ,Co
1~~lL
1l Cl- ~
\-
, :),
""
Q-
~
.' .
"; :J _
r"')\ \
, ,~i.~\
, '<J,,' ';j'
I '~.::l! \_,
'\i'r-;~ ~
.~ ~"~fC::':\~, \J' ....,
'i!o ~'-$'~ ~ u,
},)!.u ~~"t ';' '""\
- %';1 \tV, ",,: 1.!J3:i()'
" -.Llr'\ .,.\ ":;,\, ,,'J .. vi
) I .' ,', I' '<: "=, '\ ' , i ,
'\""\, '\,;::La" , ,~
"'\ +, . ,F \ " '
~\\.,: ' , \ \1-
;J, ',,' \ \
~\
,
i,"1 1: ;
! 1 ' 1
\ \ \ '
'~,
\\~,
1 : i
1. \ \ ,
\"\ \ \.
\ I \ '
\ , , '
\ .. \ .\
l':,,'\':\ \
'j.
, \ i: " '\
,I \ \ II' \., '\, \. \ '.
\ , \ \" \ \ i 'I \ \. _:.,...'?.
\\""\ ~~.,',""'"
i I \ \ ' '" ,._.,~
I \ '_'~"~.'"''
~:;'02:",",;7~.',..,.7fi.;".'."'"
*
:.-\ .\ '\ \\ ' 1\
,,"') \ \
iil. :, \
~\ '\ \ i \ \ \ \
I, \, __, \ \
!,~,-~\\\:
\\\..!\!I:~:,:~.
\ ' \ \ , , .,.. ....~.
\ ,,,., ""':-:",'-:""..~"',
,,,.,,,,,:,,,,,,~,,,---;:
,_C->__'---'----->~"k,~;~~~;~'~ ~1 T
< 3
, rJ
\]' ~ '".l
'< - ... 1-- \I
Q \T" ': ~t ,.
t,.. ':"J r Z
I;. ,... ~ ..J ~
::J l;:i '3 _ ;:J
J ~rL -\~
VI ~ 11 ."
:::l
< \';'
z
~! 1
~
..J
fJ
~
.J
l- ~
0 c
Z n..
-=::::::::::::-:>~"~
--- (721 .{t-&-":;;:-::::.___~-,
' ,oC>-~~.~
'~\..
... '" <:>, ~\
o 0 ~
SI.....OO'11
8"} ~ B 0
,v I!I
'0 -d
CJ ,-;t
=l ~
j E
~3
~,~
f-Z
~ " (J U
<1~
'1
.~ ~
~ ;
C> v
u~
o u
it,} ~
r... .~
.3 J 0;1.
~d ~
~I': ~
~ ~ ~
Q ~ c!
'30 -
'I~u P
'n
""
,.
""
'"
'n
...
l;
J'
00
f
T
",~< 'to.
0...<;-"-& I
II
:::--....:--..
.('&; :---.:::::--
", ""'~">c;-~
"1
-i
'b
{~
~v
~
>.~"
'~~.,,"~~
,od '--':::~
:>'-1 r-
,.. I')
~;r
'" , .' "'.,~..~"":"-"-.
~y:~ ~7~':~..~~:~A,~;7.'f('.~,~ll~~'~...~'~'r,;>"~~'1l,.
>-
~
III
~
't
<:)
""
(r. ...I
0 .l-
,.., 0
\:J I:J
)
d <.!l
'"
c--
<,.~.._....__~~"",."":."'""'~~.............c~.......,.._...--'~:~~.....-'---:":...,,"'.....,~,.............,....,~
......".~....t ..-"'~".-'"">~.'!"r';~:~7~'#I~\Ii>;''''''''~~,
"
COUN1"! HOAD NO. 3-<9<9' It'
STATE LOG NO. -
MILE,POST ~~TO=O~~
)OfFICE USE ONLY,
pmMlT No,t7%'3:o/'
FHANCIIISE NO,
F.EE PAID _Yiis--- No
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port TOllllsend, \JA 98368
APPL I CATlO.N...iOH~lflJJJ..m.9l!. OF _.l!l.I_hDJ. ES
Name and Address of Appl icant: ((J, ,<:? "',e,-(/~/L-
..M.MMJlER.L&..M.__________,_
f~-~~~~g~~I~~~362-------\- -."--,.---. .- ----..
Application is hereby made fo,' a per'mit to construct, operdte and maintain
!i/~ ~/h:; A c-u~,--_12f LA 6 )/"A:~~ --=--===
,.____.__,__________,______ffgZ3
The util ity installation is located (attach map or d"ilwingl_.___-...,__,__._--
--S...-.ee__Ctd~~_J:k..e--I ,,!L-____________,
Applicant agrees to perfonn the work in strict compliance ,lith the terms and conditions
set out herein, and states that Appl icant has "ead and will adllere to the general provi-
sions set out on the reverse side of this form and any special provisions attached hereto,
Applicant Signature: --uJdE- ~,~
Date: f?-.:z%-J',/,
> I / I I I I 1/1 1/1 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 /
SUbj~~~~~W~~. t~~ms and condi :i:n: ,M P:H:ISSION IS HEREBY GRANTED to Appl icant
to construct, operate and maintain utility facilities as requested above.
This permit is condi tioned upon Appl icant' s compl iance vii 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 pennit until the Applicant has received instructions to
proceed from ' telephone
APPROVED BY:_.J......~';(~
Date:----2- ~ 0 .. $?, 7
," ..1~.-:\ V:':;"'-,'\
I I I 1-.(,'1' I 1,1 ,/ ./,,1-'-7 I I I I
1111111111111
'\r~ \~''"~',; n" \c:'e.7 PERMIT I NSPECTlON REPORT
UTILITY Di\MA'GE1S'COSI~~"", ,"[ /
""c:0'.'~ Co':", ::: '.';:: Work covered by permit has been completed satisfactorily,
.1=t=f.E.':- ,..," ,....
CAtE:48:iH{iuRS~' Work is not completed.
-dEFORE YOU DIG HecomlTlend permit be cancelled,
_ Traffi c contro l_iJde~uate; __i nadeqtJa te.
1-800-562 -6478 REMARKS: _,_,___ ._________'____
1 NSPEC1TD BY: _.L)~~ t<~.._---_. Da te : _ '1::1 L~8?____,
'^ ,....
@ Pacific Northwost Bell
Burled Service WIre-
Work Order
P8g~o 16,"' I
No, .:2.!l2_ __
Complete by
,-
----. ",;'"
" .',.' :,.",',.
, ,
, ,
c'
"'!'
, " ,,' ..." '"
.', ,,'.','.
,: ,',
~ ", ,,"
'" "':',,"
I ,:,'
,.'. '
,:
,.,".. ::'
J":"
:
."" ".'...
.':'
.""
, ""',' ,.. ..' ....,
"
:,
.'...
,,'
Firm
Signature
Tille Date ,__
Unit Price 0 eost Plus 0 Flat Sum 0 $_ _
ORIGINATED BY ~CA ..~ Date 9-?'ii-'61
New 0 SIO No, )JO ov.<'''''i>-/4-Due Date q- :?'if-'1l:J Bill 10: PACIFIC NORTHWEST BELL
Repair ~Tel. No, tf3?- ?'1'1~ Temporized ~ Atlenlion ...
Rearrange OSlO No, Due Date _ Address _.... ,______,_....
Type of Service City
eBl Pair Color/B.P, Term. Addtf:ls'ii
Z Sl't.. 17(, X" '-102
1- lI'2.no(,"}S'd"~
/1)17-
WORK LOCATION ( {)
Address .Y.'fc T.<J-lA S~"e ~ R
CitYIA In ~L..()" t.. counk:' Je.5-b- Stale WI'
Name -H~i.lt..-
CONTRACTOR'S ACCEPTANCE
_, _,n Zip
APPROVAL For Flat S',lm/Cosr Plus $ _, -
Recommended Dale__
Approved by Date --
Oescdptlon ot Work
T}:.. 't;;r^M 'T~
'~,;~~ ,p~ ((/
"'I
Contract
Aeferl;lnco
'200
Ouantlly
/ i-;'
PERMIT REQUIRED 0 Y~s 0 No
Received from __n. ,........ Verbal 0
Jurisdiction, No,_Dato,_
,-
COMPLETED BY ,
Call ~__
Dale_
for Service Connection
,."-
Indicate North I!;l
~~S
, ' I ,
0,
---
',~'r
J;
"
'l~i
~,'
Sk:elch Work Required. Int;.lupe Lengths. depthS, wire size and amount
'" '!,{~ ~,rl>1-t1' ' ' , , , , , , ,
r~~:'k~ · L,,8 .1 · ...
UL" "'j' 'll"\""
: : : -. pp_.. .11_17-
, . '~ 'Q '_' . 'i' '_'p'
~" -,- ~~~ -;D('(s'0-0>~ I~ DZ
f'
<'
r
~
"
t.
",
:.
Not" TII!S Sk.~tch may not be an E1(:cural'~-;p;;;;,nll:'tlO" In Qli'dOlalls, it rernfllinu thEt cont;aclor'S responolbllHy 10 properly loc"h! work In the fieold.
'.
::
'.
"
,
,
r
~'-'"
(
,
f
.",'",
'j",
1
..."
, >~', ",
, , " :' .." ' ',',
',:'. ,.' " '.. ' '.~' , '
';" ,..',
;", ,.' ',: "
..~ .
" ,',
;,:,'i, .,,'
',:
" ", ","
'" '
. "
:", '",' ::,"
':.' , ",',
.' ',." ,,'
, '.,.. ,'" .',,'
. I ','....:,.. ',",
l:: I .' '...',
" .
'.,,' "'.'" '".::;. ,',
'" '",.,., ',:
'. '..'.., ,..,'. "
" ,
:':'
'.:' ",:')
" '"
',,' ",
" ,',', :",:
.',' ,.:"'>/,,
, "., ..'. .',,'"
, , ,.""
'" ,., '.'.:'
i,
",.",';
~,..~' ,
, " ','
"';
,-
~
'.,
"..
,"""
~,'
.. ',"
':
,
~..
...' ,
Q1)ffice Q1)f lIllle
Tdt:phonc~:
Adminiswnion: 206-385-3831
Correctionnl Facility: 206-38;.3856
Wesr End Annex 206.962-2512
Emergency Ser..kes: 206.36).3831
~ II .erfff
~tffer1ion (Uounttl. EIIunqington
~.e11Jl1leffurll
~I,.eriff
PAR A D E
PERMIT
r' Ie
Applications must be submitted to the Sheriff and approved not less than
15 days prior to the parade date.
Applicants Name: HAD/()Cr:. OAY,C; PA1<AI:\t;' (LLDYO OU;OA..JI
Applicants Address: 30 0 (Br-?.(, LA [(6 Ro.tfO
') ':; ~', / ~~'.O!
Applicants Telephone Number(s)
7:52 (/:770
ReS1dentl.al
7"32 '-/090
BU51.neS5
Or9anization represented by Applicant: H I\OL6( J(
IOU c;
Parade Chairman
4i If,1 C '?ffi 0
1tterent t an app11cant
Date or Dates of Parade:
and time factor
:rUl\Jf;
1"2- : 00
10) IClWi
Noo0
RECEIVED
/tIT A c./-l's.f:::>
MAY 31 1989
JEFFERSON COUNTY
PUBLIC WORKS DEPT,
Parade Route; Start to Finish
Applicants Signat~re:
Dated: 3 -2.'- -[('7
RCW 46.90.469
Jefferson County Ordinance 2-88
Copy to:
County Commissioners
f:.P,ublic,.,; Works ::':1
,Mailing Address: P.O. Box WeD, Hndlock, \VA 983:30
Correctlon:lI Facility Address: 81 Elkins Rood, P.O. Box 1080, I-Iadlo('k, \VA 983:30
Civil Deportment: 1820 Jercc~on Street. P.O. Bme 1220, Port Thwnscnrt, WA 9f~:m8
West End Annex Ad'!ress: lIC80 Box 18.11l, Forks, WA !I~:l:l1
rT ,~T'I r /'r'",
..'.:' ::..' .': !. i .
. "
, iill1,"':"'r" .",,7' ,,...
~.. ,;.......,..... 0' ~.
,.-1
r/
//
.: ~.~'::L~~l:.'~~,~: ~Lf~;~,:~:~
Legend
PArAde route --":-
,.
Officer
.1. lrond.nle Rd.
V. F. wOI
.. .
--.> 1
~ MoLeod.
StA.91n.9 Are A .
......... ..... .,- ..... 11.,1 I.... .,. ... II '"~
<
~
:0
fnte-rsection Ofl
MA$Onio Rd.
\
~",~~ ;;;",.)
\."-::JBc<iY.,'
;.#f.t~-\:1
rt?;JkF;..- '0.
'"')1
..,'r;/" .
--
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. Box 1220
Pori Townsend, WA 98368
(206)385-9160
N~ 0898
DiSlriC:l No.
5
PERMIT
In accordance with all applicable Revised Codes of Washington and amcmlmcnts thereto. and subject to all the terms, condi.
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO U.S, Hest Communications
2720 Oakridge Dr., Port Angeles, HA 98362
to Install buried service wire along Paradise Bay from mile post 3.29 to mile post 3.31
County Road No, 503609
Franchise No.
Milepost 3.29 to 3.31
No work shall be done under this permit until the party or parties 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 October 14
Dated at October 14 . 19 88
,1989
&Wfm@Wm
By ~~- .~
1.800.424.5555
GENEIlAL I'ROV1SIONS Al'I'L1CAlll.E TO Al.l. I'EI{MITS
This permit is subject to all applicable provh,ions of the Rr.:vh;cd Codes of Wushington, CM:cpllhat any provision inlhi!'. agrcclllcnt not col1!>btCnl with
such resolution shall be controlling.
A bond in the amount of $
is rcquircJ fur the protection of the county as set furth in the tcrlOs of thl.' bond.
During Ihe IlIogre" of the work soeh h""ie" shall be erected and maintained as may he "cces,,"'y '" as may he directed for the proleetion of ltie
traveling public; the barriers shall he properly lightcJ at night.
In accepting Ihis permit the petitioner, his successors ami assigns. agrees lO protect Jcrfcr~n Coullty and save it hunule!)!> frolll all claims, actions and
damages of every kind and description which may accrue to or be suffcl\:J hy any persoll or persons, corporation Uf properlY by rca..,un of the pelfor-
mance of allY such work, character of materials uscd or manner of inMallatiun. maintenance am! uperatiun or by the improper occupancy of right of
way or public "lace or public structm", and in case any suit or aelion is hroughl again" said Jefferson County fo, dallla,es arising oUt of 0' hy reason of
any of the above causes, the petitioncr, his successors or assigns, will uJlon notice lO him or them of cOInmel1cemellt of sudl action, defend the !lame at
his Of their own sole cost and expel1!>e and will satisfy any judgment after the said suit or action shall have finally been determined if adverse to the Jef-
ferson County.
Except as herein authorized, no excavation shall be made or obstacle placed within the limits of a county road in such a manner as lU interfere .....ith
the travel over said road.
Except as herein authorized, no excavation shull he maue or ohswcJc pJ:n:eJ within fnur (4) feet of the edge of the pa\'eI1lClIl.
If the work dOlle under this permit interferes in all)' way with thcdraillage of thcCOUllt)' road, the grantee lohall wholly and at hb uwn expense make
such provision as the engineer may direct to take care of said drainage.
On completion of said work herein contemplated all rubbi!'.h and debris shall be imlllediately rellloved and the roadway aud roadside shall be left neat
and presentable and satisfactory to the engineer.
All of tbe work herein contemplated shall be done under the supervision and to the satisfactioll of the County Engineer and the entire expen!>C of said
supervision shall be borne by the party or parties to whom this permit is issued.
The Department of Public Works herehy reserves the right to order the change of location or the removul of any structure or structures authorized by
this permit at uny lime, said change or removal to be made at the sole expens~ of the party or parties to whom this permit is issued. or their successors
and assigns.
All such changes, reconstruction or relocation by the grantees shall he done ;n such munner us will cause the least interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any damage to the grantee by reasoll of uny such work by the County of Jeffer.
son, it agents or representatives, or by the exercise of allY rights by the County upon roads, streets, public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other natllre to other public or private utilities, nor shall it pre....ent the County frolll using any of its roads. streets, or public places, or af.
fect its right to full supervi!'.ion and control over all or any part of them. none of which is hereby surrendered.
The Department of Public Works muy revoke. amcnd or cancel this permit or uny of the provisions thereof at any time by giving written notice to the
permittee. The permittee shall immediately remove all facilities from thc right of way. AllY facilities remaining upon the right of way 30 days after writ.
ten notice of cancellation shall be rcmoved by the County at the expcnsc of the permittce.
The party or pur ties to whom this permit is issued shull maintain at his or their sole expensc the structure or object for which thb permit isgralllcd in
a condition satisfactory to the Departmcnt of Public Works.
SPECIAL PROVISIONS:
1. Cable shall be a minimum of 30" below existing shoulder.
2. All areas disturbed during construction shall be restored to original condition.
: ,:"', n~'''-f'rr~~- &
' ""', "',' "'" r. G
~tr .':!t;'l-i,d
,...1\ "1 ~
\) t,~~; t! 1., #
In accepting this permit the grantee, his successors and assigns, agrec that any dumage or injury donc to the property of the grantee or any expense
incurred l'iy him through the operation of u contrllctor, working for the County or any County employee shall be at the sole expense of the grantee, his
successors and assigns.
. the undersigned, hereby accepts this permit subject to the tcrms
and conditions Uf, herein set forth.
()c..!
, 19 (i';!
Dated this
/7 day of
JeHerson Co.
DEPARTMENT OF PUBLIC WORKS
Permir No, 0 ~ '1 fi
Disrricr No,
f)""
Supervisor's Heport No.
Supervisor will make detailed report with his recommendation on this application JlIhenever possible show sketch of proposed
work. Supervisor will also make additional reports and final report giving date 0/ completion of work on this/orm.
Preliminary Report:
/~t:H) ;-se. Err'r' Rb.
m'-/<=- fay, ;i,'?<J
k 3,3(
Dale:
/0-/:3-2 Q
Signed:
JJ /~ ~AA-J-f
Final Report:
PERMIT INSPECTION REPORT
V""' Work covered by permit has been completed
satisfactorily.
Work Is not completed.
Recommend permit be cancelled.
Traffic control.. adequate
.. inadequate
REMARKS
Uale:
'-\ -1\ -89
SIRned:
~A'~' j(;~
:' ',~::'..' .". ,
; , ,
",
::: "
\:
..'
~i~ ; " PERM'T
""../ OUT ----L1L.-:L/
(g) Peellle Northwoat seW
pegoo Ie,s 11
No '$'8- ~~
Complete by ____
Burled ServIce Wire -
Work Order
CONTRACTOR'S ACCEPTANCE
Firm
Signature __.
Title
Unit Price 0 Coat Plua 0
Date
Fie! Sum 0 $_
"."..,
WORK LOCA nON
Address...~.:~l\ "MIliDIH t:.A.... a.!J. _
City p.,.,.,. ",....0..."" County C-C'I' P<.i<1~'v Slate~
Name~_")_____.~__ ,,_
I,
:,'
:'
, '
ORIGINATED BY OU:,K ~H~Date.&,/-LQ.
New 25/0 No,lV 00"":)_L Duo Date~RP
Repair 0 Tel. No. '13, -'$"~_ Temporized 0
Rsarrsnge 0 S 10 No. ___,_,_ Duo Date _
Typ. of S."'/t.
ee L p,lr
Zip_
Bill 10: PACIFIC NORTHWEST BELL
Attention _.
Address
City
s:!.S""
, COlgrIS.P. hfm, Addr...
:l.. \ __~~ -':::5t~;J>4"q.~ ~ ^"pnOVAL F", Fl., S"m/Coll Plu. $
Recommended
Approved by
Date__
Dale__
r
J:
Co.crlptlon of Work A~~~~~~L ~8~~~
IPAAiL," I>tfraP.,.. (()'O!...,. I~ f
~':>W r-~ ~l::"O
~ liO...." <e:~___..__ _._
PERMIT REQUIREO
Received from
JUrisdiction
DYes 0 No
Verbal 0
No._DatB__
.-
--Z;i"cze-=_ 0? 7L.,_ ___ ..__ ____
c---'---.--'- .._--
COMPLETED BY
Call
Date__
for Service Connection
'.ndl<:Bto,Nor)h
+
c'
.-"---.'. --..---" --.-
'-----------..,-'- ,..'- _.- ---
Slo.etch Work Roq\,j",;:o(1. IncJlldo Lt!lnoth" deDth5. wire !lilt:' ~nd alTlQur1t
C-=J:
C.J
'r,.r, J ~ 1"\/11......., ~H""'O ,
, L.J TYf~- 1(0"",",
.1 . .
t ....
. ) , ''Go' . (\"'I~~;.""~
-. -..:-_~-- ~Q~, ,
'.~~'l'.'_
..", ~~
r?MA P (~.~ &At,... i?JL
: 6<. 0:~H
'A S~??
'-
:,'"
J
;;;~'-;'hJ'-l'I""ld" "'''\' nol f'lfI' I'In rU:f\wltl,. '''j1It''!;IN.'",tt"" In fill d"t"U!;I; II r~~..,II'l:.l~e eOMH~etor's rH~lblllty to proporly loe:l.lo worlc In ''''011011;1
~
"
", ,.,
.... 01)';
'..' ":5!;;'!,!:~"I,S !
, ,,' ,,:, '
, ..I
'" ':',
, ','
, "
I '
,
;
.. ",
.',"
"
, "
"
','
,
',."
:..
I
"
;.
;.
" ..
:', ,.,:' " .. ' "
, '".. ..',
::::' ,
"',:: ."
,',i ',." " ,
.. ".., " , '
, ,', :', '"
, ,:,,>,
:' ' ,,' ,
" ' "
.. ' ,
',.. ,','
:, ,'.', , 'I _'
:',';,:/,' " '
I:}' ',.,,'
"', ',' "
..",
',''':'' '
':',
:, '
h ' "
I:".! '~.,'"
hL
,:
:;
" , .~!
" ,',;:"" ",
',' ' :'
" ",..' , ':'
", , , ,..,.. ',:"
',' "',:';',".,'.', .... '" .;".'
, ,",' ':
','" :,:,
'" ,::, ,',"
:, ':',
" ,'I ,"', ".., "",
,",,' ';, .' "',,
"
,.'.. .:,
..: "
,:',' '
,'.',,(
J
~"
, '
','
\,
ORIQINAL COpy
r
':
,^ .." ..,
."" "
F:'
I::;:
I ~':
,,,'
I
-~";'_:_'.";""~"';'-
a.
(\I~
0870
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1620 Jel1erson Sllcel
P.O. BOl( 1220
Potl Townsend, WA98368
(206) 385-9160
District No.
5
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi-
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO U. S. We s t C ommu n i ca t ion s
2720 Oakridge Dr.. Port Angeles. WA 98362
to Install a service wire from closure C40E 140' East to pole.
Job No. 88-304
County Road No.
Franchise No,
0.05
506909
to 0.07
Milepost
No work shall be done under this permit until the party or parties 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
Dated at Sept. 9 ,1988
Sept. 9
,19 89
&~L' ~uwWfEIDJ
By --<J~ ;(~
1.800.424.5555
,\/:,,,,
"
'....'.., '
..'
~ ;'
,,',
',,', ",
.. ,
',,'.' ;-
,,',
",
"
,
!
"
,
, ,
"','
~::
,
:.
'.'
,',.
"
.'"
,
,...
\,
, 'C
I..
"
"
t
t,'
e,'
'j
~,
~<
,
'..
'f"
,
....
"
:, "
..
'l
f
j
,
!
It,
,~'
I"~
( :
~
..
"
"
,
.. ':--
, ,>
,,',',,' ':,'
'. .." ,',' ,':"
,;:\ ".. ", ''.,..' '.'
,< "
,',: '..:,' '" '
'..:
,",." , ,
";: ::
,
" ,"..,
",;', .. '
, , "
): "
, ::,'
,',,':
, '"
~ '
:
','
" :'
..,',
I'; "
',;', ,
,.'.. '
I;' ..'
I.; ," ",,' ,"
" ',"
", 'L
"", ..:'-"
'L'
~' ' ,
"L"
, '
.. ,"
__,:1._' ___~~_ ~
GENEIlAL l'I10VISIONS AI'I'L1CAJlLE TO ALL l'EIlI\1ITS
This permit is subj~t 10 all appliC:Jblc provbiom of the Revised Codes of Washington, except that an)" pl()vi~ioll in this agreement not cofl!>btCII( with
such Ct. "Solution shall be controllillg,
A bond in the amount of S
is rCt.juircll for the pmtcclioll of the (.:oUl1ly as sel furth 111 the tcrlllS o( the bond.
During the progress of the work such barriers shall he erecled uud maintained as Illay be Ilcccss:.ary or a~ fIlay be directed for the protccliollUr tlie
traveling public; the barriers shall be properly lighted at night.
In accepting this pcrlllillhc petitioner. his successors and assigns, agrces to protect Jefferson COUllt)' and !>avc il harmless from all claims. actions and
damages of every kind and description which may accrue to or be suffered by any perSall or persons, corporation or properly h)' rea~OIl of the perfor.
mance of any such work, character of materials used or maImer of installatioll, lI1ailJlenance and operation or by the improper occupancy of right of
way or public place or public structure, and in cuse any suit or action is brought against said Jeffcrson COUlll)' for dallltlges arisillg OUI of or by reason of
any of the above causes, lhe petitioner, his SUccessors or us!oigllS, will upon notice to him or them of COIIUlleru;ement of such action, defend the same at
his or their own sole cost ulld expense and will satisfy any judgment after the said suit or action shall haye finally hcel\lleterlllincd if ad\'crse to the Jef.
ferson County.
Except as herein authorized, no excaVatiull sholl! be mad~ or ohstacle placed within the limits of a county road il1.!>ueh a manllcr as to interferc with
the travel over said road.
Except as herein uUlhorized, no excavation shalll,e lIlade or ohstacle placed within four (4) feel of lhe edge of the pavemcllt.
If Ihe work done under this permit interferes in any way with the urainage of the count)' rouu. the grulllee ~hall Wholly and at his own expense make
such provision as the engineer may direct 10 take care of suid drainage.
On completion of said work herein contemplated all rubbish and debris shall be immediately removed and the roadway .1Ild roadside shtlll he left IIcat
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall be done under the supervision and to the satisfaClion of the County Engineer and the elllire expense of said
supervision shall be borne by the pany or parties to whom this permi, is issued.
The Dcpartment of Public Works hereby reserves the right 10 order the change of location or the removal of an)' structure or structures authorized by
this permit at any time. said change or removal to be made at the sole eXflCllse of the pany or panics to whom this permit is issued, or their successors
and assigns.
All such changes, reconstruction or relocation by the grantees shall be done in sllch manner as will cause the least interference with all)' of the COlln-
ty work and the County of Jefferson shall ill no wise be held liable for any damage to the grantee by reason of any sllch work by the Count)' of Jeffer-
son, it agents or representatives, or by the exercise of any rights by the Count)' upon roads, streets, public places or Slructures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other nature to other public or private utilities. nor shall it prevelllthe County from using any of its roads, streets, or public places. or af.
feet its right to full supervision and control over all or any pan of them, none of which is hcreby surrendered.
The Department of Public Works may revoke, amend or cancel this pennit or any of the prmisions thereof at any time b)' giving wriltcn notice to the
permittee. The permittee shall immediately remove all facilities from the right or way. Any facilities rell1uining upon the right of wa)' 30 days after writ-
ten notice of cancellation shall be removed by the County tit the expense of the permittee.
The pany or panics to whom this permit is issucd stlllll maintain at his or their sole expense the structure or ohject for which this permit is gmnted in
a condition satisfactory to the Depanment of Public Works,
SPEf~AL Pt~~\S~oN;:hall be installed a minimum of 30" below existing shoulder.
2. All disturbed areas shall be restored to originai condition.
I I ",
1\
,',
:.~.; ~-; ~ ':~
~f,
In accepting this permit the grantee, his successors and assigns, agree thlll any dllnlage or injury done to the property of the grantee or any expense
incurred by him th.tough the operation of a contractor. working for the County ~r II Qunty employee Jl he at the SOl," eXllCnse of the grantee, his
successors and assigns. {). 5
PACIFIC NORTHWEST BELL ,tile u'n~::l;d~ 'hy ncccpts this permit subject to the terms
llnd conditions as herein set forth.
Dllted this /:z.
dny of .s~;VI
.19 F.Y
MAflAGER I & M
2720 OAKRIOGE DRIVE
PORT ANGELES, WA 98362
M;e t?-U,..t4?U
c#,."
^flfl1u:mll
"
"
" '~~: I.:" :
--- '... \
, .'
.'
" '.:.:
,
,,' '. '..'
,,' '.
, :"
," .. ,",.
, ": ':"'...'
, ' , ,,'
: "
I ,', ""
.:"',,, "
: ': , .;,
i', ·
, '
'.' :',
.'
1
..
l'
"
...' 'o~:
!.",;
:.'
','
,
,<
, ..
: .
,
,: '
"
, .,
'.,...,. .:
': '..
'.., , "',
....
':" "
"
, ",'"
.' ,', ",:
", '....
',.' ..
'"
..
'..
'::,
":""
" .' ,,:', ,....:.,' ,,,:,
"," "
>' ," ',"
, :.. ;,
" :.."."
, '
': ,"
,---8
,:',. .. '"
,.',.", ',:
'..:'
'. .",
'", :
~:'d;
..', ...'"
..J
,
:
;',
'::...)..'....._.".;.....~'.'~ ,J~,;,L.~.
, . ,--'..' -"'" ",'
.:.0 ___._"".,..______._._
31. 88
06
AM
POl
OU'I:I rr:tlli
PerT->if 9-1
@ Paolilc North"i"" Be/l
Burled Service Wire.
Work Order
f1IOOO I6-W')
No~?:~Z
Complete by ____
WORK ~OCATION
A<:IOr~as ,qo I' I\'\~,,--, ......_
Clly r,A t..uJ\o<&....,_ CoLnty ::S~~ctJ Slete!Yll
Name l',\\\ 1...:";56",)
CONTRAC rOR'S ACCEPTANCE
Flrm,..__
Signature
Title
Unit Pri1;:e 0 Coat F'ful 0
Date__
FIBl Sun. 0 S
ORIGINATED BY f!.","1 w\"M:..ll\1_ Dala 8/3,1'6"8
New 0 SIO No, ____ _ Due Dale_
Repa" 0 TBI, No, L(37-'173'! Temporized 0
ReArrang"~/ONO' Due Date_
TyP9 Of SirviclI
[F: . ,.......
Sill to, PACIFIC NORTt1WJ;ST DELL
Attention
AOdress ___
C,ly_____
Zip
Torm, AddrlnJ
APPROVA~ For Flal SumlCost Plu, $
Recommended
Approved by
Dete_
Date_
A~:~~~..l ~A ~ar,l~
PERMIT REOUiRED
Received Irom
JuriSdiction
DYes 0 No
Verbal 0
No,_Date_
COMPLETED BY
Call
Date__
tor Service Connection
~...~- ~~ .J-
rS.~tCh,WOr< H',ou,rod' ~ncr~d. Length', d'"'~' WIf. .1,. ond ',mou,n, ,
I,----=-:-~_.~ .--~~-. - , ,--~~-:~-~
1-'-.--------'--' - -,-
, L-r-~ r~E ~.
c:.-IOf=.' , , '(t.{:Or: ' ,
BSW
'I~dl~-~;~ ';.io~~;;----l
, '- '1
,.!!4f'~E_
- - - -,
--;lo bl' y- , .;;"""'"
, : : ' : :-->L : : rs<?l,{3/~91~Y:
" ,,~~-:-~L~~S,
t.ll\~i ,I\J{,
e;.; \:v .
o:*" - ,-t-:, mLk
~\,.o,'"
,..---'
/t)!?6!..... :
W-~~:
~,
t'JOI~'- Thl~Ch_;;;Y.~Otbe-;~~~;~le;;~;e;;;ni~iIO~.~;~ll;'l...!'~ ~t r~r""IMS 1M eontraelor's rt!lI'O":slblll!y to p.O!:'t""Y 'Oetlo1e YMfI< In th,
OIIIGINAL COpy'
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fec Paid_ Yes _ No
Rcu:iplNo.
AddrcssRcquest_ Ye>_No
Mile Post
1820 Jetlerson Street
P,O. BIJK 1220
Port Townsend. WA 98368
(206)3B5'9160
AI'I'LlCATION I'OI{ \'EHMIT
To Department of Public Works,
Jefferson County, Washington,
The undersigned fA, s: &lest" (fJcJk:. Rid
hereby app/~ [or permission 10 6"'.7 t<.
r~"~ clo~"",," C '10 C l'ftJ I fi<<5f
&j~)
5-er~::,,:;;:., ",/::!.:,.;.,,> .;;;,f:;;r, '" ",1,,-k.
-p /-k,
/,..
SKETCH:
{s=, u I/-.c~"".1
RECE~VED
SEP 2 1988
JEFFERSON C:.)UNTY
ENGINEEFcS OFFICS
On County Road:
.A'rk
bel ween
(S(a/I' /It'f1rt.\/ I'rmHUt'l'1 ur mil.. {Ioilll!
and agree_ 10 do the work in accordance wilh your rules and reb""aliofls and subject 10 your inspection and approval.
Dale 9~1 19~
44~ 4.,{~~
(COnlra,IOf)
ISillllUIUfcuf Al'ph'::lInU
(If applicanl is Ii copartnership. set forth names of copartners)
7720 a.Ad4,.. fl -
^Ihlrc\~ ~ ^ddIC~\
-~&~/
Phon' Nn, ~e; 2- et'9 Z C)
Phone No.
100% Recycled Paper
I ". _.,_____-___._...._'_' _ ' ,....,..,__....,.".,..,_,.,."._",._",,-.-'-...::.1""",'
tJOle Tt'lI, ,~elch ml3Y 1101 be M 9CCura1e '~r'l'''~enlc..IIO~. In 611 t.le~l'I!'~, i1 rernr\lns the eonUaelor'~ 'e'lS~"SIb\my to p'ope"'Y I~tlh~ wol1< In '~' '"""
ORIGINAL COpy'
',",- ,:,' ",,", -':'"
,.,._.,.____'._ ..L___.'__ ~_;--:....:,
Jefferson Cu.
DEPARTMENT OF )'UnLlC WORKS
'61D
District ^'o.
~
Permit No,
Supervisur's n.elJUrt No.
Supervisor will make detailed report with his recommendation on this application. Whenever pO!JSible show sketch of proposed
work. Supervisor will also make additional reports ami final report giving date of completion of work 011 this form.
Preliminary Report:
NO o:fcH /,...1 ~"..s. ~eA ~ AleeD i-o :21'o15.,-n<-<.-
(pF ';0" "?e/-.ov-l e;c.'Sl-; Nl ;$'/Io'-fL...i::>eA?..,
/i- /J.11/v.,'Ml.fH."
Date,
9-B -86
,./1 /..-:tr I<~
Signed:
Final Report,
PERMIT INSPECTION REPORT
/ Work covered by permit has becn completcd
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
REMARKS
Dale:
...( - II - 'i', "
A-r4- r~
SI~ned:
ClI,' "WI(' I'NI"'i'ITNS. l"'ie.
~"'"
APPLICATION FOR PERMIT
TO: Jefferson County Department of Public Works
Courthouse
Port Townsend, WA 9836~
The undersigned.
P ,.q-"j IS Q W P ,.J
hereby applies for permission to c./PI'/rd
\) , -1-,.. A,(
"":~pj;o,,y
,
<.' 'DQE'f n;-d
SC,^T'I'I 1",,,"" ,k 0 ,fl'r ,v",i<:rtl END
\; w;L/..ov-J
--'>>> ~
- l) i~e. rl
,-
Sketch:
r.!..
Q)
~
<::r
?
On County Road IAJ.. (/ v w s....-,
11\/, Il1 "'1' \ p
~
7)
:?
between tAl, iTL.D -eiC- /!--NO
and agrees to perform work in accordance with all rules and'regulations applicable as on
this qo ument and subject to inspection and approval by JEFFERSON COUNTY DEPARTMENT OF
PUBLIC :is / r0 '
!', ? '
~; --~4L.- "
App icant
It / If) 7J1~4d ::;1-
AiZSSj ~
W' 7'r:J?~
,2-It-P!'
Date
&~~~@W~~
4.37 -272~"-
Phone Number
APPROVEI) BY: ~~ KAL
DATE: 2 -/7-BP,
Page I
(please see reverse)
PER M I T
PERMIT NUMBER r;J';,2-17-(
COUNTY ROAD NUMBER 5076l:J(
Subject to the fOllowing terms and conditions, PERMISSION IS HEREBY GRANTED to Applicant
to perform work as described on the reverse of this document.
This permit is con~itioned upon Applicant's compliance with the general provisions set out
herein, and any special provisions attached hereto.
GENERAL PROVISIONS: In case of any damage to said streets, avenues, alleys, roads, high-
ways, turn-outs, gutters, ditches, wood or concrete walks, drain pepes, hand or embank-
ment rails, bridges, and any and all other appurtenances by the Grantee, the said Grantee
agrees to repair such damage at the earliest time possible at his own cost and expense.
The Grantee, its sucessors and assigns, agrees to protect Jefferson County and save it
harmless from all claims, actions or damages of every kind and description which may ac-
crue to or be suffered by any person, persons, or property by reason of the performance
of any such work, character of materials used or manner of installation, maintenance
and operation, or by the occupancy of rights of way by the Grantee; in case any suit or
action is brought against the County for damages arising out of or by reason of any of
the above cause, the petitioner, its sucessors or assigns will, upon notice of commence-
ment of such action, defend the same at its sole cost and expense and satisfy any judge-
ment arising therefrom if determined adverse to the County.
During the progress of the work such barriers shall be erected and maintained as may be
necessary or as may be directed for the protection of the traveling public; the barriers
shall be properly lighted at night.
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 Department.
++++++++++++++++++++++++++++++++++++i++++++++++++++++++++++++++++++++++++++++++++++++++++++
Permit Inspection Report:
Inspected By /J~;( L
Page 2
Date
'1 - 11- '89
:'. ,,",., ,', ",.'
.' " "
.:' ..:' "
1 "~~FtFi .' ".,', ,,',',.. ", '
", ":, ,
,', ,
" '"
;".:' , '
, "
:"i: ...'
, " .' ,\,
.:. ,
" ,,' "., '---
,;:.' "".',' " '
.', ' , .', '," "
:' ,
:', ' ",'
, "',
" '::'11.: :".'
: ':.:,1." .'.,
h" .' "..
,< ",
, .'
l:~
":,,' .....,
"," "', '"
'..', ,
"
",
:', ,',
,
..'
, ..,.,
.,','"
, ..
..'
,.', '
,
:::"','
'.
,
.
i
:,;, ,
""
,.
:.'
.'
1
i'
..'" "
,
" "
"
,', :
"
',:' .'
, ;;'
"..
,
~~:'...':.."
, ,:<,,'
, " ,:
. ,,'.', ,.'
"
, .
, ,:,'
, ',,' ':'"
, "..,
",.",:,.,. ' " ',..'"
, " :,
, : ' ."", '
,"." .',',' ", ,'..
, ',. ,'.,.
, :' ,."
...;','
, ' ' "..,,: ':',
, "
',' "
, :'
'" ,,":",
", ,,"
-', ,,' :,'
,," , '"
,1\ ',.,
,:,',." " "
__---.2:~
CDUNTy'ROAD ND.~oS~
STATE LOG NO. --------
MILE POST ~
OFFICE USE ONLY
I
~.
PERMIT NO.1.~~ ~
I,
,.
(
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. WA 9B36~
FEE PAID ~Yes ___No
OFF I CE USE ONLY
.3bl/"?!: rm..c7c9.5.oo
CHECK ONE:
li2f RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is herb,Y mad,e for ,a permit,t,o cons~t, operate and maintain~~ approach.
Please describe loaction (attach map or ~awin9) ~""c-<d;,.<;...P ~.::; ;::;; :.:1'... ~
Q f,./o. v 77,-u...c.. Z UJe6T' V,J ,.{41~O l<r'.-P ~r;.r,? =Cl /
,7 ?1..,1"<4 ....~r //~',=5~// /V{..ll)(/'e-r'/-~h.., ,/f<. dC!:"(!/t',-.,;< z::\ (J/?&#:::07J!
Applicant agrees to perform the war};: in strict compliance with the terms and conditions set
out herein, and any special provisions attached hereto.
Applicant Name,1)!t(/r- v L J//tPh-t:,,<., Contractor Name -C;e 1+
Addres~;;~ ~~4t:~;'~~~- - ,C; T Address
Appl~cant Signature ~~~~D~~;/~~/.(z- Contractor signature
Dat"'~~-:::7J~ ~ PH~NEk",-'5'7 '::::Z',{ ~'7 Date JII
Note: Indemnity provisions of paragraph,. 2 :..nd .3 -on reverse side.
..
PHONE
PERMIT
Subject to the terms and conditions on the reverse side, PERMISSION IS HEREBY GRANTED to
Applicant to construct, operate and ma1ntain a road aFproach as requested above, and any
special provisions attached hereto.
No work shal?-, be done un.d,r this permit until the applicant or contractpr has notified
,e:, row/'" rf-Iu("J~,e.)o.c..J ,telephone r ~5 -W6o .
APPROVED By:r!!!E~P) @rU.. J. &--> Date ~3;/~/ //,y
- \ / ,<
,
&~~OO@Wl8ID
~rk cove~ed by permit has been completed
------- satisfactorily.
PERMI~ INSPECTION REPORT
CAll 48 HOURS
BEFORE YOU DIG
1-800-562~478
~ork is not completed. ,
_______Recommend permit be cancelled.
_______Traffic control - adequate
inadequate_______
",
REMARKS
Form 113-0 (ROllA 2'JlZ)
INSPECTED BY: /tA2t KL//]
,
DATE '1-11"89
..
~
"
, "
, ,":
,
.. :, c';,' ,
': ',' ,",
~, .'
,',,',' ','
! ' " ,,', ",',"
'"".," ..;
I ' ,
~ " ." .',
[, ,'.'"
> "
, ,
,'..
".'
, ,'"
, '
..
,
:'
,;'
,,',.
",
'"
,
"
..'.',:'..
, :;.,:
,
!
,
..
j' .
j
GENERAL PROVISIONS
1. THIS PERHIT IS SUBJECT TO RCW 36.75,130, .1~0 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 KIND AND DESCRIPTION WHICH HAY ACCRUE TO OR BE SUFFEREU BY ANY PERSOtI.
PERSONS.. OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK. CHARACTER OF MATERIALS USED OR HANNER
Of INSTALLATION; 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 PETITIONER. ITS SUCCESSORS OR ASSIGNS WILL. UPON NOTICE OF COMMENCE-
MENT Of SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISfY A/iY 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
~~D~~~ ~ F~:R~b[D ~~~M[~~~D A~SR~~FE~~ ~H~A~~U~~Y T~~ ~~~g~g~~~~ I~~ T~O~HP~Rg~7~~~~~ ~~ T~A~:~~l~~ '2~G:~~~E ~O
q. ~~Y T~~~A~~R~~T A~~ ~~ NT~~ ~g~~+~~g~~o~NeO:~Q~~:~~~~l~ =~;~:~ gaD~Ay~R s~:LtU:5B~~C~H~H~~R~E~~liH~O G~:~n~_
LATlON AS HEREIN PFlOVIDED.
5. DURING THE CONSTRUCTION Of THE fACILITY, THE GRANTEE SHALL COMPLY WITH THE t1AM.lJ.4.1 ON UNlmRM TRAFFIC CONTROL
Dfl/ICES FOR STREETS AND HIG~ 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 ROADWA'f AND ROADSIDE SHALL BE LEFT HEAT AHD PRESENTABLE AND SATJSFACTORY 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 MADE AT SOLE EXPENSE Of THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS.
8. ~~~ ~~~~T c~~~~~~ER:~~~N~l~~cr~~No~R T~~Lg~~~{~~ S B~o~~E A~~A~~~~E~~~~L c~~N~~NiHltL S~~H N~ ~~~E:E A~E~~Lt I ~;~~E
FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITS AGENTS OR REPRESENTATI....ES,
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 BY MADE.
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
~O~~~~U~~I~~EA~~~~nZ~~A~~ ~~lgNP~=~I~O:I~~Tij'T~~DC~n~~~)~E~I~~~~O~~~A~~EMENTS' AT ALL TIMES DURING THE
THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE_AL-
APPROACH. A .2.() FT.LENGTH OF /~ 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
~~~E~~~~G A~~ ~~~f~~~D~A~~R T~~O~p~:~e~~E S~:~~E=~V I~N~gC~~~~~;E R ~~~~_~~~W~~O~: t~ ~g~T:~L P~:MW~E~7AN.
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 ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANTEE OR HI S AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED FROM BOTH SIDES OF THE
APPROACH, THE INDISCRIMINATE CUTTING OF MERCHANTABLE TIMBER OR DISFIGURING Of ANY FEATURE OF SCENIC
VALUE SHALL NOT BE PERMITTED ON COUNTY ROAD RIGHT-Of-WAY.
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M. AND ~:OOP.M. UNLESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
A SURETV BOND IN THE AMOUNT OF $ '''WRU!~f\ill'~~~' ANY AUTHORIZED TO
DO BUSINESS IN THE STATE OF WASHINGTON, SHALL BE FURNISHEDr!l, I $UR\illPHP~a' tl ANY AND ALL Of THE
TERMS AND CONDITIONS Of THIS PERMIT AND SHALL REMAIN IN fOf\~ (U t\ll. r.h"~q~ HIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTY, ~~.c.'.~ J 'UU
BEFORE MlY LOG HAULING OPERATIONS BEGIN.. A SURETY BOND IN THE AMOUNT OF $_ . SHALL
BE fURNISHf.O 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 SHALL BE SECURED BEFORE THe BOND WiLL BE RELEASED.
o 8. SPECIAL CONSIDERATIONS
01,
~.
~ 3,
fU ~,
0 5.
0 6,
0 7,
Form 113 b
.
...."..
'-~
, ,: I
,...
-' ,
~,,',.<,..;,
" "',
",
..
'" '
,,' , .'
, ':"
',' .' ..",
, . ',,',
!, ",
, ...
,> .:'
: ',..: ,
" ,..'
,'"",.. ',',' ,"
~
.....' "
:. '".', ,
.'
'"
,
,",. ,':.,.'
""..,' .
",'
, ,',
:.
,
':, :'..' I
" '",'
" "
" ;:
:.:",
.':.-:-......~.~.~
.01"
.'
-;- -J:-- ...:...-.~- -. ...
'--'- "
ft~:'
f
t
'., t-' ,~.. -.. ,.'"
L) ,
r7
I L.....
---~. --...----- ..--....----.-- '--'-
,_ .. .. TYPE P-I " " _ '"
..:-' ~:, ::... .. f'RIVATE flOAD APPROACH " ,'......
~-!~;JH~~: T;~~j:;l,;~~~~~F -: ;1" 1t'-' _,~J: H-~=~~:?~~{ r
... - :'T~;' "... ..-~ - --- ~- ..- ~ --- _..
; . -: . ~ to'lftin.24'lnGa. .. -. . _.--. ..
;:
....";"h
.-l"":"
..
'" '
~" .
,/ !:: i " - ". ,- ''',
/j , J Dil::~:';;;~~I~'lng "II~~~~" -~-
.r~a'1i ...-..c.I.....~.. ..... '-'-
---
,.
.'
1~_~;1~:_
", ,",'
...',.,'
;:
, ,
, ~... .. .. "" j:
. : ~ :1'rirr:Ot '
. . .4.oio .in. cuiw.rt -, . to ",In. "ad.
r ..
I
I"
." ..Edll' eloll...,.., ,.;I . :~: ,.-:.::_.
:':{ ,,' ::' 'J. .:,"~. " ',;':'.; ...,_,_. .
I .. ...
t.
.. ,
~O;.I,", '" .. ._"; .', '".,.'
COUNTY f1OAD,
- Vor", .::'-
.---.. , ".:~ :~
l, .
,] : ..:,:
, ,,'
<;, ,,'
, '".':,..
" ".,.."
',' '..,'
, ,
.."
:' 'Jl..., '....,._L:.,~_,:.: l,'" :r=':"-"'~~"'_.'::.:.__:.~.~:~~"1,_,_~:,:_:,-..,:,':'..'.::-"~.~,,.,-~.:. _~.'~:~ ",:.',',:--.,,'..:,' ,i.: :;' -..,:~~.;...,:..:',,',~.:~,~~:_','~.".,.,,".:.', : -Ed90.,':';' :,':'1~:" ,.,_.~:'"'~~~_.,~,..;:'::',_-,,..~~ ~ ~;t, R"<~~ ~~: .~ ,,~~,:- ,- , ~;~:=~.:
~ - - . ~ , ~. - t .},:~ - ~;;~,~:~ ~ ~I~-~:~~r ~Jt~!i::'
......~._.. .- _._...~.-. .. .--_.~._.
. "-;"'-"", ; ._" ,.-..,.. -- """~ .'l!!lred ' It tv. .', ,.--:- '::-:--i :' ::,:-:- :-L:-..:::':'::-"" :j :.::_; -:". "
..::":::-:0:-- 7':-:: ~"".:'::':":~';":,.- .. :-. _. #1
1.1 ::j::.;',t:~:-;I1:~;;: ~~.;Ii~'.; j':'''. - ?:: ....,IL J2"c.iv.,; ~"~:"f:; ,]3:::';: ~__ ::l :::~ ::~i~' _:~:~' .-:-::~,:
lii~~B'~::;"r~:~~r j~: ;:~.1f.,~', ::. ,~::~~?
f,
I
I
,',
-~
.. ~.
h-'
F'.:.
,:;';':<"
~
:::::
Ii
--
ft.;
.:..:
~.
..,: ",'
:::'.,',
SIGIn' DISTANCE REQUIREMENTS
. POSTED SIGIn'DISTANCE
SPEED LIMIT MINIMUM DESIREABLE
f.
,'i.
'..'
',':
,
," ,
, ,
, ,
'IlcrrES:
25
,SO
35
40
45
SO
160 FT~
200 FT.
240 FT.
275 FT.
515 FT.
550 PT.
200 FT.
240 FT.
275 FT.
350 FT.
410 FT.
475 FT.
1.)
Culvert ahan aeet ainlaum apecificaUon"
'tor HS-20 10a41n,. Approve4 types Inclu4e:
1) concrete
2) corru,ate4 aetal
,> corrugate4 polyethylene tubl,ng-AASBTO f2,J2)' .
COlDlt)' road ahDul4er shan be left at n "
existing profile.
'"
r
,:. r
2.)
..
. <i'/'~:: I
" '
'.
f,'
APPROVALS :
--, ,
',:
#7 tl. -P-...- DateJ~h.?:
o.al......n, BDard of a ClLJ_ ~A.i, .','
County Commhaloners , //7 <.(c7/./.te.1.AL ..) Date!).:i:..:f).; '~:;\
..~" .,..:" :'..--~.. ,"-:, .,~;;
- .,-..---.-- ;.: '.;
,~r__~i", "
,: .
" :,:,
"':'"",,'"
" ,'.. .. ',.,
, " '..: ",:.' ': ,:
' ",: ',,:"" ",
,,' ,,',' "..,",.
, ','::i.';,
, ,'". ,:
,..' '" ,,'
: ".', '. ',',
': ,
" ,.... :',,':....'
.. '..', ..
':, ,',' ;....',
, "
,.",:,
" ','
, '," '",'..
, ';: ,',
, ',..' ::" .."
~'""'.."""":",,,
," " .,:, ','
, , "I"
'~",:,
,
..
Director, Department
of Public Works
'1'.~;'.:\~
,..,
:'''.::
:,,<,
, I
I
-,,:''.,',,
ii,,' ,!",,:,,:,'
",.."
,>
\',;
.','", ,!
':1 ~" . : ,: ; ,
. 1'..... iis-=.';, :.1-'-:, CO'"
,',",
::", .
, "
, ~::' ~::bawlll :n
,"', ".
I,
\,
.:~--:-..I'.:..-.._..;..,~.. ~.:r'.
; '.,..
:,-;',.-
,,":'
~', ;
; ~'/ :!.~~~
". ~.,.~~""'t>~"'rr~ 110.... ,':
'\:,\
,
i,
.'
\
,
"
'. 'I
"
,'i.
....",::" '::
, ..,:'
: ,:.:"..'.. '.. '
:': ..'..' ';.. .
'...:' ",'
,.,'<.. .,',
, ',',', '-,.',::,,',
l' ," : "'" ' ..'
,'" ",'.'.: L
I: ' ' "
I" ' ',.' :,' "'"
I; ::',...., '... ": .... ",
:::.'L
I>:, '
L-"
~
'? -j'- ?....,
r;fl"".C'.~ ,~;/~\
"~I 0__",
( --' \
- '~,'-,
\~"/
' q 0....
"~6
\ C<::[; ..y
'-'/' fr;
\~
"
\ Bco,f<~
'--/ .-'
/-----"
t .s:T-,--
~/
. -:'0,",~ rr s;-je
. ..ot~) 1
')<?~~/"')..t
..~'<'/
0-..1....-
0....-
,./
, . ..;::Y
'?'~ /~ '0
~~-'}~
'?'~W...
I I
I
I
I
!
(f)
;e
;;;
>- ~ .
<( 0
Ill, ,....
CD ::l
~ <0
.0( .09 66
W
(f) >-
~
- Z '0
0' :) Z
0 0 0
<( U ~ u
~ ~
0:: z z
0 w
~ U') ::c ....J
0: (.f) ~
W ~ U
u.. ~ U')
u..
w
'''')
.-....--.-.--.....-.--.--- ----
P-
"
"
N
i~~
,.... '"
C\J ~
l-n -,"- -. "
,to. ~ I,.... ,cO,
! ;,-- ~. : ~ ._-.
9. N ~ .g' ~
g. "---' ..'00_.... ._. .: ---__1_.___
~'~. ~-:- ,~~, ({] dn-~ '
~J~ '--~~-tf"~j~~-~-~ ' I-
. Rj = 'I'~~J;;-r-~'" IJ,--,--r.-
w, Ii' .._~-~.._'::. ' wi' ~',.... C\J
g/ & :. RJ '. '" .~. f-.. '" Ie
~ JU ~ .2. .o~ ~ ogLu ~.41 ' eJ. ~
? '0; I" ,. l1i,-" I ,l1i-': 'I -. f'<><
, ~-!C\Jil") '<te I ~"II")IC\J:~
,
$: ~
" ...
~<.\.- :;
<.J -:::;
<;).0 ~
-...l..
8L.._.? _
I")
C\J
~
, ,000-9
1I'~,c': 1"), I
...;O'i. I ~ I
*1 .~ .~I
:::Iw - <D
I~' ~-
11/)' r-
Oq}l ~ _ocl~ 'st ~I
,09"6C;c;l MJ.b'ON
fill~~L 1
I
~"'~~.l
~,.J.. ,14 rill ~ ,"I"..T
~irt -
'Ill,,'
';;;10 -
0'1 uJ ~ tJ1
I-
<(
-'
a.
~
2;
Z ~
, .~ "
"
!
t. I
~ I
.;f I
01 '
;:" . I
'::.'~ I
""~I I
~"II
C\J....
~,
~
General PrOllhions per JIl(ferSOn County Onli. : 2-81 "nd ....AC 13b_40,
1. All worle. dOne under uid franchise shall be done in a thorougl) "nd wor~marll H,e "Ianner, In ttlll I"i"'!!] of underQrOund ~dtlt,'lIn...s and u:.>le~
COnUruction of other hcillttes <lnd the opentng of trenche~, th~ tU"Ill'lino unCt'r county roads, riq!,t~.of_..It)' or ottu:r CDJ"~1 uru?t'rtll'S, t'le
sh,,11 leave SuCh trenches, ditcf1e~ <lnd tunnel!. in suCh <l ...al <IS to interfere"~ little as POssIble w't" pull'!c trd~el 4nc ~'lo11 t4kt' ,ll dJe
necesury prec<luttons to guard the ume SO th<lt dC"ldqe or Injury sh,,1' 'lot occur or Itrtst' liy n'"soll to' sucr> worllj onl.! ""ert' .ull of Suc" trencr,...s.
dttches or tunnels <lre Je/t open <It night, the grantee Shall piau' .."rninq 111)hU "nd bllrrlcadl's dt sue" 4 uoslt,on dS t'J gt.... llC...q..dle "unlng of
i~;~u;~r;~y i:~ 1 C~:n~~e n~~~~~t b~o J ~~~~:r~r 9~~:d i~~U~{ v~o w~~~~~~ ~~ ~~~S~~~n~~~~~m~1~c~:s P~~U~~~~e ~~s~~~n~~ ;l:~~~~~'n:~s li~d~~~ e;~~~~:t'~r ne~lec t '~~
2. The grllntee, its successors or lIssigns, Shllll COl',,,ence COnUruction under Such permit granted by tht' County [n91nt'er ...tthtn the till'ot' periOd sUted
in SuCh ~nnit "nd shlll! hilve completed and hlllle in nperlltton sucn port ton of the System of improvements lIS Illoly Oe speclftt'd in such pennlt or the
rlghts therein conferrl:!d upon the grllntee sh<lll ceast: lInd termindte in~ojar liS ulIOccupted Urlftlts, rOcldS, etc., <lrto COncerned,
3. The grantee shall lellve 1I11 streets, avenues, 1I11eys, road~. hlqh..ays, rlghts.of-wllY lInd other COunty propertles, .ftt!" l.ying and installing
mains and doing construction work, mllking repairs to eQutprl1l!'l~. etc., tn u good and ufe conditton tn 1I11 respecu U they ..ere t.l'fore tne CQ'!'ll'lt'nce-
ment of such wOr~ by the grllntee, its lIgents or contr"ctors, 1I11d 411 recorded monuments whiCh h4~e been dhturbed or dhpl4Ced bl trlt wor;.. Shllll De
reset to t~e specifications CInd lIpprovlll of the County Engine!'r.
4, In cue of ./IIny dAmage to Solid streets, avenues, lIlleys, rOllds. hiqh.."ys, rights-of-way or other county properties, or to paved or surfaced rO'd-
Il'YS, turn-Outs, gutters, ditches, ...ood or concrete ...alks, drain pipes, hand or embankment ralls, brieges, trestles, whllrvt's, lllndings. or IrOnulllt'nts
bl the grantee, the said grantee lIgrees to replIir such damllge lit the earliest time possible 4t ltS own cost "nd e,lpense.
5. When the County Englneer detennlnes that lIn emergency situatiOn does uist, he mlly order and h,ve done lIny .nd 1I11 work considered necesu,.y to
restore to a safe condttion lIny such street, uenue, lIlley. road, highway, riyht-of-way or other COUf1ty property lttft by the grantee or agents if1 1I
condltion dangerous to life or propl:!rty. Ill' mc\y Cduse to be replllced or reset recorded I'lOnllllll'nts if 1I grllntee fails to replllce or reset ume wlthln
1I rellSonable time lifter completion of COnstruction. The gr.ntee, UPOn demand, Shall Plly to the County dll COSU of such constructlon or retlair .nd
of doing s.uch work.
6. All construction or installlltfon of malns, villves. pipes, poles, cllbles, lines fltting llnd fllcillties, servlce, repllir, or relocation of the
same, performed along, over and/or under the county rOllds, rig..ts-of_way or other county properties subject to uid frllnc~he Sh<lll ~ done fn suc~
1I mllnner as not to interfere wit~ the construction, operlltlon tlnd "l4fntendnce of Other utillties, publlc or privtlte, drllins, draiMg!: ditcheS lInd
structures locllted t~erein, nor with the grading or i~lprovement of Such County roads, rights-of-lOlIy 01' other county propertfes,
7. Ttle owners of .11 other utflities, publlc or private, lnstalled in SuCh county rOllds, rights-of-way or other county propertles prior ln tilflEc' to
the Hnes lInd facilities of the grantee shall have preference as to the positton IInd lOCation of SUCh utilities so instlllled with respect to the
grantee. Such preference shall continue in the event of the necessity of relocllting or Chllnging the grllde of lIny such county rOlld or ri!Oht-of-~lIy.
8. The grantee. dS far as prllcticlIble, ShAll construct new utility facilities underqround, Extension of overhead facilities fo110..1ng Ureets.
lIvenues, WlIYS, bouleVArds or thoroughfares slJal1 be Undert,,~en only wlth the lIpproval of the County Engineer; PROVIDED, ho..e~er, thllt SlIfe 4~prOlllll
shlllt not be unrellsonllbly wltnl'1eld, Grllntee shllll convert l!~jsttna O~erhead facnitles to urlderground fIIc111ties as lInd ..hen equtpment replllcement
15 Undertll;.en, or lOlJen other e;o.15~lng ollerhead utilities Me plllcec un~ergroUnd, unless such replacement is unSllfe, i"{lractiClll, or economicelly
unrellsonable. Line e;o.tension pollcies And procedures estllblis~lt'd by the grantee. anc uf1ifonnly applied through its ~erllice Area, shall be the
slllnc!ard in detenrllning what is "prllctical. imprllctiClll or econoonical~)' U'lrellSOllaolt!" und!:'r this ordinllnce; provided tl1l1t no new overhead utility
facilitIes shllll be constructed or establiShed in any "rell set asiee for public par;', school. playground or lIUlletlc fleld purposes.
g. Spechl Provisions:
@ Pacific Northwest Bell
Burled Service Wire.
Work Order
PQQQ() (6 e 1 ,
1.0 s,"f;- ,{jy
Compl,"" by _ ,_._.. ,",
WORK LOCATION CONT RAGIOR'S ACGEP I ANG~
Address -j.J.~.aA Firm ____,.._...._,___
Clty!Pp.,. ,se .,.... Qunty 5,;FI:.._._ .SlatejlJA- Signature..___
Name ,~-L0__ TltJe_._________u _____.__Dalc_.
tJnit Price 0 Co~t prlJ~ 0 FliH Sum 0 $,...___
ORIGINATFD BY --liL'=:U>_~....__ Dale ~_-:?!J-<r;'C
New !'\(J S/ONo,tJ()!?::!~_OueDaIO__, Billta, PAC,FICIJORrHWFST B~LL
Repair 0 Tei. No, _"I) ~'2 'fO'1- Temporized [j..,V<J Allenlion ___ '
Rearrange OSlO No, ' Due Dole ____ A~dress
Ty;;e ot Scrvic9__1 ,}";.- ~.. City._..___.._
E- CRt Pair cOloriB~;;~-L.----;:';'-;;;~ Addf~S --
"T," -;1:;-.~-'-~'=~_,', ~i5'f;,*7-~Y~ APPROVAL Fer Flal ""mIl',," PI'" $ _____,_ _ _.___
I Rr:cammenck:cl___ _.__.~ DrlIC____u_
-~~:-C~;-=;;~::~';;~~~:~;';~~~~'~~~~~.~;y', App,oveu by, '__d _..__ Dale ".._
',' ~&1L~~V_ _~ :;Z5_c"'-
... &e~J "jtL_ _ ,
~..!' G...!Z
--.C.a..!. ~<...:d=
lip" ,
PERMiT REOUIRElJ
rl Yes 0 No
....._.._____ Verbal LJ
__ No ,___...... Dato ...___..,
Received from
Jurisdiction
COM PI, ETED BY __.
,., Date _'__
Call
. .___.._u__ rOf Service Connection
$to:etct, Worl~ Required - Include Lengftls. deplns. wire size ,md .1mount
(iJa,r ';;"t1 ~e
~-=t-,-"- r--"--- --
_.~..___~=J== ._.=~ ,j
..--,....--- ----- -- l
IndlGatc North ".
'. f --~IAJ'
I
j,
u
I
I (),.t. "toD 3 - -;/. n,
I '~st
14~~ I ~o'}/~:
.~
...::::
""
~
'~
~'
I.)
~op.f
I --l f
-; ,~'~:.r.:k ,
'1d f.; I l!.) , ,
.___._._ .__.. "n.___ _~. .-~=- __ + _ __ ___ ~_ _ __. _ . ~.._____,_._ ._. .______ "._,______
This SkfJtc.h tflay r.u! be! an ~ccuralp. ,r,pfesen!.lllor 1'1 all d~llllls. I! rarTll'lIns IhH r.onlr,1~'or~ r\~r.pc~nSlblllly 10 "'Dpf"'rly 10(""(' work In Itlt! fI,:I(J
fJOhJ
ORIGINAL COpy
~uJ"rY HOAD NO,
S ATE LOG NO. ~O~b~9.
ILE' POST 3.LLT03LJb_
)OFFICE USE ONLY,
I'EfU11 T NO, Z::u -/'::-.2'_
FHAlICfllSE NO,
FEE PAID _Yes _ NO
OFFICE USE ONLY
JEFFEHSON COUNTY
DEPAHTMENT OF ['uaLl C IWRKS
Jefferson County Courthouse
Port Tov/llsend, viA 98368
APPLICATION FOR IN~l!\LlJI1.!.o.lLQL..I[fJh.I}J!..~
Name and Address of APP1icant:_e~b-~~.::&d-=-~.,{L7eL------
MANAGER.L&.M-----,-------------
___?l1Q, OAKRIDGE,DRIVE..'-'-""--- -- -.--------.'-.'- ..-,._- --....,'
, ' . ' PORT ANGELES, WA 98362 "
ApplIcatIon IS hereby mode for 0 pet'mlt to constl'uct, operate and millnLalrl
,;/2 l{.~f. r.e-&p:. Jl/>~CUt.r ,<.~~ --.-------
The util ity installation is located (attach map '.or dr;;-;;-ng)-=--=--=_--=--=-~~~ ?~
._--------~--_._-'-_._---
Appl iCilnt agrees to perform the work in st,'ict coml'l iance with the terms and condi tions
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 foml and any special provisions attached hereto,
Applicant Signature:,.<'-/}e ~/I/Pf)
Da te: ~-=-I....%--=.;f.:?_
\
I I / / / / / / / / / / / / / / / / / / / / / / / I / / / / / / / / / / I / I / / I / /
PER M I T
Subject to the fo11owing'terms and condi tions, PERMISSION IS HEREBY GRANTED to App1 icant
to construct, operate and maintain utility facilities as requested above.
Thi s permit is condi t i oned upon App1 i cant's comp1 i ance wi th Jefferson Coun ty Ordi nance
2-81 and WAC 136-40, including amendments ther'eto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No work shall be done '.mder this permit until the Applicant has received instructions to
proceed from telephone
APPROVED BY: ~ Date:_2.=L6-B7
JEFFERSON e;::,U1
CAU;14&Q,1QURS';;' FFl
-dEFORE YOU DIG
1-800-562 -6478
PERM IT I NSPECT I ON REPORT
r~I'k cove,'ed by penn'it has been completed satisfactorily.
_ Work is not completed.
Recommend pemli t be cancelled,
Traff i c control,.. adequa te; _i nadequate.
REMARKS: _ __.__._____
WSPECTEf) BY:,~vCC*__K.L.Q/)___ f)dt.e:_~~t.'!.:_89_____.
_....~~_."...... \ _._d V'"'-' -~-.;,/, " ,-- , -- c.,.;' _.."'"..,."."'._"~.:-""."'.-~-.,._""'~"" ""......._,,--~..,,-" .~..,""~"..,~~--"..'- ,.,. ,.~,~_...,.___".....'"..'-"'...e_"'_'_~,',~-""'!,~i>:.;,,,'~..'iJ,,~\;.....,...,;.::,:
!-Iote~ T~il Ikttc:.r. M'Y l"lol tlil ll'l a.ecurth' fV:l;II...nl.tion In pJl deteU" II tameln. tt-.. conft,ctor', rUQOr\llbU\1y to properly Io<:ote WOfk In 1he fIeld.
","f1INAL COpy
.,:,EP-09-' 87 12: 45 T-PIJRTLUDLOI}JPT
~_..' ..~--- ...., ,r
@ PDcItlc NorthweGt Boll
P6WO Ie,s"
No,.2.2,,~-
complete by_-
Burled Service Wire -
Work Order
WORK LOCATION
Address 3 11/ ?1'ir'....Llcltse. 3A Y' Rd
Cil/P',..t t.~ of 101<) County -:It" fS...!. slal~ /J/1
Name Me. G&wIC' 'JfiA) <'v PA fc"L
ORIGINATED BY ~u ~p Dal,,_~';I::::..s-t-
New 0 S/O No, Due Dste_
Repelr 0 Tel. No, Temporized cr
Rearrange OSlO No, __ Due Date__
Typ~ of S!jrvic~
C6L Peir
CONTRACTOR '$ ACCEPTANCE
Firm
SIQnalure__----'"
Title ____ Dale
Unit Price 0 Cosl Plus 0 Flat Sum 0 $---
Bill 10: PACIFIC NORTHWEST BELL
Attention
Address
City
Zip
Color/B.f'.
T.rm. Ad~r",
<6'/1
{, I X <-{'iJI
b /'035-/0n57 ~
APPROVAL For Fla. Sum/Cost Plus $
Recommended.
Approved by
Date_
Date_
1_ ~1C'IPi"'n of v:i.;,k' _,._ _,!!.!'..I~:~~~~ auantl\}'.
[J: ,J .LE~__'tLc',!!L _.____ ..-1_...
::r.".'/ ~f :Io~~r". '!._---t--;.;;-"I
(../1,'" __e...---- - --1-~
----' -t---
.----.----..---- - -------- ---~---
==--=-~u~~ ~ \.
Sketch Work RftQuired. Includ~ lengths, depths, wire size and amount
:(r-f;o~ 11 ~Pq ~~; ~j : '
, ,(: ' , [~
PERMIT REQUIRED
DYes 0 No ,.'
Verbal d
NO,~Dale~
Received from
Jurisdiction
COMPLETED BY
Call
Dale_
lor Service Connection
Indicate North E
, ' '~~+s
, . (.) ,
:k~'~:
c;.u~'~
( ~- p~ 6;;':01.:,,:
, . . . ,7' , .,
,
,t
r::J
'j , , ' '-'~ ~-'-
. ('L"~ -: -~ . .
, . I ".
, ,', , , ,
\ - --
---=---...:.........:--- .
- --':
ic,~~-e :J..k~_, I? 'i:r:-,9-;//7'S',?-,
~ ~13?: //4 '73.'
?/rl'~c//se 13;.q...j
I
. Se:;3
--~
cl
Noto: Tr'IIS .k.,Cf'I mey I'lOl1:l6 ./"Ile~ur.l... rl;tDI!lI~lJnl..\ion In 011 delet.., It remain. tilt' contractor', rljJaJ)Ontlbmly to properly loeate'NOfk I" ttlc field.
..;'I(jIN"'~ COPY
co~mnv ROALJ NO.50'71"'~
ST LOG NO.
M LE POST f!.;:iLTO 0,,47
f;)FFICE USE ONLY
HRJoIIT NO. 'i'1i'-",- 3 ,- 1
fAANCH I SE NO.
FEE PAID ___Yes ___No
OFFICE USE ONLY
JEffERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. WA 98366
APPLICATION fOR INSTALLATION OF UTILITIES
~~~~lcantPACIFIC NORTHWEST BElL
MANAGER I & M
Address~RICGE DRIVE
PORT ANGELES. WA 98362.
Contraqt:.o~:
~lame ~"J>./.!...J Job No,: 2[[-172..
1.ddress /0 [{'i /1 f? elLc.e .r.Z",:4(:J
IOJL:r /l AJr;; e I eJ UJn
C/!>7- & ~ \h
operate and maintain
Phone: phone:
Application is hereby made for a pennit to construct.
A.LA,~fJ "CeAA............ ~
The utility installation is located (attach map or drawing)
C/~<I ddo... -rlu"" Pp) K:,7.U'J
Applicant 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.
Appl icant Signature~ i /Y'.J}/lt'/;/P1.
Date: S~2~~Jf
/l111&~
Subject to the following terms and conditions. PERMISSION IS HEREBY GRANTED to Applicant
to construct. operate and maintain utility facilities as requested above.
I I I I I III I I I ; I I I I I I I I I I I I I I I I
PERMIT
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
APPROVED BY: ~ ",..Y1T" /.(A~""'" u1 Date; 5"-31 -P.,~
~ NOTE SPECIAL PROVISIONS ON R~V[nSE
I / / I I I I / I I I I I I / / I / / I I I {,I / / I I / / I / / I / 1 / I I / / /
.,
PERMIT INSPECTION REPORT
~ork covered by permit has been completed satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control_adequate; __inadequate.
1.800.424.5555 REMARKS:
INSPECTED BV: /l~K.;fJfrv.~ Date: ,-/-11-;lJ,9
.."".1 P..,IS""' ... J."...." C.."l, 0'01 \ '.81 '"0 WAC ,,'.40. ::-'(,\,
1. All ..., 00" ,,0" ..10 ,,,",hi.. ,h411 be 00" t" , lho.o.,h 00' .0"'''"' Ik. m'M", In tho 10,.", 0' ",,,,.,,"0 ,ip.Il"" '"0 ".." '"0 ":~!i>
c.on$tf'ljctton of other hct11t1~s .no the opening Of trenches. the tunneling under c:ol"lnty rOlds, dghU.Of-....1 or other C01,lnt)' pro~rllU. the gr..ntu 'c
,1'1.11 leave such trenches, ditches and tunneh tn Such .Il ""i u to interfere u l1ttle u pou1bh: ...Ith public tnwel ,na \n,\1 uke .\1 chle .nd
neCuury pnC:Jutlons to quard the ume Ul 1h,t d'TI'o3'i1e or injury sh.l1 not Occur or adu by renD" of such ...ork; ,",I ..here 'f1:/ 0' such tr,nches.
dltchU or tunneh Ir. left open lot night. thl grantee sh.ll place ....,.nlng lIghU .nd burludlU .t SuCh' pos1tion u to qhl .dequ.tl .untnq of
such ...ork. The grantee shall be 11.ble (Dr .n)' Injury to per"on or persons or d.lII''ile to propert)' sUltAit'led through Its ureleul1eU or ne91e't. ar
through Any '..11ure ar neglect ta properly guard ar give ","'rn1119 of In)' trencnel, ditcnu or tunnels d\lg or _lnUlned bl the lJri"tte.
2. The gra"tee. its IU"Ular~ ar AII1g"I, sha11 'QlTJf\tnce ,0nUructlon under such peMIIlt granted b)' the Count)' Engineer ",ithin tl'1e time periad stUed
In Such pel'1lllt Ind shal1 hive completed and hive in aperatlon sucl'1 portfon 0' the system of improvel'ltnU U rMl be specified In such ptnn1t or the
rfghts thereln ca"ferred upon the grantee shall cene tlnd UMIIln.te insofar AI unoccupfed ureeU. ratlds, etc., ",re concerned.
3. The grantee shill leue III streets, Ivenues, .11e)'s, roads, hfgh~I)'S, rlghU~of~w.)' .nd ather COvol)' propertln. After hying 104 1nSU\1tng
lI\a1os and daing construction work. making repairs to eQulpment, et,.. fn n good Ind ufe candltlon in all respects IS the; ...ere before the corm>ence-
meot of svch work by the grantee, Hs agenU or contracton, tlnd all recorded I'lonuments which have been dhturbed or dhphl:td b)' the ..or'" Ihall be
rent to the specifications tlnd tlPproval of the Covnt)' En!lil'eer.
4. In cau of In)' dtllll4ge ta Slid streets. avenues, alle)'s, roads, hlqhlollyS. rlghU~of-wtl)' al" other county properties. or to pAved or surflced road.
ways. tum.auu, gutters. dltchU. wood or concrete walks. drain pipes, hand ar embankment rails. brld!leS, trutles. wharvU, hndings or /f'JOn~nts
by the grantu. the ufd grantee egrees to n.p.lr such c!tllI\tIge.t the urlfesttime pO$Sfble tit its 0","" cost and upenu.
5. When the County Engineer detel'1llfnes that an tflIergency situatfon does nht. he m",)' order and have done any end all loIOrk considered necessary to
restore to a ufe condition an)' sucn street, Ivenue. alle)', rotld, hl~h"I)'. ri;nt-of-wa)' or other count)' property left b)' the gr.ntee or .~eIlU in a
calldltfot'l dangerous to life or property. He mtly cause to be replaced or reut recorded II\On~nt5 If a grantee hill to replace or reut urre ...ith1n
. reason..ble time after completfon of constnlctian. The grantee, upon demand, Shall pay to the county ,,1 con~ of such cOllstruction or repl1r .nd
of doing such \lfQrk.
6. All constructfon or 1nst.lllt1on of ",ains. v.lves. pfpes. poTes, cables. lines flttlnq .llld fJlcllttfn~ service, rep.tr. or reloc.tiOfl of the
S&IM, perfonr.ed .long. over ..nd/or under the coullty roads. I"'1ghts-of.way or other county properth:S subject to said fr.nchlse sha11 be done in such
. ",anner as not to Interfere .lth the construction, operltion alld ma'ntenance of other utilitieS. publfc; or prlv.te, d....lns. dr.lnlge d1tcnes ,Md
Itl'"\lctl.lres la,ated therein. nor wtth the grldtllg or 1mpro~ement of such county roads. rights-of..a)' or other county properties.
7. The owners of.n other utt11ties. public or private. instilled In II.I'h county rOlds. rtghU.of-w.y or other county propert1es prior In ttllll!: to
the llnes and facilities of the gr.ntee sh..ll hive preference AI to the position Ind locf.tlon of SUCh utt\ltfu so Installed with respect to the
grantee. SuCh preference shall continue In the event of the neceSSIt)' of relocatfn9 or ch.ng1ng the grade of any such county road or r1ght.of~...)'.
8. The grlntee. n far as practicable, shall tonstruct new utility facllftles underground. htenslon of overhe.d facil1ties fo110..1119 streets,
.venues. wlYS. boulevards or thoroughfares shill be undertaken only ~ftn the approvll of the County Engfneer; PRovtOED, ho..ever, thf.t ufd approvIl
shall not be unreasonably withheld. Crantee sh.ll convert e.lhtfng overhead facll1ths to underground fac'lltles IS and when equipment repllcerntot
is undertaken, or when other e.listing overhud ut1llttes are plllcl!:d underground, unless such repla,ement Is unufe. il'"Clrlctlcal. or economically
unreasonable. line utellsfon policies and procedures establl..hed by the grantee, and uniformly .pplled through its urvfce Ire', sh.ll be the
stanc!".d in detennln1ng what 1s "practical. impractical or C!conC)'l\lcally ullreuonible" under thls ordinance. provfced thlt no nelol overhead ut\11ty
facilitieS sh.ll be cOllstructed or establiShed In Ion)' .rea set nide for public park. "hool. ploygM)und or athletic fl.ld purposes.
9. Special P~~it't~tin~'~~fD!1fJ~n r\
cA-~ljejh\:S'H~' ;-\ Be..
.:,_ I' <\!, :; i,-~,
;3 0" l? e.L 0 ~ f;.1'- .,:, T: ""'j
:I:,":S,'T~e C>
/I
rn,'IV;Mv1~
crP
Gj>.o VI ^' D
e:Levrr~ or' ,
/
I
.. :'.. ',:
'..,,\, ":', ':,:':',"';<'
, , "....'..,' ','
" " '''::' ", ':, ,',
, .',.. ,,'.."'..:, ",'
" ::' " , '
',' ,: '.',. "
" ,,', ':
,
, ',.,
" :,'
,,',' ..'.", ',',
.'" "" ,,!.'
,
, " ,'~' '" I '
, ,',,-:-.' ,.
, " ,,'
"",
.'
" ..
Q'; l'tl.
"..J-. Y-Q.II..,.;J
tw-A -S..;t,~,tf"
Burled aeNlce Wire.
Work Order
r ':.-2;
'h"'
i~:;.i
Pedfio NorthwMt Bell
~\UH
No:::f2J~ I.?.z-
Complele by . .----.-
~,
WORI< L.OC!lT1ON ,.-(;; I. ~ I. n) CONTA"CTOR'S "'COEPr",NCE
jt.ddt,., _ij, 6,,<1_ __-1:. if "Jf. ~'f< Firm --' .. -",.
CllY U''''''+ L..<rllo'J Counly' -:rEF;: Slele.Jd.4- Slgnell,l'. - ----" ,---
Nam. .J:..lblw...::i:-. ,_ Tille _ Dale .",-- --
U ".. Unll p/!ce 0 COtt Plul 0 flot Sum 0 5_, ---'"
ORIGIN,o\TEtl BY ~ C2..-. Cate ..::i:.2S-CClf
New i:1 SIO No- Due OllIe __ 611110: P,o\C\FIC NORTHWEST BE~~
AlIpal/ d T." No, ___ Temporl~ltd 0 "ltenllon --".' .--'",----' .. ,-
Rearrange OSlO No, ___ Cu. Dele ___ "dd,e,. - -,..------- ---" ,--" -.-
Type of S,r;lce _. Clly__ .__,__. ,_,,---Zlp-,.------
CDI. ,,1, Colo,/a,lI'. Tefm, .Add'...
l r ~f06 t--.5"'''
/112'1 '
APPROV"'L fo/ fl.' Sum/Coot Plul S -- -' ,-- .-
Recommend,a" ... ._ Date .__ .' ..-
Approved by ._ ,- -- Dale ..-- ...' .
o.lCrlpuon ot Wort;
"'-, .-
r-U1J ,../OI'Vl
,-
~~~ ~::a~
7-'5,_
PEFlMIT REOUIRED 0 Yea 0 No
Roceivedl,om _ __..__"- ve,"al 0
Jurledlctlon ..___ __ No, __ Oa'e ----..
i'
t>
"
"
),
-,~--_.- ----..-.- -
COMPLE1EO BY _---... '," Cell -, --
Cali _____,._-- ,_ lor Servlc' Connecllon
Indlca'e N""o~~' -1
~ " : '~~~\
. . . .' .
W
"~=-~,,"-" '''',-~~U ',"",-~-:-~-
1---,-'" .- .-....---' -, - ' ' , ' ' ,
. . . . I .
. . I . . .
Skllc:h work RIq<JINd .. Includ' L."g;h.;deiiih.: wlr, .ill and 'mo~
\f"r:'f 'Co'~..;tJ " rg.''lJ: : . ' ',T;Vl>'O I
f~~'t?1~~~1 . ::
,\ i\'~:~\\
-. ~.... - - - - - '-
''/ J!/'.4 'S'L,oye ~ ~V/Z
,I.
~J
~,'
!
~{,
I:::J
,
{
l
~; \
- -'
/' 'I' .JI:.'
'-Q'~ ~ ' ' , ,
,--_~.'?' 11-"60 ,___,._' _.~, 1llI1~1 _~"WClrklnl~.~""
_0'., T".. I,..e' mly nol be In ICCU'''. '.0'...."1'0' I" .11 ,,"oi's,.1 ,"",.'n. ,~, _""C'" · ,"CO"' I" 0 ~~,
~IQINAL 00P't
04;01 PM F'O:'
"
~,
~:. ~:'. tlB
.....
, '
,
't,'
\
',': ," ,,',,'
,",.' , '
" ,'",..
.. ",' i ". ,'.' "
, :i:'
'...';': :.".,' ,. "
::'/,::' ..,' ,',",.'
.:" . "
" .',,'
.. ",'i """ ,', ,',',:':, "',
,,' ',,e. ',:' ':' '".'., ','" .'.. ',..',:
:' "". ,,": ','
:: ',.., ,.:' '"
1'\< .'.",,' ,'"
I' ".',' "
, ,:: ::; ",'
I:';'~;'. '
1,\:,",' ,,'. "
': ',','....
}
.'
',:,,"
I
\"
I"
,
~lv > '
~'
I,r:
, ,:. ,',,'
'.',' ':.
"'. ',;
, ",' "',,:'
" ", ",'
,,. '" ',I
, ' ".., ,:
"':" '
"
:'
- ,: ,'..,
, '
,I
,
,:
I"
,',
",
"
~
;'." ',,:
.'"".'"
..', '"
" ",:':
", ,,':, ;;.":
.' :.,:
",' ,', ", " ..",:
" "':" "'.,..,
"
" ','"
", ,
,'"
, .'
, "
,',
),
i"
;;:
,
/ ...". CALL 48 HOURS
/. BEFORE YOU DIG
? 1-800-562-6478
\
>i
"
""
." ,
, ,"..'
, ,", "','
'" '
;,' ,',:,,:' ",...' ,',:; , ,:
i ,,' " ."'"
'".. "
': .'
,:~l~~;i"", ,
',,' '::"':"L',
,', , ',',:" ".", ,',
;.' ~ " , ",
1 ,.'; '," \ '.,',.,' "",,"..',
.~' ! '
, . ',',' "
,"; "
': ' .' ....:..:..-
;' ,,',
I,' "
I'
"
.,.."i, ',:,'.". ,,:',
',..,
':'"
",
,;', .",
, ,'"
, ,
," ,
, ,
';
,
}h,
,'.'
I:',:,:::
"
.." ,
>
~;:
\
E'
i'
l'
,
j;,
!,
",!
" '
;,,'
",
r
:
r",:;
'..",
:'
M~:~\; ",
"., ,'.;,;,
", : ,';:/,
,,' " "',:,,
, ..,'., "
','.,;
" '
, " . . "',,
:'..':
, ,",
, ,,, ..:' "
,
'".
>
;OUNTY ROAD NO. t.\~IWD'I
;TATE LOG NO.
llLE POST~"",O'''}'{~,
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. flA 98368
PERMIT NO. ~'!l' - ,,- 11 - I
FEE PAID ~Yes ___No
f,iO:FFICE USE ONLY
. '""600 _-W'
r~ .; ~/-7/Y'Z..--
CHBCK ONE: APPLICATION FOR ROAD APPROACH
O IV! J . j ~ 'f ~ fv..o -F1c<->'5&C... f
RESIDENTIAL ~ COMMERCIAL L.~", ,....., IY>t!I, y_,x 'v' ) I ,
, , f(..k rl"bl"~~
Application is herby made for a permit to construct',operate ~nci 'maintain a ro~d approa,ch.
Please describe loaction (attach map or drawing) I.!",." ,_"t.../... 'm ,..__1 II.., ""~
C;cuf~ e.t<o;t of It::) 101. ,0/11 .5o.~~':J<:;'l.c~~ vA"1!tJ~cl ~ ~"'/,""a..'j
1-0" J.. C<.nnlU."!, -r;; j:- Tt.,~....., <I 0 ;:w.o..!",.. {':? etMk....L <;' "\
n .J I ,,-7
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 pone. R e.<;oVIrc.. c. s. 'contractor Name fJ..~~ Il,~o"v" S
P' 'I
Address ',0, J?,o~ ,~, Address
1+...6tS...:.hI... IA//J- C;e,3CA
Applicant ;;~'ill}aturB I/. ,,:. rlc /i #{)A
Date. r;; !l. ~ L e f? ,rr
Note: I.nd~ ty p;~ri:dons of paragraph., 2 :.and 3 ..on : reverse side.
Contractor Signature
Date
i.. " ,PERMIT , ~~
Subject to the terms and conditions on the reverse side, PERMISSION~~YP~~~~o
Applicant ~o 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 appl~cant or contractprhas notified
. telephone
APPROVED BY:
---/Jj4- K-&~
'Date
6-17..:.98
PERMIT INSPECTION REPORT
~ covered by permit has been completed
.. satisfactorily. '
_Work is not completed.
_Recommend permit be cancelled.
_Traffic control - adequate
inadequate_______
REMARKS
Form 113-0 (ReovA 2-p2) ~
INSPECTED BY: /1./....,.:d- K... .~
-
,
-I
,',' ','., ".",'
'," ',',"
, :..' ,
--, "
I
, ,.',
;' '
. ",",
;, .','
, ",
..
'.'.,..". "
,'.. :"',,: ,';::,'
'".. "; ':,', '.,'
, ',,',
,:"
,
-',' , '
';
i ','
,.,
"
,
'"
.'
"" '
""
':"
I
"':
'...
",
:.'
:'..
'..,
',' .'
,',
" , ..
___J ',',',"
, "
':';'" ';" ..
'".' ,','
,
GENERAL pP.OVISIO~S
1. THIS PERMIT IS SUBJECT TO RC'J 3&,7~,130, .1~O AlID .150 AI'D AHENDMENTS THERETO.
2.
THE GRANTEE" ITS 5UCCESS.oRS 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 B'( ANY PEffSOP1"
PERSONS" OR PROPERTY BY REASON OF THE 'PERFORMANCE OF ANY SUCH WORK" CHARACTER OF MATERIALS USElJ OR KAtHiER
OF INSTALLATION; IN CASE NiY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY fOR DAMAGES ARISIUG OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUSES.. THE PETITIONER.. ITS SUCCESSORS OR ASSIGNS WILL.. UPON liOTlCE OF COMMENCE-
ME~T OF SUCH ACTION" DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ~.., JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFfERSON COUNTY.
If .nlE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT HITH A THIRD PARTY TO PERFORH THE ~ORK AUTHORIZED
~~D~~~~F~~R~~[D ~~~H~~:D A~~R~~fe~E ~H~A~~U~~Y T~~ ~g~~~g~~~1~7T~0~H~T:Rg~~~~~~~ ~~T~A~~~l~~~2~G~~~~E ~O
li. ~~Y T~~~A~~R~~T ~~ ~~NI~~ ~g~g{~~g~~o~N~O:~Q~~:~~~~~~ ~~~~1~ ~D~Ay~R S~[tU:~B~:C~H~H~~R~E~liH~O G~:~~~_
LATlOK AS HEREIN PROVIDED.
5. [lURING THE CONSTRUCTION OF THE FACILITY~ THE GRANTEE SHALL COMPLY WITH TIfE MANUAl ON UNIFORM TRAFF!r~ C':ONTROL
DEYICF~ FOA STRFETS AND HIr.HWAYS PUBLISHED BY THE U.S. DEPARTMENT OF TRAHSPORTATIOH.
.6. ON COMPLETION OF SAID HORK HEREIN CONTEHPLATED~ ALL RUBBISH AND DEBRIS SHALL !!E If1MEDIAT~LY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISfACTORY TO THE CouNTY.
7. THE COUMTY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION DR THE REttOVAL OF AHY STRUCTURE OR STRUCTURES
~~~~~~~z~g :~~{~I~E~~~I~TI~Ts~~~: ~~I~H~~~5c~~s:g~v~DT~S~~G~E AT SOLE EXPENSE\?F THE PARTY OR
~~~ ~i~T C~~~~~~ER:~~~N~I~~I~~N O~R T~~Lg~n~~~ S B~O~~E A~~A~~~~E~~~L c~~N~i..l~L S~H ~ ~~E:EA~E~ Ltr ~~~~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 QUESTlOH.
9., THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
~ FI~AL INSPECTION C"f' -BY HADE.
3.
. 8.
SPECIAL PROVJSIO~S
, , APPLICABLE PROVISIONS ARE DENOTED BY AM (X>
-D'~fl 'C:"!j"~q~'~1t1' ""tt.B',& SHALL BE ON THE JOB SITE, AND PROTE~TED FRO" THE ELEMENTS, AT ALL TI"ES DURING THE
II c: :Ijlt 'r' f\tt i:t~lZED BY SAID PERMIT WITHIN THE COUNTY S RIGHT-OF-WAY.
rOI!2 ' ~~.r 'I, '.~ P I
I..!::.} .(;....~PROA~ ,~l H~ ., E CO~~~~~~~~~ b~ ACCDR~E WITHI~~~ ~n~m~ ~5~~~:r"~m m~L BE PL;CED I"
DITCH AND LAID TO. A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
~~~E~~G~~ ~~~F~~~D~A~~R T~~o~p~~~e~~E S~~~~E:~Y I~N~gc~~e~~~E R~~~~~~-w:~o::tE ~g~T:~L p~:Hl~~E~~AH.
~3. THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT MY. MUD. TRACKING ONTO THE COUNTY ROAD. ANY HUD TRACKED ONTO THE COUNTY ROAD SIiALL BE IMMEDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
~LI. IF NECESSARY.O rNCREASE srGHT DrSTANCE~ 'STUMPS AND BRUSH SHALL BE REliOVED FROM BOTH SIDES OF THE
e:r~~A~~':'LL T~~T I:~I ~~:~~}T~~E O~U~~~~~Y O:o:~R~~~~~~g~~wr~~BER OR DISfIGU~ING OF ANY FEATURE OF SCENIC
,0 5. ~~~~N~~~~L BE 'RESTRICTED TO THE HOURS BETWEEN 9:00A.M. AND LI:OOP.H. lItLESS OTHERWISE AUTHORIZED BY THE
o 6. A SURETY BOND IN THE A!1OUNT OF $ ~ WHinE" 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
TER~S AND CONDITIONS OF THIS PERMIT AND SHALL REKAIH IN fORCE LltTlL ALL WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTY.
~. BEFORE ANY LOG HAULING OPERATIONS BEGIN~ A SURETY BOND IN THE MOUNT OF $. ?..-t:lO od . 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 RIGHT-Of-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURE,p BEFORE THE BOND WILL BE RELEASED. .
G'8. SPECIAL CONSIDERATIONS AA/Y Rolff) 11)-4-;'" ,P",HNC,o "N S<4NDo,J s/ftJR.e L."I Ke Rt>
Df'PIVlt2.D AJP('P<5A-i?V Rec/J-M'~e dF 7-he )..()~!j,'IU~ o.:>PPI"9-7"'-,'/'J""'/
~ ;:'P ""Ne ~I' -I-J... ~"I;...,q"'r- nR -4':' f-~" G:x,?Bvse
",F +-he a-p",J,'CANT'" .
j"'"
"'/i ','
/....'.
'i> '..,i//'i .
.F..\t!;~h~ )/- -~'-'.. -'P -.-- , .. .., 'iYPEP-I"
i,! " Li.' L~ .:'C:"'VATE 'OAO A'JCH
..... y:tf ". .o::.c:1;~;.o +~:~::.~::::.._. r -
.\, ,.,,'
~ l.. '~.';;'" :.,.. .
" \ ~
., ,
'.:,' " '
:,:/,:"..'
" :'
" ", , . ',,'
," ' ,
,","', ',,' ,',. '"
',' ,,',..
",,;: '".,
.i%j;~~ ,;' ,',,',
:":-", " ',:, '
, ::; ',,' '...', ': ,:'
, " ,: ,
',:; ',..' '" '" '
..,."", L,,'
f?" , , ; ",
I,' ,',
Ii" "
'. ",:',
.., , :" ,
,', "; l"
I ~ : :,,' "
I ( "..'
,,,L'
:,
, '<
.
, "
,
, "
", ,..,
:',',
. ',,'
",..
"
.'"
":':',
q
.:..'"..
"
" "
..,
t
; :
t
\ .':'
:'
.,
"
,
.::
, ;,
.ll.I\'i{~~: ",.:
"
,'",' .'."
" ;,.;
, ,.",' :: ",'
" ,;
, ,": " ,;'
.' "':'
, ,"
'..', ',' ,',
, ;'
, "':, '
i" 'I :..
,,' ''''''''', "
"-''''-.
.,
..
.,
..
..
,
...
-
r
!
..
--
.,
..
:';
.
....
..
...-.
~
,.
t..,.
, r
i
.
i
,
i
t
.... ~"..~ '.a''''~~'""'~a L. '..is:::'~;i;-~.""...,~ :..
.~.. ~'~-- .....:: : :'::':':'" '. .. :~;;~... :. : . .. . "~'.
-- ..... COUNTY 11000 ,. -. - ,.. , .. "':..
t
I __.
i '::--:..
. . '..' , , !b!!!...' ..., . .
, .. . , .t., Count, fload . ...... ,_..__'n .__....
i~~t.tsj,l:".IjE'= i: ..~t;,~'tFE:~~.:..~~,~'.,: :~ :~.> ::';~'
. - =~l u" "l __,.____:....:~.::.:_,:.:..:..:....._-l~--:~~~'.
..: :.'.J:::::-;,~.~~;.~'.~.~ ~~~:,~~.;:~ ~?:-;:~-=-; ,'\Q:..,..,,~., ..____._
. ~~.~ ;'--:-' ~.'ii...,".....ana,t-i.:... ~ . ..tln.12..cv~.rt-' I.::~-:::. :fH::.;~~-:-.~.~-~J..:.~~.:'".::~_.:!:.:.~;..
:.:...:~~:-~.: :.~ ..In.a.,op cour., ~-.. . .. .
;;=l~~.~:;.=__j'~~ ~;::;';':,~.;.,:.....: _' : i.,.,', .' , ; ,~,:~':
r-
t.
SIG/JJ' DISTANCE REQUIREMENTS
POSTED SIGHT DISTANCE
SPEED LIMIT. MINIMUM DESIREA.llLE
160 FT.
200 FT.
240 FT.
275 FT.,
SIS FT.
SSO FT.
2S
SO
SS
.0
.5
SO
"OTES:
200 FT.
240 FT.
275 FT.
SSO FT.
.10 FT.
.75 FT.
1.)
Cufie~' shall meet .InS.mum specifications
'Eor HS-20 loadin,. Approved types include:
1) concrete
2) corrugated metal
3) corrugated polyethylene tubing-AASBTO f!.Jib',
County road shoulder shall be left at
existing profile.
~ i
.--(,,"
2.)
-~Pi5VALS:
4.7 /2. ,(?~
a9Jt~
Cllairman, Zoard of
County Colllllliasioners , c.,L' ..)
Director, Department
of Public Works
Date ,.A~....
Date 9.v -!.3
...'.:.. , ..,-..:,
...;............1.....:._:.:.:.-....
,
"r
,
:,',.
'..'
, .".
1 "', , "
. "
, "..' ,,' ,
, ":'.':..'"
'. '
, ;,
"
,':
:",
',"
':
: "
"',
, ' '
,
..~: '". ,. ":' I
'." "
, ',' '"
" ,
, " , '""
" '..':
,',
,..'.::
;,"
,
,.., .':"1'
, '"'.'''''
" :' .". '
", "
, "1
, ",,,
"
-
,
, '
) ~
C- ~
~!~
0iH m
:z ^, ~ 0
IT1 U1
1"0 <-:> ll"i'iI
~-. .....,)
Ul"" ~ .....
00 CD <:
(1."1
",,0 o.x>
"c r'd'i
-:;r. (,
cq I
1T100: I ....
,
GENEUAl. PROVISIONS AI'I'l.ICAIIl.E TO Al.1. I'ERMITS
This permit is subject 10 all applicable provisions of the HcviscrJ Codes of Washington. CXCCPllhut :.IllY provbioll in lhi" agrccHu,'llt not (;()lIsi"lcnt wilh
such resolution shull be controlling.
A bond in the amount of $
is required fur the protection uf lhe COUllt)' as !oCt forth in the terms of lite hond.
During the progress of the work !Ouch barriers shall be crcl.:lcd and mainluincd us llIaY be ncccsS<.Iry or as Illay be directed for the protectiun of tlie
traveling public: the barriers shall be properly lighted at night.
In accepting this permit the petitioner, his succcs.!>Ors und assigns. agrees to jlrolcCI Jcffcrsoll Coullty and save it harlllle!os from all c!;.lilllS, actiom amI
damages of every kind and description which lIIay accrue to or be suffered by uny persoll or persons, corporation or property by reason of the perfor'
mance of any such work, character of materials used or manller of installatiun, lIluirllenance and uperation or by the improper occupanc)' of right of
way or public place or public structure, and in case any suit or action is brought aguill!.t said Jefferson County for damages arising out of or b}' reason of
uny of the above causes, the petitioner, his successors or assiglls, will upon notice to him or them of commencement ufsuch action, defend the !.amc at
his or their own sole cost and expense and will satisfy any judgment after the said suit or action shall ha\'e finally been determined if adverse to the Jef.
ferson Coul1lY.
Except as herein authorized, no excavation shall be made or obstacle placed within the limits of a county road ill such a manner as to intel'fere with
the travel over said rood,
Except us herein authorized, 110 excavation shall be maLic or obstacle placed within four (41 feet of the edge of the pavemellt.
If the work done under this permit interferes in any way with tile drainage of the coulIty road, the grantee shall wholly and at his own eXIlI:llst: make
such provision as lhe engineer may direct to take care of su.id drainage.
On completion of said work herein contemplated all rubbish and debris shall be immediately removed and the roadway and roath-ide ~hall be left Ileat
and presentable and satisfactory to the engineer.
All of the work herein contemplated shull be done under the supervision and to the satisfaclion of the COUlllY Engineer and the entire expcnlle of said
supervision shall be borne by the party or parties to whom this permit is issued.
The Department of Public Works hereby reserves the right to order the change of location or the removal of any structure or structures authorized b)'
this permit nl any time, said change or removal to be made at the sole expense of the party or parties to whom this permit is issued, or their lluccessors
and assigns.
All such changes, reconstruction or relocation by the grantees shall be done in such manner as witl cause the le:!!>t interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any damage to the grantee by reason of any such work by the County of Jeffer'
son, it agents or representatives, or b}' the exercise of any rights by the County upon road~, streets, public places or structures in question.
This permit or privilege Sh311 not be decmcd or held to be an el<;clusive onc and shall not prohibit the County frolll granting other pcrmits or franchise
rights of like or other nature toot her public or private utilities, nor shall it prevent the County from using any of its roads, streets, or public places, or af.
fect its right to full supervision and control over all or any part of tbem, none of which is hereby surrendered.
The Department of Public Works may revoke, amend or cancel this pcnnit or any of the provisions thereof at any time by giving written notice to the
permittee. The pcrmillee shall immediately remove all fucilities from the right of way. Any facilities remaining upon the right of way 30 days after writ.
ten notice of cancellation shall be removed by thc County at the expense of the permittee.
The party or parties to whom this permit is issued shallmainmin lit his or their !>ole expense the structure or ohject for which (his permit is granted in
a condition satisfactory 10 thc Department of Public Works.
SPECIAL PROVISIONS:
1, A conduLt shaLL be i.nstaLLed a mi.ni.mum of 30"
below existing road shoulder.
2. ALL dLsturbed areas shaLL be restored to ori.gi.naL
condi tton .
In accepting this permit the grantee, his successors IInd assigns, agree that any damage or injury done to the properly of the grantee or any expense
incurred hy him through (he operation or a contmetor, working for the County or any County employee shall he at the sole el<;pense of the grantee, his
successors and assigns,
, the undersigned, hereby accepts this permit subject to the terms
and conditions as herein set
Dated this ,;(8
,19$8
~~
'COUNiV'ROAD NO. t.{L/760~
ADDRESSING YES N
MILE POST - o,q~
OFFICE USE ONLY
r"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 9836~
/ ",
C~ ONE:, ,:
[I] llESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is he~by made for A permit to construct, Dperate and maintAin A rOAd Approach.
please describe 10Action (attach map or drawing) SITE' A[")f"\I2t=S<;: qll <:'QuT/i Pnl/JT eD,
~er WDLOuJ , WA Q8sbS
the terms And conditions set
Applicant Agrees to perform the work in strict compliance with
out herein. And ~ny special provisions Attached hereto.
Applicant Name NAR.llltJ t' MAelE. 1\I8-S0fJ Contractor Name
MAll.JM,Address .10911' NG coee"'( UJ _ Address
I"bLILSBl:) WA CJ8s':fO
'Z>
.' .., '. ..
d;"'-
PERMIT
Subject ,1:0 the terms and conditions 01) the reverse sid.... ,PERMISSION J:S IlEREBY GRANTED to
AppliCAnt to construct. operAte and ma'intain a road approach as requested above"and Any'
special:~f~:i&ions attach~d hereto. , " , :,:,..:,.;,...;,:. ,;:', . . ,.
No work_~hall'be done'under this 'permit until the applicant or 'contractor has notified
f .. telephone '....., , ,', l.
Date 3-,2-'l-e~<
APPROVED ,BY,
,.:.... 'j:1 :.
:>.,10
:.!,....
"11+\
PERMIT J:NSPECTION REPORT,... " f~'l,
~rk'cove~ed b~ ~erm~~'has'bee~ ~omPleted
satisfactorily.' , .,,' I
-,----Work is not cOlIlpleted. .
~ecommend permit be cancelled.
_______Traffic control - adequate
inadeqUate~
1-800-424-5555
REMARKS
J:NSPECTED BY:
J1 /' ~1.:tLv.
DATE' <I-II-iS?
Form 113-0 (R....A 2'JlZf
r~
COUNTY ROAD No.~9
STATE LOG NO.
MILE POST Z,~o1$.---__
OFFICE USE ONLY,
JEFFERSON COUNTY'
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, flA 98368
PERMI T NO, 36 -b -.;2.,>.. - .J,.
FRANCHISE NO,
FEE PAID ___Yes ___No
OFFICE USE ONLY
APPLICATION FOR INSTALLATION OF UTILITIES
Name and Address of AppTicant:
PUG~T POWER LiNE HQTRS.
.~;10 ~ormftfj-W08C1
-Port To.'Nr.:rond. WA-:a~6B________
Application is hereby made for a permit to construct, uperate and maintain
=::'Ecat-ID~-r' 30 I G-l..~e.At-J ur~ ~" L-f1--
The utility installation is located (attach map or drawing) =IJ -==llT\4. "'R?1t--lT e:L>
~e..dX. 11=0' IVolZ-lH o-F ~L..v~AY LtJ. ______
Applicant agrees to perform ,the work 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 provisio;,s attached hereto.
'APPlicant Signature~~ ~
---1o~ ~ 88-0581""L
Date: (,..I"?-8B
/ / /
PER M I T
A
Subject to the fOllowing-terms and conditions, PERMISSION IS HEREBY G TED 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, includin9 amendments thereto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No work sha 11 be done under thi s penni t
proceed from
APPROVE~Y:A /4 I.(Y~
NOTE SPECIAL PROVISIONS
until the Applicant has received instructions to
, telephone ____
Date: 6 -"2.1" 85'
ON REVERSE
UTILITY DAMAGE IS COSTLY,
PERMIT I NSPECTI ON REPORT
~rk covered by pennit has been completed satisfactorily.,
flork is not compl eted.
Recommend permit be cancelled,
Traffi c controt,adequate; _.i nadequate.
REMARKS:
INSPECTED llY:~' Date: t-{-ll-R-2
CAll 48 HOU RS
BEFORE YOU DIG
1-800 -562 -6478
Gl:fll:l'ol flrowl~loni per Jeffeoon Coulll)' OnJl,.. ..e 2-ijl ond \.lAC l:JtI.4U.
L All work done under uld Irl1ochhl! ~t1411 tie done in 4 thuJ'ouljh dud ...or~rnolllllke mdllller, In the ldyhll.l of uudcnlrUUluJ Vi~JI:llllt'~ dud (.\.Ile\ dllJ ";~'
conHructlon o( other IoICllltlt:s and the ollenlng of trellche~. the tUllnellnq ulldcr cuunly ,-o<ld\, rllJht~.ul-"d)' 01' ollll:'" lU..."tl' j>rUpt"'tll'S. t'lt' \/'''lllll'll'
ihall le<lvt' iuch trenCheS, dltchu and tuonel-. In suCII a "01)' liS lO Illtedele <IS little lIS 1'0\\1\.110: with pul.!lt; t r.l, I' I oI".j ,>110111 tdlot' .\1 ~u.. dlly
neceudr)' precllutlon\ to lJu<ll'll the.~anle SO thllt dO\l~lJll or Injury shill 1 "ot oceul' ur Ilrl\e by fe,,~on uf ~u(ll "<Jr~; dll,I..I""1: dill ul \ulh t'l:'llCI,I'\,
dltchei or tunnels He left open at lillJht, the tJl'l1otlle sh,,1I pldt;t: "olfnincJ II'.IhU dnl.ll;<lrrlcol.ll'\ <ll.\!Jch d l,u\It!ClII .1\ t/J "I.t: ,1Ilt:4",Ht' "dllllll'j tit
such work. The! grontee shdll be I table (or /lny Injury to pcnufl or per!tons (H' d"nld'JI' to prupert)' SU\I,oIl,}Co.l tllrtHI'J" 'l\ (,Hl'It'1\II~~~ or 111"J'I'(t. ur
through Iln)' f411ure or n~gl~ct to properly !luard or '.lIve w<lfllllllJ of /Ill,)' trtlU,;lle\. dltclll~~ or tunnels oJuy \.II' nldlnldllll'oJ 1.11 tI,1' '.Irdr,ttt'.
2. The! grantee, 1u succeBors or /lSSlgn1, Sh411 (OIlllIl'ntl: COllstruclIutl urllll'r ~uch pl'lndt gl'dntt'd 1.1)' lht: (uullt)' !U'J1rll'l'1 "ith;/I tl't' timl' l'enOl! \toltrd
In 1uch ~rmlt .nd 1h<lll fl<l~l! conlpleted aod h.we In OPl'r<ltlon su(1I IlUr'tlon of ttll: s)'\te1n of illlllrOVl'llll'ut\ d1 mdY be 11'l.(ifll'd In ~u(h penult ur 1.tH~
rights thoreln confern~d upon the groin tee $Ildll ce1l1e llnd tt:rllllnote! ifl~ular.u unoccupll'd HreeU, rOdiJS, etl:" dr'/'! l,OlllCP'l.'d,
J. The lJr'fltte sholl I ledve /111 st,'eeU, aVelllll'S, alle)'s, roods, h\Llhrl")'~, rllJlits-o'-wd~ lInd Otlllll' CUllllty pn,llJl"-tle1. Aftl'r Id)'lnlJ dud lnH"III"9
mains <lnd doln\l construction rlork, nlakll\g'rel!<llrs to ...qull~nel1t, etc" tn U 900d and Solie condition In <'III re\lleCl\ d\ tlll'y rll'rc tlt'lore thl: (""""'flCI:-
lIICnt of such wOrk by the 9rllntel!, Its d!lenU'Or contr4ctors, and 411 recorded monuments "hich h4Ve been disturbed Ot' dlHll4ced by the to1,1r'o. ih.ll be
rt!\et to the specifications And approval o( the Count)' Ent}ineer.
4. In cue of any d<lm"ge to sold street.., avellut:si,oJI1...ys. road~, hl'lhwd)'S, rllJhlS-of-Wd)' or ollieI' ,oullty pro\,l'rtles. ur to IJ"ved or ~urftlCl.'11 ro"tl-
wdY1, turn-ou15, !lutters, dltche~. "ood or cOI1,,'etl" "daS, dr'al., Illpes. 11110<1 or t:ltItJ"lI~lIlcnt rdlls, IJridCjt.'S, lIeHlc~, ..h""lIes, loIn<ll,.g~ (II' 1III,l"UIllCflt\
b)' the Ij""ltee. the UI~ lJrantt:1! agrees to rt'pair 1uch lldlTl4!le dt the elJrlle~ttlltle pu~sltJle lit it~ own cost alltle'IJI!t1~c.
S. "'hen tht! County Engineer detelmlnes th4t all ~flIcr'.lenc)' sltlJotlon does ulst, lie IlIdY order doll hove dOlle dfiy .In<l "II t<QI'" cO/l\1d...red IIt'tl'~\HY tu
re\torl! to 0 safe condition any such street, avenue, dlley, rOdd, IlllJllw,y, rI9ht'0(-~j<l)' or Otllt;~I' coullty prOIJl!l'ty 'eft 1;)' the lJrdfllt:l! or <llJl'llt\ ill "
condltton d.ngerous to life or propl:rty. He /TI"y coJuse to be ICllldced or reset r...t;ordcd ITIUnullll!nU It d tJrJfltt!e t<llh. ttl rel,lace or rll~et \o.lllw'! rI!thln
a reason.bll' tiJnl' a(ter clJlnpletlon of construction. The grdnlee. upon dt:1llond, sh<ll1 lId)' to the county ,,11 costs of such COllStI'uctlon or 'l.'tJdlr dud
or doing such "ark.
6. All cooHrlictlon or In$ldlldlfon of Il\dins, v<llves, pipes, poles, cables, line.. fltthllJ dntl f.cfllth:s, $t'rv/(c. lCf!"h', or relocdtrorl at Hit:
ume, perfonned 010119, oller and/ur undt:r" the (OUllty ro,uh, 1'llJhts-of-wa)' or ullll!r counly proPl!rtle~ ~ubJect to '>dld Ir,/lIt;tI1~e Slldll lie dOIlt! III such
. manner <IS not to illtedcre with the conslru(lloo. o[lt:I'dtluo dnd 1II"llltl:ndllce of othe,' utllltlllS. pUblic or prlvdlt:, dl'd1n\, dr<l;ndlJt: dlttll"'~ dlll.l
Ul'uctures locoted ther'eln, nor with the lJt'ddlng or InlprOVellll'nt of such county rtlolds, rlghts-ofo"d)' or other count)' Ilruvertle\.
1. The owners of all otllt;!r utllttll:s, pUblic or private, Inst.dlt:d 111 such count)' rOdtls, rtrJhl~-of-\oj4Y or other (ount)' provertles 111'101' In tinoc to
the lines dnd f<lcllities of the grantee shall have l\reference d" to the posltlclII dnq location of such utilities \0 IllHdl1ed with re\pt'ct to the
grantee. Such preference sh"ll continue 111 the t'vent of tile ne,esslty o( relocating or CI1i1n'.lill~ the grade of dny Suth Count)' 1'040 Dr rlghl.of-..dy.
8, The grantee, <'IS far as prdctlC/lble, shall construct l1t:w utility (~cllltle~ undel'llrounl.1, E~terJroiol1 of over'lltllld fdclllties lo110"ln9 street!..
Ilvenues, Wd)'S, boulevdrds or thoroughfares rohall be undel'tdltt:n ullI)' with the dPVl'oval of the COUllt)' EnlJlneer; l'nUVlD[D. Ilowever, thdl Sill~ dlllJfll~al
roholl not be ullreasontlbl)' withheld. Grantee shall cOllvert el'-Istifl/l oVl'du!oJd facllltle!o to underqroulld hcilltles lIS oInd wlleo equir~lIl'nt rl:plolct'111ent
Is underUken, Dr wIlen other ell.lstln9 overhead utilities are plllcf'l.l underCJrClund, unless such rl'llldCenW!nt h unsartl, InllractlClll, or eConumiCdll)'
unreHondble. line e~tt'Jlsion pollcle1aod procedures estilblhhed I;y the fJI'i1ntl!e, dlld unllol1nly applied through iu ~l'rvlce "rea, ~hdll be tht:
standard in detlmnlnlnlJ whdt Is "practlcol, lmprllctlCill 01' economiCill'Y unreilsofldble" uudel' tllli ordJn<lnce; provided thilt no "1:\0 o~t:rtlud utility
htll1tle'i shllll be constructed or esublhhed 1n any area set dslde fur !lublic park, sCllool, plaY'.IrOund or athletic field purposes.
9. Spechl Provisions:
"~jFi1~11(j,~{. .;,~ ~~:;-;ii"I'it(;' ~
'l'-'\,',f. " ':/"j! :tl
" ,"''', ,; .',> ""1'! f.
", i,' I (J;~ I
ul
yJ
~&-
'J- tJ
~J
() 1 '
..QJ
~-~
() J
_ \l
~
, ~
-J
'\
2
\~~
~
~ ; J
\ -==-=== ~\\
\::-----.0\
----=e= ,o{)'~l p - -- --.; '1
\\-:l!~~ t!. ----=::::: '-:~
~ \- '
___ j '7
/
~l-~ H ~ J--/
_ _____ .L ~ -.J.rv
~ 10,
IV')
~
'S:j
J
J J
XUI.!' 4.
fl~ ~
IJ' ~
NJ}~,
.f !!J -:J IJ' ~ P-
t.,1 - J' ...Q lL ~
,.>-t'
"/Llr,L' L4.tl' ~
il ill J} \1'
(1._ .J \1 8 I
_ \l~~ ('j('J~ Q
(\ fl- b-
I{\ if 'I ~~a J'
,3i\\J ~ ~ ~J -~
J c :f;U
=--
==--
~<:1~
.."...,..
<;t a-a
.,,~
* -t;..L.n,,<:~bA
r--~ '\
i! 1'\ '" ,_,r>"'~ ~
1,1,1
-:1.:.r.
~f'
u1
<I "-
o
~~ I
z -
~ La- ~
o 0 '"
l€ ~ ~
o I.&J u
;: :r '"
<n 0
lD
:5~
;;
5
'"
..
~
IY:Zn
~
.o:t:;;.;.
,.,',.,'-,.~~...-
..~.:.,,~.~~_. ..-.
..,,- -,- --
...;:" -
."....,-
L.
o
ul:t
J~O'
,O':l2
lJ- 'J
...J' -,
rRlLQ
~O-
, I ;.<,
'lL ,g
~~fr.
"1.
~,I-(.J _,I
~~h-
d31._:!
~W?~
ft- 'F- ~- ~J
\~
r
~
(L
()
\)
II.
II-
II
'" "." "
",," ,: ': ..
" ,
"
',..,
,,','::::. i ", "
:i
,':" "
" ,
:
,',:,'.', ,
, ,'.'.., ,"., ,',,'
:.: , '
.','
" ':: ',,', "
; ','
',' "
r:
Illf
; ?j~t
J
.'
:
,
"
"",
. ".'
I '
,;
i ,;'
, ,',:'
:
',:'".'
?
"
t
)
:"';
"
",
,
hi;:';:'':;
}
i
:'
\,
> .
, .. '..,.,.
" "','.' ,"
',,',:..
I'
\" ..
I. ",'
I, ,
I "
'L'
t.,
,
" ','
,;, "
,',' "', ":',:,-'
, ,:;', :'
:',' ",'
",' ".',,':
, ~",', .'
, "..,,' "
',:, .'.' "
'.' .
;.
,',,'
'.'" ,',',"
," ,".,,'
,;,:..,;' ",
\..:::, ',',' ',"
,,'. " ','
.... "
: '". ,
.
. ,
,1
.'.
'".
",
"
/J
" "
"
,:
..,.'
"
;,"i
;:
...,
:,
':\ "
L
:.'
:J,:,:" "",,';'i,;Oj',:;- .-
......... .... ....,'
""",'~"J,l r:.. ~>1~
05 ~ TRANSACTION
.1";
A ~ ADD
C - CHANGE
D~ DELETE
LOCATION
DELIVERED TO
P& TBRAND
2
2
3
;;1;;.;::.s,-:;~_~~;"A';34 ':.:-;';;;;;
,;,.,~..:i ',' ~\i:'i' ~:i'>;;V\~,:* 'j~."~ i.,:,.v
i2":~"o';A~'-PRicED BY' LENGTH"':~~)~~,~~:~?;~4U.;:
\'1"'~J~(~";~,;.'i~~:;.;":;ii'!;3~::;:'i(eNGTHS "~:"A2 & A1
,<'N'~i.,l.";,'~::'-i-~~ ,','~'~'/;_:'::"~ ,:',; LENGTHS ';"'i82"& "81
.;~..{"j.\.,';!;l':i-'".~J~'~'.~;"l>.:':~':''t:-.LENGTHS 'f C2 & C1
'~~\;.w..~,:;,.t';.:;(:;if..:::.:~,~~-:;.j;i:,,",';:'LENGTHS :;[02 & 01
.'::';'~:;iI.:','ti~,,;.'rt.tlK'.~~:-!-;'t~,;;.::%Hlt~ LENGTHS ~'E2 & E1
;~,~':li1"N~t t~,lii~~;;.:~' :: ~:-} LENGTHS :~F2'&' F1
(';,'"t~::r~.ff':'!:~"':I:':::";":'j"1<~','\\~' LENGTHS '&G2 &~'G1
'. 'i!:",';X:'~,:p.:;~~'I;':'::_" :,:":'':;:;~i:o~,_l~ .:.~~.~ ~ ~~.<.~,,~. ~ ;;~;':;,~~. .r.;~;'1 ." -:.
I'''''''''''~' ,~".,~,
~'!/~~M7~~WJ~t:W;'(~~J :i~~it;
'Mk;;'f'h'M{W:{'g;l1wl~:':.+~:BtlENGTHS l,,'.<3" "l:'M;:;
:..J'::':~'f1.~~1I;:.,A""'\:.~;:"--:'~i:,,':%.:}i LENGnis 'i~t:'3"":t:;;:~':;,
Ji'-ri$t;;-.:?"":.';;'':'~r':'d~\;;y~~~':~')' LENGTHS 'n M3 ~!.::
I'-'~>'''' ,'M"',
; ex' t~~,,,,"'.~&t~+,;',~f,:;,,.tT'=::Y:'(<j ",~''-:f('~? i~~~, 02 .~~;~
3 'JX :~J~"l~~~f ;:"!t'~~~';..r~,',~'" ~;j,;~~'~,,~;;.~,,'l'~'~ ~i, ltt ::.... 5'3 -'Nv,;,
3 'KX ~t~ ~'f.'1~~7~'~~\.~'~::'':':' .;,~.':~<,-"':.:,?,,- {',.l':'1":"l'~~':':'T3 '::::::~'
;:.-:.;S:,.~ ~':';,f:,> . : ~'t.;~!.:" .:.';:~"l~--;; J ,:~.:;;J.;.; ,;'",:~~::,,..(i-:>,;: ~,::.\'..':~ ~:;~:.;
- \,\; -m"~~";>':"'.l!~ :i;)-:.t:,~;,..,t:..;.;y;.~' :"'-:lj.'-}! 'i:.;,;;l::t:i,l;::f..-~'
OTHER GRAO'ES '~~:'.;:: '~~',~:,;:;',:,;,~;';;;;)~;.',;';'r~",,'.<i',:; ~:.~,
.fSAWMILL: ..,,"-,,;, .:::7, .,.,;'t.~l2-Jc.,"':'i:::-;.i"::7'J7'44-!!,?\T J so _
CAMPRUN~<lo"'~.'l;~1o~1",V.l!~'iM~':i-I\';"I"05"-,;'~~~ri
POL.E & PILING f.",~ ;!-t.'VI: \it ~ 'it;l.;.\;-/o~i!i 13 "IJ;'..:o:~.
CORDWOOD ',.., ,....~,.~.." ,. ~~., ,'" ',...., 45'" , "
WORMY' CULL ":\'~ '{. !',~<:.I<~;:r::~:.~\ ;'.~;L "fit; 95 .(~ t:f-,'
CULLOUT'. ",.' ",',' ,'07
CHIP LOG ". ',' 57
UTILITY ...,..,. ..,....,....., _.... "09 '--.
2 SllBMILL 88
OTHER _,.,:n.... ,.....,.. ..,.
BUREAU BRAND CODE,
7553
L
; ;"";.
, ':" ..,,, .;
, "..""
" .', ':,! ,
" .'; ....,'.; ,,', ,
: ',' ," ',', ,:,.'.
:; ',i!',"
:' ',', ,',
; ",',' .','
~UTHORIZED BY: ,;.. :', .. " ~:,:,'
~''''''"''''
, '.~;- ,........"'".. ""~,._~ ."'...., 1 "II': !'\I>P<-""" ,_' . ~'\~':(':.,/. <.:"'.'>-:>'...'. "
il."ittIJ)""M~'iIi<[2I'iJTa1V.~#~tl~~~'l~~B..'!" ,:, ' ' ,,' ,< ' "
, , , ' ,".. ",' ",
:
,
"~~~:Qf'~ &iA"B~T iNC.
\"/' !fO~ :P~I,CE ~HEET
!'!; i
Ludl'ow' .
SELLER/PURCHASER NAME
93B3
,.' ,,'.
'SELLER/PURCHASER NO,
'~~~~~, ;~i{!m~~ ';0.:;r~;2t ~{f~(~~~} ~#:$~~:~:f;' ':F!l?!4)j~~; J~~'~:'~~J/\I"~:~}"/~'~':':~:'
.p.G',~:,Q1.t 1G,:LvAQ2'Ir- lG..:s;:"04' -,G'.P"j21t f;G~i.:n9, ;G ~:"..~.,- -G ";I '., ;;G{'';'~:'.;'::;:~'
,<;o~
(
-'
" ---
10- /()'"'"'
0-
DATE:
"
f
I
!
I
I:'
.
,~.'l",
".."..,', .""" :
1
~',',",',',.' ,
','..), d
, "
..' ,
',,', ",
....
"'" '
.' '>' "
, ',' '.'
" ,
, '..'.., ,.", .'
',' '. ',,' "
, ",.' '. ,
.' ',' '," . ',"., '"
, :
.' .' ',.
i '
,
, , ", <
,.." ,':,
, ,
;.
'"",'.',.,;
I ", '
..',
,,' .'" ',' >
i,', ,,',
,
:, ,;,,'
,
.~.;,( ,
~
'.'
~
'..,
',,"
,,', '", '.'..",.',.,',.',.":':: g'I\!;~ '
.', . '.', ,,'., .
, . ,':. :.,,: "
, ".
, '.. : '"
, ,',;.
, ' ",'
".:"",'"
'. "
.. "
'. ,.. ..
" " ,;, "',::. '
"<" .
','),
, ,'I,l
~"
..
:", '.'..,...,.,,',
',"
~
. POPl!lO. & TALllO'l'. mc. - ALDER PULP BUCXING SPECIPlCATIONS:
~. We V'i.l.l accept: green alder logs ouJ.y.
M:l.1rlmum 4" top diameter
Ha%1mum 22" bolo diameter (i1u:ludin~ bur~a and butt flare)
examp~e:
Flare buee
tMr~.
Bur~
~
22"/Dia.
at these points
2. Loga IllUst be reasonable atraight.
a. Hax:l.mum /JWeep of 24" for loga 32' and longer. And 18" for ~ogs 16' _ 32' lon~.
b. Remove all piacDl butts and doRIegs.
lb:amp~e:
Piato~ butt
~
l!zJ:esaive IN'Bep
~
,
~
' .
, ,
Dog ler.
3. Loga 1llU8l: be free of al~ branches, sucker ~:f.mbs and forked tops(school marmB).
Buck al~ ~imb.. snd branches f~ush with bole of the tree.
ES;ample:
Sucker ~:f.mbs
~
...~
Porked top
~
4. Buck off excessively flared butts.
-~
Branches
dotted line indicates where log should be bucked.
;,; ,',' "
':
:. ',: i ,:, ,'..,
,..,,';... "',
,
, ,
" ,.,,'..
,: ~ :,:', ',',' '
"..' :,"'" ','."',
'"
;", " ' ','
:",' ...' ",
',:, ",:,:,
',., ,':.," ;'..,"'..,'" '
",:.' '
", ""'1
,c "',!
, I:,'
",.",
:'" ',"
'.';'.', ',', '
,.." ,'. ..
'" ",
,
~,
t
,
j.i'
;,
Ii
1\
I;
I~\ "
.
),
;, .
". '
"',, I':,;"
Ii!, ..' ..,,'
: :' "
L:
.. ",
, ,
':'
'~~~
>,
'...'
,
,,' '" "..,," ',:,
, ',: ,"V
.,
, :.
, ; :' ".... " :'
",:'. ,. ..
.,', d, ,':,
, '
'..:! "
,',". "
I
I, >,:
, ':.. ",
, .." ,,'
':,' ',',,:,' ,
, ,,'. .':":;"";'
:.'.,...:'i\:
',' ':::...~i
----.J,',.',.";'
,..
,
.JEFFER5C>>'lI CX)l.I-.,ITY
DEP.AR"OE;NT Of' PUBL I C WORKS
FIL.E (~)Z 59:?..?()?
ACTI ON REQUEST
1lI".Ql.o;:S'\"E0 BY. ~./7hP_a.o=S DATE- $-.$-8".9
ADDRESS. ,C;-(}D~. PHONE NO,' 4'37- ;)..S7?c.:;-
P, 1_. AL'r, PH, NO,'
NATLN:: OF REQlEST. 0 IN PERSa'i r;ztBY PHa'I.E 0 BY LETrER TAKEN BY. b~
PERTAINING 1'0. OOFFICE 0 ENG/SURVEY 0 ROAD ~'N'r, 0 EQUIP, MAIN'r, 0 SOL.ID WASTE
REQt.E:S'r F'CR. G() ~ok- Ih- lJe...fJ:Ljlff-0.'E t:&dBLEN
L.OCA'r'ON. ROAD _ ~ 'i!.tufI, ROAD N'-";!BER M,P,
PRO.JECT. PAO.IECT 'rIjLE r (AI h 10 uA-R.(\(.1f Q!) J flROJECT N~ER'
DESCRIPTION. '11../,.. ;A) ~A - ,.., hJZ/ ..-.... # "'"'. .0J.n~ AAA ;;1'.%
J. ,;;;;:-; (A ~. ' ,,1.1. __ uA.J.,.,.~.1 ,. ",-r. A . r. 1 O....J)
#tli; ilL --r;;;:,. 1-:f7 Q IIfI,M.u ; A.. . ,,~. 'I; 10,71 wL.u 1 . ;2 {g.r. ./1..L.
CLUI b. 7[910 h .. i/l jl...1:n~ (hi ~ --,;;; 7':iT ~ /1~A< 4 D"'- ..r-
A, ~ ' ~ _ A JJ;A "A~ '" hA. J(L., 11~. 0 till
(J V
ATTACH MAP CH SKETQi
, ~ I. ...-,/1 u-:... //
REFER '1'0. -FJb" r I ~~,_
RESPOND BY.
a.J.tJf
,L( ~V
....::;" .-J:7
RESPONSE. ~",/.if..L -'<.../A:L/',(" /7'/-5
....;:;t..- ~,.... ,'~ ~ .7J/.. - ....n...h"
H_~ A__J1 /1_ /~~d'./~ .
,/ ,/
-r-~..,..:> _, ,_p
/'; - ,/ ~
po
REVIEWEO BY. ~~~~. DATE. // #7 /.9,e7
CCNTAC'l"ED REQUESTER 0 IN PER.Sai 0 BY PHONE 0 BY' LETTER c::oNTACTED BY-
RE~TION-
PREPARE EST I MAn. FOR-
RCUrE '1'0- INITIAL
0 DIREC1"CIR - 0 CONSTRUCT ION ENG. - 0 Ac~TAHr
0 ASSIfn'AHr DIR. - 0 P~ING ENGINEER _ 0
0 ROAD Bl.FERV1 SCR - 0 ADMIN. ASSISTANT - 0
, ,.
, ' "'.;;
'", ,
;. '.. -i~ ,:\~t~}: :
.."'.',",.',
,..' '
: ",',,"
, " ' ',,",',"
.
',' ;
. ,",' "
.,..'." ""
" ",
, ,
"
.'
.'
,..,
I,
"
,'.'
.'
',.'
.,..
f' ,
,.
!
'. '
"
:",
';,
::"
,
,';
,,:
NO.~
NO.
ML.:::r '
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 98368
FEE PAID ___Yes ___No
OFFICE USE ONLY
CHECK ONE: APPLICATION FOR ROAD APPROACH /:"'e:,:J;Fl7Z:-+! /J
o RESIDENTIAL I2i:1 COMMERCIAL lIfe)""( rod. Lo6c;j..:JP 0-<-' f~V-- '):-7 .- -<i>' 1 I \--
/VItJ!bSi.!,.' ;f<;?1'f.d ~O~ dl.U..L...fA.1 G f"!.J;S. -1l",
Application is herby made for a per.mit~o con~truct, operate and m intain a~d approac1T.J ~
please describe loaction (attach map or drawing) E.J .~. L ...-t'J L/i; So....... 0
~ b,- NI,.-'Z- of
the terms and conditions set
',',,'
i>' i. '.!:
. ,", ,',',/:~,,'"
" '.',', .." .',',
" ' ,
", ", ",
",::::," ,
",.,,' ,,", '.'. .'
" ,,','.',
,,'
", ..
" :"
, "
" .'
", I' , "
'~. '"
, :,
',' , :,,:'
': ""
I,;. '
-'
,.: ' ,".
," , !
- "
: "
, ""
.'
~>
"
,:
,',., "..
,
"
,",
':
, '
"
':" ..
',", ,
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AH (X)
~o~~~~Ug~I~EA~~~~~Tz~~A~~ :~lrp~=~dO:I~~I:'T~~DC~:~~~~E~I~~~~o1~A~~EKfHTS, AT All lUtES OUA)HG THE
THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE ~ J
APPROACH. A -A- FT. LENGTH OF -A- INCH DIA"ETER 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
~~~E~i~G A~~ ~n~F:~:D~A~~R T~:O~p~:~ei~E S~~~~E:~V I~N~~cg~e~~~E R~~~_~~~W:~O::t~ ~~T:~L p~:Hr~~E~~AH.
THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVUH MY MUD TRACt<ING ONTO THE COUNTY ROAD. ANY HUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELy
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE.. STUMPS AND BRUSH SHALL BE REMOVED FROH BOTH SIDES OF THE
APPROACH. THE INDISCRIMINATE CUTTING OF MERCHANTABLE TlHBER OR DISFIGURING OF ANY FEATURE OF SCENIC
VALUE SHALL NOT BE PERMITTED ON COUNTY ROAD RIGHT-Of-WAY.
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M. AHD 4:00P,M: loWLESS OTHERWISE AUTHORIZED BY THE
ENGINEER,
A SURETY BOND IN THE AMOUNT OF S , WRITTE,,..,.n A SURETY COMPAN.........AUTHORIZED TO
DO BUSINESS IN THE STATE OF WASHINGTON.. SHALL BE FURNISHED TO INSUR.E COMPLIANCE WITH AN~ AND ALL OF THE
TERMS AND CONDITIONS OF THIS PERMIT AND SHAlL REI1AIN IN FORCE LliTIL: ALL WORK IMDER THISlPERMIT HAS
BEEN COMPLETED AND APPROVED By THE COUNTY. 'I I 1. .'.: \
BEFORE ANY LOG HAULING OPERATIONS BEGIN.. A SURETY BOND IN THE AHri~'i OF '_ ; ,:'~' SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST AllY DAMAGE TO THE COUNTY ROAD AND TO I..SURE
COMPLETE REHQVAL 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 BOND WILL BE RELEASED,
SPECIAL CONSIDERATIONS
.j' ,
I
,.
I
GENERAL PROVISIONS
I
1. THIS PERHIT IS SUBJECT TO RClI 36,75,130, .JqO AND ,150 AND AHENDHEHTS THERETO,
2. THE GRANTEE.. ITS SUCCESSORS AND ASSIGNS.. AGREES TO PROTECT JEFFERSON COUNTY AHD SAVE IT HARMLESS FROM ALL
~~:~~~S. Ag~I~:~P~:T~A~G~~A~~ E~~R~H~I~~R~~~~~~R~~Tl~~ ~~~~HW~~.. A~~~~C~~R O~F B~~~:~~~~D U~;D ~~ ~~~~.
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
=M~O~F O~U~~Y Ag~I~~~ ~:~~~D C~~~E~AM~HfTPf~~T~g~~REX~~~S~U~~S~~nS~~ ~~I~~~G~A~~f ~~~I=~T :~~R~~Rg~~~NCE-
DETERMINED ADVERSE TO JEFFERSON COUNTY,
3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
~~D~~~ f F~~R~~lD ~~~Ml~~~D "'::~R~~Fe~~ ~H:A~bU~~Y T~~ ~g~~~g~~~I~~ T~O~H~T~R~~~~~~~ ~: T~A~:~=1~~"2~G:~g~E ~o
4. ~Y T~~~A~~R~fT~~ ~~NI~~ ~~~{~~~~~~N~o:~Q~~:~~~~i~ ~~~~~: OOD~Ay~R s~:ttu:~BJ~C~H~H~~R:E~:J~H~O G~:~~~_
LATlON AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE MANUAL ON IINII='ORM TRHFIC CONTROl
DEVICES FOR STRFFTS ANO HIGHWAVS PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED.. ALL RUBBISH AND DEBRIS 5HAlL BE 1I'111EDIATELY REIiOVED 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 REftQVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT AHY TIME.. SAID CHANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOI1 THIS PERMIT IS ISSUED.. OR THEIR SUCCESSORS AHD ASSIGNS.
8. ~~~ ~~i~T c~~~~~~ER::~~N~I~~cl~~N O~RT~~Lg~C~{~~s B~O~~E A~~A~~~~E~~~l cg5H~~Hl~L S~HH~ :-:;~E:EA~E~~Ltl~:~iE
FOR ANY DAI1AGE 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 QUESTlCH.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETlOH OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN BY MDE.
" ,
01,
13" 2.
"
,
i
'Ii'
(2( 3.
, [3"4.
"
. 0 5.
0 6.
,,'
0 7.
08.
','t
:'"
'ft.
r
,
h'
J
f
", ,
Form 113 b
,.
,::,..,,".', "
" ',.' "', '.,'
" ,,',','. ,,'." .
.' ' "
':
"'..,' ,: ", "
,," "
> ,.",'
,',,', , ,'. '
:' ,; "
," '"...' ,',,'
'.' ...,
. :,'.':,' '.
',,: L
,:': :i,:''':,.
j, ", , ' ",
':'", ,";:
:: ''.',,',..''','
-; '; 'I'" " ' '
':' .-:..'
.' ,.:'
l:.1 '
,
,/;,:"
'.,
,"
.' '
',,: '.
, ."
"
~ :' '
, ,
" " ..
:"",",
",
,<'
,;", '
::,.,y
:,,',
',':"
" ",
" " '"
',' ,
, "
:' '
, ,
" ."
"
'.".
": :,"i'
,
:;
':,
,:
::
,
,.",
"
..'
: "
.
",,, "
'.,"," :
,~'".
C"
Yi . '~-H+L-,-
\, <i;"~(,>i.i.>.~~~_:~~~~~ -. C~ "~,-' ":"C' '-"'.. ,.-" '. ." '-- ~."
;. ,.'..'.'fY'.... ..:= :::~-,. _..~;..::-f>R;~~T~'n:~:.;I~~:R~A~H. ''', .', ~'-,' .,.:,'~ ~'
Ii,,!' .... , - 'ji;;Is3Iii:.:=~7;1;~~~~t?;;; ":! 'f', i:;~. _!fl:,'-\~C::~{ I
~,.:.:."...:':~-!: ".I2'o;,,,;"~"~.'rt~!':~~~'~ ~ ~ Oii::::;;~,"- , :' , '~~~' ---
... ... ~. ... ,',In ,'~~Q.. ' ~.~~I'lI.g till'" ...~
---
.. , "~;~I., .,-.. : ',:....'. ;.:..., :,: :f.~~'" :..:.
COUNTY 41OAD~ .. , , .' , . ..__-_:. ~,:~ ~~
i;
)
c ,,'
--
.. ~'"
.' "
.. , :
'" >:, .'
.'
i ..
",' "'.'. I
.'
I ..
, .'
.
.,
, ...
," --
..,
" ' .,' (, '
..
;.
,.
, "
-
......:.
...
, F~'
~:
_.
rr;
.:..:
',:.....
~
"
11\,' ,
':: '
I,,:
.'
. '" ':,
"
>',
.."
,', ..
,", ",
:,,' "',,
< .,,' ",'
,,',..' ...." "
, .'
..' /
"
"',".,,., , ,
", ',,', .'
, " ,
, '~~,;,\ .:' ,'" ,,'., ..'.', "
: '",',,' , ' "',; ,
,:!"..., ',:::,', L',','
i ".. "'" ''',': "
I: '.J' ",<', .', '.,,'
I,,'>., ,.', ,',. '
I:" ','
";':'L"
" ',"" " ,
h j ,,'
;":,
L
,- ..-..----- "
I, '.
l..~f~iiiflll.i~l'i.li",
. " "',",:'
, ,"'''.,. :.' ::':
" ,",' '..' '",' ,..r:
'", ' " ,
"',' ",':..:" " .:
,) ":'.",/,
... ;
" ','.' :'
" "., ,
",' '..',<':
.' ',' " ' .:' ::
", ,,',.',,
-' ,.i...',.:,'"
'" - ..~~8. .'~""""~' :::....:::__
:.1.'..' ::.,~ :'~:.. .:"::.: ..:.-.:.~.::.
1-- .....
'! : "":'
'flf~ilit}~~~ci: ;~~~~..;;:~i~~.~~:~jl-Ht~TI~~~.
". -".'1' + ..........l!I.oI t~",- ..,~T,.-- '-~""----:i'---'--"-'-"--'"
-'b~~~~~~'~~: :.~...~~.7!:~~. ~;:.;.~ . .~..~~~ ::i~-':,:~~'~' "~-i ~~~~'~~".'-~-.:-~' :=
~ .~. .~.t:::.!]111I;4...II..t J- .. .......lal2.cu.....'IJ - .~.:.- .;.a--t~~~-- J--: .-;-'t.' . ';'~'.."
:.i.:Ef!.~':.j-=~~'..ln~~ ~-~~:r. :~': ::;'i'ii~":.. . , ":.:.::'j: ,.- . ~ ~.... ---~-'_...,~~-~..... --
,.-._-..u.~.,:-;l..:.=~...., -.. -"'.:....0 '-. ,,~,"-.., , ..,'.~ '<f' IlICIn' IlI5TANCE REQUIREMENTS '
r .tosTED 5IGIfi' IlISTAHCE
r 5PEEI> LIMIT. MINIMUM DESIIlEAILE
9fOTES:
25 160 FT. 200 FT. "
, '"SO 200 FT. 240 FT.
" SS 240 FT. 27S FT.
40 275 FT., ISO FT.
4S lIS FT. 410 FT.
SO ISO FT. 475 FT.
:
..::....
1.)
Culvert .haU .eet ainhu.III .peclficaUons
'for 1IS-2D loa4iD,. Approve4 types Inclu4e:
l) concrete
2) corru,ate4 ~tal
') corruaate4 polyethylene tubl,n,-AASBTD f2"u)' .
(;ounty roa4 .houl4er .baU be left at '..
.xistin, profile.
2.)
APPROVALS :
I
4~ Q, -P--.
O'.I....n. .o.rd of a G. ~A.
Count)' Collllll1al1onera , //7 C.~//a8...1L ..)
Date9--6f3
Director. Department
of !Public Vorb
Date "A,k...
. .0;;' ii:i';c';, :.1"';' :,,:: ,',
. ".- ." -_.
~. '. ;"':'-"~..I.'.'.-.._'........ ~'.
,
4__*',7
.
- ,.
, ,',c'..
, ,..,,:- ,::':'"
, ----:; ',i ,
"',"" ":"':2~~i
' ','. I'::"~
, , " , :- ,', ' ,
, '>
, ".',
, ",. ,"',',".'," :;
,
'..'
,...':.', :,
, ",
, '
'.', .J '.",
I" "
i ,,",
'..
I','.,.
,,'
: ','
!
..,:,
'::'
:, " ",
,',:
" ,'..
, .:
.
.',.
.. ,:
I:,
I
,
,'..,',
.'
'."
,: :,
,', ' "
, "
,,'I
.:'
, , ' "",
__J.',',,','<
, ""', ,'"i
~
..
..
-
'..,' .
> ,', " ,~'
.,.i" ,'.,'.:
,: "':" ,';.:' /'
SHORELINE SUBSTANTIAL DEVELOPMENT PERMIT
EXEMPTION APPLICATION
for
COYL E PENN'INSULA PROPERTIES
".
t
",
,
TMS l'B
survGY
aSS~C!atGS
~ \ \
"'~ \\ .J
2132 lawrence street
\ ~ ~ \ I _., r2~~i~~~~~~~ wa. 98368.7925
:.",\i, ~..,,"',;,',,"\ ~ r~ ~ I I \~~: 0) . ,_ TIDAL DATUM
\~.,.J"l~,,;,..,,\ t\ \ I~ \'f~~~' , N
~I} '\> ~ 11: \"l 17 '"
\';,:~,ir,~,,\\ Hd ~ l~ Ir'~\?~-
~\ ~~ ~ \ \ ~ ~ ~ 1\1 ~I J ~ I ~ \ 1 ,J'--
\ ~ jll~\ ~ ~ ~ :11 \I \ ~ I ~ \~t: _J__, ~ - ~
\~ i~T;~,"~,;' \ ~ ~ ~ :11 III ~ I'~' ~r;~t"~,,, ','"-:s:.",17,,, , ..-}'c..u:~ ~/~M
. "~ ~: ~ ~ " I ~\ \ ~ ,,' \1; - -:5J '
,~ If.~~~' '~t~ ~ ~ l,l II \ ~ I ~ ' ~'f.:4'- ~ -'
g'1i.. '1 \ f,,- ~t:{ "'-, I \ ~ri' , I "'~~, -',
, t ~" "'~.,'" I / I \ .;v
~ <:>\ .., , I AP?Jf'd)(, EKTREI'1E i:',,-'
\ ~},,;ll, '.ib,/"},E"~' 1 / I \~ No W. ANt) t.1A/E 0'" _ ~
, <!::. '" d""~ I I fAi.TPEPEAI'DENT \
"'uJ. 1\ ': \.A.::~'~, w:-l,:".,'"I1. '.,,'~"', ' VEtSETA T/OAl'. I'~,~~ ~_
~f'\~ '" !~-~ <~' I i I I ~:i "
~ ~ "a ~,':,~;,' ,:'1.11 I I) I I,-:J ?
h...... \ ~:~i . ,.., / 1:, I
\1 I~: :1~:" / \ I /it
, ~ _ ,l / :bi,.,'" ~, " " IIV' &1t' 3'7'I,tt.:iI"I..lE~AL DE5CR/pr;;N: [~~. ...,,-
~' ,~//o.r;'\r" :1 ~;tfJ "I I ,I I ;f Pt:>RTION Or TM ': ,-~ ........
: " ~ \ ,-I' :b'1'l~" , N"/f'T~ t-'z Or TilE
" \J'- ~.- fi"'h I '
>' '\.~' ,"'; S"W~ J 0' SEt:, 9 ORAWN: ..10,D,
< Ib;'q ~ 1" E06EOI'EJtI5T/Nt; TwP. 27 N., .-'1, /E,
IJI.:I~ so~r~ pr. /PD. ,'.,,//v1.
/1 If.,
.,"';},'..,:.,.."., .' ',". ,.',
:i..<';i
,;,/ C'i'....;C:V.i.
i,,:,.....'
,,;':,,::'
;,ii"
./ ".,.."i:','.,
.i, ::..,i, ...,
.C: ii',. '."."'..'.",.,.'
.."". ,',',..
r:'}:,
;'i;.:,,~ '
, f' i';.
".. ,.,'.... ',,"'.
I:,,,"::..,,,,
I i':::""X, "" .';:::, z....... ..,...
Ii.'''" ..."'.,.
1).'..'
II;,) ,j.i;.;.c,
Ir. ',,'::>
~,'+i;i"/',:
l'i"':
" i': ';,'
~i"'E
i
-J'-'
"
,
I,
I.
l"..
I
",
"
".,
"
..,'
'I',.
\
,
,:: '
" ::,
..
"
, ,'.' ,
~
"
, ," "
" ".',
".", ,," "..; ;,'.
'" ' "
, '"
" '
, '.'",'.,
",' ",
: :, ::1
, "" ',', :',
i,
I, '
" ",
': ',: ':
: " ",~, ..
I
, ' ' "
. '....,
.'"
,,'
'"
,"..',
,
,',
:'"
l.
I
','
"
. .~... ..
;,":"'.':'; '....
, " , :.
,'.., :!' ,": :"\',
,', ,,',:
"" "...',','
i:,' ',:.' '" : <",'
" ',':. "
"., , .'
':,',::,
" I, "
I' "
,,',' ", "
.'" .,',"
, ,', ", ,,',.',;'.
, ..'.. ' ' :
'. "
-',"'1,',,:::', ,.:'
_I: "
,
,',', I
I'
~:",
",
\
c",_/~
~~~~<i
~H
~ll;,'ll''''\
,1; "'-:J,~'"
,^T\t-.
~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Streel
P.O. Box 1220
Port Townsend, WA 98368
12061385,9160
N~ 09 1 0
District No,
5
PERMIT
In accordance with all applicable Revised Codes of Washington and arncndmcllls thereto. and subject to all the terms, condi-
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED IO U.S. L~est CollTl.."i.catLons
2720 Oakri.dge Dr., Port Angee?,L\!<\ 98362
to
Inst-aLL '105 feet of b.ri.ec1 servi.ce wi.re aLol'l'J ti,e Norl'h si.de of Shi.na Rd.
from mi.Le post 0.72 to mi.Le post 0.76
L~rk Order #88-388
County Road No, 505409
Franchise No,
Milepost 0.72 to 0, 76
No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with and
received instructions from
This permit shall be void unless the work herein contemplated SI1011 have been completed before Novenroer, 9 . 19 89
Dated at November 9 , 19 88
n~Wl8ID
By ~~ ~
1.800.424.5555
GENEIlAL 1'1l0VISIONS AI'I'L/CAIII.E TO AI.L I'lmMITS
This permit is subj~ct to all applicable prm'isions of the R~viscd Codes of Washington, except lhal any pruvhioll ill this agreement not c()/JsistclIl with
such resolution shall be controlling.
A bond ill the amoUnt of $
is required for the protectioll of Ihe cuUIllY as set forth ill the lImns uf Ihe bond.
During the progress of the work such barriers shall be erected and maintailled as lll<lY he flCCCS.'<lfy or as lIlay he directed for the protection of the
traveling public; the barriers shall be properly lighted at night.
In accepting this permit the petitioner, his successors allll assigns, agrees to 11Hltcct Jcffcrsoll County and SU,\'C it harmh:!>S frum all c1<lims, actioll!. and
damages of every l;ind alld description which may accrue 10 or be suffemJ by any person or persons, corporation or properly by rcasoll of the perfor.
mance of any such work, character of materials used or manl1er of inSlallation, maintcnance and operalion or by tht: improper occupancy of right of
way or public place or public structure, alll.! in case any suil or actiOIl is brought against said Jefferson ("oum)' for damages arising out of or by rea~JtJ of
any of the above c:.Iuses, the petitioner, his successors or assigns, will upon notice to him or thelll of comlllencement of such aClion. defend the same ut
his or their own sole cost illld expense and will satisfy an>' judglllelll after the said suit or action shall/lave finally been detcrmined if ud\'erse to the Jef,
ferson County.
Except as herein authorized. no eXc:.lvatioll shall be made or obstacle placet! within the limits of a counly road in such a mallller as to iJ1lcrfere Wilh
the travel over sakI road.
Except as herein authorized, no excavalion shall be made or obslacle placed within four 14) feet of the euge of lhe pavemcnt.
Jf the work doncutlder tliispcrmit inlerferes in any way with the dr<llnage of the county road, the grantee s/mIJ wholly alld <It his own expensc make
such provision as the engineer may direct to t<lke c<lre of saki drainage.
On completion of said work herein contcmplated all rubhish and debris shall be immediatcly rellloved and the roauw<lY and roallsidc shall bc left neut-
and presentable and satisfactory to the cnglneer.
All of the work herein corllemplated shall be done under the supervision and to the salisfaction of the Coullty Engineer and the eruire expense of said
supervision shall be borne by the party or parties to whom this permit IS issued.
The Department of Public Works hereby reserves the right to order the change of locatiun or the rellloval of any structure or structures aUlhori/ed by
this permil at any time. said change or removal to be made at the !Coole expense of the party or parties to whom this permit is issued. or their succe~"ors
and assigns.
All such changes, recollstruction or relocalion by the grantees shall be done in such manner as will cause the least interference with any of the Coun.
ty work and the County of Jeffer!Coon shall in no wise be held liahle for any damage 10 Ihe grantee by reason of any such work by the County of Jeffer-
son, it agents or representath'es. or by the exercise of any rights by the COUnty upon roads, streets, public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit tbe County from grallling othcr permits or franchise
rights of like or other nature 10 other public or private utilities. nor shall it prevcnt the County from using any of its roads, streets, or public places, or af.
feet its right to full supervision and control ovcr all or any p.lft of them, nOllc of which is hereby surrendered.
The Department ofPub[ic Works may revoke. amend or callcelthis permit or any of the provisions thercofat any time by J;iving writtcn notice to the
permittee. The permittee shall immediately remove all f<lciHlies from the right of way. Any facilities remaining upon the right of way 30 days after writ.
ten notice of cancellation shall be removed by the County at the expense of thc permillcc.
The pany or parties to whom this permit is issued shall maintain at his or their 1>o[c expcnse the structure or object for which this permit is granted in
a condition satisfactory to the Dcp<lrtment of Puhlic Works.
SPECIAL PROVISIONS:
1. CabLe shaLL be i.nstaLLed a mi.ni.nun of 30" beLow exi.sti.ng di.tch.
~~B_V clri.ng cOnstrucHon shaLL be restored to ori.gi.naL
In accepting this permit the grantee, his successors and assigns, agree that any d:unage or injury done to the property of the grantee or any expensc
incurred by him through the operation of a contractor, working for the County or any County employee shall be at thc sore expense of the grantee, his
successors and assigns.
and conditions as herein set forth.
Dated this /6 day of
.the undersigned, hereby uccepts this permit subject to the terms
;P{.~
,19'fJg-
k
~,
f,~'~:
'I' '
~
5'
t, ~
~.,.
:f.~:', :
~
f'
t'
'h.
~:;
\..
~t.
~,,:-
r:
.,
1,
,~'.
t
r
r
t
w
:1..
1.~,
y
t
t\,
~
t"
;
~
}
r,
~". "
.
,
ji:;
d
~",
,"" ....
',', ,..,
:,
, ,..
"..
---
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
~'\'~" ..~, ,"
~\ ~
.( ..:L\
~
1820 Jellerson Street
P,O, Box 1220
Port Townsend, WA98368
(206) 385.9160
\
AI'!'UCATION FOR l'EltMIT
To Department of Public Works,
Jefferson County, Washington.
The undersigned tI. s:: 4/d
hereby appl //-/-'?'i! for permis;ian to /4::",
5'4r"", I?c1
'.. ".., ' '
", .." ,..',:, " '.. '"
, '," ,,' ,:;
l~: . '.", ",
,,: ','
.
, '
Fee Pald_ Yes _ No
MCll:eipl No.
Address Rcquesl_ Yes_No
Mile Post
~..,
/tJ5' Ii' 0 f' j",rre,1 S'e/jlf<-t!" W(rc "d':f'
(~I{I"Ii<1ml ..iII."...\o/IH'IUII.I' .\11111 It" 'rll/I''I trJ ",,)
SKETCH:
5~e tt#crct..Jl UI"k Or.kr &'?~3S''?
On County Road:
541" .. ;f/
bet ween
'....WI'./I<'II'..IIOOI\,.I/r....lflrmJ(..pr,11I1I
RECEIVED
NOV 2 1988
JEFFERSOi\J COUNTY
PUBLIC WORKS DEPT,
and agree...l4Ay 10 do the work in accordance with your rules and regulatiolls and subject 10 your inspection and approval.
Date //-/ 19~
f'/ U ~~
./ ISiiLn~lurtorAl1l1li'anll
r Uf applicant is a copartnership, set forth names of copartners)
2 '/?c/ ,04/( -f..~LL:U......-
~~";LS~ '711362-
Phone No, 't'S-Z::-- 0/'92 '?
4,,,f..,,f .6;~./..(...
(('ontrDClllrl
AlIdrc,,'
Phone No.
100% Recycled Paper
" ',.., ',,' ",
:, .:: ,"','.,' '<, ,'..,
':,' ',p',,' .. ,"" '
:,,' '. ,
, ,",
'.., ,', ' "
"
, , , :'
. '. : ,,'
, ','" ,
" ", ". ,,'
';,'..,'.. ' , '
/,." " ,'. '
, ,.'/ ',',,",.
.,',' ..,> ','
,
',.':' '" ':' " "',,
" " ,",
/, " ." ". ' '.. ','. ,',
: ,: "I,
;,,;'
'..,'.... .,' .
" ,;.. '" :,
',,",'\,,', ,
"," ..,."" '
"
"
,
":
'" "
,
, ,
,,',:
, :",' ,':,
,
,
,
,
",".
,;,',
1
....,:
,:;.
,',
,
, ,
. "',; .. '. ,',
,,:' "
,"":,;,, :', "
, , ,,',' ..'."
, ':' , ',;,: ,:' ,', ,', "';,
"',:: .,..'," "..,
" ',.' .'..", "
, "..,.. :':',
",'.,": ,:' .':,
",,' '.,"
" ,','" ,.', /' ...
",' ,',,'
, :
, ',' '..,' :',,,..
'" ", '::
,>~:..
..' ,;', '::',"
',:', .'
"', .. '.
':,','
, ".,:: ': ,,"'"
Jefferson Co.
DEI>ARTMENT 01-' J>UULIC WORKS
District No.
s
Permit No, O"'} / 0
Supervisor's Itcporl No.
SuperFisor will make detailed report with his recommendation all this application. ~Vhef1ever possible show sketch of proposed
work. Supervisor wi/! also make adllitiollal reports and final report giving date of completion of work on this form.
Preliminary Report:
::>I/.'",F- R..t:.. ..-rI'f'.
NJll.i\..~ew lS>f<",...t::.e~
0."7'2- ~ hi. p.
~~....I+ :S7'-I9;oJt)~~
0.71. 6..-J
O.-kH.
Let='r\.
Dale:
11- 7-8~
Signed:
.LJ~K~A
Final Report:
PERMIT INSPECTION REI'ORT
v--- Work covered by permit has been completed
satisfactorily.
Work is nol completed.
Recommend permlf be cancelled.
Traffic control .. adequate
.. inadequate
REMARKS
nale:
L/-11-8,?
Signed:
..;J ,. -7T K :~
~':-
\;
I
I,"
~..
"
I
+..
t,
V
,..
f
i
;,:,
t
l'
'i
~,'
\:
t,....
f
l
;
"
{, \
f
j.
..
"
1\
I
I
1
{..
1',
to.
~
:~, .
L
:! ',:
"..
"
~
@ PoIdllc North~ e.lt OUT ._,~~~~,n
IN
',.'ORK LOCA 110~ -.--- ---"- ~- CONTA^CTOR'S ^CCEPTAHCC
.".Q"(e~,il....7!_(~L.~......~~,- ?:d.______.... ___, -._ Flrm_,____.__.._._ '_. .___._....4
Oty ..J}~'J.J_'.:.'-! '!::ct._ eo,,"ly J.f.J:..1: _ _, ISI.t" .Ja.)f" f>lgn.lI..,. ___ _____,_. _
No"'....5 T.~?,'_~,O.__ ..,.. ...._",._______. Tlli., ,____... , 0.18 _.._
t,/v"n p'i~. 0 Co.I Plu. 0 Fl.. Sum 0 ~_ ,___ _
o/~... Ti;O IF _.'O~!..:e.... ."___ U.,. /12:':[ '? i,?'
(!ieN.-) 0 S/ONo ~.::!!:::.._ .. Ove o~"'___ 61'110 PACIFICNO/iIHWeSTIlE"L
(tOpel' 0 Ttll. NO __ . _. 'rornpo,IUJd r.JI")/::) .~u.r,Hon... ____ _~. __ _"____ .__ ~_
A,arr.f'l~~ OSlO No . _....__..__. ~)l,.O Dill. _..__ ....ddre.' .__, ._._ __ .__. _____
TyP.OIS,rvlco--1ffZ.____ Clly_ ".. ,..._,,_ __, ..' ZIP_...., __ _
i- ';::r--";~'-'I' Cc:;;;i~--~'I" 'i-'-;~;:-Mdi;;;--, '''I
r --- '-'--r u---.-l/I3-"-:./O~,;;,)Il, F"
[.,-1----,.., , -" -- "1. .. '----..--.---"j
~:~'=j~~~:,':..~~~~_=_~,-..tli~~_=.-~ ~~,..j
L___~.~--.~ ~,~-~.~~~~~~~~;~,',~-~.' r:'~i~iy "-;::-.;',i" ~'l
~-J.~<)__,5,Pf.!t~-..L'-o,": _\ '", , ,__,J- ,..,__..__
L_Lec,:::::.'__. '1'",,,./.-/ I",z,.~_'_n.._' _ _.I cs::.....
15Pfi..1"-- ,!'v' <"'"SL"'~'''r '--"--,
~_?!t~:~.__,_ .,.~..~~~..~_~., ~_ '~_,_ _:~__~=j
'~-=:~~-=~~~=-. ,==_,----J. ..... -- - ".1
~fL~~I!.~-'.L(.9.'L.~7-_,i "--- ~ --- - --I
'-__...,_,__._ _.."._ _ "'_ . ,1. __,
e~rl.d Service Wire -
'Work Order
rt_IUlI
No, 8~ ::..~??
Complete by __.'_
A"~MOV.AL FQr FI,: SOJM/CO'f J'!j.' $- ___... _ __~ ..
l'l.c?mmen<!9.;__, ...._ . __ Oil. _..... n'
ApP'ovedby___~ ___ __.__ Oate___.. _
P"RMIT RCOUIREO
R.ce'''ed from _ .
J;.I':sdlcUon _
o VI' 0 No
_ ____. __.__ Vlrbll 0
,,. No, ___ Dill __
COfAPLETED ey ___,__ ..' ... Oal.. ___
CI.!1 ~______. _ 10r Sarvteo CoI ~,"
.------,;;;C _:--+=:
sL:,tChW~~. H;qu"ir~ -:l'~c~d; L:~.~-;h$~-d-~Pt;;~. ~i;e.tf~d'>>'n':"\J~\
. . . . . , ',--", ,. -:)' .. .
,~ r: ..r-Co...~tf:I' ,", 1.1:. ,'~.:.
.~. .' ,-'-:-..~A,,; ..
.y
.::-- I -. . ..._.~~:~-;--:---.~--:---.____----r---'-
......> .'\ I'V ,I.. ii(
'- ,-" -- "'( r---~~'." --'= _ - - ;::..-::::.-;;-
I / ~- - -:-, : 'l : : , :
/" " ':V' I,..)
, .s-- c,,'it>,? ~.". ,~ '
. ~ H"",/~ . . . . . ,
-'-~I r-~
~~~ (
."tel"
--",-'-"-~"'-"'-' .. -.-------...-..-,~~ ttykK..1.......o".h"l'~
;.-~;:'I. ~:;(i.~-;::-~.;-:,~~4t).~;;'~Cw..'1 't'~r~,u!",:,l~!'\ II~ 1111 (JlIIt1.1l.. 1\ 'f"";". l~. eO"l"aCh'lt . r.,pon.~ 'y Q P ~
OI~OIN..l Cc>>y
,
", ',' ",,'.'
':' ':",
: ' :..i
" ,....
:. :
.',
;:',
',,:.
:',:
" .'" ," ... ',,',,' ',',' " ' ',"
,l: ' , , ,:, ':','" ':,'. ,'" ,.. :.:"" ,,', ',', ' , :"',,, ,:, , '
''', '" ",.,',," .'".. ':',", ,.., ":',' ,." :,'
, ,,::',', ",:' ,'" ',',' '.., ': ,::' , ': ':" ' ':"
" ," ,,", ", ",":1, ,',..'., '
< .", " " ",.., '."",' :' .,:.,
<':', ,'" ",' ,,:.' ".,.", ',,: :>>
,,:',..',' "..;':,,',.,' , ," ,'" '",.., ..'.,',
:'>, "" ,'" ,',' ' " ,'..,".., '.,/',':
,:.. ",::" " ',:': .':" ",", " "
' , ",' . "..,,;. ,.', , . '", ,'>
,,' .. ..,:':' ' , ,,',
",:,; ",:" ' ,', """" '..:.
> ,"",'.,., ': ",,' , ,,"
"...., ' ", ..: ' ..', ',. " ' ',,:'" ",'
';:'> ' ,",'
',' '. ",,:,',' ',' , ..,' ': ','
',' .. " " ::'
'::':' ", " , ','
,: ','::
:',: ',' :' ,,: '" ,
'", ,:..,' , ,
" ',:' "..,' ,
,'...., ,: : ,"..,'.,
,'," ""',',,.
" ' " ',':: : ",
\
r", ~ Y3f}"
~;r~~'
'~~;:-:;::
ff?;,~r..
v'\.,r
VI't:L. ~
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. BO;l; 1220
PorI Townsend. WA 983CB
(206) 385-9160
N~ 0883
District No,
5
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments Iherelo, and subject to all the terms, condi.
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO U. S. ''lest Communications
2720 oakridge Dr., Port Angeles, WA 98362
to Install buried service cable along the West side of Stark Rd.
From mile post 0.19 to mile post 0.24
Job #88-316
County Road No, 504309
Franchise No,
Milepost 0.19-0. 24
No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with and
received instructions from
This permit shall be void unless the work herein contemplaled shall have been completed beforeSept. 28
Dated at September 28 ,19 88
,1989
&~~~@wm
By ~~ /<~
1.800.424.5555
,',,: ,,' ';",,' ,
, ," ,',., ,,',.',' .'. ,\::
.': >,' ,: ':' '" ' '" ,",
,', '. ", ,,'
:,'!.; .','
, :""
,'..,,"'. '
'"" ','..' "
:
i
"I':";,'.> '''.::
>1.: ",',".
-- j'" '." , ,
, "."',,',".
, ,,' ,
',,' " ','. ,:
, ' r ,:
, ,
, '. ':, ',:
'jJ :
....
"
", /',u,~.." _"
:"
";:
....:
...'
is rC4uired for the protection of the coullIy us !.Ct forth in the terms of the bond.
GENEnAL l'nOVISIONS AI'('L1CAIlLE TO ALL ('EIIMITS
This permit is !Subject to all <lppJicablc pruvisiollS of Ihe I{cviscd Codes of Washington, C,",CCpt that UIIY provision in this agreement nol combtcnl with
such resolution shall be controlling.
A bond in the amount of S
During the progress of the work such barriers shall be crcc!t:d <Iud IlmintainciJ us may he m:cc"-..ury or as may he directed for the protection of the
traveling public; the barriers shall be properly lighted at nigh!.
In ucccpting this pcrmillhc petitioner, his SUCCC!!iSors and ussigns. agrees to protect Jefferson COUllly and !>aye it harlnlc~ frum all claims. actions and
damages of every kind and description which ma)' accrue to or be suffered by uny persoll or pcrsom, corporution or properly by rea~oll of the perfor-
mance of an}' such work, character of materials used or mallncr of installatioll, maintenance and opcration or b}' the improper occupancy of right of
way or public place or public structure, and in case any suit or action is hrought against saki Jcffer!'.on Count)' for dalllages urising out of or by reaM)n of
allY of the above causes, the petitioner, his successors or assigns, will Upollllotice to him or them of commencemcnt of such action, defend the sallie ut
his or their own sole cost and expense and will satisfy allY judgment after the said suil or action shall have finally been determined if ad\'crse to the Jef-
ferson County,
Except as herein authorized, no excav:llion shall be made or obstacle placed within the limits of a count)' road ill such a munner as to interfere with
the tra vel over said road,
Except as herein authoriled. no excavatioll shall be nwde or ohswcle pl:tceu within four l41 fcct of the cdge of the pavement,
U the work done under Ihis permit incerferes in allY w:ty witli the druirwge o( the count}' fO:td. the grantee shall wtlOlly and at his own expense make
such provision as Ihe engineer may direct to take c<lre of said drainage,
On completion of said work herein conternpl:tled all rubbish and debris ~hall be '"lflleuiately removed and tile rnadway and roadside shall be left neal
and presentable and satisfactory to the engineer,
All of the work herein contemplated shall be done under the supervision and to the satisfaction of the CoulllY Engineer and the enlire cXlX=nse of said
supervision shall be borne by Ihe parly or parties to whom this permit is issued.
;
The Department of Public Works hereby reservcs the right to order the c1wnge of location or the removal of :tny structure or structures uuthoriled by
this permit at any time, said change or removal to be made at the sole expense of the party or parties to whom this rcrmit is issued, or their sueeeSMlrs
and assigns,
~~.
All such changes, reconstruction or relocation by the grantees shall be dOlle in such manner as will c:luse the least interference with any of the Coun-
ty work and the County of Jefferson shall in no wise be held liable for any dall1:tge to the grantee by reason of an)' such work by the County of Jeffer-
son, it agents or representatives, or by the exercise of any rights by the COUnty upon roads, streets, public places or structures in question.
This permit or privilege shall not be deemed or held 10 be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other nature to other public or private utilities, nor shall it prevent the COUnty from using an)' of its muds, streets, or public places, or af.
feet its right to full supervision and control over all or any part of thel11, nOlle of which is hereby surrendered,
The Department of I)ublic Works may revoke, amend or cancel this permit or any of Ihe provisions thereof at any lime by giving wriuen notice to the
permittee. The permittee shall immediately remove all facilities from the right of way. Any facilities remaining upon th!: right of way 30 duys aftcr writ-
ten notice of cancellation shall be removed by the County at the expense of Ihe permittee.
;,'
The party or parties to whom this permit is issued shall maintain at his or their sole expense the structure or ohject for which this permit is granted in
a condition satisfactory to the Department of Public Works.
t:
y;:'
SPECIAL PROVISIONS:
Cable shall be installed a minumum of 30" below existing
shoulder grade.
1.
.>::'
t\
~:,'
/
In accepling this permit the grantee, his successors and assigns, agree that any damage or injury done to the property of the grantee or any expense
incurred by him through the operation of a contractor, working for the County or any County employee shall he at the sole expense of the grantee, his
successors and assigns.
](,C
,
t(, S. o/'e~
and conditions as herein set forth,
, the undersigned, herehy accepts this permit subject 10 the terms
f'
I
f
l;
tW
3
Outed Ihis
,19?'i
day of
\,'
r7a~
^",,,,,",/'-' ~
"', ,',,',
,
,
,.', "
.' ' ..
',;
.. ' '
"', ;..,
" ';,' ": '
.. ,".. '.,' ' ,
," >'; ,., .'.,' ,','
""'i '.."<",.,,"
, ":, '" .' " '
',.. ' "', ", ,",..
,.,.' ,,". ., ,,', I,
""': ',.,:" '-,~
;" ','
I ' ,/ '
j," ,,' ..,'
.. ,
"...., "'--
' ,',,'
L. ".'....
l' ... .. ...
L:
.' '
" '
,
,t
',',
-
1
;1
,
JII
,~
.111
,
! ',,' ,','
I ,',.,,"~
i',
",',' .,','.,',;..:
.' ',' '; "'..
,.., : ',' ,.'
, '
1..,..."'".,.,.
',' .",'
':
" .
..;',:
'"
,;
';,
"
/'
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Ftc (Jaid_ Yes _ No
Rccc:ipl No.
1820 Jel1arson Street
P.O. Box 1220
PorI Townsend. WA 98368
(206) 385.9'60
Addre:>>R(qUt:~t_- Yes_.No
Mile IJast
Al'l'L1CATION FOI{ l'EltMIT
To Department of Public Works,
Jefferson County, Washington,
Tile undersigned tI. s: 1;,;".;1- L fl,c. 4/ft:-' .6'",//)
lIereby appl-9.:=.Jp;.'3'if for permission /0 ,1)/..",,,, Z$()" c-P )M/~J S"erv;C", wIre "'- ,{,....
f 1/1",,1;"'1111 WI// "''''011,,-' fully ..llIlll,.. 1\'1\11... ,,, do I J
5hrk 11,1.
SKETCH:
5''''''"
'ilkc-h'..-/
t(/.rk C)'I'df",,,,
R~([: ~ ;'\:.r ~~~
" ~ :': '.~',n
..s:::.;;:.:.;,:.;.:. <:.::: :~. .)j"'~T\"
t:!\!(~~N.:::;;:~<~ Ul:;;~:~Cl.:::
'""'~~[;&j~'~~,
On County Road:
51.41'f' k /Y',::(
between
/S/(I/t"ro>a't',lfrm\\.,"/r..../o'mllt'p(J;11I1
and agree--,- 10 do IlIe work in accordance willi your rules and regulalions and subjecl /0 your inspection and approval.
DOle '7-IS- 19 gg-
A{,'k"..r~ ~,..k./.....
K(lntra~lOrl
tSii\n~lU,e of ApplicunLl
(If applicant is a copartnership, set forth names of cop:Htncrs)
^,"'~ 7 z-o (h.,(cJ-!J~
~.../;.~ k//! 9'$'$"2
Phone No, 41~ ~ '/7" 2. '7
-,,1.110:'-"
Jefferson Co.
I>EI'AIUMENT 01' l'UnLlC WORKS
District No,
~
Permit No, 088:'
Supervisor's Ueporl No.
Supervisor will make detailed report with his recommendation 011 this application. Whellever possible show sketch of proposed
work. Supervisor will also make additiollal reports and fillal report gh1illg date of completion of work 011 this form.
Preliminary Heport:
.s ;-.-rR \<:.... Roo v't-D
yYI. p -
Ci?19 -It,
""'f.
0.2'1
/lIO l>:-fc..tf- i/'oJ ~h~::,
N~Ro.., ,l!t>. /l-N\:> .sffL~.
,q-i~,e ,q
Dale:
Final Reporl:
PERMIT INSPECTION REPORT
l/ Work covered by permit has been compleled
salisfactorily.
9 -2-'7 -SB
Signed:
.-<J~ K~~
Work is not completed.
Recommend permit be cancelled.
Traffic conlrol .. adequale
.. inadequate
REMARKS
Dale:
~ ~ \ \ - '6'1
Signed:
)j <:,JJ-" r:.,,'~
.:". .:;" :.~
'(I~,,,",,""'"
~' PERMI;' ~";:;.,
q. /~ -2flurled Service Wire.
Work Order
__=tJ
Sketch Work Required. Include Lengths, depths. wire sIte and ,mount
leF'Co...,:,~ ' a' ~
/>,/T-" .:~: 0r~~ , , , : : : rJ
I1S IlP Jt ~ ~ ;':;~ ~
5TAYLL '.R~ ' ' , ,
'VOOK LOCATION
'-.,ddre&1 _1.'6.1.. 5 r A(;: R d
CUy .J?2.:~~ County ~.f.L._ Stele ~
Name__l!!)!i.L{:.,. Ct..Ih,I,s ....__....,__
OOIOIN"TfO 6Y,Y.lL~~_ Oal. ~'t
New 5a' 8/0 No, ~JA.. Duo Data-=-_
Repair :c:;l Tel. No, ~__ Tampoliled 0 ,.J<I
Rearrange 06/0 No, , CUll Oate_
Type of S.rvlce
CSL P.lr
CfJlntlly
'--
P89W '8,8 \I
NO il:?/i'.
Compte Ie by ___' .
CON TRACTOR'S ACCEPTANCE
Firm
Slgnalur.
TItle
Unit PrieR 0 Coot Plu. 0
,0810_,,, -
Flal Sum 0 $
Bill 10: PACIFIC NORTHWEST !lELL
AlIenllon .... _ ____
Addrai' _ _..,'- . -'
Clty_..___....____----ZIS'- ..- -
Af'PROV At For FllIt Sum/Cult Plu. $ -- .-... --- - -
Recommended _'no'_ ,_.____ LlSle .... ..-. '
ApPlovad by, ____.. __ Dale --"
PERMIT REOUIRED
Recelve<llrom _ ...,_
Jurisdiction _
o Yea 0 No
. _ Verbal 0
....,_No, _O.,e_,
COMPLETED BY
Call
.. ..__'~' Oa(e___
, _ lor Service Conneclion
I,ndi~a'e ,NOr)h.,5 +' Ii ,
, ' w'
::T-
O
...:......
'^-
\ Do NO+ ~I.; .-10 1~ ,; Te/M;ilt
~
-::r:..
'--'
NQi;--Tt;,~~e-;;t~~~;u7~lo~;;~.nl.t,0f":" ell dellell.. it 1';';''''1' the eonl,.etor". ;ertp()"llibltll\l 10c>rOp.tlylOcall wor/llln th.,..ta
ORIGINAL COpy
PERMIT NO. 'D1-~5-:S-/
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
port Townsend. WA 9B36~
CHECK ONE:
fig 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)
nIl'" ")AOP"\ (")/ ~,_ ;vhr"'l'J"';-.J.. '"\\ p ':;) ..."..'1.... J.I",.. I r:.." J
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out herein, and any special provisions attached hereto.
, ' __ '5'dl-" ~ C"ac;~
Applicant Name -r;;:<; 1" e. or ,.\ 1\ m e.." :J:. ..5'3 ;)"1;ontractor Name
Jl.ddress ,RT. / e"'.... /,"1,,,,:, 't~/),:::/~etfS;.ddress
J) 7'1 S P6 ' qa.mble .
"I f6~(ractor Signature
Date
paragraph.. 2 'and '3 .on reverse side. .. ,
PERMIT
lffillli
Subject to the te~s and conditions 01) the reverse side', PERMISSION IS' HEREBY GRANTED to
Applicant to construct, operate and maintain a Ioad approach as requested above,~And a~y
special ,provisio~s at,tached hereto. ' , -, ' "',
applicant or :contractpr has notified
,telephone 'c;?! ;S-:'-"',' 0' ~ ,
,.
No work shall 'be
Date
~.: ;'-
'.', :
-';11"
PERMIT INSPECTION REPORT," ,; , ("'!,
CAll 48 HOURS
BEFORE YOU DIG
1-800-562-6478
Work covered by permit'has been completed
satisfactorily. '
,......-'Work .i.s not completed. .
~ecommend permit be cancelled.
______Traffic control - adequate
inadequate~
REMARKS /fleer)" 1.\
L.-N';~ c~Lv"'J'.7-.
INSPECTED BY' ,./)LIt-lI- f( J~
DATE' t./-/1-99
Fo,m 113-0 IR...A 2'1121'
i""~""-'''-'.''''''.
,:,
:' ,
':,' '.:,
,'. " '.'.,:,.'" ,
...,'> .: ".", , "
.' " ','
'''".''',': ,
,
,.', '.".'
.. ": : '
..
...',
," '
",'..' '<":~.""..'; '.
: "
f:- '
, ,
, ,
, '
" ..
.'
.'
, ,
.'
---"
,
"
"
i
,
..
t:.
..
.-_.
-,
r
,
"
c
.'
-,
...~. ;
.'
.,-0-
J:--
. ..'
1-'. ~
~. '"
r~.;
r
r
I
!
I
~
,
"
Ii
i,
OJ;';"
l'
.{.'
"
A~'
:,
,
"
','
""::.
,.'
,
,
',,', ':: ,"
,',./' I
""."L
",'" .,'
'. ,.,"'"
';, /, ""'" "
:' " '
":,, .,' ," ,
" '
',' ',',
", -'
: ,..' ",
<'
",
I;
I'i:
, "
II:
,:~
I,'
I;'"
I, ,"
,
(
'. " \,
..... Jl'C(;;r;.~'
.' TYPE P-l r'
" , ': ,~~IVATE ROAD APPRO~CH , . ~.. ~)tI-'r
,":: .. !,.. ~,: :,.:',:~.f1-:'lcJY, ~t\l'Jf0.;: ,,~:',: :~::-: " .';~1
...:'~-::=-,.._......_-' -:.-'.-- ...--:--' -:~- -, ,----- 1/::I7:Jr-".. --:---"-,-~'::'--:-'- -=-~I
.". ..., : ""~ I . .. - . -.. .
. .. lotmin 24'mol. ;: ~ .
'2~:mo. ~ it' /.. I;o:ml~"': " ',' )
. 12"Oiomin,cul..rt::......~'I;;:RO~-:{ Ik ZOmo.,Rod, Edlllng dllch" " " J' '
... ~~::.t~,r '7-
"dg. ol.hould.r -" '," . .-,:-.. ,.... 'm'~ 3701 ,,~', ',.., ')
· .... : ,:' '00",' .~,_~ .;'~tSt H"~ 1
.:: --,- '="<: '[- ;::j:~'~"' it ~c-~:-:-ci:'~
-, ,1_1 ' 1
.. ..~ ~:,~.: :~'.~'''. ,.- .. ":AI ReQUlr."d . ~2% ;,.,-:,. :. . ~::-i :-:-." ~.. ...- .... ..--
...r:i-.'1=:.:;;:~~-:T~::-...i.:,i~,i i ~lMI12" r ','1' ,..~1:~:.:i~n::;::==,.:T~::~:-.:. d';:~~
. !~~tln~i:~~l~~~:..~op~c~T::q d . n". CU':ROFIL~:,:~:' ""~~~:;"DI~T~: ~~Q~~~~~S
~ . POSTED SIGHT DISTANCE
SPEED LIMIT, MINIMUM DESIREABLE
r ,....:~-:J.:r-: ~.~.l
. Ltj~.:.: '. :.
: ~'-~:~:-~'-~~':.::
NOTES:
2S 160 FT. 200 FT. "
30 200 FT. 240 FT.
3S 240 FT. 275 FT.
40 275 FT. 350 FT.
4S 315 FT. 410 FT.
SO 350 FT. 475 FT.
1.)
Culvert shall meet minimum specifications
'for HS-20 loading. Approved types include:
1) concrete
2) corrugated metal
3) corrugated polyethylene tubing--AASHTO f2,Ja)',
County road shoulder shall be left at
existing profile.
2. )
---/JiPROVALS'-
4~ 12. ,(?~
Chairman, BDard of a ~ ~
County Commissioners ,,<. A. ~
Director, Department
of Public Works
Date 9A4....
Date9~f3
. "foiin .i'~::c
.. '
", ..
--,
~ I i
"', ',.
,', ' ','
, '
", "'/" ..,
,,' "., ",.
',', ,'...."..,', ..
" ,
'.
:1
:1
,':
'::
, ", "
"
,:' '
" ',.,.",,'
"
:' .:
"
"',..".'
'"
,:
"
':".
, ,,'
"
~\{"
:', ,,'~:r~:",.. '"
, ,"';,,:
,
, '" :,' '.','
,'. ,'., ".,'.'" "
, ',', ',', "
"
:' ',' , ",
,.' ,: "
"'.,...,,..',', ',.
d
: '.
, .;
,,' ,
" ,':,'
"".','
,
,_I ',:' ':"::
,"
,
," .-
, :.-.....
," '
',,'" '
" ",
" ,>'
" ;0
.', ,,'
",."'1
',. ..
~. ,,',
",' ".
': '
"',...." ,..,.
;-.'.. ",: ,,' ,',:', '" "
.... .": ,', '
,,: " '
": I,'
",:
" ",';""
"<" "
"... ii'
.."""L
,,',;,, '; "",,:,',:",'
1\ ' :' ':...', '
1"1,:' ',;,
I' ',I "','
,
:i, ,: '." "
,'.-, '" ... '
, ,. :':, " ,
',i'
";,<
I:
,,,'
"
,',:'
':'
II, ",: ':' :' ,
: ,,;::':', :
..' "':, '
:
',", .::'
. ' ",
, '
,
',.', .&
"
,
(
T
l' , .
".;
l, "
"
"
"
''',
\,
,',
,
'",
','
f
,I,'
"
, "
h
C)~c lJ/(7~
PERMIT NO.;;f<;;'-h-..;v:f~ /..
FEE PAID .0es _No
OFFICE USE ONLY ,
d,lIftilfS "'-i'f/n> .)S~~'
'( _.>;'J
,-
~UNTY ROAD NO.~
;TATE LOG NO.
llLE POST ~T,
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, ~IA 98368
CHECK ONE:
~ RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL PAon e
437-28"2'5'"
Application is ~e~bY made for a permit to construct, operate a~d'maintain_a road approach.
Please describe loaction (a1jttch map or~awing) Ft<<1j.ed! trrd,e,..
/7/ - Lucllo-.v '/:::517 {-<ejl..., .'
Pr>.ri::- G,u.-j/D vV (Lor 1'0... LV;~;:c-Z:~r-1.)
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out herein, and any special provisions attached hereto.
APplica~~ N~me G'=-o (:<1 e L_ B, U L~\'" Contractor Name .sWI...D (?)
Address " '7 J L't!...<<d /'0 w jq..;L1 ;/.. Address
, Pt"'J;"-'--/-;' /;..I</~/ / CJ 1/1/ U
Applicant Sig'jaturB ,,-;!:,1v. - (:7t: R4 contractor Signature
Date. I.~/? ~ s;?g -;' _ CJ U Date ' ,
Note: Ind~ty provi~ions of paragraph" 2" :-and 3 .on' reverse side.
SUbjeC~ to ~e terms and conditions ~n ~: :e~e~s: side, ~ERMISSION ~---
Applicant ~o construct, operate and maintain a road approach as requested above, and any
specia1 provisions attached hereto.
No work shali be d~ne under this permit until the appl~cant or contract~rhas notified
, telephone
APPROVED BY:
./J~~ j(~
'Date
6-29-88
CALL 48 HOURS
BEFORE YOU DIG
1-800-562-6478
PERMIT INSPECTION REPORT
/WOr.k covered by permi t has been completed
------- satisfactorily.
_______Work is not completed.
~ecomme?d permit be cancelled.
_______Traffic control - adequate
inadequate_______
REMARKS
INSPECTED BY:
JJ ~--~.:..OM<.<>'1 DATEi)-lo-Rt
Form 113"0 (ReovA 2"pz.l ~
'..' "
",..,..
.-'
,'~
, ,
~"
-,-
',' ""
"" ..,
',' '. ':,','
',,'
,"" .',., ,
", :",
',' ','',;,','
,'" ,'..':
I
i,
",
,<
"', 1
,
, "
"
: ,
,",
:"
, '
"
: ,,\' ..'
": .,.
,
",
,
,\ "
..
,
;",.."",,', ,',: ,'\
,', ...., ... "
"",11, "..
, ,,:' ' :" " ',:
, : , " .. ':', , . "; ~
,,;....",,: ' :'
,'.' ," ::,.,. ,~~::,\;;
:,' " :
, I':, : ' : ,I,>
I' " ',' ".', ,
- ',",..' ii".
, " ','
"'" ': '"
, ...
,
'. ':
"'1 "~I:
" '"
~,'
,
,
GENERAL PP.OVISIONS
!.
'2.
THIS PERMIT IS SUBJECT TO RC'~ 36.75,130, .140 AtlC .150 AIlO AMENDMENTS THERETO.
THE GRANTEE.. ITS SUCCES$<lRS AND ASSIGNS. AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FROM ALL
CLAIMS.. ACTIONS OR DAMAGES OF EVERV KIND AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUffERED BV AN't PERSON.
PERSONS, OR PROPERTY BY REASON OF THE -PERFORMANCE OF ANY SUCH WORK.. CHARACTER OF MA1E~IALS USflJ OR MUliER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY fOR DAI'lAGES ARISItIG OUT OF OR BY
REASON .OF AWi 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 MY JUDGEMENT ARISING THEREfROM IF
DETERMINED ADVERSE TO JEfF~RSON COUNTY.
3. IF .THE GRANTEE ENTERS INTO"A CONTRACT OR AGREEMENT HITH A TIIIRD PARTY TO PERFORM THE WORK AUTHORIZED
~~J~~~F~~R~~[D ~~~H~~~D .J;~R~~FE~~ ~H~A~~U~~Y T~~ ~g~~~g~~~I~~ T~O~H~T~Rg~7~~~~~ ~~T~A~:~~~~12~G:~~~E~o
4. ~~Y T~~~A~~R~~T ~~ ~~NI~~ ~g~g{~~g~~o~Neo~~Q~~=~~~~~: ~~;~:~ gsDgAy~R S~Ltu:5B~~C~HiH~~R~E~I~Hio G~~~~~_
LATlON AS HERE IH PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY I THE GRArITEE SHALL COMPLY WITH THE I'IANUAl ON UNIFORM TRAFF Ie CONTROL
DEVICFS FOR STREETS AND HI(;HWAY!> PUBLISHED BY THE U.S. DEPARTMENT OF TR......SPORTATlOH.
.6. ON COMPLETION OF SAID HORK HEREIN CONTEHPLATED.. ALL RUBBISH AND DEBRIS SHALL !E IHl'1EDIATELY REHOVED AND
THE ROADWAY .AND ROADSIDE SHAU liE LEfT HEAT AHD PRESEtnABLE AND SATJSf'.ACJORY TO THE COUNTY.
7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REI'IOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT MY TlME1 SA.ID CHANGE OR REMOVAL TO BE KADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO HHOI1 THIS PERMIT IS ISSUED~ OR THEIR SUCCESSORS MD ASSIGNS.
~~~ ~~~T C~~~~~~ER:~~~N~r~~r~~N D~R T~~L~~~~{~'1s B~O~~E ~~A~~~~~~~~L c~~N~~i~L S~H ~ ~~E:EA~E~Ltr~;~~E
FOR A!iY DAMAGE. TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY.. ITS AGENTS OR REPRESENTATI VES1
OR BY. THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS I STREETS1 PUBLIC PLACES OR STRUCTURES IN QUESTlOH.
9., THE GRANTEE SHALL NOTtFY THE COUNTY.S REPRESENTATIVE UPON COMPLETION OF THE HORK UNDER THIS PERMIT SO THAT
!' FI~AL INSPECTION C"ll 'BY MADE.
. 8.
SPECIAL PROVIS IONS
APPLICABLE PROVISIOOS ARE DENOTED BY AM (Xl
T~'hl1j.J '
~.. U!i . ~t BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE p- I
1\.. FT.LENGTH OF ~ 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
~~~E~~G ~~ ~~~f~~~D~A~~R T~~o~P~=~Oi~E S~~~~E=~Y I~N~gC~~~~~iE R~~~~~~-w~~O~:t~ .~g~T:~L P~=M~~~E~~AN.
THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE Of THE PAVEMENT TO
PREVENT MY' MUD' TRACKING ONTO THE COUNTY ROAD, ANY HUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMEDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IIz~~Ai~ :~lgNp~~~liO:I~~1~"T~~OC~~~+~~~E~I~~~~~~,,~~EttENTS.. AT ALL TIHES DURING THE
[2(3.
~~.
,0
o
I~p~5~~~~A~~HI0 IJSf~~:~~1 :~~rce~~r~c~F '~~~2~N~:~L~R~~~8~=A~~ &~ S~~~~~GF~~f1 A~~T~E~}B~~ g~ i~~N Ie
VALLIE ~HALI:- N",OT, BE PERMITTED ON COUNTY ROAD RIGHT-Of-WAY. .
5. WORK SHALL 'BE RESTRICTED TO THE HOURS BETWEEN 9:ooA,M. AND q:OQp.H. lJlILESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
6. 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
TERI'SS AND CONDITIONS OF THIS PERMIT AND SHALL REIiAIN IN FORCE ~TlL ALL HaRK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTY.
7. BEFORE ANY LOG HAULING OPERATIONS BEGIN.. A SURETY BOND IN THE AMOUNT OF $ . SHALL
BE fURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAHAGE 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 SHALL BE SECURE,p BEFORE THE BOND WILL BE RELEASED.
SPECIAL CONSIDERATlONS_.
o
08.
/"
~.
J
j
t,
I
-~-
~
~r-
;; C
:~
.........) ~
"\ ~
~~~ ~
~ ~ n
~"! :>10
.... I :':::n
~ .~ri"~
+4. 1'\ fi,l i"
IT ~ ~ r-t
Irv f!i:
G Jru,
lltJ 1:1
'I~l' It \
c~c t~{\
r1~1 t~
f. ",It
"S:.:, ,:.:..l :,',
;
F
.
i
fb
11l
'1l
1.:0
.0
1;5
~~
au>
l
i.
,:
~
;
I
,,1 !
, re\ji !~.1'
1~ t, ('
!~ ii,r \~}r '\ t
\, ' fi I
F,t ~
[ -J Yl
~:::l. g
- c0
Cl I (P
~
\J::)
~
A
L
n ~
'i~ M
~.: t-l~
r}~~
~ .!~
tt ,.,
, · r:O
) ~ ~'cfi
~ S 'n
;f ~f,....
:.~ ~.lJ
l'" I ~ 1 ~,J
1'1' ~I
I _ , I'
I '\ "
b' d ;,,1
i,l',: ~~ !'
Ir;q"
;~
_"'5
,.;;
.~
~
Jij
OJ '=
~ Ii Wj
~I'l
r]
r
~: 1 ~
~~:H9
ll:t~
.. ~ a. . fTI
~~~~~
~ i ~i n
~ '- ~.:, ~
. : ! -j
Irr~ HJ ~
11,\ l'll,.l
I r !
..II">> 1.\
I '1'1 H
I IH
"';: '1' k r I r n · :z:,
I~~ ~ ~ ~ H' ! ~ i Q
-: : t ~i ~ i. r~ a~ ~ ~ ~
i'!'qi'd'~;~~
L~~ ! ! ~ : l. '- ~ .too! ~ t r-
~ :t... ... I a ,,10. II r1
~ ~ ~ ~ ~ " C'" ~ ~i~ ~ ~ 0
'i~ :- ,} i- =- l~; -? c: G')
~' l ~...,". ~.., ""
.. .. . Q.... ~ =" ~,.- ()~
[ "'" "'~:.J"::tJra
~ 'l:ll~ i~z
~ ! !I':'li!~~-f
'l." t~.. ~I"~
1," I: ('-~\I h:
.. ..~' J1 "'..
S~& : Hr'h~~1
~. ~ ~:l::."" .,R
;..t . ; .'"' ,. ~!i. ~ t::
-) ~ .. - C;
~r~ n-U,~~~
t:~ ~ ..~.~~ ::tl"C
Ib- .... ~ ~..' ~.
;.,:~ . i:: l ~I ~ ~
, . ':I-I ..,.
t: . E.-tl:~: ~~
i~~' '''1\'( ndf~fj
~ ~'~I ~ ~ l. "
, . .h~!~~;~
;~!A..~~~Q
~ ",~ :~.l~ifi~
: l:. ~ ~~
~ ~ Hi, ~,
~ "':t ~ ~ .. ~l'
~;. ~%.r,..
/';;11:i~ ."
fl''' . ~ ~.r
..... 'i..
~. :~~!..t
~t\ ~fHj
~..:. ~ : ~ I
fl., HH
~ \ =
n~
z " "
t ifi
~ It. :
~i ~:
~ i ~;
: e- ~,
: I. > j
. f" j
{ ':;
~ 1: l
l i l!, .
'" :at"
l ;"
1 "r j
~. :,
CIl ?)
I) . ,
:'i :{
~ ~ ;..
9!' </,
IJ l ~ i'if~' "npr~:lrn,1
>-1 ~~;Hl/.!~H~~' i~'.:.p
t';~,"jJCa8!'O.~ .~.::.. t.-
l.l'~ tJ ~t:~:,:-~:" ~,: f=! ri
.- ~l~ ~~:~.!-~;~~~-4l~\~:;~'"
ri f~ t i ~.~ ~ i ~ ~,i.~l t~ ~~ t'
'fi l'sz~r~-I~lt~Q\i\
'll \i~,.l.f'i I ;i,I~(~I\)
1'1 n~i~ r~~ It. ( (~
P i \ \ 'if ~ 1'( . ~. ;(., t
il, oH.'I".qrt~~\~rt
q I HHlh ~hl h~l
{rl ~r(~rt,I~ll'liU
. l( ~ ~ ' '~ ,'rI' q
, ' "
',~.
,: '" ,"', , ,": ': " ',," '
:" "':" '",
" ,: "..,. ,',
..', " '
, .', '
"',."',".,, ,
',,: :, '
'i, ':.. , ",
:,.. ":,'.,' ,
" ":,
I: ',.,' ,,', ,',','
I; ',',
":' ,"', ,':: ,'..:
I ,,'
; '. :'.'
, .. ' " ,
,~:;:' ",' '
/ " ;,'..',',,'
,I "",.i",
\' '---
'.'
,
.', ..
,,".,'
",.
,; ,
;',
"
,',
~,.
,
,;" ' .' ','
.., ,
, '
,:
'f"
I
,"
r,
l-
Ii
L
\~
t
'~..
1..
t ,
r
I.
l
f,
I;'"~
~,
~+"
f
~'
----.;- .
CO'UlftY' ROAD NO.~
~J;ATE lOG NO.
MilE P.?ST &,09>
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PU8lIC WORKS
Jefferson County Courthouse
Port Townsend. WA 98368
PERMIT NO. S',"" - 7 ,5' - 7'
FEE PAID I~Yes ~o
OFFICE USE ONLY
';';;', 7!l?1IV /0.::')
CHECK ONE:
(]] RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is he~by made for a permit to construct, operate and maintain a road approach.
Please describe loaction (attach map or drawing) kl- 3'1 .5Ouh{. 64;1 3
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 4>L- "f'I!.SOt./fCL?..I' Contractor Name 7ZpL- ;f,elZV~G"'J
Address t4/}? ,?'(l/'aff/..f'.e tff';KI,If'rL ~I' Address, W/,/?C
Br/lu7ltnJ 1.UA.. 'l'g36~
ApplicapJ: _S,,!-snature ~ ///1 ,;:;;.....-...., Contractor Signature
Date )l//.qf! ~ "q,~~7-2101 ~ Date Jill PHONE
Note: Indemnity p~v[sions of paragr~ :.and 3.on reverse side.
Subject to the termS and conditions on :h~ :e~e~s: side, PERMISSION ~
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 contractprhas notified
, telephone
APPROVED BY:
./1 <' ,.,;:d-' K -L~ 0.4
Date
7-1<-1-89.
CALL 48 HOU RS
BEFORE YOU DIG
1-800-562 -6478
PERflIT INSPECTION REPORT
~k covered by permit has been completed
------- satisfactorily.
_______work is not completed.
_______Recommend per.mit be cancelled.
______Traffic control - adequate
inadequate_______
REMARKS
INSPECTED BY :/)r~UAvJ'1
DATE' {-to .s9
Form 113-0 (RovA 2-jl2)
. ....~'
',.' .' ,". ,'.'.,'
"
,'."";'
,,' '",'
'", '';'
" ."..,
,
..,',
, ,,', ' ,
, ,'.' ,
,', :'," ",
,,' ;.
'"
,'..', ,"
" ' "':
, ", ,,", :,
,", "
"
",,'.,' '
",
".',',
"" ,,'
.':
."
:
,
':"
...'
):
...:'.
'::':
,',
':,'
:.,.
, ,'::':,
, ',' ' ;,:' ,::;'," "" ',..
, ',' :','
" ",'..
" ',','.:"
I" "
" I ,',,' ,
.", ,,: ': '"
,,' '...' :",
, ',..
" "',
'''','' .'
-" ""
, ',."
"::,,' I':"" ,',
:..-J,
.
jo-t
I
GENERAL PROVISIONS
I. THIS PERHIT IS SUBJECT TO RClI 36,75,130, ,l~O AHO ,150 AND AMENDMENTS THERETO,
2. THE GRANTEE, lTS SUCCESSORS. AND ASSIGNS, AGREES TO PROTECT ,JEFFERSON COUNTY AHD SAVE IT HARHLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERY K1NO AND DESCRIPTION WHICH MY ACCRUE TO OR BE SUFFERED BY AHY PERSOH,
PERSONS, OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USED OR "-AANER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAKAGES 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 Nft ,JUDGEMENT ARISING THEREFROI1 IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFOR'" THE WORK AUTHORIZED
BY THIS PERHIT, 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 PROYISIONS OF PARAGRAPH 2" ABOYE.
Lt. ~Y T~~~A~~R~~ T~~ ~~NI~~ ~:~{~~~;~~N~O=~Q~~=~~~~~~ =~;~:: gaD~Ay~R s~Ltu;~8.Ja:CiH~H~;R:E:I~H~O G~:~~~_
LATlOH AS HEREIN PROVIDED.
S. DURING THE CONSTRUCTION OF THE FACiliTY, THE GRANTEE SHALL COMPLY WITH THE MANUAL ON UNIFORM TRAFFIC CONTRnt
DEVICES FOR STRFFTS AND HlfiHWAVS PUBLISHED BY THE U.S. DEPARTMENT OF TRAHSPORTATlOH.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUSBISH AND DEBRIS SHALL BE IMEDIATElY REI'tQYED 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 ROtOYAl OF MY STRUCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT ANY TIME, SAID CHANGE OR REMOVAL TO Be KADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR lOHEIR SUCCESSORS AND ASSIGNS.
8. ~~~ ~~~~T c~~~~~~ER:~g~N:I;~cl~~N O~RT~~Lg~C~{~ S B~O~~EA~~A~~~~E~~~L Cg~N~~~Hl~L S~H N~ ~~~E:E A~E~ ltl ~:~~e
FOR AliY 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 NOJJ FY THE COUNTY'S REPRESENTATIVE UPON COMPLETION Of THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN BY MADE.
o 1~
Ud'2.
SPECIAL PROVISIONS
":";l~~l"il~\ APPLICABLE PROVISIONS ARE DENOTED BY All (Xl
A cOP~' 1J!Uif ~~~tT SHALL BE OH THE ,JOB SITE" AND PROTE~TED FROM THE ELEKENTS, AT ALL TlI1ES DURING THE
CONSTRU T}lH1J tu"RIZED BY SAID PERMIT WITHIN THE COUNTY S RIGHT-Of-WAY.
THE APP~oACH S~AlL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE P -I
APPROACH.. "1,{) FT.lENGTH OF 17.... INCH DIAI1ETER CULVERT PIPE SHALL BE PLACED IN
DITCH AHD LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE liMITS AS SHOWN ON
~~~E~~f,:G A~~ i~~F~~:D~A~~R T~~o~p~:~e~~E S~:~~E:~Y I~N~~cg~e~~~E R~~~~_~~~W:~O:: t~ ~~T:~L p~:HI~~J~AH.
THE APPROACH SHAll BE SUFFICIENTLY SURfACED BACK AN ADEQUATE DISTMCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT ANY HUD TRACKJHG ONTO THE COUNTY ROAD. AAY HUD TRACKED ONTO THE COUNTY ROAD SHALL BE IHKEDlATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
[;y3.
G(4,
05.
06.
o
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED FROM BOTH SIDES OF THE
e:r~~A~~ALL T~TI:~I~~:~~{~~~E O~U~~~~~Y O=o:~R~~~~~~~~wl~~BER OR 01 SflGURING Of ANY FEATURE Of SCEN IC
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.H. AND Lt:OOP.K; l.I'l1lESS OTHERWISE AUTHORIZED By THE
ENGINEER.
A SURETY BOND IN THE AKOUNT OF S , WRITTEN BY A SURETy COMPANY AUTHORIZED TO
DO BUSINESS IN THE STATE Of WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLlAt~CE WITH ANY AND ALL OF THE
TERMS AIm CONDITIONS Of THIS PERMIT AND SHALL REKA1N IN fORCE l.HIl ALL WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTY.
7. BEFORE ANY LOG HAULING OPERATIONS BEGIN, A SURETY BOND IN THE Al10UNT OF S SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAl'lAGE TO THE COUNTY ROAD AND TO INS~E
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 SHALL BE SECURED BEfORE THE BOND WILL BE RELEASED.'
o 8. SPECIAL CONSIDERATIONS
,.
"
'\:, "
j;:::, '" , "
I" i',', "', ' '.. !
...., '..'
r;~:i;~},~:: .....
:, ;',
;.: "" ,!.
. "'. .j, '.: ,
, ....:<",.'
...:, H:," . ;:i,
".."..;,~
.', '. ,..', '., ';'" ';' .
,i. :':: .;' :'\'
:, .."""""'.:',"
,,", ::' "
'." ':' '.: :.
", ,; ..... .,,' " "
:, . .,.".'
: . ""
'; .... ..(
/ .';,':'
.;/:.....
~',
:' ''".
. .. "
','" .. '.
, . .,
. ,
.' " ,','
:. , "
'.
:.,.,: .
I'"
:. ...:
.
,'; "
I.'
I:
I ','
; .,.
;''''",
''',' .
.
.
" :," '::': I
,.'. .':' "~I
" .
..' .
,.....
"
. .'
"
'::
; .;,;~\.i;:t ~;
~(;:;;~l!~~(,)/i(,:~.~ "'.' ,:
to, .'.'.
';'
" .'
". ....
,'. "
) ....
':'
.
:" .
" ,
,
\
.
\
:
\ '
(
l
..
.';,', "
I; ,,;',:\',
':.' '.
,;. ....': \ '
:
,
L
,
IL
.
.
..
':.
r:?
Ie
I i.'...
._-. "." r' '-..
r
----:-:--.. --...----- ---:-:',':-_..:.. '"TYPE ."I'~ .-. " -" "- ~.,
"... ..:- ~~ ::-"' .. ..:: PRIVATE ~OAO APPROACH' :'.' '.. '.-:_:'::..:..: 1:
~. J~~~:f;~~~!:~ij~~!~~~;-: .'~-J'f'; ~~:::~~f:;;'!~~Wf~ !
;:~.~~.:'._~:~_L " ..:. '. ~; :~~~'~.d ~~.J"l~!~':'i1~::~:;~~~:~ ~~I~II.g 411~-~~:':-: ~~..
r ,. 'r . .-12. DtG.....Cutnr'..._ . . :, r.. .: ..
.. .... ~.. ... ~--1~1I ...~~..... .... ...-;---
,,,
.. --# ._- ...- .... '--:'-~'-l ... . ... I'" ,'t._....-.
. :. - Edge .'ahow1.., -- . .0 '. .- .. ."--. --. ..o.. . M" ~ 4.....'.... .... - .
~:. ~ :,~,~.~.~,:,:..~~.;:..:.;.~.,; ,;,~,~:::"~~:~7. ~O~Ni~'~OAO~~~~:~~~: ,,:; ,~:: ..~.~ :: :.~:-~.~:' :.~~~~:
t.. .. -..!:~-:':' , .. ,- n.__
',-
";"t.,
.- .~~
.: .... ~
t.-
~_.
Eo.
... ..
r:~~~~~~:~~.:~ ~...:.~. j: : ~ ;=: ':~~ :~ ~,~~~'~~}~~;'. ~~~;(~~~t:':;:~1={':~ \~~~::.:
.J:I:;:" , ........... ....,-.., ....__.~ID'..::t.. . ..._."-'__,,,J..______
-~2iB~~K~Jiifj ~~~~c:~~~~j;r:~\~~~~}i~~~
~:3."+7"'..--J:!1:t'..4...II..t 1-._.,-'_~:~I"12 ..._;::S' ,.. ...... ..J~l....._..,_-_-..-,-.--..-. _
:.il~~.~~::::l~::~.t::T_';j~ ~: ~~.~'2': ~:;,;~:~;~.lIlIGHr IlISTANCE REQUIRBmrrS
!- .~ED IiIGHr IlISTANCE
r SPEED LIMIT. NINIIClM DESIIlEABLE
~~
-.
f!-i
.:,.:
';l-.
'tICJT1!S :
160 FT. :tOO PT. '.
2S
, '.,SO 200n. :t40 PT.
'. as 240 FT. 275 PT.
40 275 FT., ISO PT.
4S I lIS FT. 410 PT.
SO ISO FT. 475 FT.
:
'.'
.'::"'.:
1.)
CUlvert shan .eet alnl_ speclficatlons
'<<01' 1!S-20 loadlnl' Approve4 types include: I
I) concrete
2) conulated _tal
,> corruaated polyethylene tubi.ng-AASBTO f!.Ja).,:
~ounty road ahoulder shan be left st
.xistinl profile.
2.)
APPIOVALS :
t J
Director, DepartlleDt A /1 ';;)
of ~ubl1C Vorka ./fI '!'7 Co<. tC-...-
a9Jt~
OIa1naan, aoard of ...
Count)" Collllllbdoner. CA:' /rl <'1/~//.aILIL. ./
Date 9--6 -!.3
Date ~4k...
.. 1iorln ~Iij':c';. :.!
..,... .. '7-'
.:....:-......."":"...~.....-~_......--- ~..
1IW~'P"._b_1I-
. , "
L
~T
.' ,'~ ,
~.,
I "
" ", ':. .
.' .. ......
.....
.
.'.
, .
,
....,........: . .
. ". ..:',
.', " ":'.
. .:.
. " ....
( '. .... . .
i. .' ..i
. .' ..
'.
'....:... .'
":, ":
,...... .
...::' "
. .
'j-:, . ':
i. .,'.' ,."
. ,,", "
".
!
~ .
:',
i.....
.... .
,"
,.
" .
.:
..... :.
;'
-~,'...... '>..
. .'
, '....
. . " '. .
.:..> .
.' <.
"'.'
'.; cc: ,;)~~l
',.:
'.. "
, . ....,
", ',:.:i',.. "....'."..",,;. .
":: ';:;~;
,,' ...... i .
. .", '.. .
, ",".
." "', i,
::
'" '.:'
. I . ..' .'.
--J :....,'..,..'.1
j'"
:..:
.
.-1
..
~/.6.,-.,Q(I'
";6
b ~
~ ..
1(,)"
.--..<,.-,,',..:-'.' ..'
t:"~ "
.. ~ \
; /9 .~~
~.:.~ ':~... ~.
.........,.
?.::>PE ffEg;~?'o/-7'C ES
<2-(,) /'1. ,P-4/740/6E 8.L')J /-?.cJ.LI/-"?
~.':b ;;;'1 L u PI. cu t_" (..IlJ 1'1.
/Y/. L/.:::7-;Z /0/
4e>LF j oD{j..F
Lor 37" .5~I/77/g/l~ 77V/?E~
;!Jeff/? "t/c,.t.'L'o,v//b(
A c Co 7-::: ..9.95'- 700 - 037'
It
J1~
"IE. .----.;.--
" .if!....../
n1,]?::-"
IV ~.
...---.-...
Lpr3~
.te-T
30
L""r ~r.
,
~
1;)'
~
'\
;>'0
OEl-k
:4.i
:::::
.......
<l
.
~
~
'",
':l-
Lt?r 3'>
--~j
,I'
.S~u.c,~
f:;:.rJ:1?
f4=i.. ';;1
--~l<<
(1)o
- (; --p~~
thO -I"I~
) < .e.ev
~
~
"-
/
I.
lIP
j\l~
.___- /\.e. <..~
~; .,.OJ .3>..;> .
J d ~/Z.'" ~4)
tZt1.P j'tI
v- C'/./"\/Eflr
'-. .
" '. /
..." ,I
........../
....~.-..........
-.!L ~,
,,Il"
,.0/1 IT/( 1.1/ a--
-
~~!:!t!lY ROAD NO. :'-07 Ilo?
E~~ELOG NO.
M!LE pc:;r CJd"> /IT.
OFFI CE USE ONLY
(
PERMIT NO .,..13- 7 - I~
FEE PAl D V"Yes ---1'lo
,!~~ ~:~:~~~~,~:~~)
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 98368
CHECK ONE:
rn RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is herby made for a per.mit to construct, o~erate and maintain a road approach.
Please describe loaction (attach map or drawing) I-or 51 JouhL &4<-1 I
Applicant agrees to perform the work in strict compliance with the terms and
out herein, and any special provisions attached hereto.
Applicant Name /bPL &-fOVI'"U'S Contractor
Address thO/?? A~ttd/5e. ~;f'd #-11' Address
&1- (dIm i4 '36:;"
conditions set
Name 4e. ~OU"'~5
~Gmcr
contractor Signature
Date
~
PHONE
Note:
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 contractpr has notified
, telephone
APPROVED BY: ,../) ~~ K_L,~
Date
7 - ft-/ -'88
CALL 48 HOU RS
BEFORE YOU DIG
1-800-562~478
PERMIT INSPECTION REPORT
~ork covered by permit has been completed
------- satiSfactorily.
_______work is not completed.
_______Recommend per.mit be cancelled.
_______Traffic control - adequate
inadequate________
REMARKS
INSPECTED BY: jJAj--'( ~
DATE' ~-16-g?
Form 113"'c(RwA 2-.82.).
t"
I
,
I
GENERAL PROVISIONS
1. THIS PERHIT IS SUBJECT TO RO/ 36.75.130, .140 AHO ,150 AHO AHEHOHEHTS THERETO.
2. ~~~I~~~r~~io~~s o~ug;~~~~s or~v~~~l ~7~D ~~E~~S~~ I ~~~~~C~H ~~~F~io:c~~:T~O~~ i~V~U:~E=~~Mi~S~~R~2R;~~.
PERSONS, OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH ~ORK.. CHAP4-eIER OF KATERIALS USED OR KAHNER
OF INSTAllATION' IN CASE mY SUIT OR ACTION 15 BROUGHT AGAINST THE CQUHT1 FOR DAAAGES ARISING ouT OF OR BY
REASON OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGHS WILL.. UPON HOTlCE OF COMt1EHCE-
"ENT OF SUCH AcnOH, 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 AGREEMENT 'HITH A THIRD PARTY TO PERfORI1 THE WORI( AUTHORIZED
~~D~~~~ F~~R~b[n ~~H~~~:D "::~R~~Fe~~ ~H~A~bu~~/~~ ~g~~~g~~~1~7T~O~HP~Rg~7~~~~ ~~T~A:~:l~~'2~G:~~eE~0
4. ~y T~~~A~~R~~T~~ ~~HI~~ ~g:~}~~~;1~N~O:~Q~~:~~~~I: =~~~l: ~D~AV~R s~LtU:~BJ~C~H~H~~R~E~I~H~O G~:~~~_
LATION AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY NITH THE ~"NIlAI ON 11N1~nRM TRA~FIC CONTROl
DEYICF~ FOR STRFFTS AND HIGHHAYS PUBLISHED BY THE U.S. DEPARTMENT OF TRAHSPORTATlOH.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBAIS iHALL BE IMMEDIATELY REl'tOvED AND
THE ROADHAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENtABLE AHD SATlSFACTORV 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, SAlD CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM TH'S PERMIT JS JSsuED, DR lHEJR SUCCESSORS AND ASSIGNS.
8. ~~~ ~~~~T c~~~~~~ER~~~N:l~~cl~~N O~R T~~L~g~~}~s B~O~~E A~~A~~~~E~~~L c~~N~~~Hl~L S~H N~ ~~:E:EA~E~Ltl~;~~E
FOR A1tY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH ~ORK BY JEFfERSOH COUNTY, ITS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANV RIGHTS BY THE COUNTY UPOH ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE ~ORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN BY t1ADE.
('ij:-Jii\;';';:;''';;;W'-i!;'' " SPECIAL PROVISIONS
~QJW !j!li\tiPU' ~~,j J., APPLICAllLE PROVISIONS ARE OEHOTED BV AN (Xl
y'J .I"IAlcw1lo T jPE~HIT SHALL BE 011 THE JOB SITE, AHO PROTE~TEO FROH THE ELEHENTS, AT ALL TlHES DURIHG THE
- 'U CONSTRUC iO'tllaRIZED BY SAID PERMIT ~lTHIN THE COUNTY S RIGHT-OF-~AY.
13' 2. THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE P-I
APPROACH. A ""'1'Al 'Z.() fT.LENGTH OF J?_ INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN
CITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWft aN
6~~E~~~GA~~ ~~~F~~~D~A~~R T~~o~p~:~e~~E S~:~~E:~V I ~N~~C~~~~~~E R~~~~_~~~w:~O~:tE ~~T:~L p~:M1~~J~AN.
THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT A14V MUD TRACKING ONTO THE COUNTY ROAD. NiY HUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED FROH BOTH SIDES OF THE
~:r~~A~~ALL T~T I:~I ~~:~7}~~~E O~U~~~~~Y O=o:~R~~~+~~~~wl~~BER OR DISFIGURING OF ANV FEATURE OF SCEN Ie
WORK SHAL.L BE RESTRICTED TO THE HOURS BETWEEN 9;00....11. AHD q:QQp.K; IMLESS OTHER~ISE AUTHORIZED BY THE
ENGINEER.
A SURETY BOND IN THE AMOUNT OF S , WRITTEN BY A SURETY COl1PANY 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 REtv.Bi IN FORCE I.JHIL ALL. WORK UNDER THIS PERI'IIT HAS
BEEN COKPLETED AND APPROVED BY THE COUNTY.
BEFORE AAY L.OG HAULING OPERATIONS BEGIN, A SURETY BOND IN THE AHOLftT OF S SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPLETE REMOVAL OF THE ...PPROACH AND CLEANING UP OF THE RIGHT-OF-H"'Y TO THE SATlSF...CTlON OF THE COUNTY.
.\PPROVAL OF ALL CLEAN UP ~ORK SHALL BE SECURED BEFORE THE BOND ~ILL BE RELEASED.
o 8. SPECJAL CONSIDERATIONS
G/3,
l3" 4.
0 5,
0 6,
0 7.
Form 113 b
.)
"
I
t
A
''1;
,~'
~'
..
j
X
I",
,:\,
,
i' '
IV;~ '~';c;,~,
': :'"
"
'i:i :{'c);.':
I':: '. .' ,
'" i
\ :' "
I.;,.' .~
S", ,':'::, .'.','
I;;L.,"..
. - _..
-- '-.. -.,
-, ~~ ',-,-"'<:' ~ ~;
,---.. --'-----.- ---...:--.-:" "'TYPE P-I ,-=-..- ,'.- - -.-. '--:: t
-:. " ",~'. --::-"' ..:: PRIVATE flOAO ..A:~ROA~~. . .:-::...:;-.. _ . :.::-::-~~. :-: .::,.. r
~- :]!~~~~f;~;;j~;1~~f."-:' f :~~ - ;~~ :!;-'=~-~!:~~-= ' /fi;:)S!t'(i
!::,...,;(jji+"J": :.:,.:
.:
........it.......:,
....."'..
:r...,::.
,::'
'i"
"
"
,;
... ,;
;,I~." .
":"" : " , ',' '" "
,.;. ",...',
.,.. ,:::,.:,'.. ',:
" ' "
';,:' ,
, "
"
'., . : ',', ,
.:-' ',". ,~"
, "": ".'
, ';..
--
; t!-;
.:..:
~.:-.
"
Xi
:'
:(:
..',
"':
,"
'"
,,'. '.',:,
',.:,," , ,":,:
',: ..., ,
""; ""
, , ,.. . ".',.
,';" .1"
,". '.', .
,", ,..'
: ,
',", '
..
.',
';.'to,
.-:.~~
~'. .
i ..
I
. ::., .. ...'- i:
~ ..( 6~~::.~;~,"~ ~~I~lI.g 411~~~~; -~~..
~-.In ''-~~'~'' ~.. ",_
"':" --:-::-- - , '", ..' .: . ',:" :t.-..: ,:: - .
.. 1 ~O..I.. .. .. ::.--', . -. ~w.,...... .
COUNTHIDo\D.~.~ -:.. ~ :..,'...: _- Oo':-:::-:'_: -- :~ ~~
.
I
. _ I... .
. ~ 'IQ"JnCh
'~.O' ' C L 't-' . to...Io.llod,
.._ 1O.~If'l. UI1l'''''~
:.
_ .. . ..Edg. e' ~"l'" ."", .. . .~ .-;-:-
:' i... :,: ..~ :'.-:.. .-=~ 'Oo :.-.:-:.::-"
"'-' ! ~: .:'Oo .
- "' -j : '--:.':
{.
..... .
... .... .
r;~~~~~c':,::: ~ i., ; j;o ;;~t;~~5~:rri' .~::~l~~:.:2~:;jbtJ;
"': ;~~~l!!~fEi~~;:,,;:~ ~~~~~~~~~f~1t~=; ~t.
. d~ ".-:~..~ _~,-i '---~'~;"";'''-;~ . :':.~":,-: '''ICHT IlISTANCE .."nUIREHENTS .
," .l:::"'-:"":' ':~"':"'::~'=''::';%.:':'.J...: e.- --"..;....; .:..... ::-=.1._.... . ... 1_ '-1' D ~ "
" .~STED SICHT IlISTANCE
.r SPEED LIMIT. MINIMUM DESIREAB~~
~_.
F:,.,
'IfOTES :
25 160 FT. 200 FT.
: . "SO 200 PT. 240 FT.
" IS 240 FT. 275 FT.
CO 275 FT. ISO FT.
CS 115 FT. .nO FT.
50 ISO FT. 475 FT.
..
".,.:.,:
1.)
Culvert ahan .ee~ aid_ epec1ficaUons
'Eor 115-20 load1nl. Approved ~>'Pes Include:
I) concrete
2) corrula~ed _~a1
') corrugatei: polyethylene hbl,ng-AASBTO f2,J~).,.,
1:olDl~Y road shoulder shall be 1ef~ .~ .
.x1s~1n& prDfile.
2.)
APPaDVALS :
l.
47 t2. .p~
a9lt~
a.alnoan. aoard of ...
County Commi..loner. " c. ".A.L /
Date9--6 -!3
mirec~or. Department
of Public Vorb
Date ,.Aft.?
.. ",or.. '",i3":C':' :.1
~..:.2.."":-~..I~~!.-._. ~...~_: -':;:;'.
.
.
:
,
_1
" :1
' i
. ;
:11
J
. "
,,', ..>
,
" '
I
I:
~ :
, ' ~\:
,..,..'.'.
, :.
,
,'.
,
..',".>
."
,
, . ,'.,'.... '.
,
. . .,' '
,
"..',"
'..",
..,.
',' ..:
",,', .,',
'.
',:,' : ,\
" " ',: ',:'
.:,....
':,'
'. '.'
:', ""',:,
, ;'1 \,"...: ,," ,
"---.1'. '.'
'. .", ' ,,',,'
:', . "
',..,'. "
,.,.' ..'... ".."
,'I ',:'
J
-.',',",'.'.,:,
, ' I"
I '
- ,
..
.,"
,":,;:':'::'X}:.:,@,~;, -,"'-'
,.,'.,. ':";~./J~~: ./~ ","
::,.~ .,,;::',./ / \',,1'
, .1" - :..-:-<., \ 0 (: "
.<:: .. .~:,,;::.,, ''l:,(;,\'... ~.,.._~.3J">...../
1",. '" ~~I>-- ~;~ ';. -, <7,~".'a, '~-~'" .....
~ . ""../ \ ....'"9~. ,,"~d'~W'" '::'
~ <. J ,f:;"\'P "!.. ,,','" :...
? ';!,~: J ~ ~:~t~\~ C',>. . :;.;,19'~ ;;,
~ ~\';, . ~ ~\ .\".... "" ,.1' "",,,.. ...
..; ... ...... ... ~.. ,I<" 0 \' -~'~
o I:, w39 S'" I' ,"" ~ ;,
~ "" /. ,'...~)~ ~ ". >y.,.. \ ~ ~
_ ,~"... l,:'/~i" \' ,.r, I"" ':,.., "'; 1,
i/,fL- ~~>~. /: ~ ~ ., ':r'_:..~~:;~<"!.:' ~\~ ^~ /
.. .. .38" .. ." \\ Aq ,:1,
~~"'" ":t ~ j1 v, '" \ .:
8:~~~~' -~ < .~
:~~:~;~::i<' t,~
~.;1 da ~S'._ ~ D'. ,,5' -'f1:."W
'81.5S 81. S-4
..
:.....'..J
4:-
~
~
: ?"
+8
4:9
47
~ ~
,
~
~ ~
~
~
: ~
50
.
.
= ~
r
.~~:~~ .
_ _ fj IGHl' _~o:.';::::..
'__,_ AND '-~Q
,,;. _,,_ .520,-.:;<::,-- -- - 8~ dQ
80,-:';;--: ,'____ -'7" TV - _.Jl..R/VE
Ii "", i~,~O'O';" -- ,574 '7- -
;:' 8 J' ,;, n b ~",'--" ~J ad
! .' :! 1".\ 7 ~
, __ __~ .'~ ' 1'0" '" '
i.' JJ.,,::,,;.,,;_::'4- ~
; . ~~
'V.?S.. 0'<7, z.-S
07' $.3'
~b"
::i
f,j.
~.
..:S"
"
'J
S :
c;
, :
t'
r~ .
,~"
1?1 -rt.
",,"
QR,'iE
~-
~CJ..~~'~d'~
. .'d'
0"
)
~~:,
'i.
~,;.,
, I
t
}'
f
t~~~
:"
s~
7~
r:::. ;:;1!""t!')"
/:","" --- ;.....
_~ .:;::~... t:!'"
...... r..::-~
SJ.s~ -.2..9
/:<;,"6-- .:-
..I :::1...--
0';'"'/
~-0~
SCA'-/!-: / ~
./ao
.5/
..
, ~ Se :-
t
~
Z7. Q
.r~ Z.,5
'"
~
~
SHEET 2 OF 3
~"
,'" " ,-'
", ,:',i',',: ",', ,",
, :-
;::: "",.: , ,:
',..." , .:; '. :,,' :c~', " e .' " " "
, ,'...;.. " ,. ,.,'.. ,
" ' ',' ,', '::' '
:,' ,..,. . ,,:
..,..> ,
,-." .,". .,.,
. ,.. '.,., '.
, , " .,: : ':,' ".',.. ',",:' ':
..". ".,..' ,',: .,' ",':
., "." .,,,,'
.'. -
",.':, '.
': '"
I:':' .' '" .,",
I~""""""""
~ "'.. '.,
',:'.. ...,
,,' , ',:
,", ' .
.".
_..:....~:~'e:.-:.!...:.::\:;.:....'\fti~'"l:;l."lJ.....w.:r.:-~...~_.
,c,.'
~"
.:1'
(
~'
,
,.
{
?
.'~:
r
","
"
f.~'''' .
I"
","
,.'
'.,
; "
',I
;
::'
z: " ,', ',; ;' ~
, , ,...
. .:. ".'
, 7
,',' '"
" . .'''' 'e,
".'.,,'
,:':
'. ",.'
, ','.,.., " "., ....
"
. "', '..... ','
, .,....: .
.. ,,' ,:'.. '.. ','
'. ".', ::" ..'...,:
:,''''" :'
"',' '.,.", '.:'" "
: :',;'
", .,::
,..' . ,:..,' .
<, .'
'.' ',:',' ': ,,':':,':'
. "-'~
, ",':' ,
.'
" '.,.,',
",'," '"
, ",...:1
~.
, "
'.......' ,
" <,
. '.'~....
,
";;:/,:
,:,"
i'V
~"::.:,:~~~"
\
,-~'\:~;;,~
,~~~~
'~~rL,
1I~:~v .
I1rp .
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Je1ferson Street
P.O. Box 1::20
Port Townsend, WA 98368
(206)385.9160
N::
0872
District No.
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject La all the terms, condi.
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO Richard Allen fDr James and Arl ene BrDwn
20 ResDlute Ln., PDrt LudlDvl,WA 98365
tD Install a 12" cDncrete culvert for access to LDt 67 of PDrt Ludlovl #4
MDckingbird Ln.
County RDad No. 5 12 9 0 9
Franchise No.
Milepost 0.10 '__.
No work shall be done under this permit until the party or parties to whom it is gran'ted'shall have communicated with and
received instructions from
This permit shall be void unless the work herein contemplated shall have been completed before' ,.S e pt. 16
Dateda!. September 16 ,19 88
,19 89
&~rrtIDD
ByA~ ~
1.800.424.5555
GENERAL I'\{OVISIONS AI'I'L1CAIILE TO ALL ('EHMITS
This permit is subject to all applicable provisions of the Revised Codes of Washington, except that UIlY pro'lhion in this agreement flot cumistcllt with
such n:solution shall be controlling.
A bond in the amount of $
is rC4uircd fur the protection of the county us io~t forth inlhc terms of the bond.
During the progrc~ of the work such barriers shall be erected llrll.lllluintaincd as may he IICCCSSMY or as lIlay be l!ircclcd for the prolection of the
traveling public; the barriers shall be properly Ijghted at night.
In accepting this permit the petitioner, his successurs and assigns. agrees to protcct Jefferson County and save it harmless from all claims, actions and
damages of every kind and description which may accrue 1001 be suffered by any person or persons, curroration or property by rca~on of the perfor-
mancc of any such work. character of materials used or manner of installation, llluilltcnance and operation or by the improper occupant)' of right of
way or public place or public structure, and in case allY suit or action is brought against said Jefferson County for damages arising out of or by reason of
any of the above causes, the petitioner, his successors or assigns, will Upol1l1otice 10 him or them of commencement of such action, defend the ~rne at
his or their own sole cost and expense and will satisfy any judgmel1t after the said suit or action shall have finally been determined if adverse to the Jef.
ferson County.
Except as herein authorized, no excavation !lhall be made or obstacle placed within the limits of a coullty road in such a manner as to interfere with
the travel over said road.
ExcrplllS herein aUlhoril.cd, no excavation shall be mude ur obstacle placed within four (4) f~'Ct of the cdge of the p:J.vclllelll.
If the work done under this permit interferes ill any WUj with the drainage of the cuuruy road, the gramce shall wholly and at hb own exrcll~e ma~c
such provision as the engineer may direct to take care of said drainage.
On completion of said work herein contcmplated all rubbhh and debris shall be il1ullcdiutely removed and the roadway and road~ide !.hall be left neat
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall be done under the supervision and to the satbfactioll of the County Engineer and the cntire expen~ of said
supervision shall be borne by the party or parties to whom this permit is issued.
The Department of Public Works hereby reserves the right to order the change of location or the removal of any structure or structures authorizcd by
this permit at any time, said change or removal to be made at the sole expense of the party or parties to whom this permit is issued, or their successors
and assigns.
All such changes, reconstruction or relocation by the grantees shall be dOlle in such manner as will cause the least interference with any of the Coun-
ty work and the County of Jefferson shall in no wise be held liable for any damage to the grantee by reason of any such work by the County of Jeffer.
son, it agents or representatives, or by the exercise of any rights by the County upon roads. streets, public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive aile and shall not prohibit the County from granting other permits or franchise
rights of like or other nature to other public or private utilities, nor shall it prevent the Coullty from using any of its roads. streets. or public places. or af.
fcct its right to full supervision and control over all or any part of them, none of which is hereby surrendered.
The Department of Public Works may rcvo~e. amend or cancel this permit or any of tbe provisions thereof at any time b}' giving wrillen notice to the
permittee. The permittee shall immediately remove all facilities from the right of way. Any facilities remaining upon the right of way 30 days after writ.
ten notice of canccllation shall be removed by the County at the expcll!lC of the permittee.
The party or panics to whom this permit is issued shall maintain at his or their sole expcm.c the structure or object ror which thi!> permit is granted in
a condition satisfactory to the Departmcnt of Public Works.
SPECIAL PROVISIONSe
_m~;
In accepting this permit the grantee, his slIccessors and assigns, agree th;lt any d:lmage or injury done to the property of the granlce or any expense
incurred by him through thc operation of a contructor. working ror the County or :lny County employee shall be at the sole expense of the grantee. his
successors and assigns,
Dated this dil)' of
. the undersigned, hereby ilccepts this permit subject to the terms
.195~
llnd conditions as herein set forth.
\
-~_1;'l~~.fJ1
\,"" , ,y,," ..
~41l:!",c .
~~
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
Fee Paid__ Yes _ No
1820 Jelferson Streel
P.O, Box 1220
Port Townsend. 'NA 98368
(2061385'9160
l(C\;Cil'l No.
Addres!> RequCl'l_ Yt..'S _ No
Mile Post
AI'.'UCATlON ~'Ol( 1'lmMIT
To Department of Public Works,
Jefferson County, Washington.
- The undersigned ...7A.ms SO ~ IJAlsNs. BI?()w~
hereby applJ/--- for permission 10
/ rA/IIllWfJlIl ",-,lId...\l'ril,,'fUIl)' ...111l1/1I' 01,,"11.,:\ laJu J
!AJS'fIl-t-L- /2. II CA 5"7 W"vGeerE c.v(. vG.t. r ACeo~
OR I VE. 4cCe:sS To ,4CCoM4 C>ltl'e .eX SI s rl V J?
DRt:1IN~18 f)/TCI.j. p-o lJ (f!JN~;<'. Zo I W,p€)
SKETCH:
~.
V
'v> ,,,'::1 .oJ
\ ., ~
",tJ b- ~' \.i
\/ \..1, I,
J' \ () \0
~\1 \:!' \ 0
'\
/;
.bRA>. IfJ"..r-<.
P'1:",(
~1=;<'SIHIIv'j )
~
bel ween
Co -( G 7
(SrUll'tll'fJfl'!oll'm\\-,I'ff't'/IIr",Ift',..,jll/l
and ogreem 10 do Ihe work in accordaflce wilh your rules and re&.,lalions and subjecI 10 your inspection and approval,
n", 9; '1/ __'.._, ,,$L ~ ~ ~
ur applicant is a copunncrship, sc orth names of c r rJllcrs) j }
JM,J u:lJ6R. ~IC 14 AAt, /2.1) A.s
^<hl"" Po I I
"2.0 f?esOLVr8. f..p.,.;e. oil! L-v/) at.), LJA.
Phone No,...:i'S 7 - ? I t:J'I
100% Recycled Paper
A,llhet.\
..
',"
':, , ,
,/ .,'.,
'...~,
,':,
,.,,'; District No. S-
,
Jefferson Co.
" :'.
,": "''';
'0, , '
" ,,"
, ,.. ..,
"".
;. ..
~J
"
:,
J
,
DEPAlnMENT Ol~ PUBLIC WORKS
.
"
T/'et?e.
v-J : ....L
;S A
,<- EO.2;, '^ ; l<, e.
-f(o 4-Owl/'; j). 'f<,./<' 0""
A- C",/vel<.'" ('2 ,,)
r-J,.- .:s
1<0 .-ro ISO
r7?j>I<Oll-cu
.'.' ',...,.,"
, .
".:..' .
, ,
. .,':'.'
1.,.",. ,..'".
:.:
: :: "
>.',..
,
'.,'"
Permit No, 0 P, 7 2-
1: ,
'.'
,
Supervisor's Iteport No.
Supervisor will make derailed report with his recommendation 011 this applicatioll. Whenever possible show sketch oj proposed
work. Supervisor will also make additiollal reports and final report giving date of completioll of work on this form.
l)reliminary Report:
moc,(;",/O"RD t..#. 117-,f"0./0
.
.;,>
, '.:
, '
i
Date:
9-/6 -gg
Signed:
/.J-,"~ K-~
';'
Final Report:
PERMIT INSPECTION REPORT
v--- Work covered by permit has been completed
satisfactorily.
Work Is not completed.
Recommend permit be cancelled.
Trarric control - adequate
- inadequate
,;i(
'~
.i
~,.
i
h
,
t
I,
,
'~..
REMARKS
I
l
,I"~
,.~,
~
1
, ,
"t
'."
"',,'
"
\, ":,
':
,
.'"
"':
":
""'.'"
,:'
'..: 'c,-:;.....
, ." ,... ".'..
:;: ,"
, ';'" ...
': ,,:
',:, "
:'!, ':,' ,,:' :
.. ',,', '.
:' :.
" '
,
"
. ',. ,:.;
,. :,
~" ,
, , "
",.' , .. :.;, '
," '",
, '
, ,', ",
.. " ,:,':'.
'~',,",:
,., ,.
, '
--.J,'"
,
Vi
{,' ,
.t.
i"
:
.....
.',
Oate: '-{. - /f) - 89
Signed: ~.. r:. A {2 ""......,
f1U'MI'le I'RI~l !-:Ie"'. I!\roC.
,',.,
" .
,
.' :,.
':, ,. ",'
":, " "
" ',' ',', :
,,'::," ,:',
,...:., ,
,.C, " ..' ,'.
. ,', " ",
""..,', ::"',,:
:e,"", ',' .::""'; ,
" ': ,.., "":',
.1 ,', ,
<' " .
"',
I
~.'
~
\'
1
,
I: :
.':
;,
:
i'
I,,'
l:~ " '. ' .
,
;, ,.'i ..'.'
'. -
, ",:
L<" .
, ~.' ,~"," _.
" .": ':' 'i,,' , ,':'
2Jt-::<::.':(,.
:.",
," ..
",:
,:,'..
;j :-
i.. ::'"
'\. '
I"',.
'1
..
.'
'..,
, ,e
, .
'.' ' "
:'" "",.'
:,;, ::',
';,' ,
" "
'," '
:",
.', ,'I
,:"".",'
" ':,
'"
"':,,',:' "',
',"
" ,
"
,: ",
,.'" " "
:', '
; ,'" ,
',,' '
" '
...,
'.,:
\'.
.,' ,'0..-
"',
..
, "
"
"
,.':'"
.':,
::', ,
:'
,,:",
,,:
, ",
, "
:'..', :""
: "
.. ,,'
.. '.....
DATE 4-/0 -89 _' ',: ,
",,'; , "';:
~r!ili.iL ,', ".
:',,::~~~r::,';
.. ' " ' '"
, . ."..", :'
.'.'",' ".:.
'" :" "" ::'::
\ \ ;
O~~7'~/~~
:dUNTY ROAD NO.~
;TATE LOG NO.
IILE POST 0.79 L-r.
OFFICE USE ONLY
PERMIT NO. '$-g -(.,-9-,~
FEE PAID.../ Yes ~o
OFFICE US~}NLY
,!~~,;-1:I"<,,~ 'i" .
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 9B368
CHECK ONE:
~ RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
Application is he~by made for a permit to construct, op~ an~'ma~ntain a road approach.
Please describe loaction (attach map or drawing) ..:5;.-e .4<:" 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 I?()EF~T A Fi.5J..1 . Contractor Name
AddressBi/ Lt.Jj)J..~tJ LJAV RoAn Address
, p~l?rL.u/)/.l?w, h/A <JB~,{4
, ~ iI~,-i. I'
Applical)ot Signature l.r::;-yr~ a, :..;-~ Contractor Signature
Date. c;.// / p~ '_ 4/3 7 - 9 I 2. '1 Date
Note: Ine~ty provi~ions of paragraph.. 2 :.ancl 3 ".on' reverse side.
Subject to ~e terms and conditions on ~: :e~e~s: side, PERMISSION___
Applicant ~o construct, operate and ma1ntain 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 contractprhas notified
, telephone
APPROITED BY:
/),A/f-K~
Date
6 - 7-88
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.
~ecomme~d permit be cancelled.
_______Traffic control - adequate
inadequate________
REMARKS
INSPECTED BY' L) rAJ!- K~
rorm 113-oIR...,A 2-p2.) ~
"
tal IlIHV-"-lLliiWl!l ~lIl'lV'lI/iI:l.l'
,,:'..'.,'...
I( ':',
f;i.:'~~';, .'.,.., ,
': "": ".' , !', :'
; :. . , , ..
(: ::>,
t I .;. ;,: ...,".,:' ' ,.
I . ". "..',..,
I ( .,," ,'. ~ . 'e '
I I' ,',i ,.',.,.., ',', ' .
': .,.... '", .,: :
;,. ,'.,"'....
,:;,"', ',.. .:.".,
I;, ., <
I: ',",..':.' '
:' ' .". ..,.' ,..,
l . "..'" .
\(,L
I'L'"
I".
L
.'~
-::-
. .
,
, ..,
~.'"
,". " I
", ',.. .',
, ,.... "
" :
, ,.'>/' ,:'.
, ,".', :,
," , '!'
, '...: ...'
" ,..,' ',.
': , : ,;', ," ",:
i.,""',..', ..
. .',
,
;.." ',', "",.',
.' , ,>:
'.,
I'
e ' ,
"
,
':- e,
"
":'
,.;, ,...
, '
, ",;',
'....,,:;,,:
....,;
."'.,
:,
, ','
.. ,',,'
'.', '::,
, .:'..
>:
..
:':.
" .'
'" " . ,..., ;~'~i~\::
.' "
,"",., "
'"..,' ;",
, :" ,',',
?~;":l'
.- '
,:'.'
. '...., .,,'...' ,..'
" .',' "
,', ',':.": ..
','
", ,
, '. '"',,...
, .':,
.,.'1 .'". "..'.
--1 ". ... ,';',
~y
II1II
Ii
e ':
"
'"
" "
., "
-," ,.. ."'~
"'
"
,:" " ,
",. .:
..,,'., ,. ".
,', ":,',."
',', ';','
: ',' ,.,
:' >:> ,
',. ,,',' :::'
,,",', '
,:" .:
"." ,",'
"
"
,
,
!,
,
: '
" "
, ,
.
,;
.-
,; ,.
"
',"
/ "'"
Ii. ,.
I:
: ' :' .
'.:::' .,
'.',..,.. '.
,
:,. ',','i
.,' ",I
:' '".,',
'" ,," ,
, ':':::.,',
: ': ,::,,:,
( " ',,'> "
; '::'i::>C: ~'r" .', ·
;,:,,:::' ,:,' <~. .
, ".,::",
, :', :': ,
,', ", '..,:,'. ".-
, ': ': ,', " ,',
,.< ':: :',"", "
; . " , .
, "" '::"'"
, ','. ;',:
,,' , .", ,:.': .-
,.
," ": :,'
j ."".'
"<, '
,: \" .
; ',\'., '
,
i.."
:,,< ""
l '
I
:
"
L
"L
GENERAL PROVISIONS
1. THIS PERHIT IS SUBJECT TO RC''/ 36.75,130, .IQO APlD .150 APlD AHENOHE~TS THEOETO.
2.
3.
THE GRANTEE" ITS SUCCESS<lRS "NO ASSIGNS. AGREES TO PROTECT JEFfER501i COUNT't AND SAVE IT HARMLESS FROH ALL
CLAIMS.. ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERSorl..
PERSONS.. OR PROPERTY BY REASON Of THE .PERFORMANCE OF ANY SUCH WORK, CtiARACTER OF MATER :ALS USElJ OR MAIHlER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMJo.GE.S 'ARISItlCi OUT OF OR BY
REASON .OF AIiV OF THE ABOVE CAUSES.. THE PETITIONER.. ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE OF COMMEHCf-
HEtlT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY Nt't JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFfERSON COUNTY. .
IF ,THE GRA.NTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE HORK AUTHORIZED
~~J~~~F~~R~~[D ~~MIT~~O A~~R~~FE~~ ~H~A~~U~~Y T~~ ~g~~~g~~~I~~T~O;H~T:Rg~~~~~~~ ~~T~A~:~l~~'2~G:~~~E ~o
lie ~~Y T~~~A~~R~~T~~ ~~NI~~ ~g:g{~~g~~o~NeO~~Q~~~~~~~~~ ~~~~:: gaD6Ay~R S~:frU:~8~~C~HiH~~R~E~I~H~O G~~~~~_
LATlON AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY" THE GRAUTEE SHALL COMPLY WITH THE MANUAl ON UNIFORM TRAFFIC CONTROl
nEVICF~ FOR STREETS AND HH~HWAYS PUBLISHED BY THE U.S. DEPARTMENT OF TRAHSPORTATlON.
,6.
ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHAU BE II1MEDIATELY REHaVED AHD
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE CDUNT't.
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 AJiY TlKE, SAID CHANGE OR REHOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOt1 THIS PERHIT IS ISSUED" OR THEIR SUCCESSORS AJiD ASSIGNS.
~~~ ~~~T C~~~~~~ER~~~~N:I~~C~~~N O~R T~~Lg~n~}~~ 5 B~O~~E ~~A~~~h~~~~Lc~~N~~l~L S~H ~ ~~E:EA~E~Ltr~~~~E
FOR A14Y DAMAGE.. TO THE GRANTEE BY REASON OF ANY SUCH WORK bY JEFFERSON COIMTY" ITS AGENTS OR REPRESENTATIVES,
OR BY, THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS" STREETS" PUBLIC PLACES OR STRUCTURES IH QUESTION.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COl'\PLETlOH OF THE WORK UNDER THIS PERMIT SO THAT
~ f I~A~ INSPECTION CIf 'BY /lADE.
, 8.
SPECIAL PROVISIONS
APPLICABLE PROVISIOtiS ARE DENOTED BY AN (Xl
r z~~Ai~ :~Ig" pI~~I~O:I~~I~1I T~~D C~~~~~~E~I~~~~~~A~~EKENTS,
,
, 0 (iJ,~Jtbsmt9fi1
I;"", ,~li!mii
~il._!t~d ;'P.p, E CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN P~ATE TYPE p-/
.' -""PROtte.. iii. FT.LENGTH OF -e- INCH DIAMETER CULVERT PIPE SHALL BE PLACED I"
DITCH AND LAID TO. A TRUE LINE AAD GRADE. THE APPROACH SHALL BE SURfACED TO THE LIMITS AS SHOWN ON
~~~E~~G ~~ ~~~F~~~D~A~~R T~~O~p~~~e~~E S~~~~E=iy I~N~~cg~e~~~E R~A~~~~-w:~O::t~ ~g~T:~L p~=HI~~E~~AH.
g 3. THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE fROM THE EDGE OF THE PAVEMENT TO
PREVENT AhY' HUD' TAACKING ONTO THE COUNTY ROAD. AAY HUD TRACKED ONTO THE COUNTY ROAD SHALL BE Itv1EDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IT If. rF NECESSARY.O rNCREASE SIGHT DISTANCE, 'STUMPS AND BRUSH SHALL BE REliDVED FROI1 BOTH SIDES OF THE
e:r~~A~~iLL T~~T 1:~I:~=~~}~~~EO~U~~~~~y 0~O:fiR~~~~~~~~Wr~~8ER OR DISF IGU~ING OF ANY FEATURE OF SCENIC
5. 1I0RK SHA~L BE OESTRICTED TO THE HOURS BETWEEN 9:00A.H, IJCD q,OOP.M. "'LESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
A SURETY BOND IN THE AMOUNT OF $ , WRlnEN 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
TER"S AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE ....TlL ALL WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTy.
o 7. BEFORE ANY LOG HAULING OPERATIONS BEGIN" A SURET.,. BONO IN THE AMOUNT OF $ 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 RIGHT-Of-WAY TO THE SATISFACTION Of THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURE,p BEFORE THE BOND WILL BE RELEASED.
o 8. SPECIAL CONSIDERATIONS
AT ALL TIMES DURING THE
, :
.0
06.
Form 113 b
,
, ,
L
.
" '
, .1,
,,':' c, '., ~
---"] ,'.. e ,'... ,. \
.., ',. I' ""
'" ,',',"
" .
, I
. ':
,', ,..,'
',..,.,..', ; "
",':' '
'.. .'. '.
" "
.' .,..
..'
" . '.' .',.. ~.
., " '.'.'., ',..
;
i.."'. ",.'.. .: '.
',.. .,'..
'. " :',
i . ','
~ ..,' ,
; .'.'
" ','.
,.',
.. '
;", ,:", ,';-.'
..
." ,:' "
1
",,'
".
,'" ',',
i ':, "
I. ...".,
:' ,...."', '...
.'
",: ..
,".,".,,:.
" " ..: ,':'
, ". ,', .. '"
, ,"
'" "
,
" "
",",".. ....,:
, ' '"
.'...
, , ,....,.
---.J
':
"
, "
, "..
,
,,,',. "'.
-.J
,,"...
,.,.,
.:
.,',
':
': '
::
>'
.':,
: "
'. ',. i
,',', '. '
: .. ;','
" ":',
" ,.
" :',
,..,',
rJ
.
,~> ,:
;','
:,,>'
,',
,,:" >>>:, , l -
:,'> '; ;>.'....'- ,'.'
. ",::', ","
, ",""
,.,... '.' '
,," , .
,'.',: .,'
, 'c,,"
, '
'.."..' ',',' ::: "'." ': .' ,':
, " ' ,,' ,,>' ,','" " ,
c ',','
, ',. ,"
I' ': ,'.: ....,,', ',' '
,,:': "> ",,' ,',
, ,
,:';:' :', " ,,: : '
, ",:,".
\, ,,';
,,, ''',
i 'I i"'::"',
:'
(, L
i .'.
L
'-- ;;;1):-.,
i
; Ii
.
.. ';':
j
[
~; ,
':,
~", . '"
I.:
I,'
'"
Ii ,
~,~
r
{".
~.
)
t.~:
! "
t.-
".:
, ,
,
..'
,'"
\..
: Ji;~;
?
l
'. ,,'>"
" ,
;":, ,.-
:
,
<,.'",
.,..:,. :..','
, /1
:"', > ','
,',
,
",
i:
:',> '
'':.,'
:: :'.
:'
;..'
"
"', '
,;',
'"
". "
,;,:
..
",
'\
1.1...
,L
..',
,... '.::'':''.. ..:.:::-'-- , '" ',. ',.. '.
; "" "" '..
k ','; :' ",
IT ~n~...r--.'~~~~J!.Q!~~~"''''.t$lf;~:~~~_~m.~~;.:.:''/:.,,' ':::.,:,:
. ":~""-,":-~:~'WI~'~~'~~~~~~~~l~~,SS'f .:,'
, " ."', :,', ".:' ','
r . 'J
!r'
(
',.-
\
,
i
'- ..--__. - -... -.-...:.. .. -- '.' " nPE ,_, '.. ! ___0." i
, 1
_ ;~:~::L:?::T~:;o:;~~\RJV:~=" "l'~ _ ~~~ . "_=~~,: .~,;: I
.:~:.:::i:," ':::: :";":":'-~~:"~4'~:'''' I -.. .. .~. .::...
" --::~.:" 'a."...,.~.,;i""':.r:;;.;.j/ h t:ig::i;~;..-,:"".. ;,,;.,-: '.
... ... ~~~.,~ .~",......Q... -... ...-
_.~dg. ."hDU1", ,-"". -. .._:~.- ~. :: --:-=-:--: - : . '. : vor",
I . .. "... - ::: . YO, In'''. . . :
, .., ... ... . COUNTY <<DAD, .. _. , . ,",:t
t
I ._.
'i :..h:..
PLAN .. ....
- ','~., _nt, flood
hE~~~~J;~f~~C' .:? ~'tFi:=J:{._,:.~:~_,-...::., __ :' ,-~:;~;):~~.~,~~ i~ .~~:;~,
. ,.. '. "--" .--.. . ;-,-i ..--'-.....,.. ''':!! lII..ul,.., ,'1 . Z% .' . "r...- .- ...... .-- ,. -"--'.
.. .I ... ..~. _. .."1'...._._._~ __0 .....:a=. ,. __:.~_'_"":" "-:'':'~:'': ~ .:..:..:.:......... -..:!..:----',..:..:
..,~ .~7,. i . :==-:::-. ,-''::::::~-...' " ., "'l:....."-..~.
. ~~.~ ~.~ ~.; 1"'1111"," .aU.lt +.. ...-~ "1ft.12"cul1.rl-" .,.-- .:.E~~~~~.'~~~'~ .:.~~' :".~=~_.:'!-:'.~.:-:-~:.:
iiii,;.:~'~3'~; ::~;~~:'; ~~~ -,' ~ .f..:,:~. . ; ,,~~~;F 6ICIrr DISTANCE ~EQUIRmFmS
t POSTED EIGHT DISTANCE
t 6PEED LIMIT. MINIMUM DESIREA.~LE
I::
..
~
t....
,[
i
.
i
, I
1l000S:
25
,50
55
40
45
50
160 FT. 200 FT. '.
200 FT. 240 FT. "
240 FT. 275 FT. :
275 FT.. 550 FT.
515 FT. 410 FT. i
550 FT. 475 FT.
"
"
.--
1.)
euive;;' shall aeet alnlmum specificaUons
'~or 85-20 10adln&. Approved types include:
1) concrete
2) corrugated metal .- .. )
3) corrugated polyethylene ~ubing--AASBTO ~u1a)//,
County road shoulder shall be left at ~
existing profile.
2.)
---;;PUOVALS :
l.
4.712. -P-..-
a9ft~
Dtdl'lllllD. Zoard of
County Colllllliuionerll . <. L' ,;)
Date9~ -!3
Director. Department
Df l'ubl1c "orks
Date "A.h--
-.;;;\'is':c:....~...:.~ ,.
", . -. -.... ..
._I.oo......._:~...i._:.;l......_..
",
:" "
,
;,',,~I,.,
,'J,
.'.'~II",
,;-')':0'::':,:,::::,1 '>"'/"'.
,
," ',.,,',
',' ',:
.,. ,'; '.... ..','.".
','. .. ,. .' .'
',.,. '"
.' .ei
,'.'.,'.. i
, ..,
<,J
,', ','" "
':
;
,,;
, ,>'::,
,
ci,
,: ..c.
,:, ..
'.': ,:,
,', "
..,
,:
',..,
"
'.< "
: ',' '
"', :, ,::
",' '". .... ',' ,
,,' ' " . ..,.. ;
, ,:..: '..:, '
.-J",.,:'.......".',.,'
" :'," ,: .,: ::;';I?}
" ,,','..
, :,' '.;
" , .::
, , :. :;:''.''
':,", 'I" ',:.' :',
--1<.,
" '.
'." :..'
-.J .,',.
..
~
: I / (I'
:t.~ kfii J ( l:-
~~(~HI 11----- J 0
~ 1 : ! ~i ! <: (.-):;".
G.>! ~!'!j ~ \
~~; ~ 1 I ~ ).. J- )
~! ! Pi \' t .:.: ----,-) I
L ~ I) \ ~--- .., ~ . \
~ I i' ! s:v ! I '~', ~ ~
. r ~ I J:; _ _, " <C'" ~
Uk ! "iil ;)\1. II/ ~~
!l~ ~! ~ ~"" ,,~
ii:~' .'\-\~ ;(..'-1'0-':;;""'"'''''' Y.-
.., l.;il,t....~ ~-\-;_! !~,l,.
III ti)~l(.fg t~ f)'~lr
? ~ .q:.;'!" I' t> Hl'l\
l t..?~" ~ :1:'p l. 'i
1, \p"~~ t- t ~ i)f~q
.!;\f...i 11' I"'"
~~ f~
~h
.''0----.'
~
OJ
f'T1
co ::0 -0
~ n ~
:.:C -l
2.-; s;:
:0
))
("')
~
Z
o
It lt~lf~j~iti~flrIfl~~~ 6
r.i!lfiill~~'~~!i~lrt~I~?~
rni'h!tf;i;~i~H!;~l in~
[of i~ II ~.~ h~ ~t,~H~~H l"~~~o
'f l,~t~~'.l-~I~I'i.t:rfz
fE' ~fSl$~l!:iit~cl~f~~t~
\,-1 \~,,~:f,'~: .1.'~"'I'''..l
l ~ l &. {.. - i l , i'i :. . , ~ ; i l : ~j~
. ii \\r::l \ .....'!\i:f1}i! Htr.!
~ d H~~~tffntH~ flHt~
;'t.. :~ttr~~:t~"'l~ :;.: ~~r..",,~
tH H~~'ii'fq~:~hl:..l,~l~tt'l
f ~. . ~ ~ ,,- ~. o' ~ -. _!". .
'l"[ .r,.Qt.~'Q.;:...t tt~~,,'i "Jll:
t.. ':tll ~l E'a (:~~ -; i'{~~'J: r~;'
~ ..h ~a ~' .'l'<~ h ',jor
I I ~.:"'. ~ a,,- a' ~ ~ Ii
(\)
'",v"._.~_ _~._..___._~,--.__~--,-.:...._~:-'
_.._,~...;;.~.-..;....,..,,""-
\
..,.,i;;;_-",P
\."'::-'::l!~,l\ffl{
f~~l,
V:::j-c'
flPl"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slreet
P.O. Box 1220
PorI Townsend, WA 98368
(206) 385.9160
N~
0871
Di,{ricl No.
5
PERMIT
In accordance with all applicablc Revised Codes of Washington and amcndmcnts thereto, and subject to all the terms, condi-
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO J ame s B. Hh i te
P.O. Box 378, Port Ludlow, WA 98365
"15 ~ ~-.o-2e.
to Install -:ff:G- feet of 12" culvert and fill in ditch in front of Lot 3 of
Port Ludlow #1, Area 3 off of Ames Lane.
County Road No. 512609
Franchise No,
0.03 to 0,05
Milepost
No work shall be done under this permit until the party or parties 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
Dated at September 16 .19 88
Sept. 16
.19 89
&WW~@Wr8ID
By ~~, ;<~
SH 3 0 \9aa
:'.:' .-;-.
,.,. ..,..".,
: ," ,
..,. , ..,'
" ,/ .',"'.
'," ",'
,'"
.'.'.'. .,.,..,' ;.'
:':'" ::: ' "
;'" ',' .'"..' "
1.'.." "":' ,.'.. "
Ii. .,:"..".,-
....., ,,' '.':.' .:, .
.i);):,:; "
,:i,,"'> ,',' .'..
1, :', I .',',
1\:" ,'..". .".,'
" ',' ".." '" ,',
.:, I' :',."
I"L'
':;" ,
,.,... ,.".
'"
;.
,
....: ,'"" ,
" .,' ,
,,",
"
" ','
;", ,
"',': "..:: ,:
;'
,':
.'"
" ,.-
'"
"
,
'''.
!
t
L
j:'
t;,
t;.
.'
~
~(~
f:
':'.
, '
,;,,'
,
f
,'I'
",
'" ,,' ',,',. .',:"
':'
: " ,," , '" ',.>,'
.',: ", '" ",','
.-,
',' ,
"'"
GENEIlAL 1'1l0VISIONS AI'I'UCAIlI.E TO AU, I'EIlMITS
This permit is subject to all applicable provisions of the Revised C(xlc~ of WU!lhinglOlI, except Illal UII)' provhion in this agreement not comi!>lcfn with
such resolution shall be controlling,
A bond ill the amount of $
is rC{juircJ for the prolcl:(ioll of the COUIII)' as loct fonh in the Icrm!o> of the bOlld.
During the progress of the work such barriers shall be erected amI Ill<lintaincu Wi Illay be Ilcccss:lry ur as IIIUY be directed for the prutection of the
traveling public; the barriers shall he properly lighted at night,
In accepting this pcrmillhc petitioner, his successors and as!iiglls, agrees to prote!.:t Jefferson County and save it harmless from all claims, actions and
damages of every kind and description which may accrue to or be suffered by allY person or persons, corporation or pruperly by reason of the perfor-
mance of allY such work, character of materials used or lIIilllner of inSlaUatioll, m...illlcnance and operatiun or by the improper occupancy of right of
WilY or public place or public structure, and in case any suit or action is brought aguillst suid Jefferson COUlllY for damages arising out of or b~. reuson of
any of the above causes, the pctitioner, his successors or assigns, will UPOll notice (Q him or thcm of commcnccmcnt of such action. defend Ihe same Ht .-
his or their OW/1 sole cost and expense and will satisfy any judgmclll after the said suit or action !>halJ /lave finally becndetcrmined jf adverM: to the Jef.
ferson CoulllY.
Except as herein authorized,no excavation shull be made or obslacle placed withillthe limits of a courHy mud in such a manner as to intcrfere with
the travel over said road.
Except as herein authorized, /10 excavation shall be mudc or ohswc1c pJ<lCCU wi/llin (<lur (41 feee of Illl.: edgc of tIll: pa\'ClIlelll.
If Ihe work done under this permit interferes in any way with thc drahwgc uf the CUUllt)' road. the grantee shall whully and at his own cxpense make
such provision as the enginecr may direct to take care of said drainagc.
On completion of said work hercin contcmplatcd all rubbish and debris shall be immcdiatcly rcmovcd and the roadway and roadsidl: shall bc left ncal
and presentablc and salisfactory 10 thc engineer. .
All of the work herein contcmplated shall be (lone under the supervision and to the satisfactiOll of Ihe Coullty Engincer and Ihc entire expense of said
supervision shall be bornc by the part)' or parties 10 whom this permil is issued.
The Department of Public Works hereby reserves thc right to order Ihe change of location or the rcmo\'al of all~' structure or structures authorizcd by
this permit at any time, said change or removal to be made at the sole expense of the party or parties to whom this permit is issued. or their successors
and assigns.
All such changes, reconstruction or relocalion by the grantees shall be done in such manner as wiJI cause the least interference with any of the Coun.
ty work and the COUnty of Jefferson shall in no wise be held liable for any damage to the grantee by reason of any such work by the County of Jeffer.
son, it agents or representatives, or by the exercise of ~IilY righls by Ihe Count~' upon roads. streets. public places or structures in question.
This permit or privilege shall nOI be deemed or held to be an exclusive one and shall not prohibit the CoulllY from granting other permits or franchise
rights of like or other nature to other public or private utilities, nor shall it prevel1lthe County from using any of its roods, SlCcels. or public places, or af.
feet its right to full supervision and control over all or any part of them, none of which is hereby sllrrendered.
The Department of Public Works may revoke, amend or can!.:cJ this permit or any of Ihe provisions thereof al any time by gh'ing weiHen notice to the
permittee. The permittee shall immediately remove all filcilities from the right of way. Any facilitjes remaining lIpon Ihe right of way 30 days after writ.
ten nOlice of cancellation .!.hall be removed by the County at the expense of the pcrmiuce.
The party or parties to whom this permit is issued shall maintain at his or their sole expense the structure orobjCl.:t for whkh this permit is granted in
a condition satisfaclory to the Department of Publie Wor"s.
SI(!'6'LAkt~OYlgIO~~quiring appl icant to leave ditch open for 2.5 feet on each end
of the culvert for maintenance purposes.
~1mR1~&
In aceepting this permit the grantee, his successors and assigns, agree thut any damage or injury dOlle to the property of the grantee or any expense
incurred by him through the operation of a contraClor, working for the Coullty or any County employee shall he at the !iole cXpen!'.e of the granlee, his
successors and assigns. ~ C). . \ "
~ .' );). ~the undersigned. herebyneeep" thi'permit subject 10 the terms
and conditions as herein set fort
Dated Ihis c2 C; day or ;x:;li.-n-"?~L-) , 19 Pi
^,"l'U'~~~~'-_
",
.
,
,.,.
,
,
, .. ..~.
" ' " "
-:-
,
, ..
. .. ,"
, ....", .. ..,,,
,', ' , ',,:, , ":,'
, " '..'.,
!, ,', ','
I ',' :', '
" ' ",..
: ,
, ',,', ..
" "
i. ,,'\
: ','
, ",
..:'.,,'
'''.,,: '.'
,
.-
J
':..."
"
,':" ,,',:,,
,'"
i
','
,
,'...
'::,'
:\,
,
'" ,. '::',
',:,
"
: ..
" ..'...
'''.';'
"
, ",'
,',':'::",', ",,' ,...,:
;'.'
,
" ,
'"..,...: ,:, '..
"'J';. ': '
:":, ,',' ,;
-:..;. ,', ':
" ,.' ",'.. ", ..,.','> ,
'" ' " . ','
i,: ;,
-':,..'
.~
,'.,:
,,:, '.:
"
__ -.,',',. ',. .'1.-..,.,-, --'. u~,," '".''''_'-'" "'-"""",,_.._~_."-'_ ..." _,.., ...",_,___." "'" .'-'_~'~ ',~ .e.....__. '-_' ".:.:..._
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slrellt
P.O. Box 1220
Port Townsend, WA 98368
12061385.9160
Fee paid_~ Yes _ No
.y~ J ~e<:J
f(c:u:;ptNo
Addu:!>!; Rtque~l_ Yes _ No
Mile Post
AI'PLlCATION ...OIt l'EIlMIT
To Department of Public Works,
Jefferson County, Washington.
The I/ndersigned J Il (V\. ~ R, Wtu'-1 c...
herebyapp/~ jarpermissionlo In6fa.iI ~D' 0+ d,,,-'.,, Cu.lvev.t
IAN,/illim ",j1/d,'""il"'}llll.\'II,!tuth"""I,!t",wd"J
SKETCH: " '-
, ATT~tC.VH(l prDi'"d~(
OLd-IIt,eel ICI re.d.,
pro.kl~
In
wh,ch
lo"t
ho.5
be... ,'\
~~'''' 7'" ,,-. --
,__ 11' .-.r~ f~-' 'I T,- IT
~ g;:.. ~ ~.:~~: g ~':/
:OJ
:::(" 1;; 1988
Jr~/'~~.~; r~"'.3~?_~\J. ~ () U ~\~ -rv
t:..\J;";:.!\,Jcct""'::S OFFiCE:
OnCol/n1yRood: Ame:s lo.l1e.. ?o,t ludlo'^'
bel ween To..I bol:" Wc,-'-(,
{Sltlffl1t'fJ"',\tl.,.I\\-.I"''''/,,rmllfpoim}
and agree_ 10 do Ihe work in accordance wilh YOl/r rules and reglllations and sl/bjecI 10 YOl/r inspeclion and approval.
Date .gefl.tM.b,v' I.::L J9~
~ -' ~ ~~\-n.~ 5ouIVc( e.o~+-r!Ac.Tr~" & Develcel\^,,,,t
ISlllnlll1HCOr AplIl!cllnll IConlrllCIOll
IIf applicant IS a copartnership, set forth names of copartners)
7, 0, 80"1- 3'1 R
Ad'?D~"t lu.dlow \tv", Q'i30S-
'VY1- 'Ici7D
AddreM;
Phone No.
..
Jefferson Co.
DEPAIUMENT OF PUULlC WOnKS
District No.
~
Permit No, G7(
SUIJCrvisor's ItclJOrl No.
Supervisor will make detailed repor' with his recommendation all this applieatioll. Wheneller possible show !}'kelCh of proposed
work. Supervisor will also make adtllth'llol reports and jinal report giving dare of completion of work all this/orm.
Preliminary Report:
/97n6.5 L.A!" /YI.p, Cl.o3S-~ O.oS- "-,/"
ST7'f7J D,-n2 D
j(e~vt e."
.120 A-D ",iii' D:-fc,y
:::. J.., F;~L iN
",,:f-~
Bo' of
?>10 fo 'I '). FA <-I...
D: f-CI1~ ,~;f-# 80' 0 F-
IZ"c"",t..v,
Date:
9-15--89
Signed:
./) ... /.-vr-- J(~
Final Reporl:
PERMIT ~SPECTION REPORT
. V Work covered by permit has been compleled
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
REMARKS V1:>~D
COKRAf~'l:> ?~vrs"""C- p;('<=-
Dale:
'-/. _(0 -8?
SI~ned:
_-LJ ... A2t- r<;ilA l- 1
I
COUNTY ROAD NO ~
STATE LOG NO.
MILE POST tJ./1f "-
OFFICE USE ONLY
PERMIT NO.'87f-"f-.;l/~1
FEE PAID LYes _No
OHLCE USE OtlLY
1T/ ~ '1'1"'11' 7 A4 <$ "'-c>. 0'"
.;2-
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. viA 9B368
CHECK ONE:
GZJ RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
A pplication is herby made for a
Please describe 10 action (attach
0"-C.K.so Y1 /..a. n e.
ope. 'I- ("("or "J>e.u,J.nc,
maintain a road approach.
~r 1"'1/ l!;;iJ;.
a be. h e e.de.-e;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 C'hGl~well Cavls.T IY\c.., Contractor Name SCVv~
Address --:PO, :RaIL d-.b Address
'R121 1--"'-4.4,1-0 , wv., qIi:3('':'-
Applicant Signatur~A:' ~t..~~?<.... Contractor Signature
Date 8;117 /cf',f' Date
Note: Indemnity provisions of paragraph and 3 on reverse side.
PERMIT
&Mm
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 contractor has notified
, telephone
APPROVED BY: .--<l /~ ;;;~r;
Date
9-/6 -SR
PERMIT INSPECTION REPORT
CAll 48 HOURS
BEFORE YOU DIG
1-800-562-6478
vi Work covered by permi t has been
------- satisfactorily.
______work is not completed.
______Recommend permit be cancelled.
______Traffic control - adequate
inadequate~
REMARKS
INSPECTED BY: /Jr....JJ I.~
DATE ""t/~/6-9?
Form 113-0 (RevA 2-.82)
GENEI,r.! PPO'lISIOl~S
1. THIS PERMIT IS SUBJECT 10 RCW 3G.7S.130, .140 AN{) .150 ArlO ANHUlMENTS THEAETO.
2.
THE GRANTH. ITS SUCCESSOHS Atm ASSIGN:'. AGRElS TO PHOney JlfFERSON COUI11'1' AND SA....E IT HARMlfH FF<OIo\ ALL
ClAIM~, ACTIONS OR DAMAGES OF [VEFn' KINO AND DESCRIPTIO" WHIC.H MAY A((;kU[ TO OR bE SUfFUUu bY MY l'EkSulJ,
f'E.HSONS. OR PROPERTY 8'1' REASON OF THE PERFORMANCE or ANY SUCH ....OI<K. CHAHAClER uF MAHRIAI 5 u~[1J OH MAfH.Ek
UF INSTALLATION; IN CASE AtlY SUIT OR ACTICJf1 IS BROUCHt AGfdtlST TH[ COUNTY FOR lJAMAGES ARISINo:. OUT OF Ok H'(
klA50N OF ANY OF THE ABOVE CAUSL$, THE. Pl.1l1JONER. In SUCrl.SSOkS uf( AS~IGN~ WILL. UPON tlOTJC[ OF COMf'1EhCl-
HfNT or SUCH ACTION.. DEFEND THE SA/o',E AT IT~ SOLE EXl'lN5( ArlO :)ATISFY ANY .Juor,lHtNT ARISltiG TH(RHROM IF
Dl:1EftMINED ADvERSE TO JEFF[k~{JN COUNTY.
3. If" THE GRANTEE EtHERS INTO A COUTRACT OR AGRE:EMI:.Nl WITt! /, THIRD PARTY 10 P[f(fORM TtU WOkI'. AuTHORIHD
~~D~~~r F~~R~b~D ~~~Ml~i~D A~tRl~fE~~ ~H~AnU~~Y T~~ ~g~~~~~~~I I ~~ T~O~H~ T :R~en~~~~ ~:T ~A~:~~r~~'2;G:~~eE ~O
~, ANY BREACH OF ANY OF THE CONDITIONS AND REQUIREMENTS HEREIN MADE, OR FAILURE orl THE PART OF THE GRI.NiEE
OF THIS PERMIT TO FJNISH cOrlSTRUCTION WORK HEREUNDEfl WITHIN 90 DAYS SHALL SUbJECT THIS PERMIT TO CANC[L~
LATION AS HEREIN PROVJDED. '
!j, DURING THE CONSTRUCTION OF THE FACILITY. THE GRM~TEE SHALL COMPLy WITH THE tWiUALJULWi1..fO.W1...J.RAf.E.l!~
DEVICES FOR STRFFTS AND HIG~ PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAIO WORK HEREIN CONTEMPLATED. ALL RuSfilSH AND O(fIRIS SHAll BE IMMEDIATELY REMOVED AND
THE ROADwAY AND ROAD::iIDE SHALL BE LEFl NEAl AND PRLS[NTl-lblE Arm SATISFACTORY TO THE COUNTy,
7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CItAfHjf. OF lOCATION Ok THE REMOVAL or ANY STRuCTURE OR STRuCTuRlS
AUTHORIZE.D llY THIS PEkMIT Al ANY TIME, t.AW CHANGE. OR ~EMO""Al. Tu BE MAllE AT SOLE EliPEN!;E Of Tt'lE. PAIHY OR
PARTIES 10 WHOM THIS PERMIT I!. ISSUE.D, OR THlIR SUtCl::i~LlI<5 AIll.l ASSltiN5.
8. ALL SUCH CHANGES, RECONSTRUCTION OR RELOCATION By THE GRANHE StiALL BE (JONE IN SUCH A MANNER AS WILL r.AU'H.
THE LEAST INTU~FERANCE WITH ANY Of THE COUNTY'S WClF.u\ ANU JE.fFfkSOIf COUNTY SHAl.l IN NO WISE 8E. UELCI LIAbLE
FOR ANY DAMAGI; TO THE GRANTEE BY .REASON or ANY SUCH WORK By ,JU"HRSON COUNTY, ITS AGENTS OR REPkESENTATI....E~.
OR BY THE EXERCISE OF ANY ftlfjHTS BY THE WUNTY uPor~ ROADS, SlR[[lS. PUSLlC PLACE.S Ok SlHUCTUHES IN QUlSlIUN.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMf'LETION Of" THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTJON CAN BY MADE.
- ,- . -'~,.~ ...... ^. . .. "
,:',.1:,';;;):,': q(l;J'lijl J\ SPECIAL PROVISIONS
I:"}! jJ;'llJl,;_'~f i "buU APPLICABLE PROVISJONS ARt;; DENOTED BY AN (X)
cr...{~ p;;.IC'Olp'y ~F THE PERMIT SHALL BE ON THE JOB SITE. AND PflOTE~TED FROM THE ELEMENTS. AT ALL TIMES DURING THE
CONSTRUCTION AUTHORIZED BY SAID PE.RMIT WITHIN THE COUNTY S RIGHT-Of-WAY,
(B"2. THE APPROACH ~LL BE CONSTRUCTED IN ACli9RDANCE WITH THE ATTACHED D,ESJGN PLATE TYPE_E.::::J__
APPROACH. A _FT.LENGTH OF-::at:..._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
6r~E~ff~G A~~ J~~F~~:D~A~: R T~~o~P~~f~~~E S~~~~E ~iy '~Nf~cg~~~~~E R ~ ~~~_~~:w:~O~: ~~ ~g~T :~L p~~MT~i Eb~AN ~
TItE APPROACH SHAI.L BE SUFFICHNTLY SURfACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT ANY MUD TRACKJNG ONTO THf. COUNTY ROAD. ANY MUD TfjACKED ONTO THE COUNlY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY T HE GRANTEE OR HIS AGENT.
Gj'3,
~.
IF NECESSARY TO INCREASE SIGHT DISTANCE. STUMPS Arm BRUSH SHALL BE REMOVED FROM BOTH SIDES OF THE
e:r~~A~~ALL Tn~T I~~I ~a:hN~:rE o~Ui~~~~y O~o~~R~~~~i~~~:wr~~BrR OR DI SF I GURING OF AN)' FEATURE OF SCEN J C
5, WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M. AND ~ :OOP,M. UNLESS OTHERWISE AUTHORIZED Bv THE
ENGINEER.
o
06.
A SURETY BOND IN THE AMOUNT OF $_ _, WRITTEN BV A SURETY COMfo-"NY AUTHORIZED TO
DO BUSINESS IN TltE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITti ANY AND ALL OF THE
TERMZ AND CONDITIONS Of THIS PER,.IIT AND SHALL REMAIN IN FOR'-E UNTIL ALL WORK UNDER THIS PERMIT ttAS
BEEN COMPLETED AND APPROVED BY THE. COUNTY.
BEFORE ANY LOG HAULING OPERATtONS BEGIN. A SURETy BOND IN THe AMOUNT OF $__-----:.~~_ _~ SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE CouNry AGAIf~ST ANY DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPUTE REMOVAL OF THE APPROACH AND CLEANING UP OF THt RIGHT-Dr-WAY TO THE SATISfACTION OF THE COUNTY.
APPROVAL OF ALL Cl.EAN UP WORK SHALL BE SECURED BEfORE. TH[ BOND wILL BE RELEASED.
SPECIAL CONSIDERAHONS Q- C~",r-A-"'I Fl'H<.k WPL.LoC, 8r CClUN:rV Sir,,;:>
~<L A}rJ <.R<>-o,890. He Is fi/YfNN~_j2is.d./,.vdje . ','
:..:t=naf-RC' vPfi1P~"r::'< A-:r.--d.....~"!!""~L~h:r_'-!!. ; Lt.:.-h.t:b/-E--_
_t;.f.Fe.c~ "",oJ i--A.~<. /If ew ~a..'1:...c.LL~.,___
o 7.
GY8.'
.--------------------
Form 113 h
':" ,..,.. -c-, ,'..,. : ",': "
, .: "'::.> ',,", '. ' " ".
,'. '.: .'.'"",,.. ". 'C: " ,',' , .,' ',<
..' '.', ",' '. ..' "
:>0 " ."..." " <,',:, .,' ,
...> ,'.'" "',..'..,,'.., .' . ,\;
:. ,..' / " ,'" "',' " ,. ""'. "
.,..' '" ,', ", '" . ",:' "
,. '" . ',,' '.'.,' ,".., ':.: ,',' " ':, :.. "
.:..,.,', """,':. "".,.'.' .' ';":':"" .'
,.' ",. ,',.' .':' " ,'",';,." : "'".,
:,', .... . ". ",'" " ,", "",. "
':,' ,-: ,,' i,,', ,'. ,:'". " ' ,,:,'
" ',', , , ' '. " , . "
.' :. "" ", , " " ',.,'., : ..,,', ' "
, , ',' ' ' ' " ';
",::' :,." : ' '" ""':":" ':',
, , ' ,', ":'" ':':,
, ' ,
, ,"':'> '
"" ,",: I'"~
.> "
., .,",",
, '
"
: ,.:, "
, ,':' ' ,.,:0",
, "':' . ".
",
..'
Jefferson Co.
DEPARTMENT OJ<' PUBLIC WOHKS
Permit No, t7ge 7
District No. 5
SUIJCrvisor's Heport No.
Supervisor will make de/ai/ell report with his recommendation all this application. Whenever possible show sketch of proposed
work. Supervisor will also make additianal reportS alldflnal repart giving date of completion of work on tltisform.
Preliminary Report:
C>o'-i:>FiNCH 1..1'/. rn. p .
ST-l"/wDtl1""<\:> .srl~b /f,-vD
,2." r::"",lv. 0.\<:".
0.0/, p,/'.
D:t-ctl
""7
.1'
t
Signed:
j)/",ti- 'R~
Dale: "3 - 2 I - B'}
Final Report:
PERMIT )NSPECTlON REPORT
V Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
REMARKS
"ale:
5' ",.:>. 'f;7
~c:...>--.
~
SI~ned:
U1."MI'IC 1"n'n:H~, INC.
, "
:..;,
1,
,,'. , ",
': '...,.. '
:: , '
.' '.
,
,
"
- ',.. :';,'
,
,
:
,,,,PC.
, ': .
I,:
,.,:~
'.
". ,\' ;~..."""~ ,,~'
'i
t
"
.'
',:':; ,
":e
,,:' "
, '" , " '.'
"", ", ',' '" ~
'.:,""
:
p
..
: ." ,,'
,:, "
" : .-,:,' ,': "",' '
...
PORTIONS
OF
'"
""ArCH LINE
J
.O~OOJO' S( f"
'~JCI-;~/. r-: ./'Off. r 2); j
" GO' 11,) L
_ ~ I..r,"/-r-i_. 1_ S 69030' 00' E
';,6. -~.00.:::;J~ '>left.1O"1 -~r'---~
oc-:iO_~~ JJ'~ LANE ,.~ ""0. - . \~S 78049'
, 0.4.00 00' 7777' -----;--.-. S '00 ~.() "9 J. ZJ-(
.' ~ :s /7'20" .ortJ04Z'4C" 62.69 6000' J~ 'I'.JC /Y?;:'q /79 '0'
~ ,_ .. ~I;-;-;:;-/-----:""" 4',,;>0'
:t:.~ 25 ~. 26 ~~ 27 ;:.~ 28 '0 O'4~~::'4;" '<1' 'JO!:,. 30
-: ~ 9 ~ :- '.:_ ~_' ~ ~ 29 ..', ~oo
\, ".. f ~ (V ; ~. ~ .. ; ; "~~'.'.\ '~~OD~
- ,0 _ ~". '7'."'" :: :: ~ ~ - ......~ H.'....OO...
~\ / q~ s ~ , I.-!!-~~-:::jl~
~- /!'r'~~~;;!.? ~:.~~' "!!'.~~:'~~'CI'" ~I':" "",.' ~:.r~:"""'~~"f"~'H"'
E' :/~~-'::.:; ~!;; ..J .'-J. .o~ 20 ~:.. 19
" .-;oF Q:'..... 24 '? 2 3 .' 2 ~ .. ~ Q" " ......, . ,,"
" ~Mj - 0'" ~ : 0 .:. 2 -: ~ 21 00 - .o>~1049'26 .~: ~ "101.0 '!Io
~~ ..... -. _ ' ~ ., (V Q" !;IO 4~' 1)$,
o!; ~ ; ~ :. ~ 0 _' \~.-- ,,\,~\ . "E
0'0 7 .~" 0 _ -. ~~'" ..,0 .........\\. NT90~
ft- _. ,=-- .O,OC' .; ~.". '~.;o. \!~.,..O'
'I'" -- ~ I')" ~ 4'1'027'33"l" 140~'Z'Z1 4'T~' ~ t~'" ;-1'6\ .
'" M Cj-- --....;.. I" 0 3:100' ..> 9' ~ O"::--~ :-\..:.I
: if 7 ,~27:1-1,"'O;' 0" E. (~ ;;f,/~ ~~\ TAo 4~':"'~--;- ~~~04']A""
0''0 I Sp.-t. r:: ", 00c. .? ,g~
0/ 0 :~- . 'OS 00' . ARRow ~ I 12 ~\-- \'!l' ".ofll 161.:lS'
'o/!J~.? p~ ,--=7-:"'Q-'t.'"n:flE. ~SIi60]6'30':"E 'to'\~
~ b ~::: ~ 910]' Z:-!/,,,;- .~\ 4"16'J 70.oe' ~: ~-:
~:;i~ ~,e ~ .:. '~\" Oc 4:1~~;6~~4" :r__4~~,g~00~'06" ~: :';: ~.. 1 e
- v: "':- crt'; 14 -: :; I 5 -: ~ I 6 -:. ~. . 1 7 Z: f:
~ -: i ; ~ ~ ~ ~ ,,, ~: : 15' SAN SEwER EAS:.'oIENT
I q 0 _ 0 0 N8!l0'!2 08 E 2:' --.s ... 1\~0,!:!'J8 E -
~\. ~ ~~ N;:;~';~:0.!~~:~;;'.2<:.~:, Z'~:'~'l4~1.'~~~,;"o,.,~~ i'~":."."~;:" }7jli ",.-,
~ 0 ~ !-'~ -~.~ :' ~ 4>31013'17';") 0: : 9
~ -:: ~ ':. ~ '" 12 :' ~ I I -g - 27.25:J\z: j; (/"r;
~. -; ~ ~ I 3 ~ ~ ~ - z '6,"oo,o,OO.:~i;-'~:...~3; 059' 0'" E
\(10 '",-.) "", z' '!l" ,b. oA \~3;.h. N 800~
9'l1' .-...c. ~ 7' !' " ~.\,!04&? 55 co' ~4 69 -' ~ &'J .~2.15'.
"::, \ ~~ 1: ..~.'. ~I . , ..' 00'" ~q,U~" ,-0_. H:V
o. "O~~ ~ bo.\'L~'" W'~E.,,\_-:;;r N8~~Qi---;;; A-"':~ 58400S'S4"(
~. ~p"~ :a. a: 'Z "J'l.~\ . -::~ .n~ . _,-----;"' ~6.]O.. oi~...,6. 19C. i!4' ';'""J':;'.~r
~"p '~'~~oyo\.\~ -~~' J--IO~,OO' .~~S'69 70,~.~.. "f1I~O" ~.c
.~ Gl, '-.V .0"~O \AO,9~.OO" 0.10 4114003'S4'rJ: :"- ~'\...... a
, ,,1 "\O'2'..........:;:"A ~60~O .0 '" 12.27'.. ' ,.0 'll'
"'0 . ~...'" A1-.GI e." J: ~,.: 7 .,,: ;:;
'r.f (9).../' ~ 0 6 ~ = ~: . ~
c,,_ ~\:,"""" \. '17'~;9~61 5 .~ -: ~ ;;j ~ ~ 5' N 8'. ~~-
'~ >/:. ~,~ '~.J,. ~!: H."..'I."' ~,~ ,'"
.II... .;;*o~ -9 J'~ :'.h OS \//'~6'89' -;: :Cl5' SAN, S~WER tASEI,lEZT
'ol)~~, '~O"''''''' ~()C'9j.~.. 1,1) :It ,6'O~ t. .;;: ;";: 3 ...,~
'~'~<9,....~ -9i'~'" " o~ .~! \~ o,:t eO
'~9. 'ese-"" . ,b, 0, ,_ ..,OJ q'
(, ':>$~" ,p>' 10 0: : 4./09030'49".. ,ro,
( <'3 :.......~'J~ 4 z:: 9557'
'.1.1>Qt;,J. :~
""..... 1-.......,...4-9('4 .r3... <fl. 6117014']2"J.~,,, ..<;:\ '- '.
c
c
~
o
'"
~.
.<.j 5
:.;~..
"
o 5.~
~ ,;.~
to- og
~
oJ .,
-'I
"-
"
"
,', ,,', " ":': ""
.,'.. ",., :' "
, " ': ':-.. ;.',.' ',' ': :' ." ::,
.' ,,' ", '
,,"':i..' ~ .. '.
: , .: :' ',', ,'..,' "..'. :"., .', " ..'" ".,." .." ' '"
,c" " ,'", ','." ".. ,',' ' ".". ',. ' ," ' ' ',. .',
',: ", .: :,.'.",',,,,,,',," ", ", " ','.. ,', ,', ,';",
" ',..',' " , ' y'
" " " ' ,,:', ':', ,:' ," ,';'" " ,::'. :'.
: '.. , ' ,,', '.',:::, ',",: '.' .. ,:,", ",' :,,",
,: ,': '... ': " ,:, '>, " ' ,', ,: "'.',. '"
',',", : "".. ":'.":' ,'..' " ' "'" ' ,', ' ",' "
" ..;, .'; ..' , ' ," '. .. " , ':
, ..', ',.", , " " ,:",' , :,'.. :i ': .. <" '." " ..' " ,
" ,,',' ,,',,' ,'", ,', ,
::,i.,; ',,", '.,' " .': . ' " , .'. .' ',.," '.,.,'.,.'. .,.'...,
",., ,',: ,,',. ,: ."." " . ".:'e,>:,'>;
,..', ',' ,;", ,.," , ':',
,,' , ' " .' " :
: '\'. ' ',. " "..'.'
, :,",', ' ' : , ' ", ',.' ' ,
','.> " "" ',:'
..,', " '.",' .'.', , ,'" '..'..,...'
,
,'",....
"
.'
:',.'
,:,
",'
;.
""
." .':',
,I,
" ':"" ,,-:"0
"
II1II
I
1;'
j,
",
~;
1.,
r
,t'
I
~'
:~;
t
I'"
i
t
1-
"
,
~
"
~l
~,
,
~~:l
if
'IV
;;,
f';
,.." ....' '
"~\ ","~.'.''''d "_,~ ,""._
'- " ,,',',
',~.:: '
",
,
, '
,',,' " "",',
.<.' ,,",
-~:
\
r/)~ , ~
~
'r.;
~
K(Q:'p1 NQ.
AddrcssReque5l_ Yes_No
Mile Post
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fee Paid_ Yes __ No
1820 Je"erson Slrael
P.O. Box 1220
PorI Townsend. WA 98368
(206) 385,9160
APPLICATION FOlll'ERMIT
2il ,'0= s-s"gOt
To Department of Public Works,
Jefferson County, Washington.
The undersigned .p U G c:-r- -1b /..V E- f<?
herebyappl.:t...-- for permission /0 I A/SmGL
, c30 I ibLE~#8'?/o/3'I8'
(rlp"III'UIII h'd/,I"I.-rih..full,\' ...hufll.. ..i.IIl",IUJ"j
SKETCH:
0C e. A -r-rA(J!J-t e.rJ S K'E7CH
RECEIVED
FES 1 0 1989
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
On County Road: 0rllZ,DE.;{j eiV6 E belWeen ,~CO,,' ",',il3W~"GAtV;>E1?
Club_ ,(,L) -If.)CVC.2JL.A/lI), ~"OT/-I SI,D~J__,_
(Stllll'l/l'fJf....,rrrlll..\ff1~/IJrmlll.fHlll/fl
and agree_ to do the work ill accordance with your rules and regulations and subject to your inspection and approval.
Dare ~ ~ _:=3 19~
-4f},A ~if , 9.t:-A.A /
ISlllnnLUreo( Appllcaml
~_ ,/-~ -. A (I( applicant is ~.....:rershiP' set rOflll names or copartners)
-3/0 c.:v~/'2~.
AlIlI~" ~ AlIllreAA
Prr, U/A o/tf:'3'b
I'hone No, .:J g-5- ~ S"e-.
IConlractor)
Phone No.
100% Recycled Paper
::,,'."'-:' ',.. ".:':':,-',:' :'::',::e, ", '..' ".- ';,'
, ';,: . ",' <:'t
"; .'.,., ., .,' \ .,..,'...',.,
.",' .'...>: ',','
,,' . :....' ..',. ,::":
., 'i, ,....'.',, " , .. ';, ,;"" ' ,'.' ..'
l;" ' " " " ",," " , : ,:.. : ,> " ,:, :' ' "':' ,: ,::"',',
':~..:,>:' , .. :: ' .'. ,.'i," ,.".' .'
, " ", .. , ", ,::,: " ". \
': ":'.:: > ;,i" ,; 'e, :.,', ': ";t~,'<
, ,..,:,.;\' "., ,:<, .". ,..'
:-,', " "',,, '," ',," : ,'" : ,
.' >.. .."" .' ,'".,', .,..' ",,' . ".., '., '. .'. '.'. ,.,'. ." ',.,:.
'.. ",' .. " , ' ',',',' :"
. " ",'.
" :, >, .: ..' " '. '"".,., "." ,.,. :
" ,','" " "..'., " '",
,': .'."., .. ','. ' ': '..'
';' " < ,,"', "'.
", ..,,' .", .'.. ,::
" "
"''''''', ..,' ,
':'" ::,
'J.
",
:',:
.-
"'"
,'"
,,:..,
,"
M~
::,',
, :
,
::',
, ':.,: ",
e
;~~J:,};:\\,;,:!!,~,' ry::-.."
~..
)',
~.,
!,
\
!
..
.
f
<:
j'
t
\
L
, '
. . '.".,..'.... """q';1
.',
.^.',~:;.': . _, i: ,.; .;.'; ,,'. ,'.,v.,."'..."-_..;,-'.......""..:_..-..;,','~'"'" ',;:"t...',.",,: I.~,,: :~'."
,', '
,
,
PUGET ".~"",,"">If -;::""1 G \ 'Y ,4/
POWER.::}",':"w~~rr.J1k,.L~..'~.. WORKSKETCH WORK ORDER NO..~
79<>,6011,.' OVERHEAD COMBINATION (T.61) SHEET ~OF---=---=
'N'iT LOCATION" ,,' -lSTOCKROOM\02~NO. SIC ~;,~~ENTERED8Y DATEJ_ lee,
STORE (.~~'Y nn"l P~R"fI N s J~Fiz v 6/~
on, MATERIAllD on, MATERIALlP JASSY
=.f. "".." Qn. .~ic'~ ,,~t~.'":~'::~''''y~,::...;~~;;i~~~>';'
POLES,~FT. I 89 7."'a::::c T WIRE, ..;:;?:,(5X r~ 83 \ "5 IOC)
INSULATOR,
KV
93
ARMS. 8 PIN. 9 FT.
ARMS, PIN. FT,
87 22100
87
INSULATOR, SUSp, OR D,E, 6"
93 82500
ARRESTOR. KV
48 2
48 29500
27
22
DEADEND AUTOMATIC #
IlRACKET CUTOUT
92
92 57200
66
CLAMP, D,E, STRAIN
CLEVIS, INS, SPOOL RIGID
-I
GUY WIRE, UTILlT'I 318" 85 85200
INSUL 35 KV F,G, GUY STRAIN 93 97000
ANCHOR. SCREW sn, ONE 10" 87 17700
,,,,,,-17' I ,,'~r.:"S;',"09o,- '-> '77
r@N~{jtt:,!AIJLT'&'@
CONDUIT RISER POLE "
CON DU IT PVC OB " 76 3
BELL END PVC " 76 24
ELBOW 90' "
H,H, CONC, MINI.PAD 76 62000
22
21 5
STIRRUP #
CLAMP, LIVE LINE #
KV
AMPS
4
28 LINE CID,
22000
'69400
~
97
90
89
84
7
GROUND ROD 5/8" x 6"
GROUND PLATE
GRD WIRE #4 WP CU
f;U:t~;.CONDUCTORSi..I)EvICES
I CABLE. KV 1/0 AL eN
85
ELBOW LB 110 AL
KV
78 06
78
TERMINATOR
~1?o~~~~~~~
-I WIRE TRIPLEX #1/0 83 18500
I
1 1
CABLE 600V 110 AL 3/C 86 31300 CIO KV AMPS
T I
DIVISION \ I~OW!:lF1='>=IQ)JJ\~~Nt..E-OI"" eIAC'O'tlN;'??> iCIRC~~'b- 1:3 R'S~ 10A~ /5 /8~
iifLEDI'Sr"-""<<lI;l\(;;,- .""{")' ~ \=1oL1'" EAS'M'NT I'OLECARO
LOC~GI"'I - G;A-e."De~ (J.L.D5 -e:-~ _ NORDL.Af0D PERMIT"~ANeHlsE ""PEO
DATE ORO'R'O lOMEf""O 1 'NOIN"R'O~ ~ Tjj"WN B'l) j:::.. -1 C~'%'~ BY :.c". -0"( APP~ COC, NO
FILLED BY R,e,"'O BY lSTORES APPROVAL DATE COMPTOR'MAN'S SlGNMUR' '1"'''' COMP, FORtMAN .-SlONAWR'
DISPATCHER STOREROOM rOREMAN LINEROOM GEN, rOREMAN COOhDINATDR S~STEM OPERATOR ENGINEER R/W ASST. sUPT, ~OV~NCE COPY.STORES
2\: - ,C-:, . ,..'. ' . '. ',.,. ;, " " ,) e'
.);,:. . ",','J' .', ~'.' .' , '
, . . : ".': .', ,",. . , " " ".: ' " "
< ".., ,"', : " " ' ;.', ': '.. '
.;> .,'"
, "',:> ...... ", ..', '" , ',: ,',,! .' . ': "", .
.'..':;:\,?i::,t}...'.....'.. :.~ '." '..,,' ' .' '...', , ' :: :', ' ::""
...,;.., :.'.,,"', ' '" " ,..,.' ",: ' "", : ': : ','" , .'
,..., :' ' , " ," ',; , ' . "'" ' ,,,': , '....,,', ':,
'..", , ,;" ,,', ' ,,:,', " ,'. ,,: :"e,:,, ,
..' ',' '" . . ", ' '-', '-. ,,,,-, .....: :,. ::
,,' .".,.'".' ,,';,,', '::,
I',. "'..'-' .. ":: ".', ,'.'" ::,,''- ',"
, ' '. :. ' ' "," ':. :"'",
", ..,",'..,." .:.: ..: "', ," ',',',
, . " " "'- .-
"", '. .. . ' , ",
. , ':;
.' .., ..
:<,.;". ' ' ,.. "
" , '. '
~ ...
, " ',,: ":,':
'; , .....'
-
., ',"i:,I,':,;
~ ~, :':'>,,,';<-C, ,':. "';;'_" ", ,~,.';'.' ;>,,_.;,;~::~~;i;;:..,.:.ij,~JJu...:~,~-2.':,'.~_:,L.;.;;~~:,~~~'.;';;i;~ci';::~~'~~~:i:'.:;'..,~:2::i,~'f~.~V.i~~5>r,~)Ji:~;~
JOINT FACtllTIES ARRANGEMENTS - LABOR CHARGES
_ OTHER UTILITIES ACTIVITY CODE CHECK
CONSTRUCTION ACOOI I.-X
JFC NO. JFCNO. REMOVAL 10807
OTHER UTILITY OTHER UTILITY Q.H. TRANSFORMERS (Remove/Install) 58304
U.G. TRANSFORMERS (Remove/Install) 58405
ENGINEER ENGINEER REARRANGE & TRANSFER 015T. CONDUCTOR 59335
CALL FOR UNDERGROUND LOCATION ASSISTANCE. PHONE: \- eo::::> -4eA -655S"
THIS SKETCH IS NOT TO BE RELIED UPON FOR EXACT LOCATION OF POWER FACILITIES
SCALE
I " = ;:.0:::::.'
-.J X~~":;,
&.
N
e,qOI'ilI'l
2.'7 J.e "DlS
~
\EV
OH-z;3
---....
'I~T iYJ' ;S~. i=DLe..
RIB CLc.VI2,
'.lJE oH IPX- 10 cY../61.
PCLc."'S8 100::,,+1
I \J:::', IS e.1 n -#-lc,5':E::Oi!.cHS4 722_
A.ITAC:r\ C:XJw-r, e:,H svc. :Sa.
* LOCATe.:'> 1::e.&.
:s I--rc:..
~...
.~:
"
l
(
i
i
l.
~;l
"
,
,,;,;.
,
',",
::,,' , , '
, i'", .':: ,'," i'"",:::":", ,'," '::" "
"
," ' ,
'I::
~;(
Lml'flOlltlJ''h'~'OiIIll~ mMW Ilf(,ol)Q)__1l
llJ."WES1" P T
COMMUNICATIONS @ 7ft~ I
OUT --.:-....i2-_
,-AORK LOCATION IN ___.__.._.,..n_-
Morass ":2~ I F;:J AG IJij<. Rb..___
City fJ~'!lJ../iJ.A:>.- COunty _d~_ StateCddL.
Name..,__GRt.vGS __._
ORIGINATED BY --..C.tJ.#J.'[}!:S.E:. Date~
Now 181 SIO No,,,",'57.!a1 Duo ODlc_>L--
Repelr 0 ToL No, 385-t,,8t,/, Temporlzeo 0
Rearrange OSlO NO, _'_ Dua Dale __.
~S."'IC..~~
eBL PaIr Color/a....., '..rM. Adr,lrll4' j
?-6lL -/p."___ ..J.L____~.L35.191: ~:~j
~' _C<Jn".cl
O..cllpllon of Work Roro'one.
g.J..LS;:;O::~:~ .... 'Flu,......
- S ~4&--~"O, . .,
AJ~ I '70 '~.:J;.
. ~;:.!K-~.!:-~~~
'-
QUBnllty
--
.-
,---_.._-1---,---- -----
........-----'----
1-'---" ., -
LJH:.,...:.~S.{...QS..l_L---_- .-----
Sketch Work Required. Include LPMDths. depths, wire Sill: ~nd alllount
CD: V i! -ry
_..-.-...~- ...- '.- ..-
Burled Service Wire.
Work Order
P3990 (/.88)
No. IT:J'~3
Complete by ".___,_
"
CONTRACTOR'S ACCE.PTANCE
Firm _....______
$lonature_._~___ ._.~_.._--
Title ______._____ OeI9__-.
Unit Price 0 CQot Plu. 0 Flit SYn' 0 $
Bill to, U 5 WEST CornmunlcDtlons
Allontlon ____
Adore$S __
City
..___Zip__
APPROVAL Fnr Flat Sum/Coat rluI $ _ ..' _"~
Recommended _ Date_
Approyed by ____________ Oate__
PERMIT REOUIRED
Recoived from
Jurisdiction
o Yas 0 No
Varbsl 0
No,_Oale_
COMPLETED BY
0611____
Dale ___
_ for Serylce Connection
l.ndjc;ate.Nor~h
~~
';J~l
'tiJ ' . ~'(...
, ,. . it\), .
~2( ~_'_30~'~~~=~~:~\'~~~ ~.e: . ' . '_
Not" n,l Ii flikftlC;h May nor tlW ",n al'C\lrlillt"l ,I)Ph~"&I\'atl')n 1r1..11 o..I..t11. II (ill'};..!; \,,~ dmltdl 1m 6 't''5non~lblll'y lu pmlJ"rly IOW;tltl w\lIk III llluliwld
ORIGINAL COpy
',,:'
","".c.. "a...-:--" ,,0::... ;:.,...~ .'i. ......:..1,. ....:,.'...:.. "~..'.:....&..-::~ ... ....:....... J... t",;", ..., " .;.._...._. ~....',--lo :.... p'. '.',.f .., " . , ..'R,._,.,. ," J. . ~.,' -I"~" " I, ... 'i:" ~; r'" ;'~.. .r',!.! f', -.rr .w.I
"", ,'"' '.I' " ::.,: ..' ,\ " , :: /,,:",<
" " ,:'.', ,':"', ',,:' ',''', , ,'; ;'"
,::,' ",::' "",: ,'" ','
" ':, '.' 'i,:, i" ,,' ',';' ,,"
',:, , ,'" "',
"'. "
'.'/' ,:...' , '.,' . .,,' , , .:',
, ,",.., >'. .': "i ',' .,,' '.,'.. :'
,,<i ,.'.;, .",', .. ";'..'
:::, :::":',,;' :,:" ':";',' ""
.::. "" ,.d '.. ,,' " ""..,i" "',' ;,',:" :, , ',- : ..' ',,' ':" '" ' ',,:C:'
,'" :": .'., '.' , ,", " ",', ' .. .', '. :
,',..,' , ,,:"" ',' ' ,... ':', ,,:
,,:" '.,' ".'.. ,',' .. . ',. ,,'
,:'" . ", C,' ' " ..",..,.,"'"
, '.' ,'...',. .,','. ,". ,... .'.,
, ,'" ,:' ,'," ,,',. ;'.,
... .'O' ',' :,' ' ,
, ' ,', ,.... ,: ' ',.'
,,;.,. ":", ' :,." , ,:..' 'i::,'" ..
..,'. ,i" .',.,' ' , ".,' ., : ".., ','... ,., .'....
, ' '"
,'. ',./ ','
, ,":' '
, ".,,'.'.,,"
:,','...',"..',..'~
:, ,..',-,,,
..:
'...
",'
'. '
',"'" "
.'
:'
'.e"
~,
,'-
ft,
}
,~,
:~j
\
I
t
..
t'
i~'
~',
",'.',
...',: {'. ,',". ,,"" ,', ", ",,:,', ',',':,';:';
,',,' , ,::',',' ,.', ,',' ',',':' "':;,,::'
,: " ':: ," :: ''.,
',' ",
, ' " ::, " ,'\ "';"11):',.".';'."
:' ,', i,' " .,' i ".',:, ":'.',/"y'
':, " , ",:,., "':"',','". .,'"',, . " " " , " "
, .', ;',', ''', ,"::" , ' ",' ,
: ":, ,:: :':':,": ,,", : .'" '"
,e ',;> ":,' .'.,,; <,,'< ,"
... '.,' ,', ,.'..:"..":" . .,,:,: ',..", :"
.. " ,',:' ,: ' " :,: ",'<', '
" .,,' , ' ,':", ",
, ':"", "',
"'"i: "," ",' , , ' , .. "..,..':".,'", , ,.' ',..' e
, .', ", . :::,';' .',,' " "'" ' '" ';,
,': ,. ' ,'" ,
.. ',,:,' ':,
" ':, '., ",.:,
'",,' . '." ,',,',
:' " , ...,':'::
, ,," " ,"',
','.
"e,,.
'" .. .' ',," ,
u.. _ -" ,\
." " ' ,
-
l\
~~~ (;}
fb;p~
Address Requesl_ Yes_No
Mile P~l
JEFFERSON COUNTY
OEPARTMENTOF PUBLIC WORKS
Fee Paid_ Yes _ No
R<<'tlpt No.
1820 Jelferson Street
P.O. BOlil1220
Port Townsend. WA 98368
(206) 385.9160
IG\ H C'17-="1
AI'I'UCATION I'OH I'EHMIT
To Department of Public Works,
Jefferson County, Washington.
The undersigned
hereby appl 8~Jo-'i? far permission to
.,~~
PACIFIC NORTHWEST BEll
f2v~ J.bu..U-ah A- ~ ~ ~~
(AI'/lllnml ....11/ rl,"'lfil,,'jully ~1U1ll1t ../IIII'> /lJ Ii" J
~ vJ~:t, J..v~~1::J;l./7
::so r;, -r=F g>g- - z:. (q (Q
SKETCH:
p~..4.o-G- ~ s..hZlU",
On County Road: ~--u./I..::t4, ~~
IJ<'II~ 9 tJ a. ~-J....u f.-l-r..,..
.,
(SIl1/.. /I~'l'I>l Cfr/I.l-.\trWI Of //lilt> po;",)
and agree----",,=- to do the work in accordance with your rules and regulations and subject to your inspection and approval.
Date ;1- 10 19...E.L
d:/ ./. tP. ,.j}'l--~ ~ c k---tA-:J, I!:f ~t Ju-t.
ISillnalureor Aflplicllnll leonl/Actorl
(If applicant is a copartnership, !iet rOrlh names of copartners)./1 /
MANAGERI&M /04'9 I? rI-e-eee.Rc'
~1201l1\1\R10GE"1lRlVE ,","'"
PORT ANGELES, WA as. ;e/'T. ~/- Y oJ' Lt."", tua...-
Phone No, ~S- 2 - 'I 9 Z. 9 Phone No, ~.;- '7 -tp t, S7....
100% Recycled Paper
Alldrc'-'l
,--
'"
,
ti ',,'
~: '
','
{:'-'
,
,
~
'" ,
..,','..,....,
.',.,., ,'.
"
, ", ',,'
.'",.
,..',
,
"
District No,
'\;\,... ", .."
'<;,\!c>.., ......'. ','.
'qili;\t.....'.,...,..,.e
DEl'ARTMENT OF I'UBUC WORKS'i<.~;i(.":./
Permit No. {?SS- ---':"'~,""
Supervlsur's l{epurl No. \it,::,:
Supervisor will make detailed report wilh his recommendation all this applicatioll. Whenever possible show sketch of proposed '~
work. Supervisor will also make additiollal rrporls alld filial repor/giving dale of completioll of work on this form.
: .,..,.
," '! ,
"
Jefferson Co.
s-
,I
J
t
r
t.
,
\".;
~-
I
f0
L
Preliminary Report:
/11. p. O.?L - De.ep ,p;fctfes (ON i3o-r-r/ S i Otf:S. R!?co""" ....eNP 36 ..
iJe.LovV E:-X i s-,.,' ~'j D.'-I cl-j L.: N E" .
II
Date: ~-16 -B8
Signed: ../L. d- K~ ~~ ~
Final Report:
PE~SP'ECTlON REPORT
. Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control.. adequate
.. inadequate
REMARKS
n..e: '5" ~ "3-.:>' 15'''1
Signed: ~~--
; ;:; J. .. -~
" .
Ul."MI'!C I'KI"'l"U]IS, I~C,
.-......--..----.-----......,.....-."'--......-...-..-.-
i.
-"',
" ,,''''',:'' ",,:, ".." ", ,",., '":,,, ',.', ,
':" ' ',: :,', '" ,,:' ':, :: ";,',
, ':.' , : ' :" ':,
, ': ,''''', :', '; ",,'
'.'; ,", "..". '." ", , ", ' ':,...... ',,:, "
" '",.'. .', .,' ,", ':"" ',', , ," "',: ," , ,
': ': '..:" , " ' " " .. ',,: " ' ",
, ','.', ,', i':.." " " '....,:.:',.. ...,
:",::, ',,':, ,'" ' "'" ': ' '..
" '",,' ",' " .':,,"
, ,.' ,"";:' 'I:>>' ':,;'
". " ," .', "" , "; " ' "",' ,,'..".,. .' ".' ".' ',. ..,;.',:
"" ,'" ' .' ,', :'.. .,', '...., :
',,' .. ,",' '. ' ,',,'," ,',,' : ,'.'.. .'
, : ',,"..',:.' ' .. " ' " " ' ":, '... " '
,,:",,' ,',., " ,','
,,' , ' ' ','..' ":", :,,' ",....... "
, ,,::.... ' ," ,:,
, , " , ," ..
",'.', .' ',' , ' ' ' " '.' ' " ' " "i
..,'.:" , . ", "'i ',". ' ,
, , " ' ,':
,.' " " i, ;:;.: , "~
, ' " "":...: .':\
""" '
, ,
'" ''.: ',,>: ',',:,
, ',,", "', : ..',:,' ;'i:-
, ,',' .-II
":-'
""
>
I
r
i
\
\,
'i
I
..:
,,',:'
" ':
,
,',;' "
."..;
':."
:'
...."..',:,1
'", 'i I
..'
/,
':"
il,
.... .,",
. . ,', .' ,,'-:: . :," . ' ",' '," "..'...' :,
:' .;.., "", '..' ',' ",,':,:',.":" ;: :,,' " ,', , "....', ':, ';',
,: ",,:,.', "'.,::,:""" ';"," , ':', ,'" '
" ':,' ,..' ' " ,..,:, -:' " ..,,'.: " 'H
, ".,':.", . ,'" ,,', " ' ,,", ,",',' ": ",
,,::,:, ,:, "',": "", '..', ' .. .' " .'.. '. " ,,' "
.,.,' , "';;', . .",', ,".,' ,>: .::
'> ". " ' ,', ':
),', .,.', '. '..,' , ',"..... ,.", ,...,.",...." .,..'
, " ..',' ',- . '- .. . ,,'" " . ',.,"':'..< ",.'i" :',,',":.' ,:' '::
" .:",,:" ,"" ',,", " " ':', ',",: :"'..," ,', '
" "'.",-' , " ':',',"': .," ',' ,,,',
'. "'" ", "" , ",', ",:,,::'
'" " ,.', '. ,"" ' '.' .>' '"
" . .. ':< ,',' .,', ,'..'
. :, ' ':.
;'," ,", ", ','
"" .,J
" ':, " "
,,:"',';' ,," ' '; ','",:' : "':
...:.- ":, ,,:',: " ' ,,',' ",',,,....
',' ","
....." ", """,-"
, . ,'~-;
.",: '" .' 'i '
, ,
, ' :' ,----' " ' .. :
, "H ..
,:'..,.,.,. '. .,.;~'.
""""'..' , , ..
8$
ell: 44 PM
:1' Po r t
J
OUT
IN
@ Pecltlc Northwest S.II
PERMIT
>?~/O~ ~
, WORK LOCATION
Address 9 A. ".l. C-li.\ ~ y I~U 'i
City I':)OQ.ol-...."'O County ClE'?"
Name G-o(l.ll)E"t--,)....
~--
State t..h..
ORIGINATED BY Idj"l~~L~ Date.a-?"~
New 0'"S/O No, 4~_Due Dale_
Repair 0 Tel. No. f-J Temporized 0
Reerrange OS/ONo, DueDele_
Typo of Servlce_-
eBl Polr CQlor/6~-P.
TfJ(~_~__
Oc;;:. bl )/"'....__1--'
1----'---
fi
'),.,
I,
DescrIption of Work ~~~~~~~
Ii'Q"'->I ,en...O "-..,..
C hO\vt>Le ~ 'i~
eo-.~'\ '1"Ol.JAACl:L-. ._--
Q'2 ':1 (>-A,CC"I~' /l'T a.l..
I <?C'~ 12>.... OGlO~ l ~
~'\ "hOE '~O
J,Je;.'
--
Quantity
b'.
+------- ._- ---..
j.s,r~-"iF gg ~J~j_ ___ L._-
Sketch Work Ra(luir'l;'ld - Ir"Ich.lde L~nlJth5. depths, wIre size end ~mount
G- 6':J~TY : ?~~ \'T
'G-'<lL\I=i" ,,'~\ .~., 'fIl.&....
~~i
t
I
~
~"
I:'
~,
._, ___,~___,____,_._-"-_,_,,,_-"R___.-
.
\,
,
..
\
:
t
4
~
.
.\
",
, .,,:.,,:: ,
...,:
I'
i-:,'I,
I:
.~;':
!
:
y..
"
"l. ''';''.,,'' \,,,-,,,t,~'C'~."'~<""- \,,,.
.. ,'"
" ,;,'
",' .',
. . ..<
:," ,',
, ,,:..:.'"
. '
,',
Ii
, "
"':,i\'
Townsend Garage
POl
PSOOO 16,811
No, .ZB'~..2.~1O
Complete by _--
Burled Service Wire.
Work Order
CONTRACTOR'S ACCEPTANCE
Firm
Signature
Tillo Date
Unit Pric. 0 Cost Plu, 0 Flat Sum 0 $
Bill to: PACIFIC NORTHWEST BELL
A\\enlion
Address
Clly
Zip
APPROVAL For Flat Sum/Cost Plus $
Recomm6nded
Approved by
Date_
Date~
PERMiT REOUIRED 0 Yes 0 No
Received from Verbal 0
Jurisdiction _'_ No, __ Date_
COMPLETED BY
Call
Date_
lor Service Connection
l.ndi~(1le .Nor)h
~~
'9;l,.1'
G--6t,1'r- II H 6''1. .
-::t:i-l{i,
.0..
,
".
,
"
,
I
l~O~~"""
~ .,..,-~--~-"~.~ ~_.~-~~-- -_.
.
, ,
,
"
:'e'
:.,,f
.;......
f
!
}
'+
'~f
',fr'
t
~
'f~
f
~
~.
,\"
,I ...,
",""-,:
.~":' d'
c
,-: . :.~'
,
,
, ,",,'
~-
1 ,'.,,:. ,:.",-:
t:,.
""": :"
.
- ':;',
,.'
, ",.'.
PERMIT
PaCifiC North-at ge8UT t7- 36
IN
WORK LOCATION _/ / 1 /
,I>,ddre~s ~8 /ey tt.~
City I14f County .rk.t,.f1.y, :Sl:'n.. State ~.
Name~~......n""".J.gI~~~--,-
ORIGINATED BY .1J, h,'c::/~_ Dale .2:,~
New O!:l 5/0 No,N.h:tS"J>-7.<' Due Date ~
Repair 0 Tel. No,.U"S.s~7/ TemporlzedMtl
Rearrange 0 S/O No, Due Date_
Type of S.rvl~~P{.____
eBl PaIr COlor/B,P. Term, Addreu __
J(>- "l,.r> -..... . u, / k /':)"!--_
Burled Service Wire.
Work Order
P.WO t6-Ul1
No. :sJ!=3~
CompletB by ____
CONTRACTOR'S ACCEPTANCE
Firm
Signature
T1tle_____Date
Unit Price 0 Cost Plu. 0 Flat Sum 0 5
8111 to: PACIFIC NORTHWEST BELL
Attention _
Address
City Zlp__
APPROVAL For Flat Sum/Cost Plu' $
Recommenced Date__
Approved by Date_
Descrlpllon 01 Work ~~~i~~~~ Quantity
7J... /U;Z z: _. / // ...~-
L. ....... .f ~~;.,_ ~_ L
/-~ ~:>., "".r~ '2 _"""Z /L
__"_ .~;z, - ~ * H// /
~4;:T-~ :>.~~~_= j.Jll/L
-~--~-C4:"~-~~-1-- . I
-1------- _-.-_-00-
I
PERMIT REQUIRED
Received from
Jurisdiction
DYes 0 No
Verbal 0
No,_Date_
COIY1PLETED BY
Call
Date ___
for Service Connection
l.ndlqetc.No'.lh . W .l
::: I+f'
Ii
J-----
I . , . .
---- . .
~---.,--------------'------
Sketch Work Required. Include Lengths. depths. win": Size ;1nd an1C1LJnl
--
· , .<ffJr.
___~~A~:
:/"'~dy. A'~'
~r:::::::::::
a,Ri~1 : . . , . ,tg;-~-- - --
-, ~-- ----,- -.---- -- -.----.-, -----,-------- --" ----,-----
NOlO: Tnl~ skclct1 mJ:y n01 CO ~n ~CCUfiJtf.l r(-pn;.ts~n13tlon \n all a(:l11l!~ tlll:M'lOllrrs me contractor'S r\:isponslblllly 10 propwfly local" wOlk in lho field,
ORtOINA~ COpy
:;:;;
,," ,'';' ,,>"'. !.'..1 !!"'I
".. '-" ",:, " ..' "."' ,"..' ,':-
',., '..,:, ,.., .:> :..'~:':';;.
,'. .' ,',' ',' ,. '.,'.',.' .,.. .' ',,".. ',' ..
. ...". ", . ,.".. ..,., ...', < " ','.. "'.,'. ...' ,.".::
',. ..'< .:..". ,...,..'
....',. " :, ..,... .,",. .,(. "
" ,'. " ' " ,,' . '. ,... ',.,. "". ...'.' .'
.. c. ...'. ", .".". ". .'. "',,,'.' '" . .",,'
..' i.. ':.i.,.,: ..", "';,", ',' ",:' : '..'i:
'.'.;: ~ ' '.' . " '.,. '.'::, .' '!
'Ii': . ' ' .'. :.<
'.'.:.' ' , ' ,...' "...".
".'." ," '.' .". "..;j: .: J
". '.. ,,'. ' .' I
.',:'.. '" ,: , " .. .. "'.. '. ,
.", '0. .,'., .,',"., ' ,,' '.. v
. "" .'i'
'.: " :, . " ",'
'..," ..,..'....,' '.'
...:<.' , '... . '.', ,".:;
< ' ,
,,' ': . ' ';.
, ',".'"
.:::::
':,:,.!.":i'..'
. ,:' .' "..:,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fee paid-X- Yes _ No
.:20 I () <{ ell. #.:; ft,()=f-
Rc<<iptNo.
Addrc~ Request"&" Yes_ No
Mile Post
((,i {t: 9'3-L- $"07
\
1820 Jellerson Slleel
P.O, Box 1220
Port Townsend, WA 98368
(206) 385.9160
APl'l.ICATION fOR I'EI(MIT
To Department of Public Works,
Jefferson County, Washington,
The undersigned -:-r-' :!:"/1?<. So
hereby apP/~
l'\
RECEI.VED
SKETCH:
NOV 14 1988
JEFFERSON COUNTY
PUBLIC WOR.KS DEPT.
(~,
~\
~cJL
~r- crv~
oncoun,tY"R...oad,,:__&~!&t"""-..,4~...(( _, ~ K3."6 /.,~-'1~-:'?d)({/J:-~.,_,'
~lttJv ',.Ci).. ~u::,; ~7 U-.-~ A U:?o>-P D6 ~-~-~-~
/Stfllt'III'O'..../l'ffl_"..\/rI'l./f"",I/..pO/1l1J
and agree_ to do the work in accordance witl'rJ,'our rules and regulations and subject (0 your inspection and approval.
Date //. /4 J9~
.:J~.'7 /h~
(Culllla~lOrl
f6
I'Sd)(
~1?
A""".""" _ /
L-4t.<t-~C'-~ I".-~ {"A...,^-
Phone No, ":3.).. - <? Do 7
'7 f J )- J---"""':"
-~...
Jefferson Co.
DEI'ARTMENT OF PUBUC WOnKS
Permit No, rJCJ I 5'"
District No.
s-
Supervisor's Report No.
Supefl1isor will make detailed report with his recommendation oil/his application Whellever possible show sketch of proposed
work. Supervisor will also make additiollal reports and filial report giving date ofcompletioll of work Oil this form.
Preliminary Ileport:
.c.tf:l'tlh'lAtV> R.~. ",,;fe. Posr /,3~ o,.J e. S/-De of ~o~~
t)<I~T"~NJ ~.Nf>;+;O"'~ ,#l-e I ,,",0 t:>~+eH I 3' A=!>,./,,,qLr s~, (.' 6rvW€L
:SrJovt....!>e;.:., t-h~N leVeL .....1" ,',.,7'0 ,c:e...t:..
( ;1'
'/, . ~
Date:
11- /1,- B8
../J 1'4 .1<,': a '$'
Signed:
Final Report:
I
PE~/INSPECTION REPORT
Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control.. adequate
- .inadequate
REMARKS
Dale: ~,
Si~ned:~-;>O'-- ~
5"-..30- 8 7
!
"
l
~:,
~:
~{
f
r
r
!,t
~
.~~
,
,
-:-
, :':, :i, "'. ,," ,," --._-:;
.. ".:, ' <"," , "':'.. : ",:, " " ,
."', " ':,,:,',',: ,'" ::
;.." , ",,' . " .'.-
',', ",: '...:,:' , ,,'
: :',',' '
"......,,>.,'
': ."'.e
": ,.'", ,.' '
',' 'i " ,
, " '
:,:' " ,::,:,', "
,,'.'... '..,',.",
',' ':, '. ,:' .
" "
" ,',' ,"
':', , , .
"" ':
" ;' '
"" "'" ",','
.:' '.':. "
. '. ,'. : "
".,:".. .." '.'
" '.. '
,
" '
'I :'::.
,.,~~.;
:' Hff~llI1ir,'f:',,;r ,~:,!\,:'r-WD11f1~!,~'I'g\~ii(!lf"JlI_
::", Ii' ~flF~' I . . "~. "( 0 "'\-' , ..~ j .'
· 'I ';i iii ' , ~---t' I, ,
~ "C CJl ~ .J..- ,
)j ~ 3"I~O ~...-
, ~
.~.;1 .
gJ =
~ <;
~~"--
".. ... s. -: ~_
~ :;; 01. . _~ _ ~ ~~~
~~ y.~:~~.
~~ ......1--......... ~ ~~
o. ~~ ~=
300' '-- ----.......
-- ,1
I---~~ ~
;;'~ ....lD ~1111,f.4CtJAlRO' .
~ ~~ r:~r;: ~~ ~
~ 00 _.N .
: 6 ~ 5 8 S: ~ ~~""OO$ .
1 1 e1'.: ~ 'I~ .- '.
......' T, T I ,:-r ' ~_~
.(5EII4 II .. 29N .. rwt ' , ....,." .
~ E
'" l!:
; e
o
~ I
lJ' ; g
I ~ ~ ~
:;;
'~"
'" -
~ 51
?~
~
......
~gg
~t:ii;;
~g2
N m '"
o
n~
"
zeo ~.
; ~,
~ ..
'% 2
~ =
~Q
co'"
5 R~?~
\ ~,t \'~: ti
\ \\\;;
a r~a~f1
4"6' ~ :+'1J~ ':
'"'0><1 ~ ~ \ i~~~\
,tg o=- ... =
~t:i ~
i~~' ~~
..~ .
~7(~J~, ---=:::::::::
'1:.\:?~ ::--
~ ~ ..~ ;t:g
i rie;~. 8~: : ~ .. ~ i
~:'~~~'~ ': = ~ :~ 1
,;".r',~!l~'. o,~ " ;: ~ .
. ~;~n"~ :""1
~ ';i ~- ~
....
~
5
o
~
c.
~..
. 0
g:~
o
b~
o
~
'"
'"
<
II
o
'"
'"
i<
~ ~:JI!
0'-
ct~
'"
"
, ",:, c,
" Z ..
Q .. g
~III~
....0
.. s
~
~
~
\
",- ...~...""
';) "-"
! ...........
~
~
~
lSZ'U'
..
~,
~ ..
; 2
~ ~
'"g
~"
~g
Zoo
"'0
..l;l
..
~ ..
?,g
Zoo
'"0
..0
....
"
b
o
"
b
o
0;
b
~
....1 ,,""
, ,e'
.' .',."..., ,
:;
, .'. ,.,. '.' - ~.~,:.,,',,'. ,',
,:':,,' ':, "",
'i',." " '.. ",
. ',' ,: ': "'" ",:... '
'" p:,:",: '.. :;";".,"
','" ."'i'" ,
, ,":: ,,'-,
, "..';' ,,' :"..... ,:'
. ...." '
... :', ' .' :',
,: ' ' ..', " ',"
':, ':: ::, '
:,.",', "..,', ' , .:
,',., ., . '.,....', , . ".::
.: :" ",. ,;
,".,
. ."'1' , ...,.:;
..',' '", '
,.... ':,'
;" ;"" ,';
, "
'" ::"
',' .,' ,
',.~"...:
....
t::
.i
j..
;;
r
t;
:1"
1";
I
r
Pi;,
\
\
.
\
.,
!
II
I
l'
r
t'~,
r
[2,
,\ ,.'
, :
, "
" ....
,,"
,."", .
,,' ' " ,
,."!' ,', , '
"
',:,
" ,',>,
,
'," ,
..," ,
"
,
, :
,
...
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fee Paid ./ Yes _ No
d-~k~~~-
\
~. '1
~;
:&"<'V Z
11~ 'l:!c (,,'1 '~~I ~
1820 Jelferson Street
P.O. BOK 1220
Port Townsend, WA 98368
(206) 385,9160
Addre!>> Rc:quesl_ Yes_No
Mile Post
Al'l'L1CATION ~'OR l'ERMIT
To Department of Public Works,
Jefferson County. Washington.
The undersigned /3 r4 cI A, J <' h 5 .... h Cth "'/ A"h ~ r /J b h SJ~.hS k Y
hereby apply-- for permission /0 "(J71~;4< -r 'i' "",,,,,,c:l?:,tJ:,,,-;':::J,,,,&;C:::::.',',
t;'f!'11H('OtH'/t'C<<c/"-:r!.o ..,(ofs /,.),3 I I3loc"~
f/,4;//i;1f, /5..;y'; l"fl/AcI/rlr'o'?? uS pi ~<; r N~ol',,~q
rn,l/oArU' ..:1, ~ ~hfs 'J r;O~ 87) ,N"tol.qS C' -;t .J'.e/t;cefSchr
,.~(Juholy) Wc..s?J~~ " - .. ,-
SKETCH: \.
I Fr?~~/.
/ tqv.f 1
"f ..
0(/ C;;
0:
I:c
0;
I," I (: ~ LO+ I
[. \ L/I KE S'-" dr
t I
. . . .'. N"",hi
: L.",'- 2
Lo-f :3
On County Road: be/ween '-"
7.& ttJiV"'&V<::J w>l/ & 51y"cd"c( tL,c. ru
in-fMS-/C'/;,tJ--. ().(l &/~-----. {lot.#' j'cr<cI ~
(/.4M"""'a? -sr)
(Stut..Ilt'Q,...\ICu.\\.,I"....'flrmll..{IfJ/m/
"0710 51;;..+
and agree-5-
Date ~
/0 do /he work in accordance wilh YOllr rilles and regula/ions and subject /0 YOllr inspecrion and approval.
',<n 19~
/J/ Aj(}L
L
/1'4 d~
-/r, cSisnlllurc9"'"Arrli,ul1ll
/':, ~ _/!.. (If applicant is II coparlnc
tL/3 ~~I.Jc.5r~/
^,,",~ - /7 /.
,n/r /o.:-;?~-. cr ~ tV.. 9tflS'~L
Phone No, '3kc; - .:l ~ B J
tCIlI1UIlClor)
lip, sel rouh names or copartners)
807 -r;,; y./Ol- S T.
AdA / t1.
, ,<,,,f '/;w.-, c-.. c/ 1 ,;; h
Phone No, 7, 11". - 0 C' q~
100% Recycled Paper
!; 83 t-t
:':
, " ' "..,.'.. ',! ":- ,', " ,i.'
"" ' ,:,' , " '.:',': .' ..,' .', ," ,"'.,., ',': ,:,':
, , ," ,.'., ....,', '.' ,,'
.' '.".' " . , ' , " ,,'. ,..' , .', ' .', i
" 'c',: ' , :", , " ' '.': ,:.' ,,' : "
", .,.", '," , '." . .. ,:., . .,.,,' ,.,.",",..,
'; '" :":"..,',:: : " ': '.,', :', ::" :':, ,', ,'"
, ", ':',:' " , " "\!' '. ',c
" ".e: ,,"'.,',', ", " " ':'" ", " ,...,
,'':' ' ", ',.' , : . ':"" '.', ' ': ,:"
"... ." , " ..'. ":"",, :" ." , , ,:.'::
':", ",' ': " ',',' ' ..' " ':,: " :"
:' ';', ,." :..:' , " :" ':", '.. ': .:
':, :".",'.' /,
, '. , " ':", ',: ',' ... ' '....,':
, '.. ," ,,' :',
:, " . ' " "I',.. ,:": ,
.': :."
, : , '
, ,:' '"
", ,
::<,
"
:, ,
!,
...
,~, lilt
" ",
it;,
':',: '" " "
..
, "
"
Jefferson Co.
DEPARTMENT 01<' PUBUC WORKS
District No.
6.
Permit No. 092- 9
Supervisor's Report No.
Supervisor will make de/ailed report wi/!z his recommendation ont!zis application. Whenever possible show ske/ch of proposed
work. Supervisor will also make addi/ioual reports aud fiual report giving dale of completion of work all this form.
Preliminary Report:
G\~^'Cove. R.t> M.i>. O.ZI:,
\<-\'
0"
(<.Cl-AD '" t..~ D ; \-c u
j-\.c.. ',,"Sib'!.. "'~ 90'
~-p p r>-ol'1-c-l-I
I:.,^-(L\l~
/ ~ c. o"J.::'''''<'lJ..c-,..e. b
il....\I.~ \-" ~.t vo';"''HI
!\l6
Dale:
/? -\-'-"b~
Signed:
/) -' ~~1<, :i~
Final Report:
PER~PECTION REPORT
Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Trarfic control.. adequate
.. inadequate
REMARKS
Date:
$1"'- ~'O ~ f1
SIAned: :Dc~
", ..
,..', .'
, ;C'"
.'.",.:!;, ,.',
:, '
::
'.. . -: ' ",
,..
~
: ' ,
';A.. IO_~ts'
.:=N"-""- I - i/ (.) A.'-
'.~'7 S I <~l-++ )
._T-.N --:.'i 1- -=-...;.:r.:::.,.::.- NF-WI E!:>'=)S'
~.;-l ~ t--::..-~c-;s.:::::;:;
::.:../.....~~_r.;
,?'U .::::,:::.:r
-;:::"/~ '
-p,-:::;:";~t:z.... :.fr'.sT"-.II.J -=I::;::z..~i'--=
p2..::>:---1 :-..:. '!:.02-i.... ]-11 '-L....E.TC:- =';;7-
.-J :':':;1 s..:;,,7"". fY. ~S.:;; - 00-::"'::'
-Z-l ~;....;....~
~ 7"'- 1 .
I,
t
~J;
i,
.J F- :F F F-,1Z.. "74-1
c...c>_ '
r=~ -+ L- T=' T 41"::. ;:c...'--CtoJ~
""=~, ""?IDE- -=F Hp.:-~T N~-"'7
''''--=-T
Tr-+FZ-
;~/E. ,
_~fJ Si"]Z.U <::-11 0 i'J
f--J cT~ '
6>
I) ~ t-l...:r;--...:r-I A.L- ~= F-....J'i:.. ,t...:<-:;-T I t-.J
~C~"'-J.....J:::'-M:- wi l-~?:f~ ~-:--;;:'-?-
~y ~8./I""TloN 'Fi2-cr-1 -""""'-7 w'~.
N LJ "?T l?fi- ~TU~I -::.. F--? '3 ~ -'-<>4 h:.- E:N (:, .
I7:::FT {- h.jOTEJ:::> ON T',..l~ ~"Z..E:H /'0-.1-4 \ ~
~r-r
r Go tJT? 12-=1::::>
14> -,--r-$l--1 t= t-,-'";;>'::.I_
=." r'1Z-1 -p:.1~~ c-t-.l
p"'':'"
- ~. 2.~- 14(",
'_/1"> <:"-/0 =.J .::../= -p.,.-e..."'-T
"F->cI> FU"'-:>E:.. G -z.~
;::::';.:F.;,L.n:.. TA"-=1 ~
-'7pC1<:- ~XI~ c.. --'?~.
:R- "To ~ ,0 .-p:,;",,::> '
-z.) ?-:;,-p' .f; L.. Te> -r.j:?? '7 s' f>... ~t-.J(;-.
i-+1:..'"'"?T1r0G,"'-;. />..V ~
.::::.u"--1"o H~"Z. i"l=' T:l: FS /..L. ~ t--.L-<.>NG
~tJl~ ""-:>T 8='
COUNTY PERMIT
790.65 11.85
CALL ONE NUMBER FOR UNDERGROUND LOCATION ASSISTANCE, PHONE, 1 '-"'S.c:o-, -~~- S.::::.:;, '3
THIS SKETCH IS NOT TO BE RELIED UPON FOR EXACT LOCATION OF POWER FACILITIES
SCALE I" ~ 10= '
PUGET
POWER
WORK SKETCH
WORK ORDER NO. =, -014-'30
SHEET OF I OF ~
LABOR CHARGES
ACTIVITY
, CODE CHECK
I ACOOI ~..
1 10807
I 58304
I 58405 ~
I 59335
1
I
I
JOINT FACILITIES ARRANGEMENTS - OTHER UTILITIES
JFC NO.
OTHER UTILITY
ENGINEER
JFCNO,
OTHER UTILITY
ENGINEER
CONSTRUCTION
REMOVAL
OVERHEAD TRANSFORMERS REMOVE/INSTAll
V.G. TRANSFORMERS REMOVE/INSTAll
REARRANGE & TRANSFER CISl. CONDUCTOR
QIVISION COUNTY U.MAP NO.
~.J S-"7f"::::~I,-1 'to;= ::SZ",~r.J :2..-'..) I ,,-J
TITLE
HI L.L ;::,:2.. J-J-E-:.-J1Z----r:. "Dr,,-I
LOCATION
AWN I;:: ':::-::;>1
I CIRCUIT MAP. NO.
1"7 I.:::::;-H-;
I CIRCUIT NO.
IHl>..~Ic::..
RESP. AREA
. t---J--
EASEMENT
T-"T:
PERMIT AND fRAN.
DATE
8__:>1-67
PCll.ECARQ
IJ '"" '?="v-r- 'f:"-,.v~
""""'0
ENGlNEEREO BY
~-,--..,j~
DRAWN BY CH,ECKEO BY
~ ~ '..,,/ :::;Z..
I APPROVED BY
I ~:.:.(;....~,.
I D~TE COMPo
IOATECOMP.
FOREMAN'S SIGN" fUR'[
FOREMAN'S SlGN"TUR[
II.
~
~,
l
f
j
,
>
,i>~!5; "', ,\' '.,:,:,:.. :,......'. ,e", ..''''' ':~"':'.',"'" :.;:;, , "" ":..., !'
":',,.. <: ",' ," ....' ,
:', .,'" , ,,:',' ,": ,,: ,:",:
,'.' "" ': " '; ,"", .."",, ..'" .'<, "';"':""..,,,':'"
.. , '" ',',,,:' ',":', '....> ':',/, :,...., .' ': ":',: :", :',.,,':,,':', " ....., "
, ::'", ,,', " :.. ,':'''"''';',,,
, ' .'..' " '.,',' ," ,:'"
", ':" ' ,',' ,.' ': " ,,' ",: ',.., , : ' " .'
,< .."',, ,."A ".','."" '.',' ,'.'......' > . ,',,',., > : ".,'.
,', ,,',':': .. ;', ,,'.. "',.' "
.,',;, J<" '",' ::.. " , ' , , " ",:
'.:: 0:'":":,,, ""': ". ,,' :" "".' ; ',:{
',,", , ' '.
..: '.' : '::'", : ',', " ,:', , ":" .' ",'
, :' , ,,' ,.' ,... " "","',
:'..: '.'.:, '",. "., "...} :,:,;:
" ,,' ' ::' " ,',' . " <
):<,<
, , . '.' ,.':'
, ',' "'"
,", '
':, :..' ,~
..:: .' ":' ,:"
;
t
.~'
"
,
,,.
", ,"
'"" ' ,';:'/";""-' .' '" "'- ,:":"i,-,~'ii~. '
i::.i::~i:;22~~..d;..:~,~:;_~>:~~.,. .:.....:..~.,:~..:,_ ...:~,~.."...,' ~...];;,:~.:;:;;,::.::.~~,"~-",,",i~,~~i
:"":':,:'r':'_~::.~;:ilJ:,'f!2(j<~: .;
. -;.};:.'v,-"'<::' ~
" ':i,".;.d.;.."~,,,~,::>t~;~. ':S:1~\;;;;
-=+=. N--:.r;:-
u'~
'<<(;,\;>,
::;,!~-;"",,';; ,~; ,'; ",,"
,";-,~,~:'.'
'AI~',~
""FU6=t::--r-- -r::::-;'tJ:
I, CP
HA-":ffl N~ f>:.';. f'~- -. ~~~..
::wv--'?1"" ~' .:;;f- "'2.." T""vc:.. J I
;:,.:;..~'? ,-.zx;:>- \
I
I
I
I
I
I I
..-d="~ ; ~- W=17
I
I
.J F--rFF-:e.. 04J
~
~ ;::c::w-"?,r G.tJT7 12-=1:::::>
" ' ii 1.:;6 TF...:;2.\--1 f t---,::> S 1'-
2: ~\~I~"'-;. ct-l -r;;
~."".&'''':> ~
~T. ~. :2."":>:"14(,,,
"L/"F.:>c:../o C'I.J <:.-/.:>-p-e..I:-T -.
~?,'F->ql F~E:; @.--z.~
~T: c:..~L...Ti:..TA."-='I~
1""'~IJ"'?fii:.~ ~><I"-'1r. i.'"' --,.e:.::...
1Z-1.?;>1Z-~ -rO<?'O.~""::> ,
. COUNTY PERMiT
> 790.6511-15
CALL ONE NUMBER FOR UNDERGROUND LO
THIS SKETCH IS NOT TO BE RELlE
""?!
t--lx\-,
',.
;::::::W-71 H? T2--'::: >V,::;:",!$?~
11 2"'3~"- -pH ...,.."z.C' 0
(' L,I''P-> ~,---r-p,.J ~ \--
II -yu---?"f" ~ ,-i 1 r-'\
I' L.t>.1"::::>L..-.I'""<- ~=1 .((,.'J4"'t) L
I' ..::::: 2.=' c F 4-10 -W"-='1 '\ ~,;
-rr~L.. '><: T6 ~ "'"::'\. 2"-'0 .
f-J;-"F "'?Ie..- -pAf.JE. L- 1 I
TRf NO t-J .(.."'-l-14oG"-\.s;-\ 1(,,;::;' "l<?t-1 ...!\
S~C VOLT If-
tJ or ~ .cu"'?W H r::::z- .,-0 T.f'F';::> .J
~~~Dt>.~~ ~
:z
-:7\
SCALE J"~'Cc?'
v
4.~1 E:.
'Si,
, ,,'
" -',
,.' ':''. '..'
'..
, "
,
, . ,," .. - '. ,
.. .. ',' :,", ,: :" ,: :, ".'" .","
';,",
,
.,
-~ ;J:- -'....... ~.....,.
/',~
\
~'\ ~ ~
r ~
~ ~!'::'~"O-i-.;"? ~ ":"J::
JEFFERSON COUNTY '.y:7':~::'" ,(2<4, .~, .:::~,~
DEPARTMENT OF PUBLIC WORKS~~'"";-~;: /1 Z. - Yes - No
1820 Jellerson Slreet R<<.cipl No
P.O. Box 1220
PorI Townsend. WA 98368
(206) 385-9160
Address Request _ Yes _ No
Mile Post
r
,~\l
R"">- q.,;2.0::>7
AI'I'L1CATION FOR "EnMIT
l'
~"
.1
~~:
~::~
',,"'
t.,
To Department of Public Works,
Jefferson County, Washington.
The undersigned U S West Communications (PNB)
hereby appl_ far permission to pl ace 1 ~4" 1 00' conduit from MH 337 to. closure
(Af'f!/i..um....i!Iu<'.'.i.'IiI...flll/.\'..,llIuh.....i.'hnwJ<J1
(Please see attached sketch)
NE 1/4 Sec 3 R lW T29N
EN6ir\z.E.R.
.J05. "l>~:[.qZ31
---r ~ Cbrn&icd( 4,Y> ~8c~
I
SKETCH:
RECEIVED
SEE ATTACHED SKETCH
DEe 8 1988
JEFFERSON COUNTY
PUBLIC WORKS DEPT
On County Road:
bellveell
r.lfUll'/lI'Ulf'Iofcm\\.\trl'f'If)rm//,.,,,,il/(/
and agree_ 10 do the work in accordance with your rules and regulations and subject to your inspection and approval.
Dote December 6th 19~
~ ).f58"Hti-
/
ISllInaltlrCUr ApflhcnnU
(If applicant is a cOl1unnership, set forth names of copartners)
(C(lntraclorl
^d\lrcu
^ddrcu
Phone No.
\,
..
:f
i
"
,_,_ d
Phone No.
100% Recycled Paper
,
,.
""
".', <::.-,:
"',,
..
",
, ',:
"": d :',
", .
,
, '."
"
" '
" '
'" "
:"
,:; ','.;:
~:I
, .'
: '
, " ':" ,,',"
. , ,,""','i . ". :'.
, .'. "':.,0:: ,. ., ';
'..', ".' .'::>",
:" ".'." ::'; .".'.' '. '"","'.: .,,' ',... ,... "
", ....- " ..' ' , , ',..', " .' ' ,-' , ':':"..,"
:"""',,,:., " :::' , """'.,", "" '":,,, :, "" ',' ",,'. ", ",:..'."'..': ',",,-',:",':,',",:\
,,' , ,".':, , ". ", " : " ...i..,,; ,
<::'.".'. '.:,' " , . " ., '" .:'
:ii, '
:', .' , ""
,..':, , ' :': " ",.,
>, ' ,.':' ".:
, .' . " .'
,'..
:,.,,,,
'-'
"
:' "
"
" "", :"'liliiii
t
.M"
'.
i
~
'i
~,
.'
i,
...."..
, "",:"
.....
(i' "',
.,.' ,;' , ..." ,.,...., .', '
" "
"":"}':";:'''"" ;'
"""., C'.,
""'"
. "
"',, '
>'':,'
",i"
" . ,'.,.,".".',. " :; "', '.,: '; ,',
.",' ,:,. ,:' ;',':, '..:', :'..: ,.e:,"': ", :;'
".,"v' .,.'"". ';,:;.' ',.,: ," ',.' ,
", :'" ,". ,i,'. ,,'" ' ", '.,'.:; " .' 'i- '"
" '..' :',' ....,',:" ;',", ',:: ",:,': ':;
":" ..' ' , " '..,' . ' ",: ",.', ,:',', , ' '.. ' .'.. " ." ::
'" ' "",.. ,;, ", , ' "',, ..., "
.,'", . , ".. ,.., ," :', ',.':. ,,' .' " ,.,'., '. ..' ' ",
, '..' ,",.,... ':,' 'i" '"..:."".,"';' I.; :....',
",' ,: >', ',,: ..,,',':...' ':', ':..":.,::... .' ."
" ':' : >.... ': " ',: '," ,.".'..:." I" '.: ,
" :' '." ,'"...", ,', ':' ";" ,.', ..,',' ,.:,.;'","::'.. <',
',': ':;','.. "'" " '...." ..
:,' " ..,... """, ":'" " " ',' '"
:>, " ,",.,.,'
", i :,'.. .,','.' '. '. ' :'
, ",,",', "':,:
/, .' ", " , . .'"., ,
",', ,,":,'
i '. :: ' ' ',' "',: ""',
...'"., ,',
" :" ,:' '", 'i,':,
" '.'
,.',' "
.. ,
,,>:
-,,"
:
,
.,
Jefferson Co.
DEPARTMENT OF PUUUC WORKS
Permit No. IJ q 3 (
District No.
:>
Supervisor's Report No.
Supervisor will make detaUed report with his recommendation on this application Whenever possible show sketch of proposed
work. Supervisor will also make additional reports ondflnal report giving dote of completion of work 011 this form.
Preliminary Report:
""'y_ 2J'f I-c 2.~r /C.;;kbY' ili2.
I'Ve!
j). 1-0-1-
Dale:
, .;';::...:/.f,;~'~.?,i ::":'
A 0,..#-// :-P'"",...,
Signed:
J
!
.
i
1
;~
j
1
,
;1
!
"}.
,~
~
\,
Final Report:
PERMIT INSPECTION REPORT
L-/:
Work covered by permit has been compleled
satisfactorily.
Work is not compleled.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
REMARKS
Dale:
5"~toO- &'(
SI~ned:~'~
ClI.\"MI'U' l'IUN'1'I:HS. IN(',
.
"'" '
,;,' ,
: ,:
,::
.. ",
,.'.. '
;,,'
,,:
.:,'
''''..II
.A
:f'
tel
E
2:
'"
2
r::/
lJ "
~'":l~ ~
z:J>-oJ:'
a f1> So -:t
c r- 'i\ t,.
::i ll\ \:00' I'
rJ ~ CiO
r
~;
~
it> ~-
'I. t
~r
c~.
r- --{
r4-
..~ ..
,L::1 e
i'~
IV
if k) ~ :;:...
j'-
l' ..... r- ~~
t. "
~ I' '"
v. "" Il> Ii"; :;: ..J -21"
1 '" .... - ""
~ ~ I
IN CI " -1:
C>. <:: c '"
:. ~
~ :'\ 'I 0" ~
~ l>: Q
~ ~ '
,c:. .i ? ;f "It.
..,. t
~ ~ ~ t. "- lr.~
c G' -l: ~~
; ~ c ~
:( f) ..0
~ ,... t,.r
I' ,
(" ~ ..
r
}~ ;0. 'f<::>
I:: ~ S 'U
ft"; ~, :t:..
~ C'
=t> ~ :r.. CI
1II '<
'\ ~ w
.,J
~
L\r.<lrC
r. ;;:, VI
r.;r~::E
~.~ c::- Ii' tii
C('s;.c:.....f>--l
~ c r- 't, 7 ~
.:oo~. lrs
l-'-l::..t-l!s
l~ ~"1> ~
-l ,... ~ ;:;'
(~ ~
I... ~,
~ 1;;
VI
-I
D
l~
~ ,
~
t",
S:
~
~
~
q
~
I:. t..r!:O
~- A ~
C:n3
..,. ~'=1'
1'1 '" "0
, 0 ;0
l>l t.-.,
r-:,b
;lO" ..
_ e
:, ~
!:n
t..
1- /'10 of~ c."'.,..,..;~~ <:) F P.4-u<?,,;:,
f<6A--D~ (0,770 S7".") .....,;,-,-- e~
fr"Lo "" Q..~ .
2, .4 CoAlv\A,\T 'G,.~,- ge::.
'*&14- 6
f-\:>.686,,/J
p,.p, .0./0 ko.2-(
:C:;N'5 il'i-t...l-e-r> A- 'VI;~~'...-)'1 '"-1N'\ O~
"30" GIelow EX.s,..:;? ;<O/T1)w-'9f/
0; +c. \-t e...s
~_ At-~ l?75rVfi~,~-eL::> ~t:.n.:s.
1$ e.. f-Qs r-r:, .....e....:> !o o,.t?(J,',..u-9.t...
Cct-J t>; f-f~,J
..,-
f
';.':!
1.
.\
,
t
f""
j
,>>'
'v'
,
",.,.'
I
t
,\
"
r
:~
~,
I'
;:c.
:
, "
",:,':' , '
,
::':, ,.','..,. ." " "
',.,":'" ',: .,'
, ' ::
, '-;',
i . .., . ,.'
" ""
,'". .'.
, ,
, " ,".,<
"" ",
','" ," ',:': ..
, ",':' :!",',
. ",. ".. . ".. ,,'.,'"
, ", :, ,,', ',: :', .::'
,; ':'';:'
, :''':,
". ,'., :,.
"
:., ',;: '
e ,',
',":, ,,:'
,', :"".;..::
-~
""" .-,
" ',:
, ::, I'
",.""" "
" .
, .-
;,' ,:',', ,;..".:',
U 3 : 5!::. PI'll
88
*Port Townsend Garage P04
Pedtlc NorthWdt Bell PERMIT "- Burled Service Wire.
OUT ~-I 7- J':", .~"" ..work Order
IN "-" ....
K L.OCATION d. -.cONTRACTOR'S ACCEPTANCE
Addt." 211 ~f..,,~ 1<_ __ Firm
City pm'T7.....,N.i.~nty J p Ff"e"",,p~loIO Ji!!} Slgnllu/e
Name ....EJif!. RI c., Title
Unit Priee 0 COlI Plu. 0
psm 16,511
No. Z.E:~_?.7 '1
Complete by ____
001"__._
FlotSum 0 $.._.-
ORIGINATED BY _~'"t.-f r:::,,-e Date 'i,i"'/{,-erf6
New 0 S/O No. ~~_ Due Oale_
Repair !S:J Tel. No, .3llS7tf7l8'" Temporized 0 1"1:?
Rearrang. 0 S/O No,.. Due Oat8_
Typ. Qf S.",le. I r P-
eBL. p,lr Color/B.P.
6111 to: PACIFIC NORTHWEST BeLL
Altentton_.. ,._.-_._-,-~...-'- ..--
Addresfi_----..---
Clly_..__..__---ZIP-..-.-
"orl'Y'l, Addr...
~~ €/.. ^"
--
APPROVAL For Flat Sum/Con Plu. $ --.----
Recommended _____ ......_ Dale -----"
Approved by _,_, .,__....-'" Date --..'-
O..crlpllOi'l clWor1<
i),"';' f h,)M I" ~.-," ~ .,----
1i'_M" -4.-. +.a_...
.f.j~? n C:~.,-H-
;..". ",.L~ n. , Ie>
R':I~:~~~I.
PERMIT REQUIRED 0 VII 0 No
Received from _.._... ._. VQrbal 0
J~rISdlc\lon_m_._No._Da\e -'
QUlntlty
J,,~
.'
.-... COMPlETED BV
..,~ Call
! 1J
Skttch Work. A8GU1I'ed2J2Ir\CIUOI ngths. depthl.;ylro slu snd amount
j"r-"fPCO~' . (W'M)f'I'~-<1' . .. ,
, . . '~ '6i~3'''VS'/..' , ' , .
Lo~""""'"'''' .
._ ..___. Dale ___
__ for Service Connection
.--
I,ndl~ate .Nor)h . ~ '
. , . [~~~
. . . . ' 1/ '
0:
!
..~
. . '''J
.~ . ~~"':) ,
. 0FI0' . . ;1 5.1\
"0" 'r.]' .~
, . , , , . 7'<, ~
. . . . " ~
. ...,. ~
. .. . I .
.......--
:
-
, )
N~to. Thj.;;;;~.b;;;:;-;:cC~r;I~M;epr€lSAn'81Icn in all delQII$. it fo~all'll ttle eO!'llr.ctcr's rfltlIXH,s!b'IIIY 10 Pfopeny IOCH1. work 'n Ihelleld.
OIIIQIHAl COpy
I\F 1", ::1.'< r,:: r.:,~~ PM rO'l
i,
,;
,',:, '.. ','
,:,', "
": ,.,:,' ',: :.... '
:'" "', :, "
:, " !, '
:' .".' -'
,',
": '
:",:" ',' ",,: ':'
:', :: :' '! I' ,
.., j;,':" , '..,:', ':,'
';,
" " ',..
"<:'i'i ,
': ':"'" ',:: ' ,',
-" " "
"
,',',
, '
'.
,
",.', ':" .....
,.', '
..
,
~
,."..
,- ::'
;':
,.""....'" "
, '
:
",;C
"
, " ""
I
" ';"
1",,7
" ,','-!,:''-,:'"
: '.
"
;,'
.:
:
','
:-::-".
:\ v.,(;}Y1
~r'~~i1; /
~~t~~ __
~~t~'
'[t~X\
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 Engfneer
May 10, 1989
Merl Lindgren
P.O. Box 326
Hoodsport, WA 98548
Dear Mr. Lindgren:
Enclosed please find deeds and maps for right of way on Black
Point Road. Right of way varies from Highway 101 to Fulton Lake,
as shown on the blueprints of County Road Project 375. At the
end of the project shown on the plans, a forty foot width
commences and runs through Tax 1 in Government Lot 3, Section 14.
Beyond that, the road appears to be usage.
Also enclosed is a road plan for Rhododendron Lane and plat maps
of Pleasant Tides I and II. I have no other maps of the road
available at this time.
If the Department of Public Works can be of further assistance on
this matter, please feel free to contact me.
sincerely,
t:~.J~~
E.D. Simon
Administrative Secretary
100% Recycled Paper
.--.--.....--
,,<~ ~~. - - -~-_.<\
/,,' ,','
,-' /,'
,t,,:, :' (
:,1,'/ \ I
I,'.,' \ \
~',',' .....:', \ \
---::..~ .l \\ \ \
;', ,\ ~-'-r\
\: \ '\'\ \ ,\
\\ ,,' ~
'", \'\ : I
\\ \'..//
\:... , > ,.-
.",,:,',,_, ,:'",' .... ""'" "f f
~",~GROIJND"<'J I,
~,.-.., .....,...:::,..,
//","'\\ I
-~..',/ '"'\,, ,,,""',,..',,,.
, ".....--...... ,...
..-..,,'"
.'. "
, ,
. ,
, ,
/;") \. , " I
,/,l -"~.........l L.......'....;:\
l .....___-...1 \'
I ~ ,
11
i!
I.
"
"
, 1
. ,
, 1
\ ,
\ \
,\ ...-- '\ \ \.
"'''''''- -)\.. ---_....) "
,(..Or--::a----------l1
, '.. I I
'....:::::::::=_-:::: :,,<' r
, I
D-. :-_________----< I
.....___..____... ." I I
I,
) I
.....--...--.......;::., :
____......... , I
..' "
...: :-.: :::::::.:..,,,
e02221002
ST.OO o.
:!.., q,'
e02.e400'
8.22 G.
o.
!I;~O'
502154001
NE SE
22.58 o.
(31.44 G. toto\)
S021e400",
SE SE
",0 o.
130~,I"
130'1,11'
e02221001
Sf,2e 0,
,J}
I ..
,I /
GOv'r LOr
, INWI/4 14 - 25N .2wl
50215.008
Ta 2 0.33 Q,
8'(3.50 ch..l
~
",
" "
~
502142008
Ta 22 1.00 a.
8'(2,27 ch',)
DITCH
GOv'r
! i 1.;l'l"5"t.3
"
If
, I
, , Jf()1 502143001
I I ~
I, l.q;.; r~ Ta I 10.08 a.
I,
: f ;;Z 'SO -r~), ,
, ,
, I GOv'r Lor 3
, ,
, ,
, ,
I ,
" , _6q72fo.
, ,
I ,
I'
, ' ~
I'
If N 502143002
I' ~ '~ Ta 2/6'11
I I
I , ~ 5.68 o.
, ,
, ,
I'
, ,
I'
I'
I I
:f
I I
f I
I I
, I
. '
, I
\ \
, , ," I
\ \ ......,..'15
, \.... "
,
,
,
I
,
, I
! :
, ,
I'
, I
"
.,
, I
: I
I,
"
, ,
, ,
, I
I ' I
II AI:5.12 chi,)
I I
, ' ....
, ,
, I -
, I
, I ."
, I ...
, ,
I I 0
I I ,.J
.!--
~ &02132000
0 4.17 ..
\:)
CUAr~
, 1 PO/l
. . ;' " ,'~. ' '
.:::
-
-."
-
---I--
I --
I
I
I
I
'1
I
I
I
I
lA,
I '~
-.." ./
, ,. .J~:;-:
/ ,....::.....; I..,
".xr ,,/ 1ft
... ;./.jj"" ,
cl1.... 17/ '
- 1\
, ,
I ',~,
"
"
'"
'"
, '\
- ,
--~,
,
#242609
~e
,,~
ti ~~
:<:
,..
o
..,
...
.",'
--
-- '-
__ . pC 20~..!-----
r~----
/ ----
I . -- '
I.... --
I ,~
/
/
,~/
!I
fI
I
/
I
,..
o
..,
.~..
't/::','. ft,orl)
.ft,~~a~.~\.~"e4
. . ~~~~~
,"
..
.".
..,.
~
'"
~
~
.,
~
~
co
'"
.,.
co
'"
,0
Cii
'~
:",' "-
/'
"~.
""
"
, "v
, ,,'-
,
, ,
,
I ....
" "
,",
, '"
" \ ,'. \
'eND \ OF\PROJEC'L.:.....
'STA. 29+00
, \ \
\.'"'" \ \
''<" \ \
~~/6> \ \
.,<" \d> '
"
G>
Ot-
'"
\ '"
\ \.
\'
Q~\
",,,,<::><(,
Q<::> ",,'"
Q<::> 'v\'
<;!->t'
I
I
i\
\
\..
\'"'A,
\{
-', "
"'0
0><5'
.'<
'"
1;>,
-6
@
" .~~
\~ G'~:~t-
'Yo C'
\ '
~<" 0",'0
t;> c;..
, 0.. ",'to,...
\<~- '?J~ J.-
,
~'"
~/ '7'
~ ,~.,
~
)
e
A,f(~(
<"..,-
,..-r<:v'f'
r".'lY
((",IY
"'vlv
~;;Y'
'"
,,<'
,.rtf""rr"~0J
. ,~~.J1;J
....~
\
\
'\
\
\
;
~""'<:J"5f~~
A"Y~ --<-
.~..
~....
\'~.
','\
;"..,;.,'",\,,'\k
y
, ,
,
'" '. ,
,
--- " .
ie,
';.:' , \
<'. '"
, '
"
':
<
0,...
,
/
,,'
COUNTY ROAD PROJECT NO.3 85
.<1
..,....
/
..'...'.'.,
:
,;
/
i"
...,
..'.........:lj0
.')\'
,'.,..,.,
, Ii
,...",
,
''''. ,',.
i,:
BLACK POINT ROAD
PLEASANT TIDE SECT\ON
COUNTY ROAD NO~ 62.--,0,8
JEFFERSON COUNTY, WN.
APPROVED APRIL 15,1974
a,~r:. 6~ UlLl.f2lJ0r '. (~, g(<z-~-r~ "
COUNTY ENGINEER CHAIRMAN, BOARD OF COUNT": {;~MISSIONEFiS,
< ....", . SCALE Iltl.; 100FT, SHEET I OF I SHEETS 'c:::.--:..,. '
.~~:= ==:= =~=~ ===:: --=--::~ =--::= ._-- ::= ~_. :===-= =- ==~.._: ===: === .~ -=:-==-- :~~=_."':''--- '--.-.-----== --=~..j,.'
.,
:" - _.: --,.: -- , -:::::.. "--- - -- ::..,-=-- --'--" --_..::
iim s- --= ::-...- -= --- -_. --::: --..--:---:: -::.- --'
.-,,---- ~ -.., ... ......._,- ...----
;:..:: =-- .,--.-.... ::.::...-:: ----=1::'--.:: ~~-- :.::=:= ==:==.~ ::::-::: :::-::-=
~~~~===- --=~~~~-:~~~:~~~~~-~~~
.." -.
NOTES
~
"'" -._ .. _, _ .__.~ ___ w~
:-- __,...::~ ::.:_._' '~.. :"'::_0. ::-~: ~~:,_=: ::-::::-= ~'::::: :~:::::: ::=;=
CODE
;,Rt AP_AE ~RO.AC ::x:i.:,::~ ..,._..:::::: :~_::.:: .=-=---= ~:::_.::~: =_.= :-=_= ....:.::-, 1-1
LtlC :O'"tN~ bAtlw ~-exc Vc-OU' Nfl m $'----- ,-,- .--_.. ,--,-...--.... ----. 1-2
:~~ --- ~~~ ~::.:=:' =~:~ ~::~ =~.:~=-: ~:~=:~ ~=~:::- :=.:.: ;=:~= ;;:~ :=:
'-5
.:::: :.::::::= :.-::,:::,.::: =-:.:::-. .: .:::_,. '::... ,.::: '- :::'::::,:::'" -,- ::-::, .':::: ,::.',.::.:'" 1-6
...,.... -,,~<_.-~- _.. ~,,~, "'~,~_._,.. --_._,..,- ..,-.---. -".'_.'~-'- --"-~.- ".--.".,.,--- -.,-..-.-
'- -"_. -.-..,.... _.,,-- ,--0...0.... ....',,-'..- .,-'"--,.- __......, -.__, _____ _,__ ,_. 1-7
f~~ !1~~::1 ..~~~~ ~~i~ ~~~"!~ .~~:~~ ~:~~:~ N.~iT!i ~~~::: =~::-= :~=:~= ~::;= I ::~
. ,....'-, -...., --,...- .-...- "..- .,.. '.. '.' "0.". --:-:..:: _..,._.......'..._ 1__; .,
::::.:,::: I ....,..._, ,."..-....,.., ....... .~- , --- .
"".",' _..""_" .., ,.,'. :::-::. ::::::::'- _.__:-......,L::: -.,...
k~ "" I ~
:' ,.." I "
i','-
,
.'
"L
, i (
S TR U C T U R E
,--.
n ~ a
~~ t; ~
w 1i.: ,:);f
~(Ij ~ ~
C)Li., V) W
CY
, '
~IL 3
~ ai~:! a (J
w B ,0 % :3
~iif~5 u :r.
~~~"' :: ;;
~tI)O~ ~ o!
~F
,
"
.-1"
"~ --_. '"
"','1'
, i=-=;;.
~- -".' '.
, ...,_..
STATION
9 +00
II +00
12 + 00
!9t 00
2 0 ~ 00
Cy,
~F
21
--'-
,:
5
12
60
21
2 I "
21
2 I
21
2 1
2' .
-
70
-.....--
7-'.........
5
15
21 + 50
23+00
24t 00
25 i 00
",00 --2-;i~oo-- --
"
II n
,
",','~~....,-;
. ' ~-
~. f> .' " '..
,...-",....
.. ,-,-,.
-.-::.:::::::
_.. . '-::--1 ..-' -,
, 1..'''';-.'
'.....',.'
.
-- _.. -'- ..-
'---
;---
i C\ n .
".<.~
,
10.
"
168
. ,--
27
, ,
130
,
,
,,':
'.
.JEFFERSa-l ~TY
DEPAR'1'loE:NT OF PUBL I C WORKS
FILE
[~." ,3o'53.;::~~.J 9
, ACTION REQUEST
:::::-~~~?~
NATlRE OF REQlEST. 121 IN PERSQ,l 0 BY A-tC'NE 0 BY LETTER TN<EN BY- ,qac-,-?_
PERTAINING TO. OOFFICE DENG/sl.IRVEY DROAD MAINT. DEQUIP..MAINT. r:,SO~JD WASTE
I\. II ~
REQC.EST FOR- '7/,.):::z'u"",--" .ev,&~/ tf:J,"~.n"d~4(;';''i~-4,r -V""''"''''./
I.OCATlao<- ROAD NAME mV"'''''/ ec:/. ROAD NLOomER M p,
TITLE RAO.JECT N~ER-
DATE-
'-- "liS /8"';-
'760::;-- 5Sg<g
PI-O'IlE NO. -
ALT. PH. NO.-
.JEFFERSCri ~TY
DEPAR'l"J>ENl" OF PUaL I C WORKS
F J u: (" R <<;-7', '3Q '7
REQUESTED BY. Ck..a'AJ 'A./e.UO,,_,~::~~N}EQUEST
, ./\.0 " I
ADDRESS- n5"() c..-a::-<-//'l,~",.n-<<-<> >CJCOc;..r
...l!dL/,"--V/./,/l'L: ), tJrl
NATlA=iE OF REQl.EST. 0 IN PERSCW (81 BY P'HCf'oIE 0 BY LETTER TAKEN BY.
PERTAINING TO- D,oFFICE,DENG]SURVEY (2],ROAD MAINT. o EQUIP. IdAINT. o SOL 1.0 WASTE
REQUEST FOR- ,&//~ dd.AL ""~_ ~./urJ-t./ /'"J'7 /k/.,-).oV1:? ,._//U'~~~//./ [5 'c.J
LOCATIa<- ROAD NAIoE O/~'A'lK',"",.., &{,....../..6AD NUMBER ,;.) M.P.
PROJECT- PRO.JECT TITLE V / AROJECT Nuo.IBER'
/ )..Q 0 / <i?" '7
f'HClNE NO. ' ' "".!. '3 7 - Cl Yc2 ;?
DATE.
ALT. PH. NO..
DE'SCR'P'f"'D"I-
ATTACH MAP CR SKETQi
REFER TO- ~~u.JdAo
RESPOND BY.
RESPC::t-lSE-
y~, ;,
fj ( .
(. 7''''-~~/ t. kJ -
WIl-; /U" y-
REVIEWED BY- DATE-
CClNTACTED REQl.ESTER 0 IN PER5CJ"',I 0 BY PH::lfI,IE 0 BY' LETTER <XlNTACTED BY.
RECX>>IVENDAT I a..
77'l..P
PREPARE EST I MATI: . FOR-
ROtlTE TO-
o DIRECTOR
o ASSIsTANT DIR.
o ROAD SUPERVI SOR
INITIAL
o CONSTRUCT.Cf'lI ENG. _ 0 AC~TANT
o PLANNING ENGINEER _ 0
o ADMIN, ASSISTANT 0
JEFFERSON a.x..HTY
DEPARTMENl" OF PUDL I C wc::IRKS
FILE
(:.' ;{'; .~/,/y'O '?'
I J ACTION REQUEST
=" ... J,,-&~~' :::: ~" S-~-Z.S"
~~_ ALT. PH. NO.'
NATlA1E OF REQ<.EST- ~'N PERSa< 0 BY PHCI'IE 0 BY LElTER TAKEN BY. h (Pi1AA /
PERrAININa To.. DOFFIa:: 0 ENG/SURVEY ~AD MAINT. 0 EQUIP. MAINT. 0 SOL.ID WASTE
REQUEST F'QR..
LOCATIO!- AOIlD......, c;B.0u'~' J!d.
_.~. ~ _.~_...
tif~:ifiJ~~J:7ci2~
ROAD NUMBER
M.P.
ATTAai MAP at ~
REFER TO- C1VJ., ~
RESfl"C:HD BY.
RESPQ'iSE..
7~6e",
~~ 01-'- 7fr-1d
Ifl;:!.} "'-(/
R(i:VIEWED BY.. DATE.
cc:H'rAeTF.:D REQlESTER 0 IN PERSa'i 0 BY F't<<::I"lE 0 BY' LETTER CXlNTACTEO BY.
RECXJM.ENDAT I Cft-
PREPARE ESTIMATE.Fat-
IIOIJTE TO-
O D'REc:TCR
o ASSIfn'NIT DIR.
o JlCIAD SLFERVI SOR
INITIAL
o c;o.iSTRUCTION ENG. _ 0 ACc:xx..NTANT
o pLANNING ENGINEER _ 0
o ADMIN, ........'STANT _ 0
(( <f5'q(
.JEFFE:RSC:W ~TY
DEPARTf,E;NT OF PURL I C WORKS
F f LE /),.( .7)2 '?'l/f?
. ACTION REQUEST
=:O;[~:'7:~~
NATlAiE OF REQlE:ST- 0 IN PERSa"4 (S2J BY AiCNE 0 BY
PERTAINING TO- QFFICE 0 ENG/SURVEY
REQUEST FOR-
DATE- 0tJ/e7
PHONE NO.' cJ ?r bh
AJ..T. PH. NO.-
MAINT. 0 SOL-ID WASTE
M.P.
PRO..JECT- PRO.JEcr TITLE
OCSCRIPTla'\I-
RROJECT Nu.'IBER.
A'TJ"ACH MAP Cfi SKETa-I
REFER TO- &~
RESPOND BY.
RESPONSE -
;;5-14_.
/t-r-/~ ~)I>
/'
REVIEWED BY.. DATE.
can'ACT'ED REQlESTER 0 IN PERSCN-[] BY PHCHE 0 BY' LETTER cx::lINTACTED BY.
REClClM.ENDAT.a< _ !/).' <
~/'~
{ / ,,--,/
~I z!:?-H Ii
'-sr
PREPARE EST. MATI: . Fa<,
ROUI'E TO... INITIAL
0 DIRECTOR D CONSTRUCTION ENG. _ 0 ACCOU'\IT ANT
0 ASS I STANT DIR. D pLANNING ENGINEER _______ 0
0 ROAD SUPERVI SOR 0 ADMIN. ASSISTANT - 0
~.
j:
t
f,',
'I:
~.
Ii..
~
,"i:
,>
'~
,
,
.~
I,
:
I<
t
,
"
T
',' ."
, ',,''';:', ' ,.,;.,..
"
'"
.'
,
':,
.. ..', ',' -'
.. ",""
,", ',':' ,"
: COUNTY ROAD NO. 6?ff$/'l
; STATE LOG NO. --
.
I' MILE POST _TO__
I' OFFICE USE ONLY,
JEFFERSON COUNTY
DEPARTMENT OF PUOU C WORKS
Jefferson County Courthouse
Port TOvlllsend, WA 98368
PERMIT NO ''ll::3.:::Jk:::;;2.-1
FRANCHISE NO.
FEE PAID Yes No
OFFICE USE ONLY I
APPLICATION FOR INSTALLATION OF UTILITIES
Name and Address of Appl icant :--.EL!JJ3d::...,.~llJ-.E'ClW.JZ.r.:. ~811"l:. _,_
...3IQ_!::::J:i1.!.L__...fru.LliJ:::p_IId:____
_2-L__TOt..VflSc!:.1:C.C__.__________..____
Application is her'eby made for a permit to construct, operate and maintain _
7 ZOO V Pr<UVl F-l J'< 'f LlIJf.D1?~OJ.1Ll1f) (-"/lCLLjJ_7/~"", -To :;8'2 ~
/l/L-??U ("'u::,TD.n{1L~ ~oi~:rJl..
The utility installation is located ~ttach map or drawing)_OF/=__JACDB..-1'!:tlU.f7rc
-L3D-,----C:5"e'l::7 :5/C~ I--f -J- __h'
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 the reverse side of this form and any special provisions attached hereto. ;
Applicant Signature:_~~~~~ Date: .3-(1'-257 _
~;:~r/.lN"-- 1;?/5T/?/I3UnOttl C'/I/(5fW8li7Z f=l-OO?;;o3
~/ / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /
~~~~~~~ PER M I T ~
Subject to the follO\~in~rterms and conditions, PERMISSION IS HEREOY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above.
Thi s permi tis cond it i oned upon Appl i cant's compl 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 thio permit until
proceed from ~..b6t'L. ~~!tL.!32
APPROVED OY:~ ~~~~
/ / / / / / / / / / / / / / / / / / / / / / I
the Applicant has received instructions to
, telepllOne ~o - ,1'$~
Date:~~?
/ I / / I 1/1 / / / I / I / / I I 1/1
UTILITY DAMAGE IS COSTLY.
PERMIT INSPECTION REPORT
~'rk covered by pennit has been completed satisfactorily.
_ Work is not completed.
_ Recommend permit be cancelled.
_ Traffic control_adequate; _inadequate.
REMARKS:
INSPECTED OY~,o--..- Date: q'd/i'"-n
CAll 48 HOURS
BEFORE YOU DIG
1-800-562-6478
Form 114
:,,:,
.... "h'
,:" " .,e,,:, ,'"... '.' ':: " ''. ,. ""',
,',: " . .,: " " . , ," ,'.' ",.,.... ,.,".. .,' ,.,' '!': ",
,',' ".,',. ',.",',.,...'.;'. ,..,'. ,'..'., ..,'1<",:
:""." "" "', " ,','''', ,', ,,,:
" ".' "',', '" ' ' , "
:', '.. . , ,':',' " ,
,,'" ' "," ", '.', '"" , ' ,,' " ", '" ,', "'"
" ':,,.:< ""':,',; " '. ',' "',,,,',', ,', .' ,,: '" " ,"
'.... ,.', ::,' , ,.:', ',":", .',' " ..".".:.'
,,' ::.. .::',", " ..:, " . ''':, .. ", ' ". ,,'" :',.',
" ,.',., .', .', '.' ..'" .
.,' ','" .. ',,:' , "
.'. :"" ' ,:", '." " .,',
" .. ,,:.. ", ': .." ' ,: '::'
:. , ': ,: ' ''''',' "['., ',....
:.':.'" " " ' " : : ".\ :,
.\., .' ", ,.' '. I',:
"." ,'. ' "., ", ; (
:,: ',..'" ",:
',:,," :'''" ',' , .'
'.. ': :' ", ' ,: ' ; ". c,
" :,' ." ,.' ",.', :,' ',:'"
'..' " '"
"
" ,
'~: :
".'""
.',
<:;,;,
ii' ..
I,:'''
,
, ,', ':
\ HASTINGS RD
-~-DM--D
10"
, ,':.' . : " ';.:,,'" "..,.".' :,'
".. '.' " ..;..,),:;>,, ' ,'",..'. ." "
,,' ' ." ," ' ,", :
':: '::, , , ,....,> ',:' " ' ':'.: '.',. : ,.., ''::''
.' ',:, .. ':" ' ' :" :"', '..',"
, "','," '. :",. "..,'".',:., , . .'
",', .' " ". ' , ';. ,', '",' '.
,':", e:, :: ,,',' '" .',:' '..: ' " ", , :.,",. ,,'
," ':,' " " :' :" "" .",,:" ,,"",',' ..' '" " .':' ',' : '" ',.' '
, : ,,:" , ,.." "', . '. ",. ',.,.." ,: ...'., .",
, ",' .,.., ,',' "; '.e
,.., ' .. , ' ':.. '.','.. ."
':'. , ,,'.',', ',,'.'
::,.:, ';',,', " , " "',:"
':e" " "",',',,,..",:
:', .', : .' ' , " " :: :" ,.".', ',::\
....'.. .. ' ' :", "
" " , " ,:" , ',';;i
", '. . '
:,:' ,; , """".'..""
:,>,
.'...:.: ,"
, '.'. '
'"\""..~,,^','"~~ -'''~"< '
" "
,
,
..
%'
~~'~
"
INsr SDMNT EPOXJ ARM
/NST .5RG ARRSTR 10KV
II\IST L/.I: C/o J FUSED AT 40T
11\I5T I/o SINGLE PHASE TEI~M,
I~IST e" RISER
I/\IST c;Rr-IO ROD
-- :30.
/\I-X
~r11 ro<q
15/3"10
,
},
Ai:
.
~
i/.:,
CONDUCTOR I\lOTES
j& \ -I ~ INST 250' 1/0 AL UG PRI COr-ID.
INST CABLE 11\G" 01355
1,:)- (: INST 290' I/O AL VG r-m COND
IN~ CAl3LE TAG 1* G::>B5U>
VAULT NOTES
I ~ (041(olg
;115/3(09
INST MINI-PAD H.I-1, W GRNO ROD
IN5T 25 KVA PM TFNlR
It..IST TWO 15 K.V LIB ELBOW S
'~:
t
}
I ~ <041589
I\,15/3fD9
I/\IST MINI-PAD I-I.H. W GRND 1<00
II\CST 2.5 KVA PI/1 TFMR
I/\IST TWO LIS ELBOWS
FUSE COOr~DINATION
REFUSE SW" 237.3 TO 1'a5T
o ~u
01'"
L
~ '
~,
,
t:'
j.
,
.,
"
,
:,',;,
,:
,...
" ,
,:,;',
\1
e
,.." " ,',:","
',' ',' ~I
"':,',/.
"
~SW"C3S7
~"'I Iw"'l lO
3J 15/31-1-
Ie
D I ~,r<~~rtt~ I
~1513G:>9
..... ~ zso'--r
l~ f\-l<l4I(OIe. 'I I
~ , : 1513"'13~:
I D rll~:\ /\I-XPI1I I
~4/5Bg
( IS13G:>9
~9 ,
~Co4/582.
1513"'12
I
k~ra"l1551
IS 13"'f I
cB
Q
C!:
~I
::J } rfsi'i-1eJ
.....J ~7
-
~
I 5W.2.373
\ &11498
15/3"'1-0
73
:',
, ,',
':""':';)''':.~,
"'/i..
f
j
;ll\..,j,
!
~,,_:.
.: ,
t
,L,
~,
l
"
ft.:.-'
t
!:
f
,t!.
k:
f
j"
";,
". :;.,.,,~,,-,.,._-, ~""~
,
'" "
" " '
. ',,' ,......, :', """',.'," ."" .'
: '," ''', '", '.',. '.',.,. :.'.: .,',','.
"'" :'....' , :",.,',<..; .,." .., ,,'"
"'" """:d" '",''' ,,' ", : >: '':'' ':':.' ",., ",: ",',
::.::, ,',..'" ',',',,'.',' ,',
, " ,"" ", ", ,;, ".. ,', ','....:
..;,' '. ',,', ' " ,'" ' ',:" , ,"', :' ,", . ' , : '."
,', ..',' ",,':', ': .'--,'" " ," ':, """
'" ',,,, ',.',;,':' , ' '" ,
',: ,',' ,',' ,."".," ,'" .,.::','
',' , ..' ,. ,,', '
, , :: : . ,':',.', ',,', ,.,' ": ..
,:,.' '", ", " '" ,:,' ,', , ,::,'
, " '," .:, ','" " ,,',."""',., .". .'
:' :: "",. '" .' ." ,."
'e ",'... . ',,', .'. ',,' '" ".' ,".,', .';':
", e," ",' , " ,'" " ,,'..,. ':,. "',
":""', : ':. .',.:' , '....
",
,,'
.,:-1...
, . '.,', ':,'
': '..',
," :, ',:" ","', "":'
..,' "
, "
"",
,
,
'..,;; "J -J-, ''',- ,. ~.t,. "
01-1
CI<T
N1AP tl 7
790.65 11.85
I
I
I
SW'C3"'l81
'"\ 1ST I
~ - - --<111
;'..% I SW' ;:358
~ I lar
- - - -<1FI
5W'c3Ic!J .
lOT I
--+1
SW"C.357~_
1ST "'lOT: NEW IJ(, LIE
I I
I
I
I
I
REFUSE TO lo5T ~ I 5W" 2:373
~ 105 T
-
j.SW.C316> HASTING.5i
I ~5T
I
CALL ONE NUMBER FOR UNDERGROUND LOCATION ASSISTANCE. PHONE: 1- BOO- 42"1 - 5555
THIS SKETCH IS NOT TO BE RELIED UPON FOR EXACT LOCATION OF POWER FACILITIES
~
TIBBIlL5
LAKE
N
300I-W 5"5
w.o. 8700303
@
~ ('=>85525 I< VA
FDlE"30 t"1OB5Ca
25 KVA
\
U6 CI(T t-AAP ~ 17 '
~
\IV
SCALE I" co cOO I
PUGEr
POWER
WORK SKETCH
WORK ORDER NO, 8700303
SHEET OF --L- OF I
LABOR CHARGES
ACTIVITY
JOINT FACILITIES ARRANGEMENTS - OTHER UTILITIES
CODE
ACOOl
10807
58304
58405
59335
JFC NO.
OTH ER UTI L1TY
ENGINEER
JFCNO.
OTHER UTILITY
ENGINEER
CONSTRUCTION
REMOVAL
OVERHEAD TRANSFORMERS REMOVE/INSTALL
U,G, TRAN5FDRMERS_/INSTALL
REARRANGE & TRANSFER DIST, CONOUCTOR
DIVISION COUNTY ~ _ a J U.MAP NO. I CIRCUIT MAP, NO. CIRCUIT NO.
WESTERN ~1E.FFERSUI\J1300I-W S"S 101-/1" UG /7 I-IAS (5
TITLE I.
CARL LlNDSE.Y UG LIE
RESP, AREA
NJ
EASEMENT
PT- 544
PERMIT ANO FRAN.
DATE
POLE CARD
LOCATION
MAPP<D
MILLER RD
- ENG1NEER~ BY DRAWN 8'1'
OM '4- REMP REMPE"
I AP~ROVEO BY
'<:W.; "1:'
DATE COMPo
FOREMAN'S SIGNATURE
I~HE7KED:; y~?
! ..:;;.-
......".
I
CATE COMP,
FOREMAN'S SIGNATURE
'" ..
i;,'
',,:
",'
,,;,
''''',
,,'
, '
",
";'
"".i':",
.' '
:" ,"
','
':
. , .. """,
:'" ': /
,,;
':..,
," '; ,
CHECK
V
.......-
';,;: )"
""
, ~,'.{7'{r:~~:";
~ .~- ."' .
/.,) ~ .."-;i:c;';.':~:,:
,., ,~', ~'. :J:~"~"" ,,;.~:~;~.;;_ ~,~.t'::,;:;:..~;,'.::<~,~;;:j'~~~:'f.~~!..2~T.';~;~~~~fi0.;~.:;~ii:J;.,;t~ :,~ ~:J:'ti.:t~~d~L~~'Li}~,L:;~\"$~ fi\b:;.:
" ;.;,;
)_\'~ ;~';:;';.-,: ,:';~:"'~;;:;'j;~'i'<
'<1,\
ccl.'Uln NUMBEI'(: EST2;H)'.(~i T~D COST ESTIMATE SYSTEM ~J/O NUM(IEI'(: 870030300
~~:~:~~: ~~~ ~ ~~__~:~I:..~~~:~,--.... _,_~,::d:~:- :::~:..~~=~~. ~,--- -,..-..- ..-- ~~~: ~.. -~--~~....- ---
INVT. I LOG. I STOCI<RM. I DOC. NO. I SIC I ACT. I MC. I RA I WID NO. I ENTEI,(ED (.y I DATE
STOREISATSTI I IS' I INJI8700303001 I I I
-------------------------------------------------------------------------------
--------------------------------------------------------------------------------
MATERIAL DESCRIPTION
MATI_. II)
GRF', ITEli ASSY
QUANTITY
RElWIF(ED
QUANTITY
ISSUED
DISTRIBUTioN- POLES, TOWERS AND FIXTURESIACT. IHC.
ARM EPOXIROD SIDEMNT'2.5 B721'00 0'
IRA.NJIW/O 870030300
j
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
DEVICES IACT.
48 :~4000
90 22;~00
48 913100
'2 37000
IMC.
IRA.NJIW/O 870030300
,
1
,
DISTRIBUTION- ~H CONDUCTORS AND
ARRSTR SURGE 7.2/12.47
ROD GROUND 3/4'X8'
CUTOUT LOAD IN1~RTP FUSE
BOLT 1/2X , 1/2 MACHINE
2
2
DISD'(IBUTION- UG CONDUIT, BURIED SYSTEMSIACT. IMC.
BELlEND 2IN ABS F~ASTIC 76 24500
CONI)UIT 2 IN PLASTIC 76 34000
BEND 2' 90 DEGREE STEEL 25 '3000
B~SHING 2' THREADED GRND 25 33200
ADAPTEle( :2" FI::MI_ pvc-,sn::EL 76 :~ 1 2~)0
HH 36"X42" W 2'"X24' MINIPAD 76 62000
CONDUIT PVC SCH80 IPS 2' 76 42200 77
IRA.NJIW/O 870030300'
j
20
,
1
,
--------------------------------------------------------.,.----------------------
DISTRIBUTION- UG CONDUCTO~S AND DEVICES IACT. IMC. IRA.NJIW/O 1370030300
CABL j/0AL '9STR CN' 'SKV B5 97300 630
TERM '/0 STR AL CN \5KV 78 53400 74 ,
ELBOW 200A '10 AL '51< V .?l3 06' 00 ;~
CAP INSUL' W/3FT GRND WIR 76 30600 1
CONN BLOCI( 6-3S0 6 HOLE 413 40200 6
ADAPTOR STUD 5/8 TRANSF 413 42000 6
ROD GROUND 3/4'XB' SINGLE 90 22300 8t 2
___________________________.._______(STORES CODE-C ITEHS)------------..---------..
DISTRIBUTION- TRANSFORMERS IACT. IMC. IRA.NJIW/O B70030300
XF 'PM 25 12-240/'20 N 62 47000 2
-------------------------------------------------------------------------------
IACT.
IMC.
IRA.NJIW/O 870030300
EQUIPMENT - EXPENSED
-------------------------------------------------------------------------------
DIV: 6 ICOUNTY: JEFFRSONIU-MAPI ICKT MAPI ICI(TI IRA: NJ I
_.._.._..______..___________..____.._________..____________..__________________________1
TITLE: CAI'(L LINDSEY LJG LIE:: I EASEMENT I POLE CARD "
___...._______.._________..___________..___________________-------------..---..----..--1:
LOCATJ:ON MII.LEF( I~D I PERM~FRAM I MAP PEl) I
___.._____~____________.._.._______.._____________________________________________..1
DATE ORDERED I DATE FILLIon I ENGRD BY. IIlHAWN BY. I CHECKED BY I APPROVED ,BY I)
/ / I I / I "RI.EJV1PE I J7c::.n;> ne--I I Ii
___~____._____._ - __'_.._.___.._ ..__.__,_ ._________ ..__ __ ,____It:::.... ..___________ ---- -,- ----',-,----.. I
FILLED BY IRECEIVED BY ISTORES APPROVAL IDATE COMP.IFOREMAN SIGI DOC NO. ~
I I I / I I I I.
________..______________________.._____________________________.._______1 r
ESTIMATE NO. JER 8700303 ' IDATE COMPo IFOREMAN SIGI
THIS REPORT WAS PRODUCED FROM CONTROLLED PROC I I I
--------------------------------.-
DISP'R STR'RM FOR'MN LIN'RM GE::N.F'MN COORD. SYS.OPR ENGR R/W ASST.SUP ADV.C-STR
,,:)" '''i,_','\'
,...
COUNTY ROAD NO.~
STATE LOG NO.
MILE POST ~O~T.
OFFICE USE ONLY,
JEFFEI\SON COUNTY'
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 98368
PERMIT NO.I{8'-"-14-"
FRANCHISE NO.
FEE PAID ___Yes ___No
OFFICE USE ONLY
APPLICATION FOR INSTALLATION OF UTILITIES
Name and Address of Appl icant PUG~T POWER! INE HQTRS.
-M~~iJ"-Conl$l'S--R08cL-
-Port;-OWhSend,W~
I\pf-ll ication is hereby made for a permit to construct, operate and ,matntain
The util ity installation is located (attach map or drawing) 00 F.A..GlsYl:::dL____oF"
-..JA.C'~ MIl jr:l~
Appl icant agrees to perform .the wOI'k in strict compliance with the terms and conditions
set'out herein, and states that Applicant has read and will adhere to the general provi-
sions set out on the reverse side of this form and any special provisiofls attached heretQ.
Applicant Signature: /A,Lc./fLl-~ ~L/1/1j Date: 5'.Jq /15~
, lJ..rAA::;;f..vJ- -# '8''l 0. ~()-1:~
/ / / / / ,/ / / / / ~/ / / / / / / / / / / / / / / / / / / / / / / /r.(~
. I' E R M I T lA\\flf\1U\WV \bW
Subject to the foll owing- terms and conditi ons, PERMISSION IS HEHEBY GRANTED to Appl icant
to construct, operate and maintain utility facilities as requested above.
This permit is conditioned upon Applicant's compliance with Jefferson County Ordinance
2-81 and WAC 136-40, including amendments thereto, the general pl'ovisions set out on the
reverse side of this form and any special provisions attached hereto.
No work shall be 'done under this permit until the Applicant has received instructions to
proceed from , telephone
APPHOVED BY: ./J/....,z;f-- f<~
I'MNOTE SPECIAL PROVISIONS ON REVERSE
~/ / / / / / / / / / / / / / / / / / / / I I / I I /
PERM IT I NSPECTl ON REPORT
Date:
6 -/+88
/
/
CAll 48 HOU RS
BEFORE YOU DIG
1-800 -562 -6478
~rk covered by permit has been completed satisfactorily.
Work is not completed.
Hecollllnend pcrmi t be cance 11 cd.
Tra ff i c contro t, adequa te; ___ i nadequa te.
REMARKS:
INSPECTED llY~ ~ Date: q..;lP-~
UTIlITY DAMAGE IS COSTLY,
Gtnerel rll.vb;\J,,~ 1'(1' Jctrc,=$on CQUllty Ol'dl". ,..:~ 2.UI ",nd WAC 1:Jtl.40,
.1. All work done under $.sid fr<lnchhe $holll lie dow;! ill 0) tllorough <lnd O/orkm/lfllH.t! Indflller, 1fl tilt! I<lylll') of unrltrOroulld.lJll-'t'!I".,1o IIUt,! cooll:$ .nJ 01"
con$tructton of other (/lcllltle$ and the alIening of tn:nche~, the tynru:llnq ulIUllr county rOdd~, rll)tlt~'I.II...o)' a" ath.,r lUullty.""rI.lV""ll",\, t'l': 'J'Ollt.:",
$hllll leavt' such tren(he$. ditches and tun/leh In such d 19l1Y'$ to intl!rh:n: 01$ little lIS jJoHILdl: ...ltll public trdvt'l dill,! ','10111 t.JI;! .11 dutI <In"
necess"ry precautions to (ju.sru the,~.sme sa thdt dalllolCjIl or injury sh.alll1ot occur ar drl\e by rl:dSUn of such "'lJr~; <in" ....t'II: <if1V ul $u<." trl:r1ct,.,s,
ditches or tunnels lire left open at nlyht, ttlt! l)"dl1tl!e shllll pldCt! "'drni/llj lllJllU &llId bdl"rlcadt:" dl \l.lctl II pU..iUUH ".. tOIJh\' ,lk4yHt' "<ir"l.u/ <il
suCh work. The l)rdntee shdll be I Idblt! for dfl)' Ifljury to I.ll:rsCiu or persufls or ddmd'Jll to flrOPl'f't)' Su\tdllllld tllrou')'1 Its Cdfl.IU\fll'H or nt"JI"'l. ur
throug/l any failure or neglect to prOIlt:r1y CJu"rd or CJive 19drntlllj of jlll)' trllncht:S, d1tctle~ or tUflnels dill) or I1Id'"t~I/lcd Ut lIu~ IJrontt't,
2, The grjlntee, Its succes~ors or tlsslqns, ~hall ClJIlJl!l;'l1ce con\tructlon unrter ~uch llelnrlt 9rdnled lIy the (uUlll)' [I1IJhll'llr "ithl" tIlt tl~1I;! IIt'rio~ HotI'll
In such permit .nd Sh411 have completed and hjlve I" operatiOn such PO"lton of tllll iy~ttlll of hnl"'U~tl!lCllt~ 's I1I4Y bc $I'cctfled III ~uch permit or thc
rlghU therein conferred upon the grantee shall ce"'$e tlnd tenllln<lte insular as unucClllltt'd ~tn:eU, rOdll~, etc., He ~unl'''''ll'd.
J. The ljr,ntt:e ihdll 1edve 4111 $lreeti. avenues. ollle)'s, ru"d~, htrltlw"y~. rIIJhl\.of-19dlllfld oltwI' cuunly IHUIIt!rllc\, .lter ldytnq .,111 InHdlll",}
maln$ .nd 1l011l9 cunstructlon work, IIljlklng rep.slr$ tllllql.lil~rlCllt, etc" tn u qoull jln<J SlIfe condttlon III "II re~'!t!ct$ u tllt.'1 lot!!rc lit-lure tile LLf'lllI:n(e~
Jllt!nt of iuch work by the gr.ntee, iu olCjenU or'contraclon,' .nd'all recorded IJl0numents ,19htch have,been disturbed 01' dlSlolldced by the ...or.. 5oh.11 bt!
,.uet to the $pecHi(jltlon$ anll approval of the'County [nq1ti~~r" ' ,..' ,,' -.' '.
4. In cue of any d4m.lgl: to !laid Streets, jlvenues, a'11l!Ys; 'ro.)dS, 'tllqhriolYS: rllJt1ts-of.",JY or other coullly pruPl!rt1e~, or to Il.svt!d or surfolCl'd ro.d-
...4)'$, turn-ouU. lJutten. ditches, 1900d or conCl'cte ,19.1h,'.dr<l111 ptpes, Il~nd or emb4J1~lncnt redls. lirldl)c~, treHle~. ",h4rvt.'$, 1.f113lrl9\ or I1lOlIumcnt!o
by the CJrantee, ttle saId '.Ir.sntc!! agl'!!cs to repaIr l.uch d"III.s9t! 4t' the earlle~t ttllle pO$$tble 4t lt$ own coit dl1d C_\lCH~C.
5, When the (ounty [nglneer determines th/lt an cmcrCJency sltu4tlon doe~ eJ(1$t, he md)' order .nd h4ve done ""iy alld Illl ..or" con..idt:red rll,'tl"~ury to
restore to 41 ufe condttton "ny such street, 4'o'enut!, 411ey, I'odd, h1tJhri4Y, r1qlrt~Of-WclY or otllt:r CUUllty property It:/t by the IJrantee or dl}Cflt\ in ..
condition donqerous lo life or property. Ill! /IIIlY cause to be n..plclced or resel rt:curdeu /IIonument$ If d I)rolntce Idtl~ to n:Il1.sce or re..et S.olllll.: wlthlll
d reuon4ble t1lOe jlfter CCifnplt:'tlon of conscrucC/ol'. !he grdl/tee, upon d~m3fld. ~lj",lJ suy to the county all cost... of ~uch conHructlon or ICI/.slr dud
of doing Such ....ork..
6, All construction or In$ta11<11lon of mdins, valves, pipes, pole$, cables, lines flttlll'j "lid hcllltles, $er~lte. fl'lldl.', or reloC4Uoll of the
same, perfonned alonq, Oller .nd/or under' the county ro"d~. l'iCJhts-of-wa)' or other cuullt)' prUIJCrties ~uldect to \<lId Irdflchlse sl1.11 bt! dOlle in \uch
.. m4nner <IS not to intel'fere with the constructlun, operation .rld I1Idlnlelldnce of other' utilitIes, puullc or prt~dlc, dJ'difls. dl'dl114yt: dllChe.. afll!
$t,'ucturl!S louted therein, nor ....ith the 9".dlnCJ or Improvement of such county ra4d$, rtghB~of-""4i' or other coullty prOllertie\,
1, The olOners of all athcr utllitll:s, llubliC or prl~ate, tn$Ulled In Such coullty ro",dS. rllJht~.of-way or ot/ler caulltYllropertles prior In til10c to
the lines jlnd facilities of the qrantee shall have Ilreferellce 4S to t/lt! [losltloll a"~ locHlon of such uttlltlcs so InHdlled ...Ilh rt:SIII!(t tu thc
grantee. S~ch preference $hclll contInue In the e'o'en~ of the necessity of relo(at1llg or Cholll!JiILlJ the gr.de of dn)' $uch (oullty roall or ,.19hl-ol.....y.
af The grdnte~, as f.sr as pr.scttc4ble, s!lall canHruct flllW utility f~cilltle$ ul1dt!rtlrUund. Ej{tensloJl of o~erhe.sd fdcllltj~s follo.dnlJ Hr~t'l$.
avenues, WdYS, boulell4rt,h or thoroughfdres shall be undertaken unly ",1th tht: lIP1lJ"aval of the COullty EngIneer; I'RQVIUEO, Ilo"'e~er, thdt Sjlld al'lJrIJ~,i1
ihall nOt be unreasoo.sbly withheld. Gr/lntec shjlll cOlwert e.lIHtnq o~crlic,id facllltie\ to underqround facilittes d$ arid W!len equhl1llt:nt rt.'fll<lCl'lllt"nt
Is undertaken, or when other e.tst1ng o~erhead uttltllt:s arl! plt1ced underqrourHl, unlc~s $uCh rcp14cement Is uflsaf~, h,lractic41, or eConUllIlCdlly
unre4sonatlle, Lin~ utl:llsion pol1cle~ and procedures estolUllshed b)' the fJ1'antl.!e, dnd unlfonnly apllllcd through its St.'l"\Itce aru, ~h411 be'lllt
standard tn detennlntnq whdt Is "pra.ctical, Irnpr"'ctlul 0" econol'lltc"lly unrea$onault" under this ord;nance; prOllided thdt no ne19 oll~rheall uttltty
facilities shall be constructed Or estaulhhed 1n any area set a~tde for public II/lr"', school. phyyround or athlettc fteld purposei,
9. Spect.s1 Provhions:
A
., e.. ,. /U S7"/lU, ej)
,I, ,(;/V9,L e ',' 5ff/f LL b
"30.j/ "B~~o''''-' e;><-~S~N'J b:7-G.H L//JE
D ,S;-<-tFl.ije j) /"'iR.e"" s
rn /' IV ~' vY7 CA IV?
dF
Be Res;-oReD
-h
2.
ALL.
S/l4..L-
o Ri9 ;i\JA-L.. r:..oNf;).+-lD,J.
t
I
jo g
~'~"'.'.. ;1
,'.",e.,...".J~.~""_."., .,.,_~t,..___.., ".O.'!'c '/'?:"~?, Rsca, .cD.
"'.,.....~,...,.. ~,,' ,,' ~. ~')e,":;,""r:,i"IL-::'ER~,
~.~~=Fg~\.'-::-::-::::-:-- --1
~ ~^ ~\, DJl d--~~.I-=l
~1 ~9' r~~=~+-J
. ,,',' ~I):>,/>' 2
", ',', , i ,/',; >",' HI, --
" 1~- .I;::. I -:
, Ii'"" '---:::--:1/" ~ g' ,~< 0'11 - - - - .. ;;; !
C - I ' ' l"J P - ..' - - i~ I
'. " r= c~ :: of'i .~d~ i I fA ~~ - ., ~ i
I[l.,~ y..,",cc ~'.&,. ' '~j?',I~~!, if,~ (-,I,', Ll1[n . ! i
. 6'~P'~: ~'I;11 lei .~, 0 c;Sr-" Q ~ r.'J I
I ~.tfl",r""'[,;.v,' r! I ~".' !:;',~""~':i 0',' .,' -;:: :r..,
I t~l)"l B ~ ~ L-J! I ; ~f"9 g ~ ;:t I
I ~6':N;;::;. _ I I ~ /. r:r -j i 0 I
, 1)' "r Co, ~'l ' ',' ~ - 1,\ - .....
:~' ;; '~~ i l~. Wlf=~~-i 0 I
(j,..I:,l~ [1,':/' j 11 ~>.~'tt v 8 ~ S ,I
fP;r, /1 ' ()J'-I t: rP v
!;? --J I (,>;;"\)[.\
f' !..'_ r Xv"1
,.A 1 . f::" I
("
r
r-----~---"'--..-
1---1
'J-'-#- C-l ~
~ c#- ~1: : 8'-
_1m ~;t.ll
.> t( >(;0 I ,.,'
~l. F m
(.: 17
.')' :~!5*
CJ ~ !t5f3
0', -, / k'0
-, ta~, r::
_.____ ~ ?< rr j
\ I
g;;;
(j: ........
;-1 ~l
-I [J
0' '
--1~
PO
J
''''-I
t i\
-'-{21
o 6
c;:r
(' D
3,[.
S l_
;C-
I ,.,
().l c)
~ ,'F
I "'
~
III
Ii
** 8
( R" ~
fro ~ /---.---...., '
([l [ii 1"'" N "-
F' (~ ,I --I l" fl--1
V I I f rv--r,t::-.
. ~ Rim - --fe', J \..j
D: f~fD "!'" '--.--' I
P\,~ i~ ~~
_.__d...1 ~c..
\ -E . ~!~
'\,. ,- ~
~~f;l
~~,~.
:s
2
....
>!
~
:::j
r;;
en
~
~
z
C>
'IE
~
Vl
1
o
5!
!<l
c:
....
E
....
r;;
en
~
1\
'J
il~!li
.. i !i
II~ I
tl I,~ i
~ ~ ~ 5il ~
mm t~
1(,.11 ~
()J
(/.1
~.
1'1\
.-j
('1
1
~CD
~.,o:')~
,,- :L "7'
0;: ..J-.""" ~-~
['I/..,.KIL/~
{/' J:l/1 - lr
8~
t1
fc-
D 1m
lJ ;Il
~18
f:) 11 I'
&&. l-r"1
,~o 1m
t~ I~
~ ~-j
;V '\. .
(V [I
DJ
. l('
~'<
[}I ."
f~ 0\
Q'~
t..p
[fl
8'
c. 'UJ
..j :p
',\ O.
k~ 0
p;;c:
""I,
~ (;
I" ..J
tel
1-~ Fj
[.; F'l
)>
6-
p~
'yo c:::
@to
'r::j
(P -"
)'1
\)~
~t
t
[0
(!-t;
(~ .~
~9
r)(~
~ !1,
~''')
o~
~}
~O/.~ ~E>
~1 Q ,5 19C)
g ~,~ ~,~'
D r:.J I ~
I) ".~'. ::;..Q
r~r r '-
l,. ,. : B v
Pr-~ :rv
15~ ,::'~.
;i, F- ~
~g "~'~
)J 7i/ [A'
g; P "ff
, ,~
\)
:i::.
~
, " ..", " ,",.." ,
' .' :" '.... .. " ',.',
:",',: ,:,,'...., ..' ,',' " '," I
'" ,',
.. ..
"',:,' .':. ,', ,
;:
,.. ",
.
,..>" .
,',,,,,'
l..." (il
I I
\J:;; :; -;G~
{JJ~ i'J(ii c.'~~r-
~~ ~'i -L~:}:r
8-1 ~g .T-giJ~
FJ (J '< '4 r: _ i'ti
~ ~ ~ ~ (j1 ~ ~-; r,
l. I, rv f7 .f fTi
~..~ (f ~ ~"~ v' cf z
~4 ~c: 1B~[r1 sg
r tj ~:I;' vf1lc:m J>
o 0 F (j) D [.1- r-
ire ;:: 11. C"
1\18 0 8?m~
-g , (;1 11<. (:,
[jI, (71 :<-;'01<:;
~t6 t7 P:,
T-UG
~'~ ~ SSg
~. ~ [J\. 0'
~ ~g ~Jg
- 0 Pi- c..-
[ 77 kf0.
c:; ~
n! D
~
~III
I
IQ
m
J
,'.
, ,
I
I
I
,
, , '
I,.'".
I
, ,
,
"" "
.. '
',':' ..
"
:';: <;,:
',> . '" " .,/
,: :;',,: , ":,
"': ,.. ':,'''' " "", '.. ,:,'
, "', '..' '.. 'e,;,':'
',\', .. ..,." "., .' '., ", ,:' ,.." "",",.:"
,'.> ., '" ",'
'" " ..." i '... . ',' ',' .
:"'. ;,.,'.",.": ':" :",,'.. ..< ., :.:."""" :''', ,,:
" ,'" :',' " ,',: ' ".,,' ,':- ,',.. ':, "
,e . , . .:, ' ", ",.. :. ..,.'., '::,"
:.,' :'.' ". .,.e,'" ". "< ,', " ..
,:'\', ':: .-,",..",
i"'. .. ' . '.., -':, " . :' ", ',' v:", "\ ,
.., , ':''', ' " '" ':, , : ,'. i "
,,:> ",:
: , y" :. .- , "" '., ":::"', ,,:',
',:" "'" "
' , , D ,:, .
i '.,' , "",.: .', .,. ': .',
,.- "'"'' ; ,
'. " , ,:' " . " ,. " ,
.- .-. :', ""'.- ' , , ",
,'; " . '.. :
.- :. ",' , i .. ,
' '. " '"
," ,," . " .'"
" ,", ' '..
' :' ''', , ,
" , ~:
'i
", "
',""',
f.
t,
~"
'it'.,
\"
t
r
?
\
~
<
.
\
,
r
,
': ,I;,',
.-
,.'
COUNTY ROAD NO.
STATE lOG NO.
MilE POST _____TO
OFFICE USE ONLY,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, VIA 98368
PERMJ T NO .ff/.' 7-:2 1- (,
FRANCHISE NO:-'--
FEE PAJD ___Yes No
OFFICE USE ONLY
APPLICATION FOR INST!lllATlON.QUl!LlTIES
Name and Address of Applicant:_T:'lI(,,~--T Sol/Nt::=> ?OWE:.1Z.'+- b.U=J:LT_c::;;,Q-,-
3.J..Q Fat.,l:g,.__~~F..R.S ~-=
:J:P~"L-IZ?~-N~1>JJ2 .J_I",JA.=-~~~J:>___________
Application is hereby made for a permit to construct, operate and maintain_J~::r:~.Lt:1..~Il-y'
!-d...N E. Z E.I ~-~h-:r..L::.r,.J ""PE.:~ Ca-YH.T:.:::r"~E.q(.L~ I.
The utility installation is located (attach map or drawingt_~Y".tTL_,=I!,/J:PFL~
.3'=-- "\-'> .
Applicant agrees to perform the work in strict compliance with the terms and conditions
set o'ut herein, and states that Applicant has read and will adhere to the general provi-
sions set out on the '-everse side of this form and any special provisions attached hereto.
Applicant Signature:~~ Date:..J.-I<';'~_
.-1 o?::. = 8<0 - 0<.::. Z '- 7
/ / / / ~rPIftfrillw~W/ I / / / / ; ~ ~ ~ ~ ~ / / / / / / / / / / / / / / / / / /
Subject to the following" terms and conditions, PERMISSION IS HEREBY GRANTED to Appl icant
to construct, operate and maintain utility facilities as requested above.
This permit is conditioned upon Ilpplicant'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 thi s permi t unti 1
proceed from
APPROVED BYt!!I~,nc..~)eaor
/ / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /
the Appl icant has received instructions to
, telephone
Date:-2J-'2.1 Ll>6
/ / / / / / / / / /
UTILITY DAMAGE IS COSTLY.
CAll 48 HOURS
BEFORE YOU DIG
1-800-562 ~4 78
",,'
:
, .' ',\'"
Gen~r41 Provhlon' p~r Jcft~r:~Cln County Onll... ";1: 2-/H <Iud \jf,C lJI.I.'HJ.
" ' . > ",', ,,' ...' ',',"...-',
, '"
':: /:'
" ,C ,.-"
,:
1. All ..ork \lOIlt;! !.mder Sol.lU frilnchisc shllll UI: llUlll;! 1/1 d thOl'ou'.Jll (l'lll ,,0..1..11\<111111,1: m<l11l11:(, If I tht: Idylfl'J of ulldl:r!lrounoJ 1I1!Jcllm:1o CWO '~t.oll:~ ...,,~ l..'I,"
construction of otht'1" (de tit tic,; "nd till;! ope/Illig of tn:ncllelo. thl: tUIlIH:lt"" Utllh:r cuunt)' ro.lI.h. r"Jllts-vl-""1 or uthl;'r lU,,'.tl IIrul.l'" 11C". tl'e 'Jr~nlc...
lohdlJ ledVl! such trench!:.., lJttchl;!'> "nd tUrHw1:. ill suCIl <l wd1 <1" lIJ j"tcrtt:n: <1\ Ilttlt' <IS pO,>:.i!)1.. "IUIl'..l,1l..: t'"d.o:l d''',} "'"III t...~t' 41' 0,,1:' lilt"
nt:CI;!SSdry prl!cdullons tu <Juil"'l the ."'dmc: su lllli!, l.I<lI!I.l~l: ur injury Slid 11 1I0t occur ur <lrt..c bl n:dloUtI or SUCh ~ur~. ""d ..1'1:"" dill 1)1 ,>ut" tr""'.......
ditches or tunnels 4re left UP!!O 4t ol'Jlll, tile: 9r4r1t~l' ~j'411 lll",l' .....nliJll} IjlllllS ,!flU u",'rIC4de:~ 4l ~ulll 4 JIUSlttOll ..~ tfJ 'Jln' <ll.lo:4uHt' ...H"1fIY ul
!ouCh ..ar~. Th~ 9r~ntt't! !ohdll lll:: 114Ul... far .srlY i/ljury to IH:rS(.III or pl..'nol)!o or tlDIlIDIJl' llJ 1J/"UJ.'~rly !oU~ldluo:u ttlrol/'JI! It!o ''''l'Il'~snc:~s or """J,...~t. vr
ttlrOul}h dony hllure !')r neglect to properly IJUdord or !JIve ..unl,,'.! of 4nJ' tn:ncllc!o. dltcho:~ ur tunntlls uU'J ur IIldlnldlflo:d lJl ltlt: !jrdonlo:t:.
2. The 9r4ntt't:. Its. succt!~sor!o or doU1lJn!o, \rl,I11 COlllllt'nCt: cOflst;ucllu'l .....:~.. !ouch p~rlllit Cjr,ullcd II)' lIlc (uunty fnl)IIIt'!!" ...,tMn till: tl~~ p,:fll.ltJ Hdl...d
In ~uch perndt anu shdll holve cum~leted dod h<lYC In u~erellll.ln ~uCh l!unlOll lJt ....... syHcm Or l"'JlruYcll~lIt!o d~ III.JY ue ~1'cCIIII,d ill Suc;.h ~..."~ll or tllc
ri9hts thl:r...ln conr...r,.ell upon thlt grdntc:~ sh.s11 cedS... .s"d tl:r1"iu"'tl' in~ul",r liS U,l('':;~.~1I1,-,l.l !ot"cet:.. IVdl.b, etc" lIrt: lUlIlt:rn!!d.
J. The ljrantl:l! Shdll It:dye.s11 UretLS. ll'o'ellucS. dllcy~, rOd.h. hl'lh\'<d/~, rl!lhl~-(Jf-OjllY dlld Oll,,~r tu...,.ty l,r",pl:'tlt'!o. d'll.'r ldyln!l dlld lrl!ol",llllllj
m41n:. "'nd doln') cunstruct10l\ wurk. mdklll') rl!pdin to I:qUlpllll"ll, elc,. III elS 'JUI;O and ~dfe cUIll.lltlon tn olll re!ol'l.'ctS .d~ ttlt'1 ..I:rl." t.~tort' thl." CtJ"W"l:tICI.'~
~It!nt of such work lIy tht qrolntet, ju "l,jtnU or contrllCtors, "!IIj ",II rcco,.l.ltd It>OflU!licnt~ ..hllh holye bl.'cll l.lhll.lrbl.'d vr \llsIJI.dced tJy tt.1.' "'o"~ ~tldll toe:
re~l!t to the ,ptclflcdtlon~ 4na dpproY41 or the (uunly (n!llntler.
4. In Celse of dny ddmdge to !>did strl!et~. il'o'cnUt:~. ,,11t:y~, rUdds, hl(l~h"dy:.. rll,jhls-l!f.....dl or othl.'r coullty prupl!rtle~. or to 1'''''''l:d or surt"Cl:ll ro"d~
..dy~. tum-ouU, \jutLl!rs. dltche!o, ..vo\J Or' concrete ..dl..:.. drdln l-'Ipe~. \"lIld or t''''Ulil\~mcllt rdll~. tJrtl.lge:!>, tftf~tlt'~, ..t,cl.....eS. 14ndlll<J~ or 1I>U1"""'e'lt~
by lhe grdnlee, thl: ~II'd ljr"ntt:t agnes to repoll.. such ,j",md.l}t: llt tht: t:"'rllc~tltlllc pOHtbli! dt ils OOjIl !;o!ot dnd O:-'licnse.
I
i
f
f
i""
,
,
1'"
r
"'~~
r
S. ....lIen tht: County Engineer dt:tcllnlnt:S ttldl an !!1lI.!r'1en,y lolludllon doc!. exl~l, he 111"1 order d!lll tI.he done dny clnd lill ..u'"~ conlitll'rttl /It'cl:!o~dri tu
restore lO d ~dfl! condttlon any \uch street. ilyenut:. 411,-,y, ro"d. hlglllOdY, rtyht-ut-.."y ur uth\:r CUl/llty I'ropi!r'ty lelt Loy lh~ r;fclntet' or oI'.l~'nt~ 1/1 "
condll1cm ddll9t.!rous to life or property. lie nldY C..IuSl' to lie '"cIl14cell or resl'l recuru~ll monumclltl If cI gr,,"te... 'dlb tv rt:I,14C\: or rt'Sl.'l ~JI"e ..'V,ln
el r~Honabllt time lifter cumpltltton of constructIon. Ille yrdtllcl'. upon dt'III<lI1I.l, ~h<ll1 IIdY to lhl! Coullty 411 co!ot!o vf such CfJllHroCllon ur n'I'Dlf' drill
of dOlnlj such work.
6. All construction or jnstdlliltton of mdlf\S, IJdlvtls. 111l-'1:!~, polt!~, cdbll.'!o. lhll.'!o fill III'.! oIlId fdcllltles, ser...1Cl', rt:p,lIr, or "elOC4t10n 01 ttle
~~me, perfonned alof\9. Ovtlr ilnd/or under' the COUllty racld~. riljhts~of-..oIY or utller county prupt:rt1es sljLoJl:ct to ~",Id frdnclli!otl Shdl1 tol! eOlll' 111 ~...c"
a ,"<lnner doS IIOt to interfl'n~ ..ith the cOIIHru~llun, opcrdtlon dne m<llnlcn,IIICe ot Olher I:'tllilll~\. puultc or pr1..."le. .s,."IM. dr"lndo'}e dllClIIt:. dUll
nruclure5 IOC4hd thl:re1n, nor ....Ith the y,'ddlll':J or imllrO'll'ml!nl of !oUCII county rOdds, r'!llIts-of'wdY u,. ot'IC" COunt)" lll'Ul'l.'rtfe!o,
7, the OWnl~rs of all other utllltll:!:', Pllo11c 0" Ilrt"'oItc, In:'Ullcd in such ClIullty rO"'115, ri'Jhll.of.w~y or uthl.'r COlJllt)" propt'rttl!\ {Jrlor 1n lilloc to
thl! lines dntl fdclllttl!5 of the gr<lf\tee Illall hd...t! jlrden:nce dS to the poslthm "nq lOClltlOIl of such ulllities su hlHdllcd >11th rCS\Jt:ct lU tl'l:
grdnlt:e. Such prt:h:nmcl! Ihdll conttnul! 111 tht: eYl:llt of thl: nl!cl!s:.ity of reluc"ll.lf.l or Chiln!}ln'} thl:! 'J1"ddl:! of .Uly 5Ulh CUl.lnly rOdd or riljht-ul."~/.
d, TIlt! grantee. as f~r 4S pr",ctlcdule. Shdl1 construcl rH:w ulll;ty l"cl1itjl!!o ull.ler(jrOUlld, E.tenslon of o...erhCdd fdtlllth:~ followln9 Hrl'l't~,
ayenut'~, WdY~. bOult:Ydrds or lhorougllr",rl:$ ~h,)ll UfO' undt!rtd~~n ullly ..1l11 lhl: dp\Jro...dl of th~ County [nqinellr; 1'llQVIO[D, howe...tr, ttlclt Id;d dl'Pfllildl
shall not bt! unre/lSonduly wtthheld. Grilnte\: ~h<l11 co,wl.'rt ll.tHhl'l u...e.IiCdd fo1ctlltle~ to underqrou,ul f~Cl1ttllls d~ dnd .,h~.. tqulpllU,nt rt'llldct'lhent
1~ ur\dertd~l.'n, or ..hef\ other e.isttng oyerhe4d ultllties Mil Illact'd undcr~r"uHrJ, ulIll!H SuCh replact!iIl~nt is unSdft!, In,JrdcllCd.l, or fO'(OrU,.oflllCcllly
ullrt!dSonabllL llnll l!dtmSlon pollciel dnd proct!(1urt:S Ilsto1ullstwd Loy ttll! (J,""ntt:e, "nt! unlfor1111~ dJ.lplled throUljtl tts :.cnlclt dred. !ohclll be ttll:
~t"'nd"'rd In dl:!lennlnin') .,tldt 1S ~prdCl1Cdl, lmprdctiCdl O"llcunorniC"lly Ulll'l!dlondble" under thts ort!Jnance; Ilro...lded It''lt no new o~erhl!dtl utilIty
hdlittt~ ~hdl1 ue constructed or t'Habll~hed in dny <Ired stt.il!.ldl! for pulllic par~, school, [114Y'lround or ilthletlc ftel.1 purpOleS.
9. Spec1al Pro...lslon~:
t~~
t,
;1H
~'
t,""
I,
r
(:~
,
.'; <>,,': "".,. ',', '
:. ;', ,'I ': ',' " . .'.. .... ..' "'. . . ,."..'
e', ,"" ,':'.:' ':, ",. ',':', ',' ,,':: ',:"
.' ,,' " , :,,', . ".
. , ,',; ,:.'..',' ", '" ,":," ' ,',,":' ,.'
','., "', ,. ,'.',..".,'.\'. "")"
, .,',. ,:. ".'.,..'.,.'".,, ..',. ".' .' ,"..,,' ."..:
.':. . "... ',.."'..". ":, '..,..,e. ',..' .... ,.',;.' ';.' .'
" ,', .' ,/' .', ".
. '.:". ' ,.,:', ',' , ';,' "'::":' ':.'''
': ,'" ",' , ,,', " '"" .:
,,' , ''':''''':,' ,',':" ,e ':i,,:',: .,':" ,\,
, ' '..', ..'.' " " ".. ' "".', ',:..,." ",'
"'. ,... ,',
, " ': . ,', ,
".' :,',',.. .' '," ,....,
" . ' , ,." ' "',.' .""..,'.,,, '.'
,:-' , .. '.., ,"",' '.,
., ",' ' "
:',' " :'" '. ',....' ..'"
:.'
i, . '". " , ",
, "
" ,
," ..,,'
.''',
~
~
;
,'{
I
~.
':
~
I
.,
).
'\,
\:
u
i
~
\~
i
I
,'..:
,,:
~
'I"
~
'V
tt
"'"
.:.:.
, ':"
""
~
, '.,
II
II
~ ;pjH ~.-!,
C'"J "" I~ .: 2i: J'1, . -: :::-" ' .u,
< zt v ' - ~~
~ 0 z. (5 -"\ ~ r: l';!:;jvJJ'
J~/f! ~~ ~i ~~.., .~~,i.~!~
,'-1.('\:- ~_()()f;j-\\J
Vi I" sJ .(j-J'Z: - <(~~
i::i :Jr ,;:.,f!1 (\I J -
-I'-. Z. II z:. .IT- l' fr~ .~
V't(l) F
-:<. -11',. -4 \ll1\ {{, "
VI> c. --.j"tJ' ,2::: .
0-<.rTI \]
J" t ><. j
.~
~.~ f' n i:\
. J' ~~ ~
-;:j~<;rr
(j ~J l:
z: ' ij-:1I
f'1D i:..
LJ:: \.PI)
01~ ~ -=u
rl. rJ
fl L' .b'
Co
-t
L!Z~
-,- ,..
COUNT'(..-AM~ NO.
STATE LOG NO..ll~
MILE POST 23ft_TO -:
)OFFICE USE ONLY,
JEFFERSON COUNTY
DEPARTMENT or PUOLl C \lORKS
Jefferson County Courthouse
Port Townsend, HA 98368
PEI<lm NO &Z:/..i2 - 7- 3
FRMKIIISE NO.
FEE PAID _Yes -/fo-
OFFICE USE ONLY
APPLICATION FOR INSTALLATION OF, U}JLlTlES
Name and Address of Appl icant: ~~-{1'U/' t:S-e.z...L /~
2720 OAKRTolrllRlV.---
---' PORTA1'fG"ElES~-WA98362-------'-"------ <---------,----
Application is Ilereby mude for d permit to cunst,'uct, operate and mainlain_____._
~ 6.f. ~~~M./ .AI. J/I~jZ2d!!?~~,
The utility installation is located (attach map or drawing) ,__._
. ~": ~ a...-<.-L.~ ~A:~_______.
Applicant agrees to perform the work in st,-ict compliance with the terms and conditions
set out herein, and states that Applicant has r'ead and will adhere to the general provi-
sions set out on the reverse side of this fom, and any special provisions attached hereto,
Applicant Signature:~/~ ~
Oate: 9-3.0-8~
-\
LLLD~OO~, .11/1111111/111
IAII/W!nflWlI/.C/UI I' E R M I T
Subject to the following'terms and conditions, PERMISSION IS HERE8Y GRANTED to Applicant
to construct, operate and ma i nta i n util i ty facil it i es as requested above.
I I / / / I I I I I 1// / I I
Thi s permi tis conditi oned upon Appl i can t' s compl i ance \;ith Jefferson County Ordi nance
2-81 and WAC 136-40, including amendments Uler'eto, the general provisions set out on the
reverse side of this form and any special provisions attached hereto.
No wo,-k shall be 'done under this permit until the Applicant has received instructions to
proceed from , telephone
APPROVED BY:~r.. ;fl~ Date: /0 -6'-87
I I I I / I I / I I I I 1//
1// / I I I I / / / I
/ I I
UTILITY DAMAGE IS COSTLY.
PERMIT INSPECTTON REPORT
~ork covel'ed by pennit has been completed satisfactorily.
Work is not con~leted.
Recommend permit be cance 11 cd.
Traffic control_adequate; _inildequate.
REMARKS:
I NSI'ECITll BY ;~==--'::::::=_,..__,_____ l1ate :,{j"-;:L~::.q_,_____
CAll 48 HOURS
-dEFORE YOU DIG
1-800-562 -S478
['......----------'.-.-....-..'-...--...-......'-......."".'....-........-......--..,--,.'
----...~~~~~a'/ f'IO~~.;:;;;; reprellel'l~!'ltlol'l 11'1 fill rll;"'ftUS, .11 '~""l"tM" t~" eo"trPlr.:IO"ll '...el"O"olblllly to propftrl.,. 'Milt.. work in tt'lt' fteld
, ~.,,""'l~
I
t{'.
iI',
k';
'j
4,'
t
r
{",.
.,
\
>,
~~
,.
f',
I
1:
"
if,
~ :
(,
p,
'i
. ',,', ,..'... "
" ..,:' :' ""..' ",
,..' ...,.',..,.,:, ',' " ."..,...,"'" '
..' ",'
" .. "" "
,':' '..'<
, . '
"" ".. ",.'
,,' ':"'" ." ...
.".. ':: :..: ",
,
," .,
,.,,'.' .". :.
''''':', ", <..:
'..' ",:...',,'
",-:, ..'" ,
":, ,:', ..,..
.. ,,:' '
" , ,.."." :""
" ":'.
, ",
, "
, "'," '..: ':,
, .,.'
" ,
, ':,
.' '.:';.: ", ,
"~-'-'~ -
---~._, _..-.._,~-
"-", : -, "-,'.." '.
". --," .. _.--'--,'---_.--~---'"-,._,,. -
...'" -;-0;:--
~ ~~~~,~
>4.J~r;1
___jf)(/i:x>-~\
.:.-"))
SEP 2 ~ IW
v(rl ',-.
-
N~ 0877
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
HI20 Jellerson Street
P.O, Box 1220
Pori Townsend, WA9836B
(206)385,9160
District No,
5
PERMIT
f~
fi!!
::;i
~".
"
In accordance with all applicable Revised Codes of Washington and amendments lhercLO, and subject to all the terms, condi.
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO City of Port Townsend Hater Dept.
540 Water St. Port Townsend, WA 98368
to Install five (5) road crossing for water service and three (3) taps on
Chimacum Road from mile post 1.13 to mile post 1.54
County Road No. 932507
Franchise No,
Milepost 1.13 to 1.54
No work shall be done under this permit until the party or parties 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 S e pt. 16
Dated at September 16 ,1988
.1989
&~~~@wm
'~i;l
J~l...
, ~
CALL 48
HOURS
BEFORE
YOU DIG
.
~-<L
BVC01U<J e g,~,
1.800.424.5555
:'"
,/', ','.' '''''' ", "',', '"
oj""'" ,', '," ,
:. .": ", , ' " '
.,',e ,',.' ':. . ",
, ,.' ,.~~\
," , ,,: ...: :~.
, , ,,':
,". ".. .'.",' ,', ,.., .
,',:.' " ':, ."
:\,', ""., ,.' "
',:':'..,' , ':;.""" ' .
. "" ,
" ,:, ,,', "
" ."',.,,...".,..,.'..
:',' ,. " '
,::":',, " ..
- ," .', ,'.',,',
",.' .", ..,'..: ..
,::' , " ,". ,'.". '
: ',.., , " :,
" ,
", :, ,: ,.'
.. ",,'
..
, '
, '
, ,"
"
,',
".":' "
:". ,':'
'L.:.::;;:'". " ' .',.., .
, ~ ,.,' .
..
,.,,:.'
"
"'",
" :,"
'..,' ,:.
.... ,-,,,
~
~
~I
/'i:
_.._.~..--~----',"'.:.- .~~-
.:.:.::"-,..-:-:-...:.:"-".-:i::---='::=.:.:----.-:
G"N"RAL l'Il0VISIONS APJ'L1CAIIL" TO ALL PERMITS
This permit is subject to all upplicable provhion~ of the Revised Codes of Washington, except that an)' provbioll in tllh agrecrneflt not COIISi\tent with
such resolution shall be controlling.
A bond in the amount of $
is required for the protcction of the cuullt)' as !let fmth il\ thl: terms of the bond.
During the progrcss of lhe work such barriers !lhall be erecled and maintained as ilia)' he necessary or a!> may be directed fur the pwtcclicJ/I of the
traveling public: the barriers shall be properly lighted at night.
In accepting this permit the petitioner, his successors and assigns, agrees to protcc.:t Jefferson COUIll)' and save it harrlllc~\ from all claim!>, actions and
damages of every kind and description which may accrue to or be suffered by any persoll or persun!., corporation or propert)' b)' reu!.on of the p;:rfor.
mancc of allY such work, character of materi;lls used or m;lllncr of installation, maintenance and operation or by the improper occupancy of right of
way or public pl;lce or public structure. and ill case ;lny suit or action is brought against said Jefferson County for damages arising out of or by reuson of
any of the above causes, the petitioner, his successors or assigns, will upon notice to him or them of commencemenl of such action, dl:fend the same at
his or their own sole cost and expcnse and will satisfy any judgment aftcr the said suit or action shall have finally been determined if adverse to thc Jef.
ferson County.
EXCCI>t as herein authorized, no excavation shall he made or obstacle place!1 within the limits of a county roaJ in such a mariner as to interfere with
the travel over said road.
Except as herein authorized, no excavation shall be made or obstacle placed within four (41 fect of the edge of the pavement.
If the work done under this permit interferes in any way with the drainage of the county road. the gralllee shall wholly and at his own expense ma"e
such provision as the engineer may direct to take care of said drainage.
On completion of said work herein contemplated all rubbish and debris shall be imlllediately removcd and the roadway and roadside shall be lefl neat
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall be done under the supervision ami to the satisfaction of the County Engineer and the entire expense of said
supervision shall be borne by the party or parties to whom this permit is issued.
The Department of Publie Works hereby rescrves 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 tile sole expense of the party or parties to whom this permit is bsued, or their SUCCCSMlrs
and assigns.
All such changes, reconstruction or relocation by the grantees shall he done in such manner as will cause the least interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any damage to the grantee by reason of any such work by the County of Jeffer-
son, it agents or representatives, or by the exercise of any rights by the County upon roods, streets, public places or structures in question.
This permit or privilege shall not be decmed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchi~e
rights of like or other nature to other public or private utilities, nor shall it prevent the Count)' from using uny of its roads, streets, or public places, or af.
fect its right to full supervision and control over all or any part of them, none of which is hen~hy surrendered.
The Department of Public Works may revoke, amend or cancel this permit or any of the provisions thereof at any time by giving wrillen notice to the
permittee. The permittee shall immediately remove all facilities from the right of way. Any facilities remaining upon the right of way 30 days after writ.
ten notice of cancellation shall be removed by the County at the e~pcnse of the permittee.
The party or parties to whom this permit is isslled shall maintain at his or their snle expense the MrUC\llre or ohject for which this permit is granted in
a condition satisfactory to the Department of Public Works.
SPECIAL PROVISIONS:
1. No open cutting shall be allowed.
2. Conduit shall be placed a minimum of ,30"
3. All d;i,~.t\Irbed areas shall be restored to
I;:fJ1ftfl1Ti@1jlr(!1/1
f.i.IiJt \'n~:;>'il'-t:"1i:,:,\
--..-' '.1"'. I' I ~.. t $.'.....,
below existing roadway.
original condition.
In accepting this permit the grantee, his successors and assigns, agree that any dumage or injury done to the properly of the grantee or any expense
incurred by him through the operation of u contractor, working for the County or any County employee shall be at the sole expense of the grantee, his
successors and assigns.
and conditions as herein set forth.
, the undersigned, hereby accepts this permit subject 10 the tcrms
Daled this
day of
. 19
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fee Paid.- Yes _ No
R,a;clpt No
1820 Jellerson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
Addre!.!lRequest_ Yt.'S_No
Mile P~t
AI'I'UCATION FOI~ I'EI~MIT
To Department of Public Works,
Jefferson County, Washington.
The undersigned ?t"'u,f' l;J,""'1'''<r''Nd l-LJ~~/pr f}~,p/';
herebyappl_ forpermissionlO C'j":Jc:n ('ell- 'Sl/ot!l/der 0 f? ro<td To recra/7
(A,,(,li' .ml ".-/11 ./,.,...,,/)<' full;' >>11,1/ hI' ~\I'J"", U! dol J
"6" l-V",.-/er WIt.'tIi'/ and re (!CJd/I<<,(!1- 0/( CJld Y'cl$/Y ScrV1f!fJS
c/i?1d~' ~4-LJ ~ .ILo-<J<.d -t~/ l-Uh,u. ~u44A'7.' .k~, ?
LU~ ~& ~'~ <.l.4-r,u,<<,b-l'fod/ ~ /au~~"/ '-/;'M
&-1J./-U/ldvl ...1.u>-/.w '-"-'" z!tWt/ C1:A.L.<!l ~ y~ ./.di;(.f /'?:'U'?(J ,--4;
C5)..Ul, '-<!-u..cZ<:mt./M '.
SKETCH:
"
:5prkl/t.<!
o
I
I
Q
'0 ;)
: ~WL
}
D/cJ: shuff?
a RcJ
L IE}
t
,1
k5~I'YJ
sf?
l?" 19c.. Lt.J e/}
i./ne 0
Qulo R~p~/~
mInI slb/<tJje
L )
bet....een ;../ tkA'lIo-<1k <6- C!;t.;"~,, j .
~ <?-J f3 .;.t.~/j o~1 -IUil-v,/-Q o-/JW/7/f AD.
On CoulllY Road: c..Ju""Lau,U"H ~ lid
";'~4A", ;t;ufM, ~ v.J o--d>-r:l.t.</_J ,..J'-'H:J ~
R.....;J -ILj I y I
<tV ~~71 'OJ
/SIO/('/tl'a,,.lfcrml.,I/ft't'(f,,mll,,,,.111lf1
and agreeMIO do the work in accordance with your rules and re&~liations and subject to your inspection and approval.
Date 9-b - 5r' 19..!i:L
Allllrc!o!>
a'll "TCfk.El!.dp...,A CI..Jrd.lJ? A A A.y
I la1Urc (If ^pI11i,unU j, lConUllclOr) r'-'
(If applicant is a corartncrshil1. set forth names of copartner!>) n I
~1"6 0\110 i'A dJ:
^fhlrc!o!>
Jerrerson Co.
DEI'ARTMENT OJ<' l'UIlLlC wonKS
Dislricl No,
s
Permit No. 0877
Su()crvisor's Report No.
Supervisor will make detailed report with his recommendation 011 this applicatioll. ~Yhenever possible show sketch of proposed
work. Supervisor will also make additional reports and final report giving date of completioll of work Oil this form.
Preliminary H.cport:
CI-/,'m/l-c.-v.W\.. I~OA-t:> /no p. 1.::'-'1' <.7~ M.p, /.3(,/ ,....p. /."33/ "".j>' J.31
""-p. /.2.'1/ "-"1'. /.z.</ I m.p' IdS 1 "".p. 1,,3
/1-<.(_ 4.JoRK.. 0o",e I"~;oe. -1-0 oi3.-r.AI,'AJ,l ri- ,PeRI'>1..j-
,..,.p. I.'S'~ L7. rr9-r o...uJ.4/ -..-\.10 Ct<:O.5S:N.:J
/1''f' ;. g(, I<.orl-C CQOSS ;"';7 - 13",,,,,,p ,-".;
m.p. /.3"3 Ror>-o ~1~OSS1"1 - P4-;-e,., ,',.I /~''''D
.fl\o.p. /.51 T/lf> 0"''''1 ,.vo C..e05SIN,J
"",p' /,2' 1<0-9-0 C-I""SS/N;J
"", p. 1.2'1 CR.OSS,'''7 ,,"0, po/Ve 'Ie,
""'f" {,18 ~ ""''-7 /<10 o2.oss'-"'J
;"'f' (.J3 Cl?.o:>s,',"~ AJar po^,e !ler-
IV 0 R.offt> p,--fcJrt?:.5 /',.) n ,::; /Haerl
9- /7' -8;>'
SOl..l,.Ht3o"'IVl) l.N.
-fRo"",, o'pe-.J "''''' ,t.. ,'aer-R:er/<:.., e2"':~'
Dale:
Signed:
../l...~K~
Final Report:
PERMIT INSPECTION REPORT
Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control.. adequate
.. inadequate
REMARKS
Date:
Sl~ned:
COUNy( ROAU NO. S-08209
ST/l'fE LOG NO.
MilE POST ~TO.a.&L
()FFICE USE ONLY
f'ERMIi NO. /'i-g"-'i\ -[1--'-
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 UTILITIES
~~~~lcant:PACIFIC NORTHWEST BELL ~~~~~~~~o~ Job No.: 8'~-2S-2-
Address
J.ddress /0?9 ~ ~""a&e"ed
~ Ovo.pJ"", OJt:-<.J
<7!; 7-~~ $7"
operate and maintain
~u~~
v
MANAGER I & M
2720 OAKRIOGE DRIVE
-l'flllH;fftlftfS;"Y'Iti 9,B;l6a
Phone: Phone:
Application is hereby made for a permit to construct.
13uA-'if a- ~ cII.A.''7'' ccn,_
~~~
The utility installation is located (attach map or drawing)
-S:.e..L- S~..e...:/"~
Applicant agrees to perfonn 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.
Applicant Signature:~ ~ ~
Da te : t:f'. 2 - tf' ,y
//~~
Subject to the following tenns and conditions, PERMISSION IS HEREBY GRANTED to Applicant
to construct, operate and maintain utility facilities as requested above.
/ /
/ / / /
/ / / / / / /
/ / I I / / / I 1/1 / I / / I
PERHIT
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 dOlle under this permit until the Applicant has received instructions to
proceed from' . telephone
APPROVED BY: --!\....~ K^A-i2vv.~ Date~ 8-9-88
~~OTE SPECIAL PROVISIONS ON R~VEnSE
1 I I I I / I I / I I I I / I I I I I I I I ~,l I I I I / I I I I I I I I I I I I I
PERMIT INSPECTION REPORT
~ork covered by permit has been completed satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic contrOl_adequate; __inadequate.
1.800.424.5555 REMARKS:
INSPECTED BY: l::l ,Q Date: ""'1-;)<..:>,t'7
c
t
j
ii'
~'
,
I
'f
f
J,'
t
(,ic
"k<
\
I~:'!
'\
,
"
f
I
,
~,
.'
r
.;, ,
:L.."....,
,'..
..,
.,
"
'"
\ ) \,'
C;~"e,..l Provision' pC,. Jefferson CO\lnty O,dl 2-81 and !.lAC 136.40. 'i<;~~~,::.:
1. A11 'WOrk clont '.mde,. uld f,,'''tllts. sh.ll be done in 4 thorough oHld llor-luna"lH.e manner. In the 1.)'1"9 0' u'\(le"~"o\,lnd pipelines. .nc! c.tlle" .nc! tht ~C\'
~~~!!~;; ~~::~~~:~~~~c~~: ~~~ !~~~~:n:~~~~~~~~::y ~:~~~e~:~!~;~;:~~:!~~:~~~~~:~;:l ~!~!~:~: r~~:;!~~~::l~~:~~~i!~:~~: :;~,. =~:::~:~!r~~:~;!; : ~~~:~:::~ tit ~.''\ _'::'; .
ditches or tunneh Are l.ft Open.t night. the "''',ntee sh.ll phc. ",.rnlng lights IInd b.rr!cade, tt 'ueh /I position U to ghe .dequf,tt ""unln9 0' ~'.'.
suCh work. The gr.nue sh.l1 be li.ble for /ln1 Injury to person or per$ens or d,m.ge to pl'Operty sust.lned through Its c....leunus or ne\llect. or
thro...ljlh any hOure or ntglect to propedy 9...ard or give ",arnlng of any trenches. ditches or t...nneh d...g or moJlnuined bl the lJt'.fontce.
I
f ,:~';
Ii
I""
r"
~
Z. The grantee. 1ts succenors or assigns, shill corlf'lenct' construction under such pennlt gr.nted bl the County Eng,tneer ",lthln tne tiN perlod "tated
In such PtnTllt and shall have ccwnpleted and have 1n oper.tlon such' portion of the s)'UetlI of 1mprovements .s 11\11 be specifled In ,...ch permit or the
rlghts therein conferred upon the gNnlee shllll cene and terminate Insofa,. u unoccupied Hreets, roads. etc.. ,re concerl'ltd.
~': '~~ ':':" ~,
l' ."
r)h";';'
3. The ljlnntee 51'1"1 leave all streets. avenues. alleys. roads. highways. rl\lhU-of.wlI)' and other count1 properties, lifter laying and tnulll11n\l
lI\oIins IInd doing construction ~rk, m.klng replllrs to eQu1pll\t'nt, etc., in n \lcod .nd ufe condition In .11 respects as thet_ere before thl' cCJllTlence-
lllent of such \OIOrk by the grantl't, its "gents or controlctors, "l'Id all recorded monuments .nlch hue been disturbed or dhphced bl the wOrk shall ~e
reset to the specHICIltions IInd approval of the County Engineer.
; .'
::';'''.-''''-','
,".r''',
4. In case of any dallllljle to said struts. avenues, alle)'s. roads. hlghwllys, rlghts-of-w"y or other countl properttes. or to ~"ved or surhced r(lad.
",ays. tum-outs. gutters. elitcl1u. wood or concrete ",.lls, dr.in pipes. hllnd or embankment r.tls, bridges, trestles. wh"rvt'$. landinljlS or rnonyl!lenU
by the grantee. the safd gr.ntet .grees to rep.ir SuCh d.lIl4ge at the earl1est time poufble at its own cost IInd e.pense.
I
'l
' '
l
~,
p
~1'
,(;
I;;
'1\'"
5. When tne County Engineer determines tnat an emergency situat10n does exist, he may order and have done any and all work. considered ntcnsary to
restore to a SlIfe canditlon .ny such street. avenue. alley, ro.d. high..lY, rlght.of.w1l or other county property left by the grantee or a\lel'lU in a
condition dangerous to l1fe or property. I-le may CAuse to be replaced or reset recorded mon\,ll\fnts If. grantee h1h to n-p"ce or reset U"'f wlth1n
A reasonllble time after completion of constn.rctlon. The grantee. upon dtlljdnd, shall pay to the cou~ty all ccsts of such construction ar repair And
of doing such work.
::,"":::i,:':;:-::'::
",:'\'",!-,",
":';,i,:,:-:"::'
:"<<~i\;" .
6. All construction or instA11lt1on of m.ins. 'Valves. pipes, poles, cables, llnes fitting And hcillties. service. repaf1.. or reloc.tion of the
S&Jro&. perfanned Along. over and/or under the county raads, r1ghts-of-",al or other county properttn subJect to uld franch1u Shall be done in s...ch
a Illilll'lner.s not to interfere with the construction. operAtion and mAintenance Of other utl1itles, p...bl1c or private. drlins, dra1n.ge d1tchn and
stn"cluru lOCAted tnll!refn. nor with the grllCing or improvement of such county road's, rfghts-o(~""y or other county pr(lpe:rtiu.
7. The owners of ." other util1t1es. publh: or private, installed 11'1 such county roads. r19htS.of.",.y or other county propert1n prior in til!e to
th. linn and hc1l1t1u of the grantu sh,l1 have preference as to the pos1t1on .nd location of such utilities so Installed w1th respect to tile
grantee. Such preference shall continue in the event of the necessity of relocating or chlnglng the gr.de of ..,y such county road or r1ljlM.of-"'.y.
8. The grantee. IS fa,. as prac:tlcable. shan construct new uti11ty hclltt1es underqround. Extens10n of overhe.d hcil1t1es following struts,
Avenues. ways. bo",1evlrds or thOr(lughfares shall be undertaken on1y wfth the approval of the Co...nty En\lineer. PROVIDEO, however, that sa1d appr(lv.'
sh.lI not be unreuonably withheld. Grantee shall convert elhttng overhead facilities to underground hcl11t1n IS and ",hen equipment replactflltnt
Is undertak.en. or when other existing overhead ut1lities are placed underground, unless such replacement 1s uns.fe. 1""ract1cal, or econom1cal'y
unreason.ble. Line extension pol1c1u and procedures established by the gr.ntee, and uniformly applied through 1ts service .rea, shall be the
stancard In cletennlnlng ...l1at Is "practical, impr.ctical or economically unreuon.b1e- under this ordil'lanCI:; pl'ovlded thllt no new overhead utility
facilities sh.n be constl'ucted or eStlblhhed In any area set aside for public park, school, plAyground or .thlettc field purposes.
9. Spechl,ProYIs1ons:
,~ ;i,
Be... +,.JS,I'fLl.eD ,.4 ;'Y1.A.), "101~,.",.,
I~O'l-Pwrl-Y D.-f.c.I-/. No ope,.J
of ,3<'''
CC4-r-r-......v1
'; Ca.uD~,; t, $01+<'9'-'-
.' ',l t.' . ~ "l,'
lSe.LO"'U ,s:.x; s",,..;,'-JJ
/lu.~..... eD.
2 _ /-h.L V ;-s,"1-", ~ 13 ec rrR e.,,!-.s
OR~'1;N"1!- COAlD;-+;-'ON.
S H-4'-L Be. ,,< ~Sl-();:' <2. D "f--<,
I
.;
I
.,
i
I
.. ':~.;,.~ -:---,-,... ---;. ., ....-:.._--~:-_.~..,.;.....-::-,.. ': --'_.:" ," .: .::'
.. ":', "" . " ":" " ,',',' "", ", ,;:',,', ..,:' '.':'... ,'" "":,, ',' ":,,
.,' .,>.; '" .,.,.',. ,..,'.' , ...".,'. '.'
, ' ,'" ,'.. .. " " "'," :'" '; ,,' ci:", '
: " :" ,', ' , .' ,',:
" :',.', , .;, .. i: ,,' " ,,' ,
'".,,' ,,',':.
':,.' , ' ' ,: ." . :,'> ,.'
: ," :,,'.,':.,,",.'.' ,...'. '.,' <' "., ,,'... ,,'
:: ,": ,'-: " . '....':",:
." 'i, '" " , ' ,:':::" ",,'
."., , ' , ,::
. "';,' "
.' , ,',. , ,: ',~ I
" >.. :'... .' , ,." ',".',,' ," ",,:
. ' ,,}..' .", ,; , " ,.,', '
, : :' ,'; , "
""'\.'
l ,"', "."" ':-"
'..'."., ".
..'
ii"~ ,
":,,
',',
':' "
..
',,'
'.
;
"
. '":1 ;:'~.
,
". <;.; ~
';:(":,',,,:'.,
~ ";
,~,_:<::';;"~'
;~~:1-'.-'"
.,','
<)..';-::
':-", '; ~:!
, " "
"
,"
;::'
.... ,
>(..
", ".',,'
''-,
.';
:,/
,.,...,.
'.,'..'; II
_18,811 ~ l
~W Burled ServIce WIre. No. -:- _ .' ~ ".~' ~o';.
.' Work Order complete oy JfJ5. - ,'- .::: "- " ;<ii
WC>RK LOCATION _ I CONTRAGrOR'S ACCEPTA~ih- I 1.'":(
AOdf...J!Lr5-LrO X .1/ L.. 0{ IrJw~~() F"m----'---,<!.,fJERl'I~~ ".'--..-' ,.'y ~
erty__j"o;fL",^."., .I, Count" \ ~~F Stale-,~"'-V' SignaturL~";; ,??-;;-,~...:~.,-, 'to ',. ,':'.'
, r7. , 1 - "V 0- U<Tl~ '.'-- ~ ,"
N...,.. 'rpd t'!rJ , Titl"_,~~" - J ,. ...;,;.;....;..., i,
l/ Unit Price 0 Co,l Plu, 0 FI.t Sum U $ '1 I.,/;'i
ORlOlNATEDBy--L,O q~e..-_Date ~-I::lsO"" .', "
..N" ~ 5<0 No N '.>l'" '" 0." _ """ ",O"C ",m<wm "',' :, ',0":'1&,
'Rep8lr Tel, No, __ Temporized 0 Allentlon _,--- ,--.-'" --,-, ",- . I >..
'Rearrange OSlO No, ,_ Due Data _ Address __' -..-.---"- ,.' c .
Type of Service ,fR. City ______'_. " ZIP -'
..CBL Pair Color/B.P. T.,"', AcKi,nl__
i 2 7.. ~II / ~- t/?S lon{;"tl""l
.,.,.'..,'."...'.,...'
, . ; "', ,
,
" , '
, ,'.>'" ,. .,:::"
. '.,..., .;
.. '. " ..
.,.. '..'",. c...':
,
,~::;,,:' ''',
, " '" , ;:'
.. '
;, " , ,,.:. ',:.:,
'., ,.,'.,
"n>
:,','.
APPROVAL For Flal SlJfT1/CI)~l Plus $
Recomme"ded
,_, _h_'''''' Date.
..__'_ Dale, __
()e:ICription 01 Work
R~:~~~~
--
Quantity
1T-1\:- ,-
I" ,
Approved by ..----,--' -- ---"
PERMIT REOUIRED
Received lrom - .---'-- - .
Jurlsdiclion---- __..._'_ No
CJ Yes 0 No
"'__.____'_" Veleal []
..._,____ Date ,_,,-"
I
\ ~Q< ^J .D....L k
I' ( ~. fin.... IY~'t9
\ .R...JP_... =P;...L:
e;;'-i>.-I- r"~l-t,,,,...., -;Or,/t.. :>""'\'7
ii' 'J ' :
COMPLETED BY ______" ,...-' ...-,--' Date -
Call _;-.;'----- __ - -" for Service Connection
-~)
'~;"
t'
~f
t(
i~:, ,_____,____ -- -..- ,--- -- ,. J- -'- - - ,-- In-dlca-;;N'~~h ~-+-s- ' L
'" _"", .........._,,_'__' - _..._,,_,.. .________ - ~ I
!; +_~:." ," ,..." " _ _,__' IJ \
h ' 'd ' I
Sk"l, ~~.v;; c:C:;h~f:~;;' ~Pt '1f~r~.~z. a.n a~ou,n' ~ \
; 'J'. . ",0, ' . ' . . ;".11.' '0'
II. ' I' .) I ~ I
II~ I 7":'
:[. . . .' . \Y , .' ." ~l'8i.d'5f!1./\]2J
, 11\ " ~:.J --;. -
'~'I~ ~,it:; r~ -W>- 1(' - (~{:.
" . ~ !flif l'Kor), ',\: ~
,~ '\jl' ,,"? ~ I
~iJi" ' .' ~ \
. ~%,31 o~;2~ " ' '-~ ---' - '
_ ___ ____ ~.;p;;;;n,;i;on ,n a" o.,alls " ,.mOlns Ihe eon"ae'o' s ,,'spon.."''''v In ,,,np""V In(,1I0 wo," In 'h.. "010
rNCMe 1M sketCh may OOl ~ an ilCcwr
t
f:
f'
i
t,
~.
"
{"
l
1
f
t
t
l,
t
'.
"
...........111.11..
"...'::...."'-:".' - ,.." ", "
.',;' ,.", ',," ' " '," ' ,...
, ,', ", ,-
.,.. ...i! "'i
';). ',,'
"
'" ' ,":" :,'
i. <' .',
',: ",'
,.'.' "
',:, " ,,':
,',',.., L..:.. '
:':' ' "
" ,,:, !,
, ","",
',' '. " ".'
'; . ,'.,,"
':,
'.., " '.
,',., ',.
,Li,.'..',"
:': ::r!'l
l '
!
,i
~
]
,
J
'1
J
~
",,',
-:"
"
: .'
:
;'
~ (
i
"
! '
,(
i!
:'.
.,', "
" ,,'
, , 'I" :',',,'
"',
COUNTY ROAD NO.~
STATE LOG NO.
HILE POST Q.,3,LTO.Q3L
9FFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PERMIT NO. "8'ii - 7- .;;1.0 - c..
FRANCHISE NO.
FEE PAID _Yes _No
OFFICE USE ONLY
Appl1~l}.t :
Name ~=N Co"/S--, 11'-lC-
Address 4tR<fo S. PtS~bvt"N (Z-D.
-pr. Tow,...lS,E,./O, V"U 96.L'-*8
Phone: ozes;:-- 02-. 3 Phone:
Application is hereby made for a permit to construct. operate and maintain ~ (~.
P- V. C. G~ vr 7'-/ :::,EG<-'tftG urJ€ N;c..eo<;.::. I#AP/,!;i1!. ,B4r..J' ICp,
A( 77,)" Lo4 J7W>->P ~~o T(-J,Fr-f" 'So<<.,i'/"1 4u'Mti me:. tE/lST:5/ t7c O~ tC-t7_ &p L.,,,:
The utility installation is located (attach map or drawing)
Jefferson County Courthouse
Port Townsend. ~A 98368
APPLICATION FOR INSTALlJATlON OF UTILITIES
Contraccor:
Name
Address
\{..-
:it l){(""'"
Applicant 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.
Applicant Signature:
T~u~ ~
Date: I-IS ~ p.s
I I I I / / / / I / / / I / / / / / / I / / / / / I I I / / / / /~.
PER HIT m\f\f'\i\WJ\:J\b\W
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
groceed from' . telephone
PPROVED 8Y: .iJ..u-:cI- <:~ Date: 7-IR-B8
, G3 NOTE SPECIAL PROVISIONS 011, REVErlSE
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 I I I I I
00.424.5555
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'i\\. ,....... Date:' 1..<1'" ,....,
,
Gener.l Provtston1o per Je'hrson Count)' 0..<1. } l881 and WAC 1J6-40.
1. All work done under Slfd f,...nchtse Ihlll be done in.. thorough and workmanlike manner. fn the 14ylng of underr;lround plpel1nel and t't>lu and the
conHl'\lctlon of other fl,ct1ttles and the opening of trenches. the tun"e11ng unde" Count)' raids. rI9hU.ot''''I)' Or' otnu county properties. In. grantee
sh"l1 Ie..,., such trenches, clHches and tunnels In suc;h. way u to interfere n lHtle u possible ....lth (l\lblfc tnvel and sna11 Uk. all c!loIe and
neeesur)' precautions to guard the s.".. so th,t d'l!\lge or Injury sh.lI not occur or .rts. by rcuon of such worki and when an1 of such trenchu.
dHchn or tunnels ar. hit ope" It night. the grantee ,h.lI place warning lights and barricades H such. politton u to 9h-e .deQuUe warning of
such work. The grantee sh.ll be 1 f.ble (or .n)' injury to person or persons or d.m<lge to property sust.tned through its urelnsnus or n.glect. or
through .ny f..nure or neglect to properly gutrd or giv. wunlng ot tny trenches. ditches or tunneh dug or mtlnttlned by the lJ,..nt...
Z. The qrtntee, its succenors or uslgns. sh.ll COlll!lenc. constructton under such Pt!mlt g,..nted by the County Engtneer wlthln the tfme pertod suted
In such pennlt tnd shall htve completed and have 1n operation such portton of the s)'sttlll of fmprovements U IM'I be specified fn such ptmlt or the
rights therein conferred upon the grantee shall ceue and terminate lnsof.r IS unoccupfed streets. roads, etc.. ,Ire concerned.
3. Th. gr.nt.e shan leave all streets. avenues. alleys. roads, hlghwI)'S. rlghts-of-wlY .nd other county propertfes, aft.r hying and IMttlllng
m..ins and doing con:truction work. making repairs to equfplTltnt, etc., In as good and ufe condition In .11 rupects IS they were before the CQl!'lTle:nce-
ment of such work b)' the gr.nte.. its agents or contractors, and all recorded IllOnl.nents ...tIlch hIve been disturbed or dtsplu.d by tl'le wOrk shan be
resn to the specificatlons and app,.gval of the Count)' Engfneer.
4. In cue of .ny dall\4g8 to said streets. avenues. al1e)'s. raads. hlghwa)'s. rlghts-af-wlY or ather count)' properttn. ar to pned or surhced ro.d-
wlys. turn-outs. gutters. ditches. wood or concrete w.lks. dr.fn pipes. hInd or emb.nkment r.lh. brfdges, trestles. whlrves. hndlngs ar rroanuments
by the grantee. the uid gr'ntee Igree.~ to rep.ir such darn.lge at the earliest time ~oufbll ,It Its own cost .nd eap.nu.
5. When the County Engineer det.mlnes that .n eme~.ncy sftuatfon does exht. he m.)' order Ind hIve don. an)' .nd .11 work considered nec.n.ry to
restore to a $If. condition Iny such street. nenu.. .11ey, ro.d. highway. right.of-",.y or oth.r county property 1.ft by the grantee or agtt'lt$ 'n ,
cot'ldttlon d..n'iltrous to 111'. or pnlpert'l. H. lIlay c..us. to be replaced or reset recorded monl,llllntl tf a gr.nte. f.tls to repllc, or r.Slt S."'" wlthtn
. reasonlble tllllC after completian of constructfon. The grin tee. upon dtmand. sh.1I p.y to the county .11 costs of such constructton or r.p.lr .nd
0' doing such work.
6. All construction or 1nstallatton 0' Ntns. \llhes. plpes. polts. c'bles. 1fn.s fttting and factHtles. "rvic.. rtp.h'. or r.locatlon of the
SlN. performed 110"9. ov.r and/or und.r the county ro.ds, rlghts-of-...ay or oth.r county prop,rtln sl.lbJlCt to lIid franchise Shall be don. in such
a manner IS not to interfere vith the constructton. oper-.tlon .nd m..tnten.nc. of other utHitle.. public or private. dr.lns. dr.1nlge ditchlS Ind.
structures loclted ther.tn. nor with the gr.dfng or improwement ot such county ro.ds. rlghts-of-w.y or other county propertfes.
7. The owners 0' all oth.r utt1tttes. public or private. fnst.lTtd in such county ro.ds. r1ghts-o'-wlY or oth.r county prop.rt.1ts pdor tn th.. to
the Hnn Ind "c1Ht1es of the gr.ntee sh,l1 hn. preference u to the position .nd loc.tlon of ,uch utl1HflS so Inst.lled with r,spect to the
gr.ntee. Such preference sh.ll continu. tn th, event of the necessity 0' relocating or chingfng the gr.d. of .n)' such covnt)' rOld or dght-of'-",.y.
8. The grlntee, IS far as practicable. shall construct new utiHty facilitfes undergnlund. Ed.nsion of overhud facilfties follo.fn9 struts.
I\/tnun. WI)'S. boulevards or thoroughf.r" shall be underUken only "dth the .pprov.l of the County Enginttr~ PROVIOEO. how.v.r. th.t IItd .ppro\lll
shill not be unrelSonabl1 whhheld. Grantee shall conv.rt exhtlng overhud fleflfttes to underground facfltttes IS Ind when equlpn'ltnt replacement
.15 underuken. or when other ._fsttng overh"d utl1ftles are placed underground. unless such replace~nt Is unllf.. l/l'Prlctlc.l. or economtcal1)'
unreUQn4bl~;r Line ex..t,CQsfon polictes and procedures established by the grantee. and un1fonll'1lPplltd through Its Slrvtce aru, sh.ll b. thl
sun~'rlllni,detenlllnlng\"'hip,"4~~'~ttCll. Impractical or economtcall'1 unre4Son,bl.- under thts ordinance. provfded thlt no new overhe.d utilit)'
faCl1~l,t.r"'~s:h~~~' ,be con.~f{lJiC,t'~1 sUb1tsh"!4 fn '''1 "'".. set nlde far public park. school. pllyground or Ithlet Ie ff.ld purpous.
9. Specf., ,""Is'"", 1.<-. ~i L' ~ . .I
,'. ;.e_ ,:e ,N 0;:. ;r:NSr"i-'-"'--' ~t6,J ::>#141.-1- Be. Do^, e , ^'
ACl:6Rt>A.t-l.CE w,'j-I-! +he.. PoI<T'-",Dt-Oc-l R,J. PA1<:K. pl"'1N~
OIJ #A-'-'D ?9-7"" PVlf,t-;c.. W cJR\~.s
2. ALL pjs"""~Beb A-R..'2.A.s .sM'-L
.fo oR;7,';.)t'lL CONi:>,'+;-O.-J:S.
Be ge.:s~R.e,D
~. Rd;T \)
/11;;.),' "1IAWI
/11 ,"Af:",,/,/. '"
<: R o:;.s,'", I S!lnt..L i3 e.
aP 6-" 01= cRVlSl/eD
o-r: 6 -, oP ASphflL-T
pri-rc /I e. 'V w ,. t-}I
$uRFflC-l'Ni ,lJ-lVD
co,.JcR.ere; .
A
A
;'
I
/
Genert1 Pro~hlon$ ~r Jt:ftt!r.lltJn count~<I'" _..t: 2.IH 41ld ....AC l)ti-4Q. A
',,,~.J <.,",'
l. All IoIorlo:. don~ under ~,shl frilhctlb~ 1h<lll lJl~ dUll\.! III <I tho,-ou'jh dlld ..or\..rnordllll IllorWllr. It, thll 10/IIlY of undcr<jrouIlll ""1-111:1110::' "110.1 e~:..I..~ "II<ol till'
eon~truct Icm of otlu:r f<le1 J tt Ie:~ "lid tilt: Olh:nIIlY of tn:netll:~, the tUllnellllq under CUl.Il\Ly rl,lod~, rIlJhn.ol-"dl or OUlI~" l o.."ty vrwp",,-t II.''' , "'" '/' ..tit",..
,11411 l~<lVC 'uCh t,'c/ICIo0:1, oJllche~ ollld lunno:h in ~ucll d pj<lY <11 lu lIltcrtcn: II~ I;ttle d~ 1l0HIlJle ",'1I1 pul.l'e tr'<lH.1 ..1"1 ",01.111 t.... <Ill <J"l' .',1
/It!eeUolr)' l.lrcc<lution' tu yu..r<J tile .'><l0Il,! SO thdt ddlll.l<je ur luJu.'y )h",ll not uccur ur dr1~e lJ)' '"II<l~Ufl ot ..uCII ..';rlo., ,,"..1 ..'111ft: "n" ut lut" t'III1C)...l.
dttcht!" or tunlu:ls <In: left upen <It nt\lht, the '1tdntee ..11<111 pl4el~ ...",rnlnlJ 1;llIiL~ dW..I t..<I'TIC<loJl.''' "'l luo.:ll <I l'u~jtlulI dl LI1 '.J"" 4<J1.'\l'~<Itt' ..d'IIIUo; 01
,ucli ..orl.. Tht! \l't-.:ntee stl<lll bt I t4bltl for <Ill)' HljUI.y tu p.:noll lo'" p.:r~ulI~ or :ld"I<I'J.: to Ill"Up':"Ly ~uH~'"lld tllrl)u'Jh ,t, t:<ln'll'~~III'~~ I)r """Jlcct, I.lr
throu9h (III)' follurll or negJl:Cl to prullt:rly gU4rd or 'JIVl' lo'<lrnllllj of ~nj tn:no.:tll:l, dttclll'~ I)r tunm:1~ .Ju'J ur m"lnldllit'lllJj lilt' ljrolflllltc".
2. Thu 9r4ntt!t!, Itl> ~uccc~~or:; or Ilulfjns, ~hdll C/)llllwnc/:, COI1~trl.lctlo', undt:r ~ucll I'tllllrlt IJf411ted t..y tilt: CUUllt)' I"nql""l:r ..lthlll tht' t'lI.... 1't'(1od ..t"ttO
in ~uch ~nldt <lnd 1.110111 h<lve COOlllllltt!d ond h<l~l: III upcr<lllun ~I.I,II portlun ot Ule S,plt:m of lrullrUvl:lI....nt.. C1~ "lilY be ~plltil1t'.J ill ~I.a;h plo'''lllt ur till:
rl~ht1 thdrtdn confern:1l upon till! qrontul' ~h<l11 Ce:4St! 61ld tlllmln4lc jn~ol<lr.H UlluCCl.lIJt...d :.tl"lI.:tl, l'u<llH, c:t(;., dl't: LurKeflll'd.
). rhe CJr<llltee sh<l11 lC<lVl' 411 HrueU, 4vlmues, ollcys, ru.\<.h, h11lllwdiS, rlqht..-of.o,;C1Y 4ud utll.:r cuuIltYllropllrttl:', <1ft"" 10,1n<} ond IMLall',,'l
rnaln~ <lnd dol1l9 Clln~truction ..urk, 1114k1ng n:p4Ir.. to l:ljut\.'lrlt:llt, t!tc., in <lS lJoud on.] ~dfll clJllultlon tll dll rr!~IJ...,n .s lIllIl ..r:rc t.dore thc ""'''11.:(1(0.:.
rncnt of such IOOrlo:. by tht! gr<lntee, Its <I'..Itlnt~ ClI" contr",ctors, dill.! <11\ rllco,"ch:d lliollulncnt~ ...tllch h<lvt! bllcfl disturbtHi or <JhIJ1dcl:d by the: wu"~ UI.ll ttt'
reset to tht: SPt;!cifiC<lttons I\lll.! 6Ppro...4j or tilt;! Count)' [n\llut!llr,
4. In C<l~e of olny d4n1,sqe to ~dld strt.!et~. aVllllue"" ..lleys, ro.Hh, hllln"'4Y~. rllJhl...uf."dY or ulher count)' lJrUJlllrtle~, or to IJolVt:O ur ~lIrl<lee<J rl.l<lo.
\o4yS, turn-outs, ':lutt~r"', ditche~. lo'Qod or cOII,n:t... ..;lIb, drdln 11lP"'S, h.Hld ur t!11It..<ln~rl'i(:nt I'~ll~, hddge~, tr...:.tle~, ..114r~e"", 16ndiflgl or Ihonullocnt~
by the grantee, the saId !Jr<lntt:c Ilgrees to rCIJ<li.. ~uch 04m<l!Jt.! <It the e<l.rllt.!~ttjml: pUHlt..lt: "'l ll~ 0..11 co~t <lnll C"IIerac,
5. When the County [n'iltneer detel,nlne~ th<lt (III clIlcr/j!!nc)' ",HuoLlon doc~ cJ\Ht. lit! m~)' ordllr <llId h4vII dunt: illlY 411d <Ill ..or.. COIl~'de'.coJ Ill'cll~l"ry tu
restart! to d "'<lfe conditIon IIny ~uch ~tret!t, <lvr:nul!, <liley, I'udd, 11;1)1I,,"Y, rtght.uf.......y or otlit:r coullty lJ"opl:rly IllIl I.)' lIlt: l)f4'ltl.'t: or "'l,'llt.. In <I
cOfld1tto/l d<llll)ero\.ls to 11fll or property, flt~ nI<lY ciluse to t.e ,cpl<lccd or rC"'llt n:eortleoJ Ol<lnUlIlt:llt.. it ~ IJr<lntclI t~lb to '"llpld(;ll 0" r.....el "JI1'" ..1(111(\
4 rC4",on4bll! UnI!! <lfter COlllpltltlun of construction. The c;rdllll:ll, \.Ipon delllillld, )h<lll IJd)' to lhe COUllt)' 411 COH~ uf ~uch CUIIHtu(tlon llr '"Il\J<lir <lIld
of I.lolng such o,;ork.
b. All conHr\.lctlon or illstollation of OIoin" ...",l"'t:"", pille"', polc~, cdul!:s, lint:'" fttttllq dlld fdei1ttle"', "'erlllce. rep~ir, or n:l0Cdtlon 01 tIlt'
UIIle, ptlf'fonrn:d 4JOIl!J, ollt'r 4lld/or undt!1' thl: count)' rO<l..b. 1.;l)lIt1-uf....."y or uU\l!r count)' IJropllrlit:~ ~"tdllet tu ~..1r.1 fr~lIchl~t: stldll /.It.! (lolle HI ""uch
.. r"<lnnt!r 4S nOt to tnttlrfcre with the constructiun, oper<ltlun <Iud I1ldlnlell<lnCII at othel" utlljtlt:~, !,ut.!tc or Ilrlll4le, droln~. dr<llnd')e dftClIII~ allt!
structures louted tht!rein, nor with tile gt4dtll') or ijliprovemelll of such cOllnty rOdd~, d!lht~.of...4i or ulllc" counly properttes.
1. llle ownt!r\ of.,l1 other utilities, pUblic or prlv<He, tn\ldllcd 111 such eoullty rOdd.., rt!lIll~-of.\04)' or other coullty IlrO"'llrtte~ prior In tlnlC to
thl: line$ ond f4cllttlllS of thl! gNntee Sh<lll ha...tl llrt!ference <I, tl.l lhe IJo..iltoll 4n~ llJc4tlull uf SUCtl utt\llies ",0 inH<lII!!d \Olth re",jlllct to tho:
gr<lnte~. Such prefert!ncu shdl1 continue 1n the t!vt:nt of thc nece..!>Hy of n:loe<lltnlj or Ch':UllJin'.l tht! grdde of <lny su,h county r04d or r!glll.ot....y,
8, Thl! grolfltee, as hI' oS prolctiC<llJle, Sholl COII!>truet Ileo,; utility (del1ttie", ulldcrljround. ["h:lIslon of OVUrhl:dd f<lctllties fol100,;1"'.1 ~trt:'lIa,
<lv~nul::s, \O"'y"', lJoultlvllrd.. or thoroughf<lrt!S shall bll u,ulcrtaktll ulIly IOlth the <lfJlJrovdl of the Couflt)' [nljtneer; l'flOVI\}[O, tIO"III1t!r, th",t "'oliei dI'I'I"IIO'<ll
sholl not be unrenoncluly ...;thtlllld. Grant!!c Sholl convert e,llhtillt, oVL',-iledd fdCi1lt'c~ to undl:r~jround hc11Htc", <I~ <lnd wt't!ll t!q\.liJltllcnt rl:!II"Cl'llCnt
Is ullderU-"lln, or IoIht!n other t:,lltSling overhead utilities Ml' pldceu UlH.!cr'l,.uulld, ulllt:~s ~uch rcpl(1ct!1I1ent Is unsafe:, In'lrdCt1c<lI, or t;'~onUlnl'dll)'
unrt:Hon<lto1e. Line elltenston polictes and IJrocec\ure.. eH4t.lhtwrt by thl:' IJrilntt:e, <lnd uIllfOlln1y <lIlPlled throu\lh ;t~ ~I.'rvjct: 4rl:d, ~hllll be thc
st<lnd<lrd In detunnlnlng ..h<lt t", "practte41, tOiprclctic4l 01' econlJlllie<llly unre6S0l101Ule'' I.mdtr thl, ordjnancei flrovidlld thClt no lie.. overh~,Ul utIlity
f<letlitte' sholl be constructed or est<lblished in iln)' 4rea 1et <lsidc for public pdrl, school, pl4Y9round or aLlll!!tte fh:ld purpost!s.
9. Spechl Provisions:
/. .mt9<?- OJ>&J <:"'1 For<. i<-€fA-'ilS,
.,Ft9-T<:;.r~J IN ;-;-)1' o4$lh,l'/'--7 c: oNe. ;ae:T"e
'2, rJl-L- i:>;S-r-",r->~fC..~ l/-Rel4S .sth9LL-
'10 OR. '1';A,J "T L-- CO;o.J D; -1-,- ON.
t3 VI l' />? VI os. r-
D€..\l..p.
ae ~ e. s ~... '<.\:::,
6
"
\
~'\:~~~
\~5r"'~if
>:iP.~v'
r1/;r;;"f'r. '.
j,..-\1,'
N~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerstln Street
P.O. Box 1220
PorI Townsend, WA 98368
(206)385-9160
District No,
.5
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi.
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO Puget Sound Power and Light
to Install.. an underground cable along the West side of Montgomery Lane and the
North _side of Grove Ct.
"3013.P 88 - "'72-78
County Road No. 542109
Franchise No,
Milepost 0.30 to 0.36
No work shall be done under this permit until the party or partics 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, Aug.
Dated at.. August 22 . ] 988,
22
&~~~@wm
lIy --<J~ ~
1.800.424.5555
0857
,1989
-:....._.._..._____. __._____~_.._ ,,,'"'"_.~.._...'"~...._____.._,,_._ _. .0"-
GENlmAL I'I(OVISIONS Al'l'UCAIILE TO AU, l'EIlMITS
This permit is subject to all aplllicable provisions of the Revised Codes of Washington, elicept that any provi!o,ioll in this agrecflu:m not cvmistent with
such resolution shall be controlling.
A bond in the amount of $
is required for the prolection of the (oullty as set forth in the terms of the bond.
During the progress of tlu: work such barriers shall he erecteu and maintaine(j as l1Ia)' he necessary ur as may be directed for the prOlection of tlie
traveling public; the barriers shall be properly lighted at !light.
In accepting this permit the petitioner. his successors and assigns, agrees 10 protect JefferMln County and save it harmless from all daims, actions and
damages of every kind and description which may accrue to or he suffered by any persoll or perSOllS, corporation or property b~' reasun of the perfor.
mance of any such work. character of materials used or manner of installation, maintenance and operation or by the improper occupanC)' of rillht of
way or public place or public structure, and in case any suit or action is brought against said Jefferson County for damages arising out of or b)' reason of
any of the above causes,thc pctitioner, his successors or assigns, will upon notice to him or them of commenccment of such action, defend the ~lIle at
his or their own sole cost and expense and will satisfy any judgment after the said suit or uction shull have finally been dt=terlllineJ if adverse to the Jef.
ferson County.
Except as herein authorized,no excavation shall be made or obstuclc placed within the limits of a coullty road in such a manner as to interfere with
the travel over said road,
Except as herein authorized, 110 excavation shull be Illude or obstacle placed within four (4) feet of the edge of the pavement.
If the work dOlle under this permit interferes in any way with the drainuge of the coullIy road. the gr<lnlec shall wholly und at his own e),pcnsc make
such provision as the engineer Il1UY direct to take care of said drainage.
On completion of said work herein contemplated all rubhish und debris shall he im/llediately removed and Ihe roadwuy and road!o,ide shall be left Ileat
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall be done under the supervision and to the satisfaction of the County Engineer and the entire expense of said
supervision shall be borne by the party or parties to whom thi~ permit is issued.
The Department of Public Works hereby 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 the sole expense of the parlY or parties to wholll this permit is issued. or their succes...ors
and assigns.
All such changes, reconstruction or relocation by the grantees shall he done in such manner as will cause the least interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any damage to the grantee by reason of any such work by the COUnty of Jeffer.
son, it agents or representatives, or by the exercise of any rights by the County upon rouds, streets, public pluces or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and shall nOl prohibit the County from granting other permits or franchise
rights of like or other nature to other public or private utilities, nor shall it prevellllhe COUnty from using any of i1s muds. streets. or public places. or af.
fect its right to full supervision and control over all or any part of them. none of which is herehy surrendered.
The Department of Public Works may revoke. amend or cancel this permit or any of the provisions thereof at any time by giving written notice to the
permittee, The permittee shall immediately remove all facilities from the right of way. AllY facilities remaining upon the right of way 30 days after writ-
ten notice of cancellation shall be rellloved by the County at the expense of the perllliuce.
The party or parties to whom this permit is issued shall maintain at his or their sole expense the structure or object for which this permit is granted in
a condition satisfactory to the Department of Public Works.
SPECIAL PROVISIONS, 1. Cable shall be installed a m:lmimum of 30" below existing
shoulder grade.
2. Open cut to the center of Grove Ct. will be allowed, with
6" of asphalt concrete required for patch.
inl~ilM3..,.-4)-1, .dis,turbed areas shall be restored to original condit1on.
~J@iWCfJUul~\
In accepting this permi! the grantee, his successors tlnd i1!tsigns. agree that any dnmllse or injury done to the property of the grantee or any expense
incurred by him through the operation of a contractor, working for the Coullty or any County employee shull be at the sole expense of the grantce. his
successors and assigns.
and conditions as hercin set forth.
. the undersigned. hereby accepts this permit subject to the terms
Dated this z.. 4 day of
A.v ~v":::- T
,1989
-~ e~-'.
~~
Cj~1;;;
t!~..
~'''t
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
Fee l)ai<1- Yes _ No
1820 Jellerson Streel
P.O. Bolt 1220
PorI Townsend. WA 98368
12061365.9160
Reo.;eipl No:..
Address Requr:st_ Yes_No
Mile Post
AI'I'UCATlON FOI{ 1'~:nMIT
To Department of Public Works,
Jefferson County, Washington.
The undersigned -PUG&:. T ~~J 10D l'bWE.R.. ..t ~ bu-i
hereby appl_ for permission /0 ~~ A. La N t:.- T-l4~ lA..J1?--i
(,I"pl/'UlI/ l.ill<1'''''''''''Jilll.I'OIIIIJIIl''l\ivu'' /OJ,,)
--::> 1 D IZ-
of l-btJTqOt---1 e:p--f
~-P;f'L-_ ,-:c.f<..:pL t:>.L..1 W ~
c.-""
0,0, "'T'12- \ .
<-A.~L.E:. _
SKETCH: ""'=>E..E.. A.. TT A<::- ~ -h:.T:>
~C)D 'FI' 83-o/2.l~
h.JOlZ.1:::.. """'-=f::-F--T~
1RIEC!E~VElO
I:UG 10 1988
JE:=FERSON COUNTY
ENGINEERS OFFICE
On CoulIlY Road: Not-lTGol-'1 E:.i2--f
<::"::>~VE- C-r
Cor-
bel ween
LIBB~
=r
<t:
fSfUIl"lIt'OfMlrrml..I/rl'f'/lJ'",II<'f/f>llItJ
and agree_ 10 do the work in accordance with your rufes Gnd regulations and subject to your inspection and approval.
Dale~ 19~
~ &---- ~
~ ISiilnalUre nf Applicaml
(If applicant is p copartnership. set rorth names or copartnersl
IConllDclorl
'Hhlrtlo.'i
Alldrc\lo
Jdfcrson Co.
DEPARTMENT OF "UIlLlC WORKS
District No,
~
Permit No, 05?~
SU'Jcrvisor's ltcllOrt No.
Supervisor will make detailed report with his recommendation Oil this application. Whenever possible show sketch of proposed
work. Supervisor will also make additional reports alldfinol report giving date of completion of work all thisform.
I>>reliminary lteport:
8~'J"N .N R?', ,4, Mop .
rl,eN Ft~oNl /h-p 0 -~o
c-.;-- 1-0 ce'Ul'-e}!' of
0.30 10 "".p. O.3b 0____ /po~",)?o,.,et<.7 LN.
-I-." O.Oc.. c>-v ~6""~ove. Cr. "",t.e.ee Df'eN
c....L - pf? -Sr1c.
Rec.o...,...e"".z:, /l-LI.O..... ""'? 6/~J2N <....1- q,J OI<.OV~ c-'I', .A-tv()
p~'1"<..H- _ .... .--t-H /1-':>1' ~,4,- r C"o'\Jt.J2.el'~ ({" JJe.e.p, ~.p.vs;-;4<. '- ~.'N.
()r- 3,0" ".-.. /?e.(QW .s4-0....L.t>et!.. :7t?''-''P<:, ()N ~(jrv"'9(j,..e,e.r UV/_
Dale:
e- -'8-8ff
Signed:
...6~ k!~ K -'1
Final Report:
PERMIT INSPECTION REPORT
~ Work covered by permit has been completed
satisfactorily.
Work is not compleled.
Recommend permit be cancelled.
Traffic control. adequate
- inadequate
REMARKS
Bale:
LI_ :l')- 1"1
Signed: ~<~--{
Hor-J--r"'"", -
I .:::1=1-'\ E"J2::-l"
~"I, t-\-\'T11
T'\ L_ \J
6 J. II
1,1 'r~ -, c
J' \J
11)-' ~
P\~' -\
J -iI -
EJ1 J\
\ hI
II' ~~ x
iJ! ~ ,~ ~ "'" jt;r
-( I JI ~~ ~
IJ'~'}/-:
',~_ r , Ut?
_--=- A ~
l ~'
, ' /~;JJl
]~-:<7
~~ ~
~i: ,
~~ ~.
j f'r-.~
{f
'Y
AI '
c:::..-r:
~
en
n
:;;
;:;
z
~ I(
S f[ g
rn J_ ~
5; ~~
~ Ui~
B ~~
'" !::l'"
~o~ i!i ~Cl
~:i! n ~ _::0
2~2 (f) ~c:
~!:i 0 I ~~
E ~ a~
~!lJ ~el
c: ::o~
~ ~c
=< == "'5
[jj ~ ".... :; S;
~~,l:! ;S g
en !Ii it :Z:z
~ i1~ ~ ~
!:!I:fj"'4 t!l in
("') S;;;!
::t: !:l:z
...n
gi
o:z
:z11'
0_
~ffi
!lJg
~l
t: I'J
;:j t.
rJl III
,1\
,1\
'"
~
\-\-8 H (fJ \\
Z./7...:..J"i
~:-~(,J~\
\\~ ti;}
J7. Jl[ -
~rjtpl\
,.JI iTl~
[11 J,:;i 1
-J r"
l' ~ \) ~
L.-l\ :-
\J <( J\
Lf~
L4r
z. Ij1'
r
~1111 ~~ ~
r ~-i) ~'Z:: \J \l "f. 2: ~ I;
(') <. -{l; 11 J J F1 -J' "'" r
0 r1 1" III 1-\-V -r -~r
c 1-\ ~ IT .1....-1.] ~
.~ .~ zvl
(o~. ..
::}~ ~f l! F~ ~~ ~ r-~ \"
"iJ <
i "m ~ j fj L \' 1'\ ~
I' (\ _I .Q\ Jll. r --' v
~ ~Lt N ~ 1<r ~ rl~_ r ~ ~ ~~
J. [;; vJ ". J ~ E- ~ ~~
u~ '~ c L ~
~ 1 I'.. r. -\ f - D r~l .
1:._ -
~ '_ J 1--(, if! () ~ ~~
N - r () r1 \
,u' J f\l!\ :l.!l.. L
-\ -= ~ (II rJ v - S - J>
r . f3\ Z d~r
~ ~! 71 l' -JI ~ i, 11 rr L. .::.J
,>.J ' vJ '~- -\ 11 ~ ~
-\ ~ ~{O_FI ~ ~
L: ' r-LLJ'
(\ III
-I S ~~~~ , {:
~
'"I 'I ,Uly & {\ i'
~J '\ 1". -K
'-I ,1 ~ \; ~ - ~ t ~
, (JI -v I'll L 1'\ ~1
,-- -:{.l J ~
-1 0 :...
-,
C " ",-
..J
RJ~F~ORT NlJMnl~I~: ES"'230-()!
I)~TE 08/08/88 'rIMI~ 07 :!6
r(~:J') CosT.[Xr1.f1l~IT!::: ,:,;"I,~~'TFI'l
Ml'.rE~:IA!_ ISStJE (.'....61>
I.') '0 i!t.Ji1r:iF1O: ;:~':l.)'?~.:7\J..)n
"',',1.:;::: Z rW2.
IHVT.IL.OC. ISTUCI<I":~I.1 DUC.HD. !.:;'/CI (,CT. 11'le.II":(,1 I/!.'!! ('fi, 1:"nL!':u, !',
S'fCIF:EISA".S.r.t I ! S ! !N.,J!~IJ0'!2.7~~0('1
X)I'I'I'[
nU()~'!TITY
I?E:fJUI I': I;: D
QlJA~I'J'I'J'Y i1A'T'l_~:[J)
:r 5',:,;'1...1[[1 C I,:: F" '" I TI:::I'1 tISS'( !"j(lTEr: 1(..11.. Di:::,(.'cr:::I. FT T(,(1
I!IS'TFn:r-H.JTlnf'~"" UG COHDUTT, rll..n:::r:ED SYS'TE::l"L:;' I ('ieT.. I j'iC ^ I !','(: t.,!..! r I...I/U nn(.>"{:;.~ IL')i
"') i Cl ",:; /) ~::; (-j () [; F! ..1... E:: rJ D ~:.~ I N ('I C~ :.~. I:" l.. tr ,~:' r :!. c
?M 7!, 34EI00 c:o~!nLJI'J' 2 J:N I~L~{~~"r]'c
3 :.:,B ~~~:>(,OO S'JGN Bt.l1:;;TE::P Cn,D!...:::: -1()"~<1'5
I ~:~ '1(:, 603(\(1 nttr::I<r:::r:: C(lCLF:' 1:'L(.l,~:'TIr:
D!STRIDUTIDH- ue CONVUCTDRS AND DEVICES
52''!) Bl:~ <P"?4(.)O
2 7El ()t~.lOO
I (leT ,. ! He.. ! r?r'l ('~J! !i,l/D unO.?:'!7~30(~
CADL 1/0 CN JACKEl I~~V
[!...I~Dt'J 2(':Orl "/(.~I "1! l'::;l~ \I
E:OU I F'"E"T
EJ:P!"1!SED
I (ICT"
111C..
I r;:h. H) 11:1/0 uno7:.:.~",::'J(-)(")
DIV: 6 !C;OI.JNTY: ~'EFFA
I U....'.il',F"::.Z8/ E34- I CKT ,'ire',:",,::,
'rITLE,
DIST. IMPRV,-REPL. D,U. PRI. CABLE
I Et:SE1'iE:'1,!T
ICln':'?IL. 1"7 !F,,~: ,LI
I PClL..E C;'~Fm
LOCATIDN MClMTGOMERY CT. & GROVE CT.
1 ''''I'':r,I'\.:,,,'!'':(:ll
[ l'l(IJ""'r:'ED
DATE URDERED IDATE FILLED IEMGRD BY.
/ .I I / I '=OkJ 1<:.1Z..
I DF;:t,tm BY..
lC=wtE:1Z-
FILLED F!Y
1 F::ECE I V 1...1.' BY 1,11),,1,< ,;1. "H'\/i'l
I I',':,~::,':"..,'
IO(,TE CO[II"'" 1 1':'0:':1::::1(:1-1
I / .I !
SIGI
!
.. "'". !
,,;'IG I
!
DOC 1!O,
E~TIMATr::: ~!(J.. ,JrlG 8r10';~"?8 II)~l'E l.~C!MF'_ 11"(.)R[::ti(~l,!
THIS REPORT WAS FROOUCF0 ~R()M rONrpOLLED PROC 1 I
n:r 5.'!::' I 17:: ,~;'Tl.~ '1:;:i'l fDr:: I ~~N L:l' N '1?1-i c.;,Fr1 r:" IH.' Cf]OF~P.. ,~:.'Y.:i'.. o r:'r:: I:::NGP !":/l'j ()2;,;'T ';'l II:' ADV., ",':'Tl":
...; '.....:;~'-'.:-'.:_'\_-..:.~.'~"-,:....:...:.--..:.;;:.,~,- "'"
":.-:.;:,.,...~.,._,,.,_.._,-:..:..:..,;
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slreel
P.O, Box 1220
Pori Townsend, WA 98368
{2061385-9160
N~
0903
District No.
5
PERMIT
In accordance with all applicable Revised Codes of Washington and amendmcnts thereto, and subject to all thc terms, condi-
tions and provisions written or printed below or on any pan of this form
PERMISSION IS HEREBY GRANTED TO U.S. West Communications
2720 Oakridge Dr., Port Angeles, WA 98362
lo Install underground service wire from mile post 0.71 to mile post 0.73 on Olympus Blvd.
.'
~OP7
'ftd.~L
7?~ 11~83>
~jJ-/C..
County, Road No" 549309
Franchise No.
Milepost 0.71 to 0.'73
No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with and
received instructions from
This permit shall be void unless lhe work he,ein contemplated shall have been com pie led before October 25 .1989
Dated at.,October, 25 .19 88
By
~~/<~
1.800.424.5555
GENEI{AL t'l{OVISIONS AI'I'L1CAIILE TO ALL l'EIlMITS
This permit is subject to all applicabh:: prm'isions of the I~cviscd Codes of Washingwll, CXccpllhat an)' provision in this agrcclIll:nt Jlot consistent with
such resolution shall be controlling,
A bond in the amount of $
is required fur the protCl.:tiull of the Coullt)' as M:l fortll in the terms of the hondo
During the progress of the work such barrier::; shall be crcctl:d and maillwincd as ml1)' be ncr.;cs~ry or as lIlay he directed for the protection of die
traveling public; the barriers shall he propedy lighted at night.
'n accepting this permit the petitioner, his successors and assigns, ugrees to protect JcffcrsulI CounlY am.! ~vc it harmless frolll all claims, actions and
dumnges of ever)' ~ind and description which Illay accrue to or be suffered b}' any person or persons, corporation or property b}' rcason of the perfor-
mance of uny such work, churacter of materials user.! or manner of installation, maintenance anr.! operatiun or by the improper occupanc}o. of right of
way or public placc or public structurl~, unr.! in case any suit or action is brought against sair.! Jefferson County for damages arising out of or b}' reason of
any of the above causes, thc petitioner, his successors or assigns, will upon notice to him or thcl11 of commcncemcnt of such action, defcnd tl1l,: same at
his or their OW/1 sole cost and expense and will satisfy an)" judgment after till' said suit or action shall have finally been determined if aJverse to the Jef-
ferson Count}',
Except as hcrein authori7.cd, no excavation shall be made or obstacle placed within the limits of a county road in such U Illallllcr as to interfere with
the tra\'e1 owr said road. '; ,'.
{f,~':'- ','):',.</..11,;. '," .
Except as herein authorize<-l. no cxcavation shall be made or ohswclc placed Wilh;ll,~r l:~f i'~~ uf 1t!IC eugc or"lh'e i~.it\'el'ljI1Jlt.
If the work done under this permit interferes in allY way wjlh the druifla~e of IlIe COUUI)' rwtJ, dw ~ralllcc ....hall wJ}()JJ}' aJld al his own cxpcm.e make
&uch provision as the engineer may direcl to take care of said drainage,
On completion of said work herein cOlHemplated all rubbish and debris shall be immediately removed and the roadway and roadsidc !lhilll be Icft ncal
and presentable and satisfuctory to the cngillecr,
All of the work hercin contemplated shall be done under the supervision and to the sati!lfaction of the County Engineer and the entire expense of !laid
supervision shall be borne by the party or parties to whom this permit is issued,
The Dcpanment of Public Works hcreby rC'''crves the right to order thc change of location or the removal of any structure or structures authorizcd by
this permit at any time, said change or removal to be made at the sole cxpense of the pany or partics to whom this permit is issued, or their successors
and assigns.
All such changes, reconstruction or relocation by the grantees ~hall be dane ill such mantler as will cause the least interfercnce with any of the Coun.
ty work and the County of Jefferson shall in no wisc be held liable for any damage ta the grantee by reason af any such work by the County or Jeffer'
son, it agents or representatives, or by the exercise of any rights by the COUllty upon roads. strects. !mblic placcs or !>tructures in queMion,
This permit or privilege shall not be decmed or hcld ta be an exclusive one and shull not prohibit the COUlHY from granting other permits or franchise
rights of like or ather nalUre to other public or privatc utilities, nor shall it prcvent the County rrom using any af its roads. streets, or public placcs, or af.
feet its right ta full supervision and control over all or any part ar them. nonc of which is hereby surrendered,
The Department of I)ublic Works may revoke, amend or cancellhis permit or any of the provisions thereof at any time by giving written nOlice to lhe
permittee. The permittee shall immediately remove all facililies from the right of WilY. Any facilities remaining upun the right of way 30 days after writ.
ten notice or cancellation shall be removed by the County at the expense of the rermittee,
The party or parties to whom this rermit is issued shall maintain at his or their sole expense the Structure or objecl for which this permit is granted in
a condition satisfactory 10 the Department or Public Works,
SPECIAL PROVISIONS,
1. Cable shall be a minimum of 30" below existing shoulder.
2. All areas distrubed during construction shall be restored to original condition.
In accepting this permit the grantee, his successors und assigns. agree lhat any damage or injury done to the property of the grantee or any expense
incurred by him through the operation of a conlructor, working for the COllnlY or any County employee shall be at the sole expense of the grantee. his
successors and assigns,
, the undersigned, hereby accepts this permit subject to the terms
and condilions ~s herein set forth,
Dated this 215 day or
Oc-r.
,19?)?
.-r
...:-:.--
JEFFERSON COUNTY
DEPARTMENT OF PUBliC WORKS
Fee IJai(~ Ye> _ No
1820 Jaflerson Street
P,O, Box 1220
Pori Townsend, WA 98368
(2061385,9160
1l.a;e'IJl No.
Addrt:~ Rcquesl_ Yes_ No
Mile Post
AI'I'L1CATION .'OH l'EI(MIT
To Department of Public Warks,
Jefferson County. Washington,
The undersigned (/ :; ~c:J C;;;~...,
herebyappl /tJ-/9-8l'" for permission to ~ /ut::c .64,'I~ ("I-!:u(~~~~':;ilJ<'f::o~~:C;:It....t:t..j~
,:ff~' ,6'.<<
.Ir /'/".." 1<:/",/",,/ '3 'if ro
'/'-"'';-"''4/7 ..I- 7/0 ~'7'''s
SKETCH:
See
a /i,ded
Urk .::?r/er ~- $o"tf
RECEiVED
OCT 2 1 1988
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
On Counry Road:
~j"'/,"S DP
between
/S/DI"""llIrltCfnl'\'.I/rl'l'/ormll..,}(,IIl/J
and al?ree~ to do the work ;11 accordance with your rules and reJ.,'lJlarions and subject to your inspectioll and approval.
Dale ItJ-/"i 19~
'/ 4 ~n- M.vf~.rl- tf;c/L,._
/ tSillnUlUrt or ^llpli~lIl11l tlf npplicunt is n copartnership, !iet forth names of copartners) ICoOllaclorl
Z 72-CJ a /'/,1,& ~ -a.
^';Zd- ~ ~/,/. '78?62
I'hone ~ ' Y"~2 - ~9 2 9'
Adllrc!>.\
Jcrrcr~()n Co.
DEPARTMENT OF l'UIlLlC WORKS
District No.
5"
Permit No, (1 90 "3
Supervisor's Ueporl No,
Supervisor will make detailed report with his recommendation on this application. Whenever po!)sible show sketch of proposed
work. Supervisor will alm make additional reports and final report giving date of completion oj work 011 this form.
Preliminary Reporl:
O''1/YP'''-? \?\uj;:>.
NO t>:}CH
'h.- P
'f-"l.,;-.s
0.71
~:t:><e.
'f",
0.73
Date: /() /7 ~/ / P.,~
. r ,,' (
, Final Reporl:
PER~INSPECTION REPORT
Work covered by permil has been compleled
salisfaclorily.
Work is not,compleled.
Recommend permit be cancelled.
Trafric conlrol - adequale
- inadequale
Si~ned:
A/.-#- z. -.t.... ....
REMARKS
Dal.: '1- .:Lo- ry
Sl~n.d: ~'- ~ <::.
:,
:;i:
f
1,
~~
}o:
(,'
,
/,
~"
t
l'
~"
lr.
r
'I
~ '
1,
[:,
'i
\ .
i
r
\
f
I'
';:;:',
"
,
;i;~X' ::;i@ PacIfic North-.t Bell
OUT
WORK LOCATION IN
'- Addrass 1 ?,/tJ () / 'j ~_~13b!..h____ _
City Pr II)) L6/'L County rJ (:'~ State(.AJJ.L
Name ,~r 1-11" 'f'>' 8 ~rBlWl>ilLL..,______
ORIGINATED BY ~';)~_______ DlIloL~
New ~ SIO No, lJG3-J;2.lL. Due D"e~:SE'
Repair 0 Tel. No, "!17~9:1iJ.:z Tomporiled~
Reerrange OSlO No, __Due Date_
Tvpe ot Service I P R
eel P.lr CotorlA,P. .- T.~:;~~.;----'
r 7,Q-7
PERM IT
10-(9
5
LJLI_5-3__I:..3"L-
-----,-
OOQCflptlon 01 Work
Rt .e.rJ t:: >>a ~Sw
r::-?^ l ii "t ,."C::, .,-..
,. ^<:'IJPr:- C><:'<D 'i'l>,
~"'~~;~~1~~ QUfllnlHr
--
----e------
---
---------- ------ ----
'--, ------
-- ---------- ----
~ ,-- ----------------
N ~ R, t/:J. /?C;r) ___ ____ _ J
Burled Service Wire.
Work Order
l'e8iOleell
No, ~ -3fL
Complete by ___
CONTRACTOR'S ACCEPTANCE
Flrm__________ _
Signature
Title Dale _____
Unit Price 0 Co.t Plu. 0 Flat Sum 0 $__
fJlIIIO: PACIFIC NORTHWEST eELL
Attention
AOdress
Clly
Z'p
AtJPROVAll=nr f:l,llf Sum/CO~1 Plus $
Recommended
Approved by
Date_
DeIS_
PERMIT REOUIRED
Received trom
Jurisdiction
DYes 0 No
Verbal 0
No,_Date_
COMPLETED 8Y
Call
Date __
for Service Connection
\ . :"""'"1"",1- ~
: I : ? ':0: \' '!J ,
I,~
' ,
Sk~tch.Wor~ Re.Clulr~d. ~nC:l~dR l.cr,g:hS:;'~~:irH S,I70 a.1ll1 i:I,f1IU~1H ,
~ '
''l
~,
I
"
,I
'I ,I
,I
, '\, I
~ I
, \5'
, ,I
.I
I' J
: I
'_.-:......~~p.
- - - - --.. ....
O~YI\J\'rVS '-I3J,..>:JD',
,3~
~
,
\..-
~
Cfive/)
. "-'"!:
. ..,..\aVt~;::~'~~ii).~-
-:- :.':i;~'..,~-i.r,,~ft~;~~.
~': Tl'1is ~kOleh r~av;';~t"b~'--;':;'~~~-,~-p;~~~;i~ti;,~ j~ ;ori(ol~~'l.1I '\!'me1n, thl;' ':Qnlrac:tor'! re-.!Ipone1blllty IO,~~~"~~;;'~
,~,;~,,,,,,,
;',.
~,.....,," "..':!".. . ." ..
-
:'
ORIOINAL COp!".'" ,,'.
, , ' .. ,c
. . ,'..'.'"..
- - ':',
,', ":
',:'- -
I" '...
,: ,.:
., J',
, ...
- '
-,
~..
,
,
:.,'
,: ',':',':
,'" ," ,.,,::'
.' ':", ,,'
.. ...".,
':', ','.",' ::', '"
",,, ,",.'., , ,':"
, ;,', ,', ",
,..." ..' .. ..",",.:
... "
,'.,'
, ",,"
",
:>
',~...
, : '!', , ,.."
."', : '" ""',',,
, ,', .."
, :' :', :;...'"
',:,' ,,--' ':
, :',<:':;
--
: ,I'::
..' ...,..,.:,
','
, ,
, ..
",,- "
,
"'" ',.' :" ," ,';
.,,'-' , ':, ",' :
. ..' : ..:.
'" ,-,:
-:" ,:,' '....,':,'
""," ",:" ",," ,,'
",
; .." ,
,'- " ',- '.." _:
',' ", ,'..,
.. ',:', :",
" ,', ,',
'..' ,.., .,. .'.'
" ,'"
':, ""', ,
, ,
-'-, ,;'., '- :,'"
: ".""
.,:'......'.' '
"" .",-
"'::, ,,':', '
1\ ,." .:
'", -,:.,-" -...'
; , . ,...
J~'
\
-S"'-V:'~
~~r~~~~,
.,#.l~,<,
ffM;;'ll'''''\
/-<~V-\-
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Strcel
P.O. Box 1220
Pori Townsend, WA 98366
(206)385-9160
N~
0986
District No.
6
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi-
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO puget Sound Power and Light Co.
310 Four Corners Rd., Port Townsend, WA 98368
(0 Install underground cable along the East side of N. Maple St. from Stevens St.
66' North.
(.cJ,Q.
-3 7oz.<;:/ 7'1'
. j.~?" I /". r (') .I ; '>' I~I' /. ) (,.'.,
.,' ..,"'1., 'r-, ,.
/~:.:-
.'-
COUl,ty Road No. 637909
Franchise No. ..
Milepost 0.05 to 0.07
No work shall be done under this permit until the party or parties 10 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 March 21 . 19.. 90
Dated at March 21 , J 9 89
&~~~~W~~
By .LJ~;(~
1.800.424.5555
GENERAL PROVISIONS AI'PJJCAIII.E TO ALL l'ER!\fITS
This permit is subject to all applicable provisions of the Revised Code.s of Washington. CXcCflllhat any provbion in this agrccrlll:nt nut C0lls;stcnt .....ith
such resolution shall be controlling,
A bond in the amount of $
is required for the prulccl;o/l of the count>' as set forth in the terms of the bond,
During the progress of the work such barriers lihuJl be erected unu maintained :IS fIIay be IIcccs\ary or as rna>' be directed fur the protection of ttic
traveling public; the barriers shall be properly lighted at night.
In accepting this pcrlllillhc petitioner. his successors and assigns, agrees to prolect Jefferson COUllty and ~vc it harmless frolll all claims. actions and
damages of every kind and description which may uccruc to or be suffered by allY person or persons. corporation or propert}. b}. reason of the perfor-
mance of any such work, character of materials used or manller of installation, maintenance and operation or by the improper occupancy of right of
way or public place or public structure, and in cu!.e any suit or action is hrought against said Jeffcr!.oll Coullty for dam<lges arising out of or by reason of
any of the above causes, the petitioner, his successors or <lssigns. will upon notice to him or them of comlJlencement of such action, defend the same at
his or their own sole cost and expense and wjIJ satisf}' all}' judgment after the said suit or actiull shall have filially been dcterlllilled if adverse to the Jef.
ferson County.
Except as herein authorized, no excavation shall be made or ohstacle placed within the limits of a county road ill such a manner as 10 interfere with
the tra\'e] over said road,
EXCcpJ.as JlCIC;U DIJlhOI;l.eJ, JlO c.xcDvtl/ion sJwll be 11IaJc ur nhswdc placcJ wi/hill four 141 1't~cllJ( dw ctJgc of tile p':I\'cmcm,
If lhe work donc undel this permit interferes in any way with the Jrainagc of the cuunty road, the gralltee shall wholly alld at his own eXpen~ maJ.;e
such provision as the engineer may direct to take care of said drainagc,
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 preselllable and satisfactory to the engineer.
All of the work herein contemplatcd shall be donc under the supervision and to the satisfaction of the CoulllY Engineer and the entire expensc of said
supervision shall he borne by the party or panics to whom this permil is issued,
The Depanment of Public Works hereby reserves the right to order the change of location or the removal of any structure or structures authori..-cd by
Ihis permit al any time, said change or removal to he made at the sole expense of the party or parties to whom this permit is issued. or their successors
and assigns.
A]I such ctmnges, reconstruction or relocation by the grantees shall be done in such manner as will caU!:ie the least interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any damage to tlte grantee by reason of any such work by the County of Jeffer-
son, it agents or repre!:ientatives. or by the exercise of any rights by the COUnty uron road!:i. streets. public places or Mructures in question,
This permit or privi]ege shall not be deemed or held to be an exclusive one and shall not prohibilthe Count}' from granting other permits or franchise
rights of like or other nature to other public or private utilities, nor shall it prevent the COUnty frolll using any of its ro..'1ds. streets, or public places. or af.
feet its right to full supervision and control over all or any part of them. none of which is hereby surrendered.
The Department of Public Works llIay revoke, amend or cancel this permit or any of the provisions thereof at any time by giving written notice to the
pcrmillce, The permillec shall immediately remove all facilities from the right of way, AllY facilities remaining upon the right of way 30 days after writ.
ten notice of cancellation shall be removed by tile County at the expense of the permittee,
The party or panies to whom this permil is issued !:ihall maintain nt his or their sole expense the structure or object for which this permit is granted in
a condition satisfactory to the Depnrtlllem of Puhlic Works.
SPECIAL PROVISIONS,
1. Cable shall be a minimum of 30" below existing shoulder grade.
2. Applicant shall be responsible for all damages to county road right of way.
',<~;"'l!;'\:'ifOiffi'I(';~;:'(~~ (\
;, :~- 0 1 'llfn~" ....::;r". 'I I",)
~t....; Lr'it.'r;:'q ',~ l_t",:~
In acccpting this permit the ,",~,llce, his successors and assigns, agree thatllllY damage or injury done to the property of the grllntce or any expense
incurrcd by him through the Of oCr at ion of a contractor, working for the County or any COUnty employee shall he at the sole expense of the grantee, his
successors and as;;igns,,.-. /' TO 6 vc. ~ r2J2.(/'
...)OS-<tPh )(ernp~ .t-..,-U5 ,,:;en ,.. Q
* Pt./ tJ( G+ _<OVt'lclro C.V-<r" 9' ~/c/t,-J- ,the undersigned, hereby accepts this permit subjccllo the (erms
and condition1Jas herein set forth. ' U - ....-.
Daled (his-\' 23 day of -X- /I/?c;;-cA-. , 19~<gC"1
\
~,~,I)
f)~'fF~~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fce Paid_ y~ _ No
1820 Jetlerson Street
P,Q, Boll. 1220
Pori Townsend, 'NA 98368
(20G) 385.9160
Rtu"ipl Nu
Address Requt$l_ Yes _ No
Mill: Post
Al'!'L1CATlON FOIII'EHMIT
y::"~,'f..'
~-
. ~A.,
~JI
To Department of Public Works,
Jefferson County, Washington,
The undersigned 'PUae:J.- ,<)lj(lllcJ POOIE>'- I -1- L./~..f-
hereby opp/_ far permission /0 Trcn, It CD ~""Ii'"'" ",~f,,9~,a,", ,,,-J:f:.,,~
G:o.~+: S,J-c. at N. fI/lQ.ple..:5+ +rom ex/~^,ln~
70 ,Vo.c.a.:Je.J R../w Cf: 6feven.5 CSt-
'Re.fer: ..J-o w. o. No. 75902,471
po Ie..
SKETCH:
:; e e. c..:Ifa...cA e.J Wor It:.s 1<.eA-c.1L
No. "390 Zq 79
On Coul/lyRood: N. MQ.{J/e. 5+-
Tr-onJ.rde. f../o...cllock 'Rd
hetween It/lo.r- k.c), '5+
I
/..;/OII'IIl'Olrl/Cffln..I/'....'."mll..f/<lilll)
and agree_ to do the work in accordance with your rules alld regulations and subject to your inspection and approval.
Date JJt1s.. r c.J, 20 /95f3_
~ 'CO""",,,,
(If appliconl is II copmtner"hip, set forth names of copartners)
MO r-o_u..~Y.1l.e...~ RJ.
EC\ll Alhl,c~~
~ 7OW1'15..~ ~a:i3(P~
No,_3-"E-5-=---f-3JLC:-
Jeffersun Co.
District No._6
DEI)ARTMENT 01<' PUBLIC WORKS
Permit No, (j I B b
Supervisor's Ileporl No.
Supervisor will make detailed report with his recommendation 011 this application. Whenever possible show skelch a/proposed
work. Supervisor will also make additional reports amI final report giving date ojcompletion of work on this/arm.
Preliminary Iteporl:
IV, 117/rple ~T. fYI'f'
'NO ''\)',\-c:.-.\
CJ. P:> -f,;, ().07
~T'l-r-I Dth'-'O:> S\\O"'~~ e~
Dale:
-:; - 2.0- 169
Signed:
J ,~ h..p~c/\
Final Iteporl:
PERMI-MNSPECTION REPORT
t/ Work covered by permit has been completed
satisfactorily.
Work is nol completed.
Recommend permit be cancelled.
Trarfic control.. adequate
.. inadequate
REMARKS
Dale:
L-h:;),o-?'J
I
Signed: ~ 0------:-
,
.~ __ ........, MrT' WORKSKETCH WORK OnOER NO, 3302479 .
79064 11,.' ClJU~\l" PER UNDERGROUND COMBINATION (T.61) SHEET 1 OF 1
'~~ORE I LoeA~'~;ST I >I0LKHOUM I uue NU, I S/~ IAtB;:ii'l~;(;rl~j 18902.479 t, meu c u" t
QTY T MATERIALlD SY QTY, I MATERIAL 10 IASSY
r:~~Eub~ELD" MATERIAL QTY. GRP ITEM AJO. (~f~Eub~EL~) MATERI~l! QTY. GRP ITEM NO.
Y~LES 1So>\? ;:s:;- ,,',\/"": ,:(),H.:C::ONllUCTORS){DEVICES,'\""""">'
POLES, FT, 89 7 /
"
:;':
.
,'. ,...",..'.
. "
:,'
ARMS, PIN.
FT,
87
CONDUIT, RISER POLE
CONDUIT PVC, DB
CONDUIT, SCH.80 PVC,
BE LL ~"'D
3
-~ "
17~~O
2. 76 34900
76 42
2. 7(;;, 2.4(000
...':"
ELBOW 90' "
I.? BELL END, PVC " 76 24
COUPLING PVC " 76 4
BRKT. TERMJr~Al SUPPORT 76 26
H.H, CONC, MINI.PAD 76 62000
H,H, .:5E 2- 76 6-4500
COVER 76 5
VAULT 7
I'
" '
(,
.~
i,
r
u',
E,CJL T 5 B' X /2"
W:JHr< 34'X b 6'
ARRESTOR, KV
F2 CU THW
r...LIJIIIP TA P , B
5'/Io<UP
LINE CIO, KV AMPS
2. 12. 419CXJ
2. '31 O-Zta-oa
48 2
15 El4 59300
/ 2./ 53100
f 27 54000
48 9
77
: U.G. CONDUCTORS & DEVICES'" . /' . '.. ,':,." "
CABLE, KV 1/0 AL CN 85 97
2. 70 CABLE, 600V .350
ELBOW, LB, 1/0Al KV
STR, SPLICE, 1/0 AL, CN,
J.BUS,
BU
KV
86 317CO
78 06
76 6
76 2
76 30
78 5
78 74
ID 76 5"'l2.CXJ
KV
DUST CAP, INSUL. KV
TERM,
TERM EASY ON KCMIL KV
CONN, SEC, FARGO 4 POS
CONN, BLK MINI. PAD
STUD ADAPTER,
GROUND ROD STEEL
GRD WIRE #4 SO CU
HOLE
48
48
90
84
I""/(IU NU. MARKER'ELECT~'LOC' 76
1{O~C.!::(o"'I'-I,-,<::'IL::> ~SFORME '.
CODE' C) :,'
~~ il'VA 01-1 TFMR. 1(02
~ 7200- /2:.0 2.40
WIRE, TRIPLEX #2 83 18100
WIRE, TRIPLEX #1/0
83
18500
CABLE 60DV liD AL 3/C
86
31300
,:,:~<<,-~",:,':::):;,y:,::~"";",,:',~':(,:r,;',i',,,(.:, ~'f~,P,:i,"< 1-(S;t;;,"'CTI't'ITY<'~,i,"<S &!~~9j I' _RA',; ~<,: - '-. .,~..WO, RK.,O, ROER, ~: :'~\,~',',",t,w,",":i
\'iEQUIPMENTI!;H5CS3~,,; ;g:iWI NO 'a902"17.9tJ:'[Y"tful
CIO 7.5 KV 100 AMPS 1 -48 99000
I
RESjJjE.A I D.3":. 20 - 69
EASEMENT POLE CARD
6902.473
PE~MIT ~ r~"''''CHISE
RE:aD
APPROVED BY
ICIRCUIT NO
IRO
D'WESTERN ICJE:Ff=8<',sON 1~901-w.ca5 C"8',..jAPZz.
;~ "'RUDOLF GUY UC:. LIE
. LD~'I/'J:JNPLE sr It ,STF- V"~ ~I" .<;,
"
\r~, O"'TE ORDERED 1 DATE fiLLED I ENRNERMBPE
~ fiLLED BY I RECEIVED BY I STORES APPROVAL
t
DFtlE.BMPE ICHECKEOBV
DATE COMP, I FOREMAN'S SIQNATURE
13
MAPPED
DOC, NO
I CATE COMP, fOREM"N'S SIGNATURE
OISPATCHER STOREROOM FOREMAN L1NEROOM GEN, FOREMAN COORDINATOR SYSTEM OPERATOR ENGINEER R/W ASST, SUPT, ADVANCE COPy.sTORES
,.,..
", "',.'i ,:
" ,:., ' " ': "
"""", ',,' '"
" ,,".,"" '.
,,'" :'"
'." ' .,.'
.,':,
, ."... "",,
: "..'.1:,.
" 'I . .
,
":-(" ..,; ': '.' ' ",' "" ' "
I ' .".~'t: ','/, :,,," :" ~..::.:!.. "~,' . . >
I ~ " .' '.
I' ". " ,i
1'1 ", .
, ',' ,.' ,,' '.,
~:.L"',"
..,','
.", '
,
'.' . '," ,",: '.
..',. '.."',., .'. ,
:'.' ' :,', :' :i'",:
: ,.,',:::: :'.:
" ""', ",", ", ,": :',',:"'.."
:,' , ,
, ".....' '.
':, ,;.' ',:
':' " ,,'
, ": "
,".;, .,'
I
, ,
. ,,:'
" .
,'," '
.' ,'," :-;T
" ,"
.".',
": "
.,"
I ,',:',
, ,".
',,'
"
.. "
,:.:
, ,,'
': "
,.,',
"
j,
;.,
":',',
"
,,' ',:,
" .. "
, .:
,'", ;:
,---I,
" >,
".' 1
.:......J'
..-
.. -;c."', '~\,,'"
\~':' j . i::::'-":" , "',
;~,;,~~, S:~;:..~: ;:,.~';-' , ' ,,,'..,, ' " -- : , ',' ,,' ' ,," ", , " '
, ','> ,
JOINT FACILITIES ARRANGEMENTS LABOR CHARGES
OTHER UTILITIES ACTIVITY CODE CHECK
\ \ CONSTRUCTION ACOOl
JFC NO" JFC NO, REMOVAL 10807 'i,'
OTHER UTILITY \ OTHER UTILITY \ Q,H. TRANSFORMERS (Remove/Install) 58304 V' !
\ \ \ U,G, TRANSFORMERS (Remove/Install) 58405
ENGINEER \ ENGINEER \ REARRANGE & TRANSFER 0151. CONDUCTOR 59335
\ \
\ ,
':,
CALL FOR UNDERGROUND LOCATION ASSISTANCE, PHONE: ~: i
THIS SKETCH IS NOT TO BE RELIED UPON FOR EXACT LOCATION OF POWER FACILITIES SCALE I" ~ 100 ' :
" ~.
LOCATIOI\( MAP
~~ f\1 ~ 0
lillT srlf?RUP -?O,ET 1 ~A":S ITE ,
" ~c/o@~ c/o
P. TFUlR ^' 2.5 KVA TFMR
IN:5T ::3 " R I.5ER "',,/ "
Ol.oq I"?o
- , - '"
1 l\J-i038S{o4- 152.72S-X
, TRFNO ~
~
SEe VOLT - ---!!.
INST SEe H.H.
I , / IAIsr 3 - 4 POS FARGO.5
I
I ~-~ ~
<0385<04
/5'C.7i!..5 t TRE IJ C 1-/ ~OTES
"A" 3~ STA 0"00 PUGET TO TRENCH
-~- - I. {a(O , ALClNc"
- - - -, -- - MA J?LE .s T
771 o.~ "[3" "e" :r-L 2.. CU-ST TO TRENCH ALONG. N.
'-- - - --{,.J'- -- - -< ) VACATED R/N SIDE OF EASEMENT RQ
I STEVl:lliST
I t
I
~ J ~
52- 5 ""t R.E CO 1\1 DUCTOR NOTES
N. MAttE NMA
t3 ~ LOT'C Lors' LorA' "A" TO '13 .
{D("Y.!' {D(" v.. , (DCo Y,:1' /NST 35:0 MO.l') SE.e. TP)(" 1(00'
'B" TO "e."
lJJ ~ fN<5T 350 MOil .sEC TPX "'~ '
~ I '-{N-X. I/J5T '!t.o TPX ~vC'~ 7D 52 ~54
/iliA LG,Sr lAmE^' IN~PE. ED
<:J: I \..(,,38539
"
<:::: i 1!527c. 7
'h I
~, 1-
r "",:" , :::' \ ~ :, ,: '" ",',... :.,' ' ' " '..,"
\ '... ," ' ',' . '. ' : .' :,'" " .
.':' .,.' .,:;:, ,'" ,'::' '.,"'." ., ",' ,':',
, ;', .,' :,", ",,'.' ,:",",<J:,'" '" ':,: ," ,,::,\
f'':
~. .-, "i .,' ,. '" ."...,' "" .'..' ' , , <'
I ''-:':i''"" " ".", '.. ': '.', '.'.". .',. '. ...,',...". .'."
"
t'
i " ' .: ,", '"'' ," ,.',
.; " t, ',' '.. ,..' " .' ,': .'. .: ','
',: ' : "', " ''': ',:
.', ,,'" ','. . '"c"':',, ,,'
,',' ,";"::, ',' '; "..", ...,"," " ',"'" :"
.. ' , " ',: ,: ',',
. " , ' ", ' , , ,', ,:',
i" ;. ," "',' '.'. ..... .. , '. .,"
1 ","'" ", '
" .'. ,..', ", .' ..,..'.' "." :,.'
.:,' ,.i ,'" :" ", ',,, '," " :,-
.' .' "....'.,., ,
',;<, '..'.., .... .....
",' , ' , '.. ',' . "',
': '.: ,,' " " ,," ""
, , '",' :,
':': '. ',' . :. " .,'0':
" ...,
" '" ""
::' ". : '..' ': '
'1,-,"'.' · ' ""':'..', "',"
" '.' ',,', i,7 .
COUIHL!WAO NO.
~TATE LOG NO. "t!)o~~~
MILE POST ~TO~
9FFICE USE ONLY
JEFfERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend. WA 98368
APPLICATION FOR INSTALLATION OF UTILITIES
PERMIT NO. 'K7-IO -I,,,) -..l--
FRANCHISE NO
FEE PAID ./Yes No
OFFICE USE ONey;~
~~~~icant: RO.beff i3~/yoT
Address :300 ~E:t..1.1('r ft,~
7770 w!'<S(!Nd W.., '7'93,,;"?J
Phone: ::5'2f:5 -0 G '9;< - J vV , 3~ .0';<",0 Phone:
Application is hereby made for a permit to construct. operate and maintain CL-
- ~ ~-r::t-~) -U.iT ('~~'
The utility installation is located (attach map or drawing)
Contractor:
Name
hddress
Applicant 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 ~ ~rovisions attached hereto.
Appl icant Signature' Date: / ZJ -1.:<-97
/ / / / / / / / / / / I / / / 1// / I / 1// / I / I I /
PER M I T
/ / / ~~0~lliJ /
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
proceed from '
APPROVED BY: ../l,,~ K~
~ NOTE SPECIAL PROVISIONS 011 REVEnSE
/ 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
j Work covered by pennlt has been completed satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control_adequate; ___inadequate.
REMARKS:
INSPECTED BY:~-C">--
the Applicant has received instructions to
, telephone
Date: /CJ -/</-?:, 7
1-800-424-5555
Date: L( - "."7
,
Geneul Prowhfons pCl" Jeffenon County 0..d1 } 2-81 and \lAC 136-40.
'~,:"'.~'''-~''', ..,
:~ns~~c~~~ :~n~t~:~e~.~1 ;~tr~:n~~~s~h:h~~~n~g d~~e t~:n~h:~~"~~~h t~~~ei~~~~~~~;e c~~~~;r;o.~~. t~~9~~{~~1.~:1 u~~e~~~:~n:o~~~;' ~~~~~~~e~~t)~~: ;~:~~~ ..>:;, ",,'
shill leave such trencheS. ditchu end tunnels In such.. "'y IS to interfere os llttl. IS poulblc with public tr....c1 .nd snal1 Uke .11 due and
~i~~~::"~/~~~~~i~O~~e tl.1~a~~e~h:t S~~h~~ ~~:t g~:::~: ~~.;~J~~~c:h~:~n{~~ ~i~~~s O=n~r~:~r~~.~::S:~ :~c~U~hp~~~ io~n:s ..~~r;t ::I.~=q~~~Z ~~~~i~;S~, ~: ~:'<'.'
SUCh work. The grantee sh,ll be 1 fable: (or .n)' injury to person or persons or dam.;e to property suSUlned through fU CllrelusnUS or neglect. or ~;;,'~~,,': ',',
through any f..f1u~ or neglect to properly guard or give lolarn1ng of Iny trenches. ditches or tunnel$ dl.lg or II\IIlnUlned by the IJr.ntee. ~
2. The grlntee. its..succeuors or ISs1gns. shl11 COllln4l!nce construction under such pe""lt gr.nted by the Count)' Engineer Iolithln the t1me pedod sUted ~;',',,',
in such pe",,1t .nd shall have comp1eted .nd hh'e in oper.tion such portion of the system of Improvements u ",.y ~ specified In such penlltt or the ",
rights therefn conferred upon the gr.ntee shall ceue .nd termln.te insofar u unoccupied streets. roads. etc.. Ire c~ncerned. n ,;
J. The gnntee shill lene 111 streets. ....enues. .11eys. raids. hlgh'dl)'S. rights-of-Iolay Ind other count)' propertfes. Ifter h)'lng .nd tnsullfng l~
:~~s o~n:u~~f~r~o~;t~~~t~~:n~~~'1~:k:~:n~:p~~r~o~~r:~~~~n;~/;i; . r:~o~~e~o~~n~~n~:f:hj~~d~;~:n b~~n '~~s~~~~:~tbr A~1 ~~~~c::r~y ~~~r~~:e s~~~~e- ,~y
relet to the specificatfons and approval of the County Engfneer.
4. In cue of Iny d.mage to said streets. Ivenues. l11eys. roads. highlol'YS. rlghts-of-Iolay or other county properttes. or to plved or surf"ed ro.d..
'Ila)'s. tum-outs. gutters. ditches. wood or concrete w.1ks. drain pipes. hand or embankment rills. bridges. trestln. w/1.rves. landings or IflOnloOll'lents
by the grantee. the said grantee Igrees to repair such damage lilt the earllest time possible at tts own cost .nd upense.
5. When the Count)' Engineer ddennlnes that .n emergency situation does exht. he m.)' order .nd h....e done Iny.nd all work considered necesury, to
restore to. s.fe condition Iny such street. lVenue. .lley. rO.d. h1ghw.y. right-of-wa)' or other county property left by the gr.ntee or agents In I
cond't1on d.ngerous to lift or property. He m.y cluse to be replaced 01' reset recoraed monr..rnents if. gr.ntee hils to rephce or reset ume 'Ilith1n
I reuon.ble time .fter complet10n of construction. The grantee. upon dern.nd. sh.11 pay to the county In costs of such construction 01' rep.tr And
of d01ng such lJl'Qrk.
15. An construction or tnstAlllHon of mAins. v.lves. pfpes. poles. ubles. lines fitting .nd flcnltles. servtce. rep.tr. or relocltfon of tne
s&me. perfonr.ed Ilon9. over Indlor under the count)' raids. rights-of-wa)' or other county properties subject to uld fr.nchhe sh.ll be done in such
. ,".""er AS not to interfere with the construction. operAtion Ind '"llnten.nce of other utf1itles. publ1c or prhAte. dr.tns. drl1n.ge ditches Ind
stMlctures loclted therein. nor wtth the gr.di09 or 1mprovtlllent of such count)' rOAas. rlghts-of-w.y or other COlmty properties.
7. The owners of III other utllitfes. public or prtv.te. instilled in such county ro.ds. rlghts-of-wl)' or other count)' propert1u prior tn time to
the lines And f.ct1tt1es of the grlntee sh.ll h.ve preference u to the posttion Ind 10Clt1on of such utilities so 1nstAl1ed 'Il\th respect to thl
9r1ntee. Such preference shall continue in the event of the necentty of relocUfng or ch.nglng the gr.dl of an)' such county rOld 01' right-of-w.y.
8. The grantee. u hr IS pract1cable. shan construct new utt1\ty faet1lt1es underground. htens10n of o...erhe.d hdl1t1es foll0'0f1ng streets.
....enues. w.ys. boulevlt'ds or thoroughhres shill be undertaken only with the approv.l of the Count)' Engineer; PROVIDED. hO'd..-er. th.t Slid .ppro....l
shill not be unreasonably 'Illthheld. Grl"tee shl11 convert existing overhead factHt1es to underground hct1lties u .nd 'Ilhen equipment repllcement
is undertllen. or when other el1$t1ng overhud utlllt1es Al'e placed underground. unless such repl"errent Is unuf.. 1l1l1rlctfcll. or eConomlcall)' ........
unreuon.ble. Line utension policies and procedures established by the grantee. Ind unlforml)' .pplled through its ser...1ce uu. shall be the
sUneAl'd In determining whlilt Is -practical. impract1cIl 01' economicall)' unruson.ble" unaer thh ordln.nce. pro...iaed th.t no ne'" overhead utnity
fAcilities shall be constructed or estlbl1shed In anYlru set uide for public pAl'k. school. playground or .thletk field purposes.
9. Spechl Provisions:
/lfl't"Crl/\JT
+h e.. p .- tctl
rnt9- fl ,,/:::>eAl C <A T
;S CclO'Vlfr7Cl"e.D f 137
R,CJ/l-D / ?,"<O v,'J)/1f.
IV! /l-c...#; N E:. ,n1e ?-#o j))
;'I'J
6 "
L ; F,S .
i
.I
t j~1
;--....
lJ~
/6
------- -'
~ /
\
~?~~,VW
,~l;"
V;.,'!.i:f,.r-,..
....."'.',r
;/.
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Stfe~1
P.O, Box 1220
Pori Townsend, WA 98366
(206) 385.9160
N~
0985
District No,
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi.
tions and provisions written or printed below or on any parl of this form
PERMISSION IS HEREBY GRANTED TO Arthur W. Youngren
330 Olympus Blvd., Port Ludlow, Washington
Install 12" culvert for road approach to the East Side of Olympus Blvd. at mile
post 0.03.
to
County Road No, 549309
Franchise No.
Milepost O. 34
No work shall be done under this permit until the party or parties 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 March 17
Dated at... March 17 ,1989
,19 90
BY~' X~
1.800.424.5555
GENEltAL I'IWVISIONS AI'I'L1CAIlLE TO ALL I'EnMITS
This permit is subject to all applicable: provisions of the RcviM:d Codes of Washington. exccpt that any provbio/l ill this agrcclIlclIl not <.:on!o.btcnl with
such rt:soJution shall be controlling,
A bond in the allloUlll of $
is required for the protection of the l.:ounly as M:t funh in thl: terms of the bond,
During the progress of the work such bankrs shall he erected and maintained us Ill<lY he llcccssary O( as may be directed for the protcclion of the
traveling public; the barriers shall be properly lighted at uight.
In accepting this permit the pClitiollt:r. his successors and assigns. agrees to protect JefFerson County and save it harmlcl>.\ from all claim!;, actions and
cL:ullugcs of every kind and description which llIay accrue 10 or he suffered by any perSOll or persons, corporation or property by rea~on of the perfor'
mance of any such work, character of materials used tJr manner of itlSlalJatioll, maintC.'nance and operation or by the improper occupancy of right of
way or public place or public structure, and in cnse any suit or action is brought against said Jefferson County for damages arising out of or by reason of
any of the above causes, the petitioner, his succeltSors or a~signs, will upon notice to him or them of comOlel1l;ement of such action, defend the !.a/llC at
his or their own sole cost and expense and will satisfy 11l1Y judgmcnt aftcr the said suit or action Jolla]] have finally bcen determined ifad'ier.!>e to the Jcf,
ferson County.
Except as herein authorized, no excavation shall he made or obst:.lcJe placed within the limits of a county toad in such a manner as to interfere with
the travel over said road.
Except as herein authorized. no excavation shall be made or obstacle pl<.lceJ within four HI fet~t of the edge of the pa\'Cmclll.
If the work done under this permit i/1lerferes in any way with the drainage of the county road. the grantee shall whully and at his own expense make
such provision as the engineer may direct to take c<.lre of said drainage,
On completion of said work herein contemplated all rubbish and debris shall he immediately remm'ed anJ the roadway and roadside shall be left neat
and presentable and sntisfactory to the engineer.
All of the work herein contemplated shall be done under the supervision and to the satisfaction of the County Engineer and the entire expense of said
supervision shall be borne by the pmty or parties to whom Ihis permit is issued,
The Department of Public Works hereby reserves the right to order the Ch1HlgC of location or the removal of any structure or ~tructures authorized by
this permit at any time. said change or removal to be made at the sole expense of the party or parties to whom this permit is issued. or their successors
and assigns,
All such changes, reconstruction or relocation by the grantees shall be done in sllch manner as will cause the least interference with an)' of lhe Coun,
ty work and the County of Jefferson shall in no wise be held liable for nn}' damage to the grantee by reason of allY such work by the Count}' of Jeffcr.
son, it agents or representatives, or by the exercise of any rights by the County upon roads, streets, public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other nature toot her public or private utilities, nor shall it prevent the County from using allY of its roads. streets, or public places. or af.
feet its right to full supervision and control over all or any part of them. none of which is hereby surremlered,
The Department of Public Works may revoke, amend or ciLncel this permit or 111lY of the provisions thereof at any time by giving written notice to the
permittee. The permittee shall immediately remove all facilitieS from the right of way, An}' facilities remaining upon the right of way 30 days after writ-
ten notice of cancellation shall be removed by the Coullty at the expensc of the pcrmillce,
The party or parties to whom this permit is issued shall maintain at his or thcir sole expense the structure or ohject for which this permit is granted in
a condition satisfactory to the Dcpafllllelll of I'ublic Works,
SPECIAL PROVISIONS,
1. A culvert 12" x 20' minimum is required.
2. Applicant shall be responsible for all damage to county road right of way.
In accepting this permit lhe grantee, his successors and assigns. agree Ilmt any Jamuge or injury done to the property of the grantce or any expense
incurred by him through the operation of a contractor, working for the County or any Coullty employee shall be at the sole expense of the grantee, his
successors and assigns.
-+ ~
and conditions us herein sel forth.
Daled thisY I -") day of-r-
, the undersigned. herehy accepts this permit subject to the terms
r7f'/1, C-
~'"'""''' C6~~-"
,19";;1-,7
\
'j: f}
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. Box 1220
Pori Townsend, WA 98368
(206) 385.9160
Fee I)aj~es __ No
3P,9/"3
Reedpl No,
Address Reque5l_ y(.'S~o
Mile P<J1l.t
APPLICATION FOR PEIIMIT
To Department of Public Works,
Jefferson County, Washington.
The undersigned /I- 1.:.71/- v ""0
hereby apP'-T--- for permission /0
\\
l0. '-j 0<./ -Y'((7RJf! I'f'
rL.~ A '" /-J rf' p:J /l-<!J,f cd
(AI'pfit'IlIlI"'I/ld"\<"fil>t'j'ull.r O\/Jullll' .\'1\111'1/<111,,)
CO/U T7'2/Ac:, t::)I{.
A c..1!L'A~
OILl
Jc),6
SKETCH:
PNPC'>!':?';
~
,/>P??O fiof
o)f;.--j' jl-z'pv.s ..-::> <- (/0
___'H_'
On Coumy Road: ,?}'YHfh'S 5/-- v.D bell\'een O'#/.c 0>;9-1 d?c&7-"?I'j ~ r?llr~
..;()C' 'lito$, r/2cJM (!),>>J< ""'..-Jr' ,~_
/Staft'III'fIr....'t'm\\',I/'...'/flfmll..palll/J
and agree_ to do the work in accordance with your rules and regulations and subject (a your inspection and approval.
I 71 ""/9~ J 9....ff::::L-
~
C:>i~ '~~,,'"
^IMrc:u t
.~ L '^-;:')\....~"'-'
lurcur ^pl'lknml
(If applicant is n coparlncrlihip, set fmlll nnmes of copartners)
6t 'JI)
rCflnlrac!tlrl
^lhlr~~~
Jefferson Co.
DEI'ARTMENT 01' I'UULlC WORKS
District No,
5"
Permit No, Oq ~"?
Supervisor's n,eport No.
Supervisor will make detailed report with his recommendation 0" this application. JVhenever possible ~'how sketch a/proposed
work, Supervisor will also make additional reports and final report giving date of completion of work on this form,
Preliminary Report:
OIY"'r"'~ ~L."D. /l1.p'
/y1IRRJ>~ ,yfo"'LCe,L I pee\>
A'l!.o\Je VI-1'-'~ ee.L-.......J.
0,3,-/: 0/1
o;tc.1/ .
R'\\
/1-
clAjveR..T ~
ex, lS"f-l~7
Date:
'3 - /1- '2<>
Signed:
.l) ~/(-~
Final Report:
PERMIT I~CTION REPORT
V Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
REMARKS
Date:
Lj-/9-S;
SI"ned: ~ 8;::> ~,
__'".. '-., :" ,_ .::'-','.":' ~~,';-::.,;'.,d ',':";.;~:'._~:;,,-,.....:;:;.
\
.....s"~- /~/i
\".::;rgK',''(}, ,"~"
~m'''(,
fjllf1>~,
0970
JEFFERSON COUNTY
DEPARTME'~2~J~,:'s!~'~e~IC flIl~ E I V E 11::
P,Q. Box 1220
Por1 Townsend, WA 98368
12061385.9160 MAR
District No, 2 PERMIT "
JEr-r~ " ,.',;,
In accordance with all applicable Revised Codes of Washington and amcfi'JJ~l~n'ts~ (hcrcl~; and sUbjcci'io' all the terms. condi.
tions and provisions written or printed below or on any part of this form l
PERMISSION IS HEREIlY GRANTED TO United Telephone Co. of the Norhtwest
75 Thompson Rd.. Poulsbo, WA 98370 ;;z. '1;!:Fz.9oZ.
w Install a buried cable along the edge of Rhododendron Ln. at mile post 0.88
County Road No.
Franchise No.
0.88
242909
Milepost
No work shall be done under this permit until the parLY or panics to whom it is granted shall have communicated with and
received instructions from Jerry Clemens at 796-4194
This permit shall be void unless the work herein contemplated shall have been completed before Ma r c h 2
Dated at March 2 .19, 89
,19 90
&~~~@wm
Ily
~~/~
GENEIlAL 1'1l0VISIONS AI'I'UCAIII,E TO ALL l'EIlMITS
This permit is subject to all applicable prclYi"ions of the Revised Codes of Washington. except that all)' provi\ioll ill this agrccrncnlllot comhlt!lt .....ith
such resolution shall be controlling,
A bond in the amount of $
is rC4uircd fur the protectiun of the l,;UUIlIY as loCI forth ill the terms of the bOlld,
'ouring the progress of the work such barriers shall be erected ullllmuilltaincd as fIlay be nCl.:c!>sary or as Illay be dircctcJ fur the protection of tile
traveling public; the barriers shall be properly lighted at night.
In acceptillg this permit the petitioner. his successors and assigns. agrees to prolect Jdfcrs!JIl County and sa~'c it harlllh.'l>s from all claims. actions and
damages of every kind and description which lIlay accrue 10 or he suffered by any person or persons. cor,xJr:Hion or propcrlY by rca~()n of tilt: pcrfor'
lllancc of auy such work, character of matcrials used or lIlanncr of installation, maintenance and operation or by the improper occupancy of right of
way or public place or public structure, and in caM: uny suit or uction is brought against said kfferson County for damages ariloing out of or b)' rea!ioon of
any of the above causes, the petitioner, his successors or assigns. will upollllutice to him or thcm of comlllenccmcnt of such action, defend the !'.ame at
his or their own sole cost and expensealld will satisfy allY judgment after the said .\iuit or action shall have finally been detcrmincd ifadversc to the Jef.
ferson County.
Except as herein authorized, 1\0 excavatiOll.\ihall be lIlade or ohslacle placed within the limits of a cnUllIy road ill such a manner as to inlerfere with
the travel over said road.
Except as herein aUlhoril.ed, no excavation .\ihall be nwde or ohstacle placed within four H) feet tlf the edgc of thc pa\'clllenL
Htlle work done under this permit interferes in all~' way with tI,lC draillage of the county road. the grallleelohall wholly and at hb own expcme makc
such provision as the engineer may direct to take care of said drainage.
On complelion of said work herein contemplated all rubbish and debris shall be immediately removcd and the roadway and roadside shall be left Ileat
and prcsentable and satisfactory to the engineer,
All of the work herein contemplated shall be done under the supcrvbion and to the satisfaction of the COUJ1l~' Engineer and the entire expense of said
supervision shall be borne by the party or parties t(> whom this permit is is.\iued,
The Department of Public Works hereby rescrves the right to order the change of location or the removal of any structure or structures authorized by
this permil at any time. said change or removal to be made at the sole expense of lhe party or parties to whom this permit is issued. or their succe~\Ors
and assigns,
All such change.\i, reconstruction or relocation by the grantees shall be done in stich manner as will caU.\iC the least inlerference with any of the Coun-
ty work and the COUnty of Jefferson shall in no wise be held liable for any damage to thc grarltee by reason of any such work by the County of Jeffer'
son, it agents or representative.\i, or by the exercise of any rights by the Cuunly upon romls, street.\i, public places or structures in question,
This permit or privilege shall not be deemed or held to be an exclusive one and shallnol prohibit the CounlY from granting other permit.\i or franchise
rights of like or other nature to other public or private utilities, nor shall it prevent lhe COUnty from using any ofils roads. .\itreets, or public place.\i. or af.
feet its right to full supervision and control over all or any part of them, Ilone of which is hereby surrendcrcd,
The Dcpartment of Public Works Illay revoke, amend or cancel this permit or any of the provisions thercof at any time by giving writtcn notice to the
permittee, The permittce shall immcdiately remove all facililics from the right of way, Any facililies rcrmlining upon the righl ofwa~' 30 days after writ.
ten notice of cancellation shall be removed by the County at thc expense of the permillce.
The party or parties to whom this permit is issued shall maintain al his or their solc eX[JCnse thc structure or object for which lhis permit is gmnted in
a condition satisfactory 10 the Department of Public Works,
SPECIAL PROVISIONS,
1. Cable shall be a minimum of 30" below existing ditch section.
i2'~'-~i\{\~'pj~~~j'~:n..~ftpall be responsible for all damages to county road
r. r -g h t,-' o,fr;-'.:i "'.r~: i .. \'
~.,:.J \./\. }uO L f.t.t~<
In accepting this permit the grantee, his successors and assigns, agrec that any damage or injury done to the property of the grantee 0f any expense
incurred by him through the opera lion of a contractor, working for the Coullty or any COUnty employee shall he at the sole expense of the gralllee, his
sllccess~ assigns. ,t
* ':..r .h.c."';)h.t~ $, i2l ~'C'.)d +- L ,theundersignecJ.herebyacccptsthispcrmilsubjccttotheterms
Ilnd conditiontllli herein-set forth. .........\ 10, .
Dated thi-;:i2: Tk,~y ~f Y''7lf/i- t- e. 4 ",/)
~ ~1t?J/IJt4>73--Z
^1lf\lict:It~:
7::
.19 S/'
\
~';~'1:iJ1.G}, ",
'\~~/g,.'i"itg
'~[<I
ff~)~li'''",
J-<,r'
J'll"P-
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slreet
P,Q, BOlt 1220
PorI Townsend, WA 9B368
(206) 385.9160
N~
0890
District No,
5
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi-
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO Pope and Talbot Inc.
P.O. Box 217, Port GaTole, 1'1<'. 98364
Install a 30' road approach to Larson Lake Road at mi.le
si.de ofr6ad. "
post 1.71 on Hoe South
to
County Road, No, 503008
Franchise No.
Milepost 1.71
No work shall be done under this permit until the party Of parties to whom it is granted shall have communicated with and
received instructions from
This permit shall be void uniess the work herein contemplated shall have been completed before October 5 .1989
Dated at October 5 . 19 88 ~~WI~m
IlY.-L)~~
1.800.424.5555
'''':t~::..,.' ."i'
\
At-'p'
District No,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeller$on Street
P.Q, BOll: 1220
POI! Townsend, WA 98368
(206) 385-9160
N~
0890
5
PERMIT
In accordance with all applicable 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 HEREBY GRANTED TO Pope and TaLbot Inc.
P.O. Box 217, Port GambLe, ~'II\ 98364
InstaLL a 30' road approach to Larson Lake Road at mLLe
stele of read.
to
post 1.71 on Hle South
COUnty Road No. 503008
Franchise No.
Milepost 1.71
No work shall be done under this permit until the party or parties 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' October 5 . 1989
Dated at October 5 ,19 88 &~nlIDWm
Ily .-LJ~ K~
1-800-424-5555
G"NERAL I'ROVISIONS AI'I'L1CAIlLE TO ALL I'EltMITS
This permit is subject to all applicable provi!l.ions of the Revised Codes of Washington, except that any provi~ioll illlhi!> agreelllent not consi!.lcnt .....ith
such resolution shall be controlling,
A bond in Ihe amoulll of $
is required fur the protection of the wunty as set forth in the terms of the Dond,
(Juring the progress of the work such barriers shall he erected and maintained as lIIay be l\Cl:c,.,:-ary or as ma)' be dircl.:lcd for the protection of the
traveling public: the barriers shall be properly lighted at night.
III11cccpting this permit the petitioner, his successors and u!>Signs. agrees to protect Jeffersun County and save it harmlcl>s from all claims. actions and
damages of every kind and dc~ription which lIIay accrue to or be suffered by UIIY persoll or persolls. corporation or property by reason of the perfor'
mancc of any such work, character of materials used or manner of installation, maintenance and opcrhtioll or b)' the improper occupancy of right of
way or public place or public wucture, amI in case allY suit or action is brought aguinst suit! Jefferson Count)' for damages arising out of or b)' reason of
any of the above causes. the petitioner, his successors or assigns, will upon notice to him or them of commencement of such action, defend the same at
his or their own sole cost and expense and will satisfy any judgment after the said suit or action shall ha\'c finally been dctermined if ul.herse to the Jd.
ferson COllnty,
Except as herein authorizcd. no excavation shall be maue or obslacle placed within the limits uf a county road in such a manller us to interfere with
the travel over said road,
Except us herein authorized. no excavation shall be made or ohswc/c placed wjthin f(wr 141 feel of Ihe edge of JlJc pa\'emcnt.
If the work done under this permit interferes in any way with the drainage of the cuullty road. the gralHee shall Wholly and at his own expense make
such provision as the engineer may direct to lake care of said drainage,
On completion of said work herein cOlllemplated all rubbish and debris shall be immediately relllm'eu and the roadway and roar.hide shall be left neat
and presentable and satisfactory to the engineer,
All of the work herein contemplated shall be done under the supervision and to the satisfaction of the County Engineer and the entire expense of said
supervision shall be borne by the party or panies to whom this permit is issued,
The Department of Public Works hereby 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 the sole expense of the party or parties to whom this permit is issued. or their successors
and assigns,
All such changes. reconstruction or relocation by the grantees shall be done in such manner as will calise the least interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any damage to lhe grantee by reas~11 of any such work by the County of Jeffer.
son, it agents or representatives, or by the exercise of any rights by the County upon roads. slreets. public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other nalure to other public or pri"nte utilities, nor shall it prevent the County from using any of its roads. weets. 01' public places, or af.
feet its right to full supervision and control over all or any part of them. nOlle of which is hereby surrendereu,
The Department of Public Works lllay revoke, amend or cancellhis permit or any of the provisions thereof at any time by giving writtcn notice to the
permittee, The permittee shall immediately remove nil facilities from the right of way, Any facilities remaining upon the right of way 30 days after writ.
ten notice of cancel1ation shall be removed by the County at the expense of the pcrmiuce.
The party or parties to whom this permit is issued shall maintain at his or their sole expense lhe slructure or object for which this permit is granted in
a condition satisfactory to the Department of Public Works,
SPECIAL PROVISIONS,
1.
A 12" a...JLvert i.s req..Ji.rcd.
~~WWJmM1~bjLL be re~Lred.
2.
In accepting this permit the grantee, his successors and assigns, agree that any damage or injury done to the property of the grantee or any expense
incurred by him through the operation of a contrnctor. working for the COllnty or any County employee shall be at the sole expense of the grantee. his
slIccessors and assigns,
nnd eunditions ~ Ifcr~~~~~r , the lIndersigned. hereby neceplS this permit subject to the lern"
Dntedthi' /.;If> doyor (Jc,i.h~ ,1988
~d/;1~~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelferson Street
P,O, Bolt 1220
Port Townsend, WA 98368
(206) 365.9160
Mile PoM
AI'PLlCATION t'OR l'ERMIT
To Department of Public Works,
Jefferson County. Washipiityn. _
rhe ullde~siglled t1?pb ~.
hereby appl~ for permissioll to
--LA-I boT .:S..-"__J C
6::~. J l-t-
~c>rJ!
IA(lfJl,;',,,,, ",iIIl1""'III1<'ji,II.\' ..'IIUI/It' ",ilh".\/lJdo/
iE..o 1J.5-/2 u Z-I
Ap(Jflf.AC ti
SKETCH:
9(::::~
A-~ \-\-~0
011 CoulllY Road:
LA 12.'50 tV L K
r2~
between
;n ,.)~
Ii ~I
;J-b~
/SIO/t' Ill'll"...t t'rt/\\..lm't'l fIr milt' f/1I/1111
alld agree~ to do the work In accordallce with your rules and regulatiollS and subject to your illspectioll alld approval.
Date~/) 19~
./~ a ,0:i"JE/ 6EI1fV2J€" ~'::.x,7(;r
n ":"J Of applicant is n coparmcrship, set forth names of copartners)
y- 6. \~o)< f}(f
^f1\.. /' A
\....oel b.AM.~lc \-c..r
Phone No, ;?CJ (" - 2 ') ~1" '3 3<,( (
Addrc~\
Jefferson Co.
DEPARTMENT 01' "U8L1C WORKS
District No,
6'
Permit No, 08 <;0
SUllcrvisor's Ileport No.
Supervisor will make detailed report with his recommendation on this application Whenever possible show ske/Ch of proposed
work, Supervisor will also make additional reports and final report giving date of completion of work on this form.
I>>rclhninary Heport:
t~StJr
1.0'7'71'" :>
t-".,,l, e ~5;> ,
ri-t' f' i".O 1\-c Ii
/Yl'r /.//
tv ~e",,-~
I<} .
cV./uet<?T
~ D 8o.vD
II-freoACH .-:s
/J.~R.",y?-{) Y ,'"j
/l-r- ,'N .-'/-1 r7-<.... ~..v:sr 'i'C l',e-0
Dato:
/0- 5"-98
~ '" ~ 1< :../lA~"-1
Signed:
Final Report:
PERMIT INSPECTION REPORT
. ~ / Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
REMARKS
Dato:
.-:/-( 7 -2F;t
c)-..
SJ~nod: ,I
Ul.ndl'l(, I'HI~TEH", .,("
.~~~ .'.:!_~~:~':"~'.:'~~,_:
'," "-,\',',;"'.',--.,
,:_..~-,,-''---- .._.-....::.\' -' .-;.
. ;-,:":":'-'-:"-'-:'._-._',~
GENEJ(AL I'J(OVISIONS AI'I'L1CAJlLE TO ALL I'EJ(JlfITS
This permit is subject to all applicabh:: provisions of the Revised CWes of Washington, e),ccptth~t any pruvision ill this agreement not WllsjStcllt with
such resolution shall he controlling,
A bond in the amount of $
is requireu for the pruteetiulI of the county as !let fonh in the terms of the bond,
During the progre~ of the wurk such barriers shall be erected and lIlailllailled as llIay be neccssar)' or as may be directed for the protectiun of tlie
traveling public; the barriers shall be properly lighted at night.
In accepting this permit Ute rctitioner. his !>uccessors and assigns. agrees to peutect Jeffersun Cuullty and ~~\'e it harlllh:~ from all claims. actiolls and
damages of every kind and description which llIay accrue to or be suffered by any person or persolls. corporation or propeny by reason of the perfur'
mallcc of any such work, character uf lIHlterials used or manner of installation, ll\;Jintellance and opcration or by the improper occupallcy of right of
way or public place or public structure. and in case any suit or action is brought against sakI Jeffcrson Coullty for damages arisillg out of or b)' reason of
any of the above causes, the petitioner, his successors or assigns, will upollllotice to him or thcm of commenccmenl of such action, defcnd the same at
his or their own sole cost und expense and will satisfy any judgment aftcr the said suit or action shall have finally becn dctcrmined if advcr!>C to the Jef,
ferson COUnty,
Except as herein authorized. no excavation shall be made or obstacle placed within the limits of a county ruad ill such a munller as to interferc with
the travel over said rood,
Except as herein authorized. no excavatloll shall be maLIc or ob~tacJe Jllaccd within fuur (4) feet of the ed.!!c of Ihe pa\'Cmellt.
If the work done under this permil interferes ill UlI)' way with the drainage of the county road. the grantee shall whully and at his OW/l expense ma~e
such provision as the engineer may direct to take care of said drainage,
On completion of said work herein contcmplated all rubbish and debris shall be inulledlately removcd and the ruadway and roadside shall be left neat
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall be dune under the supervision ;Jnd to the satisfaction of the COUnty Engineer and lhe entire expense of said
supervision shall be borne by the party or parties to whom this permit is issued.
The Department of Public Works hereby reserves the right 10 order the chunge of location or the removal of any structure or S1ructures authorized by
this permit at any time, said change or removal to be lIlade at the liole expense of the party or parties to whom this permit is issued, or their successors
and assigns,
All such changes. reconstruction or relocation by the grantees shall be dOlle in such manner as will eauloC the least interference with any of the Coun-
ty work and the County of Jefferson shall in no wise be held liable for any damage to the grantee by reason of an}' such work by the CoulllY of Jcffer'
son, it agents or representatives, or by the exercise of any rights hy the County upon roads. streets. public places or structures in qucSlion,
This permit or privilege sl1allnot be deemed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise
rights of like or other nature to othcr public or private utilitieli. nor lihall il prevent the County from using any of its roads. streets, or public placcs. or af.
fect its right to full supervision and control over all or any pUrt of them. nOlle of which is hereby surrendered,
The Department of Public Works may rcvoke, amend or C<lllecl this permit or any of the provisiolls thereof at any lime by giving wriuen Ilotice to the
permittee. The permittee shall immediately remove all facilities from the right of way, Any facilities remaining uron the right of way 30 days after writ-
ten notice of cancellation shall be removed by the County at the expense of the rcrmillee,
The party or panics to whom this permit is isslled shall mainwin at his or their sole cxpense the structure or ohject for which this permil is granted in
a condition satisfactory to the Department of Public Works,
SPECIAL PROVISIONS:
1.
Cable shalL be placed a mi..nLmum of 30" below exLsti..ng di..tch grades.
2.
All~~4f\Vil~~rrpanJlfi~~ shall be restored to orcgcnal condctcon.
,U~ V MJui! / 'iJt~\
In accepting this permit the gramee, his successors and assigns, agree that nny d,lnmge or injury done to the property of the grantee or nny expense
incurred by him through the operation of a contractor, working for the County or any Count}' employee shall be at the sole expense of the grantee, his
successors and assigns.
J. All'Ll'\. LS P....!.!
and conditions os herein set forth.
. the undersigned, hereby nccepts this permit subject to the terms
~alCd lhi, 1.!J::[!I day or'" .:r A V\ VLAU
~ ~@
^I'fllicnnl
.,rB3
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fee Paid- Yes _ No
Rca,pc "0,
1820 Jellerson Streel
P,O, Box 1220
Port Townsend, WA 98368
12061385.9160
Address Request _ Yes _ No
Mile POSl
APl'UCATlON FOR PERMiT
To Department of Public Works.
Jefferson County. Washington,
The undersigned 11f\1Fi D Tf.L'l PI-JOl\f or; -rut NOmWLST
hereby appl_ far permissionIOPLAC.'L ..11 TLHPl4Dnz: . BUnt 0 .5l(V/CL... /UITL".,..
fAflpflum/ ...'/11 Ut'urifN lulf)' ...!la/I,,' ../,111('.\ II) du I
_.bkF.T. 011 .TIIL..,. WEST..-5I1/JtlLDZI or:: CEI7TLr !'::.f), AT_POLL ."{g..
.J/.f.I.5..WILL .5~.rVL .1.L/d. c.WTlr F;O. .3k.:Jf., FT_N/Jrm .ot:
MILL Pt25T Z.
..__.. .5E..€.. 5 KLTCH
SKETCH:
~ oQ?'1
I!e.~'"
On Coutlty Road: C E f) T'( r___ R D
JAN 6 - 1989
JEFFERSON COUNTY
PUBLIC WORKS D~PT,
between MILL R25T ~ i RJI~DY JJ[:__,
/S/Qltltl'O"'l/frll\l<llft't'/IJ''''''''f'KImO
and agree_ to do the work in accordance with YOllr rilles and regulations and subject to yallr inspection and approl'O/,
Date TAnUAr'l <4 19~
d@/J1 IJlJ /'
~""""" 'COO,,,,,",,
IIf applicant is Q copartnership, set forth names of copartners I
~C!MR5;/Jn /ii?D
Al,hlfe~ Adllr~~
'POU~BlJ tLJ A QY.370
I'hone No,-2i21.L. /~9 7 "l' 1 t:::; "'I'
c.eN l-U~ \'<..t\ IY'.? .
f. :, D '/c
J.t>2..
KOA-? ; ::;. '38'
.s~~,-", ee...s .
w : t> E" .A Sf''''''ur- Go-^''Cr. ::I:-f'/C..
2 Deep RCTMhrA/Y l)rh.~--<
1,,<
'o~ ",I.J.,\
c.e:.V<f.R-'fQ ey f4' .............1+
~~l,-'., ,.J """'Y
h...
\"-"--.
11- I 7 - 67
~~
.. .,.,...."."'~"^~.......,".,',.,.,,..,,.~~,-_"'.._,_..,.._~_ 0<.,_,__
" ,
,
:rEAf1 llitnbFf7rD
.1...1.Loi. c..UJ Tf.Y 1f.D c.H/MACUm
.5D ~ IJ 70i:.O.3.'3.
~
~
'"
~
~
~
I
f
c.rnTiY" eD
I
i
~N
CJCl.
;1~
f
L
!
.~
l"
1,0
,
.
Y'
, " ,:' :.: > ' .. .', .
<\:, :', > .~. ...., .'
, .,.', ,..',...,.".' .', ',', " "
:,' ' .t,." .,',' ' .' ..,...
:., ..'.... .;'" '
" ',:,:,,':,:..
<'
",.".. .....'..
, '.
: ;:. "', ,',
1<',.,' , .'.'.. ",. . .
";:'" '." ,',' " ,',
,:''''''" , ".".,,;,,"
:,;,'
,i ':" ;,' '.' '", ,
": .' ".' .', .",
",;'
,
~\.
; I
'; . .
'.., ,.
, .' '.
:':, '
c.=)
Io.l
s;:
....
'-l
"
~
~
i
" ,.~
... ,,: ;',.,,'.. '"''''
. ,','
1:' , '. . ....,
o _.,
~ ,0 >
i'.
", . '.' '. .,.",' " . " .
.., ' , ";', ;':: ; :,:, :,'. ':.'
", ,', ' '",",' ,,,: :" " ':.' ,,', "."
, ":,'"..'" , ' :..,:, '''.; ,
... "',,"", :", ,,",:. .'.': ,',' , "-,:,'
, , ,. ',',' , :: ,
, ',: ':- ": " '
, ":'
, "'.. ','.""...
, ", ':':', ,"
,', " :" ".', '., ,';': :
".'" [,,' ,:'" ':,
..:. . .
" . , ','.... ,'" "
: :.','.; ':':'0
'" ,",-
" ',' .....:
,', '. . ..,,'.:.
, ,', .'."
. . .:. ..," .,
..... :' :','" ", ",
, . '
..,..,.,'. :
'..
\
-,..r''''\~v;\.ii:':W1
",,,:,;rgJi;Jt~
>jP.~;.<
rf~/,.,J-..
,'..?,,~,~
1/.
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slreel
P,Q. Box 1220
PorI Townsend. WA 96368
(206)385-9160
N~
0954
District No,
6
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi.
tions and provisions written or printed below or on any part of this form
to
PERMISSION IS HEREBY GRANTED TO Pope and Talbot Inc.
P.O. Box 217, Port Gamble, WA 98364
Install a road approach to the West side of Kala Point Drive at mile post 0.19
County Road No, 679109
Franchise No,
Milepost
0.19
No work shall be done under this permit until the party or parties 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 January 27
Dated at January 27 . 1989
.1990
&~~~@W~@
BY~~~
1.800.424.5555
GENEnAL I'JWV1SJONS Al'I'UCAIILE TO ALL I'E/lMITS
This permit is ~ubjcct to aJlllpplicablc provL!iions of the Revised Codes of Washingtoll. e>.cc:pl that any provbiull ill thi~ ugrcc/Ilt:1I11l0( com,iSlcnt with
such resolution shall be controlling.
A bond in the amount of $
is required fur the prolection of (he cuulIly a..!>C1 furlh ill the: telms of the bUild.
During the progress of the work such barriers :.hall he erected and maintained as may be IIl':CCSS:H)' or as lI1ll}' be dircctcl.! for the prutccliulI of the
traveling public; the barriers shall be properly lighted at night.
In accepting this pcrmillhc petitioner, his succcs~ors and assigns. agrees to protect Jcffcr~n CoulIty and !.avc it hunule!>!. from all claims. actiomund
damages of every kind and description which may accrue to or be suffered by any penon or persons. corporation or property by reason of the perfor.
mance of any such work, character of materials used or mallner of installatiun, mail1lCllanCe and operation or by the improper occupancy of right of
way or public place or public structure. alld in case an)' suit or actioll is brought against said Jefferson Count)' for damages arhing out of or b)' reason of
any of the above callscs,the petitioner, his successors or ,lssigllS, will upon Ilolkc 10 him or them of COllllllcnccment of such uction. defend the same at
his or their own sole cost and expensc and will satisfy all)' judgmcnt after thc said suit or action shall have finally been detcrmined if <Hh'crsc to thc Jef.
ferson County.
Except as herein authoril-cd, no excavatioll shall be made or obstack placed within the limits of a cOllnt)' road ill such a Illanller as to interfere with
thc tmvel over said road.
Except as herein authorized. flO exc<lvation Sh:lll be lIlade or obstacle placed within four (4) feet of the cdgc of tbe pavClTlelll,
If the work donc under this permit interferes ill any way witlltllc drainage of the county load. tile grantee !'>lmlJ wholly am.! at his own e~pen!>c llIa~e
such provision as the engineer may direct to take care of said drainage.
On completion of said work herein contemplated all rubbish and debris shall be immediately removed and the roadway ami road!>ide shall be left neat
and presentable and satisfactory to the engineer,
All of the work herein contcmplated shall be done under the supervision and to the satisfactiOIl of the County Engineer and the entire e!l.pcn!;C of ~id
supervision shall be borne by the party or parties to whom this permit is issued,
The Department of Public Works hereby reserVeS the right 10 order the change of location or the removal of uny structure or structures authorized by
this permit at any time, said change or removal to be made at the sole expcn:-,e of the party or parties to wholll this pcrmit is issued, or their successors
and assigns,
All such changes, reconstruction or relocution by the grantees shall be done in such manner as will cau~e the least interference with any of the Coun,
ty work and the County of Jefferson shall in no wbe be held liable for any damage to tht: grantet: by reason of any such work b)' the Count}' of Jeffer.
son, it agents or representatives. or by thc exercise of any rights by the County lIpon roads. Slreets, public places or structures in question,
This permit or privilege shall not be deemed or held to be an exelusive one and sh:lll not prohibit the County from gran ling other permits or fraflchi~e
rights of like or other nature to other public or private utilities, nor sh~111 it prevent the County from using any of its roads. streets. or public places. or af.
fect its right to full supervision and control o\'er all or any part of them, none of which is hereby surrcndered,
The Department of Publie Works may revoke. amend or cancel this permit or any of the provisions thereof at any time by giving wrillen notice to the
permittee. The permittee shall immediatcly remove all facilities from the right uf way. Any facilities remaining upon the right of way 30 days after writ,
ten notice of cancellation shall be removed by the Count)'.lI the expense of the permittee,
The party or parties to whom this permit is issued shallmainwin at his or their sole expensc the Structure or ohjecl for which this permit is granted in
a condition salisfactory 10 the Department of Public Works,
SPECIAL PROVISIONS,
1. A 12" X 30' culvert shall be required.
2. A clean surface material shall be placed on the approach to help prevent
;:~~~j~.A~;~j~;~~~~;':~~~s~~rbed during construr.tion and or during logging operations
"S)1~H!~~j~tf1~eey~~sibilitY of th" upplicant.
In accepting this permit the grantee, his successors and assigns. agr..:e that any damage or injury done to the property of the grantee or any expense
incurred by him through Ihe operation or a contractor. working for the County or any CounlY employee Shill! he at the sate expense of the grnntee, his
succMs and assigns, 1;;
* ~/ 0 D~ b \ bOT' D..e.- , the undersigned, herehy llccepts this permil subjecI to the terms
and condil~lls as herein set orth, 'A
~,," ,," > r ",.' '7);'1 !lib
,19-m
1820 Jellerson Street
P,O, Box 1220
PorI Townsend, WA 98368
(206) 385-9160
~J~ Yes - No
//.;J~ Y'Y ,;-_ C~;P 117,;17
~tJ....
Rece.pt Nu
Addre.!>S Re4u~t _ Yes _ No
Mile PO!>I
\
~~~I}
,:#!~:r;1
ffI/\~~\
/:p
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
AI'PLlCATION ..on PERMIT
/'-::.r---!/,iHd '" ?~~,~~.....'
,'h:-:/~h0'~
To Department of Public Works. ~
Jefferson County. Washington, _ 1- '(60- \kJ"
The undersigned ~<:::- ro -4 ( L--
hereby appl-f-- for permission to CoU.5fe. lJ '--~""';"'" ~,s,t", "".0;eL,~,~ C.-tt
--
SKETCH:
~
K'" lA- Po ,:.., G;VI <:0 .
- c;e.........-=- Ft"l'i S.
l0TIA Pr- DR-
Ilo>veq.
(j/. a- j)
On~OUf!!y R,O, ad:, ' _ /c ,4- -4- 0, "'-' 7 e .
\It,, NT G-A.-r-E" I MAe. K,,==-..:o ~ '{
between PlLc:re:CT f2,^
C>1(~e:;:- B.4<z 5
b
lftt/-:t
(Sru{l'm'Ofnt('tf/\\..\/f..../mmll,'fIt,llIl)
and agree_ to do the work in accordance with your rules and regulations and subject to your inspection and approval.
Dale ~/-~~ 19~
J; 'S;'"""""'^'""'~ a~~,ct!k-fX-C.
(If Ilpplicalll is a copartnership. set forth mimes of copartners)
d.t7
JIG ?vA- '1Y3?V
Q.o' -:.< 'i 7 -3-'1L
Add'e\~
Jeffersun Cu.
District No,
6
DEPAnTMENT OI? PUIJLIC wonKS
Permit No.
095"~
Supcnisur's Repurt Nu.
Supervisor will make detailed report with his recommendation on this applicatioll. fVhenever possible show sketch of proposed
work. Supen1isor will also make additional reports andjlnal report giving date afcompletion afwork on thisform.
Preliminary Report:
KA/.-A ?~ ,........ \)K. />,>'. P .
0.; ?
'- r.
,; t>eco." ~OI".t>",A'"
So".,e.., I<:"'D of
i>;-!-c,r-/, I
1StI-o....<..1> Q. ~
-s",;;<.Fl'\ce.. -n-9-re/;,,.,,,,,,- 1<'''-2'-'': 1C:e.';:> '9-.::,
H-.c r<:7
;f, e<-p
F~.2><! ve",,-r-
/J-'fL.-(I?
Dale:
/-2.7-89
~ r.tMT-/<,~
Signed:
Final Reporl:
PERMIT )~:~;PECTlON REPORT
l./ Work covered by permit has been compJeled
satisfaclorily.
Work is nol completed.
Recommend permit be cancelled.
Traffic control.. adequate
.. inadequate
REMARKS
J)ale:
t.1-/~~ rf 1
/
I
~
~----O-
Signed:
':.': ...,..
~:81~,{; ..
~', ",j, i<
"
,,':' ,
.' .-
:,
. .',
;
"...,. ,:",,' ,
.. "
:"
"
, , "
" "
" "
" "
, ','" ,
I '.
"
, "
" ,
;" ';
,'" I:
,,'
,
", '
:';i
:."
, ,
.'>:
: '
"
(,' ' ,
";... "
;,' " : "'::" "
'\
'"
, ,
" ': ','" ", ,
" ". "i', .
:, :' <,",':,...'
',.., ',,',,' ": ::
, <', :"",;:,
':, : ,
I: ,;' ,
I" ' '
I. :,.,:;.:'. ,,' .','
j; ',"', ,:, . . . '. "
I " .,. ,i:; " .','
I "" L'
"', '
, : " '..' '<.,,' '
I i. ,'. ',: '
'" " ':.'
" ., ,',':').. '
" " :';" "" '
I , 'I "" ,
\ . I '
I" ',,".,,-
1 "',:'
Ii '.
I
I ,If) ,q-jJ5vJe r2-
(( It-/.' tJ.-{) rP
vf'4,' 0 ,/ '3'1
q//I
.JEFFERSON (X)U
DEPARTfolEN'T OF PUB
::ce~;tl;:: T;~'~ 0 " ',,'
WH~'LE YOU WERE OUT
M ~a~'
~'-'7L7~
Phone ~I";;r:<j -' 7/03
Area Code NUmber .
L TELEPHONED /V", ExtenSion
l I PLEASE CALL TA
CALLEDTOSEEYOU' I V I
L . I WILL CALL AGAIN J 1
WANTS TO SEE YOU I I "I
, ,URGENT f 1
L RETURNED YOUR CALL I I
Message
~ ~ 0 ACTION REQU
REQlESTED BY. '- '<. ,...- \. oJ, >-Xl ora,.)
ADDRESS- X" "10 0 I () f-) A.;\ \ oc...K
of
NATLO>E OF REQUEST. 0 IN PERSCH $' BY PHCI'<E 0
PERTAINING TO- 0 OFFICE 0 ENG/SURVEY .PI! ROAC
REQUEST FOR. ~M\,.:)~j"" Q,~E
LOCAT IOf. ROAD NAME C) I d I-\- ~ Cl \0 u:- \2C) R<
PRCUECT - PACUECT TITLE
=a/J//'" i ~."-tS;-f':~,o/' _
_ y/~/.-2 - i?<:; ~
:;~ ,;C}"'J5V/.q, (
DESCH I PT I Q\I-
+1-"-C>LDc..~ \(1"1. I~
\v\' fO>.J.:>C) ~,},P. <:..<>\.1,.
""bo,^"",, OI'.....,,j"'qE.
I
-
Ope/atty
~~-eK>o 50 Sw(PAO ,-
J,~ SHT. DISPENSER BOX
4il ~F~'~I~~CY0
>1<!!.l;~~~,.~'W;\~{;~t4td~~~~~~Jrf;lli,[,:;g'.5J:;':-:;;;;:'~'1.',i''-';-'~\",," "",.
ATTACH MAP CR SKETOt
REFER TO. bA'1< '--
RESPOND BY-
~~,,6
RESPONSE. No#psale.e- , /
(" /l-/(rt- j "--I/If ~-(rl/,j '"/tp/ t/ - He
J-r/V<" /q .t2t!:?/t.--rc-12 -;,.;. -<-r2;I'k P4-jrlr~S'S - ~e.
Pe +1>d n/",.... ..' T ~ "r<:- I A (U~ /1"". L/(/e.d C:/- J,JI
))07 J<'tu&JW .I'/-/.,A/ ~ 1/4q /1/;",/7 --;;'1" 7lnt,f) I/?-,p.) T ~
REVIEWED BY. /~,.,.(7( v..LI1,) DATE-
CXlNTAcn:=C REQl.ESTER 0 IN PER5Cf><I 0 BY Pt-tCNE 0 BY' LETTER cx:JNTACTED BY.
REc:<lMIoENDATIOf. I/)e. /I/Y~..J -yre
_,- /J - ...-
'7a l'4AJ /':jv,);n t'"v,77't rvNr-<!-
PREPARE EST I NAn: . Fa>.
{/,<J r /6 "'" 'I
0, ''fe-/,
L() T
~~-
L IJWL-I'r. d
ROU1'E TO-
.gj"REC1'CR
J2:f. ASSISTANT DIR,
o ROAD BUPERV I SDR
INITIAL."-./'
_;I::SI.. CONSTRUCTION ENG. _ 0
_ 0 pLANNING ENGINEER _ 0
_ 0 ADMIN, ASSISTANT _ 0
ACc::::cK..I"lITANT
,
'''_''''''''~Uil'Oi1lIl'M_~"",i" '
~ ".
..
-".'..
,
,I
, "
ii, ., I. "
I' ',\;, '.,'
" '
" '. ' . :,. ;y
,.,' .'..
.',...,.'
.' '.'.
,": :
I " . ,. '-: ',' ;
I .': ..".:',
. ,,', ,.". ">.':r
I" :"" '."..,,: "..:
, . " ,",
, , "','
, ",' ',,:','
',. ",
i.,.,'.. .,,'
I "...
I.' .....
. .'.
',.'
,
:', :
:." ';,
, ',,:
" .',',
: " ,
.':' ...
l.' ,.'
: ',.. ..'
, ,
.'.. ... ...
r ,'. ...'.,',"... ;,>
, " .'..
. . .:",
, ' ,',
,""I"""-~." ':"
~-"";' ,.;,: ..'.',
, ',," ,
'.': ::':". ''-..
, " ,"
, .
,,:..:, :.' ,.- ,", .-
, "
....",...;'.,.. :'.
. '.' ':, ,,'./:,'1:'
~ .'.'.... >,:.,',i,
. .'. " "..';
.. "
, :' , ':
,,:.. ,::
:
'. ,,'
. " I ,... ,'. ,',
--1 ,. :
, " ",''',
, ..
,
~ ..
':,'
.-II
,:
','"r'
~~~~~W
" "
,'", , ,
" '
.' ,."
,
':: ," ",
, "
,
" ': tC'"i::'''', ..'. ",'
..':~":,:':\' ',:;' ',: ":
" ,
"
,
,
"':
"',,..
, ",'
,'," :.'
i:" '
.. ',",',: ::
"'.:" , '
','
':<.,i':,: ": . '."', '.
":;:?: " '".',' .'.'
:,"'; ,''''':',
" ", ':"""
I" ' "
.", "'"''L'''
I:', .' '
:':, ,',' , .,' ,
I: ,: ".::. '
i' . :..'.,'." :, .'
I;.L
.'"...'
'L
It
,',:
" .:
,
,':"
:'
"
~~: ,";
,
",
.,: ,"
, ''',' , '
,':
"
;<
. ,'"
,
, ':,','
," . "...
',,'
",'
", ,
"
, ,:
,",/. ,': '
/'i"
~':,' I" ,:'J
ii:,!'
..
..:),.
;,' ::T
"'~''?' 5d'~l:':~-:'//Y .::.,.. x::
I ..:. "...,.,
DATE- '-I / (C> / C3 'I i,:
PHONE NO, - ':1 BS;'~ 1) 03....:,
ALT. PH. NO, -j':.,: ..'.!
HAT....: OF REQLEST- D IN PERSON P1 BY PHONE D BY LE1TER TAKEN BY. ..j:"J$'O b '"X
PERTAINING TO- DOFF''''' OENG/SURVEY J4!ROAO MAINT, DEQU,P. MAINT, DSOLID WASTE"::".,
REQLEST FOR- -1=>P-A- \...:>~~~ Q,,,,"~_~~ ID ",--,"'C'" '.",:.,..'
LDCATICN- ROAD _ Old It~c>lou:.- \?G>ROAD NlMBER M,P,,':
PRO.JECT - PAO.IECT TITLE "ROJECT N.....BER -' i ,:
DESCRIPTI~- :"::_"",.':'.:_'; ,:~.:
+t1\-C>LDc..)::.. \lFT. I~ rAJ1o-.lj fAQ.~,Jr.J-S- "x
\01' (:,,10C> M P. ~"'\J ,"-""I '\'D,.,,) I> co...:> c--=-lille.;;!...,
"".t>O.........,.. O!'-I'.,..l",qE I '.X":
I $
:,:'..,'."').X
i::
.,f) r-r~5vJef2.
~(~~, vII'
Of"'4,' 00/ ~1
q/II
~
.JEFF~ COi..iniTY
DEPAR'1'"NENT OF PUBL I C WORKS
~ ~ (' ACTION REQUEST
REQUESTED BY. '--- ~ ,.-..,. oJ, ':4 1"0,.)
ADCRESB- X' ') 0 6 J u f-) A~ loc.K
:
ATTACH NAP CR Sl<ETc-I
REFER TO- bA"!< L-
....',
, :.,...
".
""
RESPCI'U) BY-
~~"b
RESPONSE- No /fps,ale 12-- "
(. /H/r? j '-fAt.s (,--Vl.-/ /t-P/. V'" - //e
H/1~ /7 /2C!'ft-''7-c''K' hf '---/-7Jr'f:: /4-Jdr~ s-s- - ~e..
Pe"",-f-;Dd /"r),o<AJ'T S",rc:... I~I.{?/~ /1-'1"'_ Llve.d C:/- c.,-Y
J.Jo 7 /< 1Ut?r>> /1-M/, '77; f /;z./ /lb/,/ T ~f-S- (tntd) M-'tU ( '"
REVIEWED fJV- /.::-,.,.,-,; /-/-'.R_ff :) DATE.
CONTACTED REQl..E:STER 0 IN PERSON 0 BY PHONE 0 BY' LETTER cx:JNTACTEO BY-
..
REClOMolENDATICN- I/JR.. /7;4-,d /;{-e
'7';? (l/l,u ~ '-/;11 ~ I 7:H ;=:;;, 7V,--e-
f//I de; .1;' '/
a ''Ie-/,
t!o T
/,~ -
L t)W.t.V'-, d
PREPARE ESTIMATE.FeR..
noun: TO-
_g/'RECTaI
, )<:f ASSISTNn' DIR.
D ROAD BlFERVI SCR
INJTIAL~,--/,
_~ c:r.:NSTRUCTI~ ENQ, _ 0
_ 0 PLAN'\lING ENGINEER _ 0
_ 0 ADMIN. ASSISTANT _ 0
ACc:x:x..wTANT
:
,', '
I' .......
".'."..... '....
,;,.'. "
"," c. i':
',,"" ' . ""
, ',' ,." ';'"
'" ..... .'
. ',",., , ,,": ,
,', , , ',"; ,
, ,',... '."
..' .,.. ",.... .., ..,..,...
,;:', "
..", :.,1, ,....'.. :,,'
, .''' ",
:
"", " ..',
, ",'
I' "
. I.,. .
- .','.',.','.
", I '
,
':'\,
,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jerlarson Street
P.O. Box 1220
PorI Townsend. WA 98368
(206)385'9150
N::
0937
DiSlriCI No.
5
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi-
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO United Telephone of the Northwest,
75 N.W. Thompson Road, Poulsbo, WA 98370
to install conduit for undergound service wire to 261 Old Anderson Lake Road.
County Road No. 522009
Franchise No.
Milepost 0.21
No work shall be done under this permit until the party or parties 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 Jan. 5 .1990
Dated at, Janua ry 5 . 1989.
&~~~@wm
By .-<J~ ~
(;ENEltAL I'IWVISIONS AI'I'L1CAJlI.E TO ALl. l'EltMITS
This permit is subjccllO all applicable provisions of the Hcviscd Codes of Washington. C~cCpllhat allY plO\'i~ioll in Ihi!; agrccrncnlnot wmislcnl .....ith
such resolution shall be controlling,
A bond in the amoullt of S
is rC(juirciJ for the protcl:liollof the coullIy as set forth ill the terms of the bond,
During tht: progress of the work such barriers shall be crcc.:tcd lmd maintained as 1Il<l)' be necessary or as may be dircI:lcd for the protection of the
truvclillg public; the barriers shall be properly lighted al flight.
In acccJHing this pcrmillhc petitioner. his successors and assigns. agrees to protect Jeffersoll County and su\'t' it harmless from all claims, uClions and
damages of every kind and dCM:ciplilll1 which may accrue to or be suffered by uny person or persollS. corpoHllion or properlY by rct.lson or the perror'
nl;lncc of any such work, character of materials used or man/ler of inswllt.ltiofl. llwintcnt.lllCe and operation or by the improper occupancy or right of
way or public place or public Slructure, and in case any suit or actio/l is brought against said Jefferson County fur damages arising out of or b)' rea...on of
allY of the above causes, the petitioner, his successors or ussigns, will UpOll lJotice to him or them of commencement of such action, defend Ihe ~me tit
his or their own sale co,s( and expense and will satisfy UIlY judgment after the said suit or aClioll shall have finally been determined if adverse to the Jef.
ferson County.
Except as herein authorized. no excavation shall be made or ohstacle placed within the limits of a county road in such a manlier as La interfere with
the travel over said road,
Except as herein authorized. 1I0 cxcavation shall be made or obstaclc placell within fuur 141 fect of the edge of the pavement.
1f the work done under this permit in/erferes ill allY way with Ihe drainage of the COllllty road. the grantee shall wholly and at his own expen!>C make
such provision as thc engif,ccr lIlay direct to lake care of said drainage.
On completion of said work herein contemplated all ruhbish and debris shull be immediately removed anll the roadway und roadside shall be left Ileal
and presentable and satisfaclOry to the enginecr.
All of the work herein contemplated shall be done under the supervision and to the satisfactioll of the County Engineer and the entire expense of said
supervision shall be borne by the pany or parties to whom this permit is issued,
The Department of Public Works hereby reserves the right to order the change of location or the removal of any structure or structures authorized by
this permit at any time, sajd c!lunge or rernovallo be made at the sole expense of the party or parties to whom this permit is issued. or Iheir successors
and assigns,
All such changes, reconstruction or relocation by the grantees shall be done ill such manner as will cause the least interferellce wilh any of Ihe Coun-
ty work and the County of Jefferson shall in no wise hc held liable for any llalllage to the gralllee by reason of any such work by the COUnty of Jeffer.
son, it agents or representatives, or by the exercise of any rights by the County upon roads. streets, public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the COUnty from granting other permits or franchise
rights of like or other nature to othcr public or prh'ate utilities, nor shall it prevent the County from using any of its roads. streets, or public places, or .If.
feCI its right to full supervision <lnll control over all or any part of them, nOlle of which is hereby surrendered,
The Deparlment of Public Works may revoke, amend or cancel this permit or any of Ihe provisions Ihereof at allY time by giving written notice 10 the
permittce, The permittee shall immclliately remove nil facilities from the right of way. Any facilities remaining upon Ihe right of way 30 da)'s after writ.
ten notice of cancellation shall be removed by the County at the expense of the permittee,
The party or parties to whom this permit is issued shall maintllin at his or their sole expcnse the structure or objecl for which this permil is granted in
a condition satisfactory to the Departmenl of Public Works,
SPECIAL PROVISIONS: 1. Conduit shall be installed a minimum of 36 inches belo'.
existing roadway. surface.
2. All areas Disturbed durina construction shall be restored
to original condition. -
"':~'I" .', '.. '.-,
"'/ f 1\,'<,,,...' ',q I.
;f Lj;:~, lid j ~L:,J :~Q! ;',-J; f t
;,~:"'.dJ 1 ; ','-": ~:;! II fj'" 5;
. ',~, < l Ll '"
In accepting this permit the gralllee. his successors and assigns. agree Ihat allY damage or injury done to the properly of thc gralllce or any expense
incurred by him through the operation of a contractor, working for the County or any County employee shall be at the sore expense of the gramce, his
successors and assigns.
and conditions as herein set forth.
Dated Ihis :3 ~ duy of
, the undersigned, hereby accepts Ihis permit subjcclto the lerms
::::I7ln /J r /l C/
6,fll
,19 a9
,_._^__.:_",,'~_J ,__'" ~~~_.__.~_.~","_~_,. .__________,_~______~,,-.
GENERAL I'ROVISIONS AI'I'UCAIlLE TO ALL I'ERMITS
This permit is subject to uJlapplicable provisions of the Revi!.ed Codes of Washinlltun. e),cept that any provision ill this agreement not con!:>l!.tent with
such resolution shall be controlling.
A bond itl the amount of $
is required fur the protection of lhe coumy as set forth ill the terms .:>f the bond.
During the progress of the work such barriers shall be erected and maintaincd as may be ncces~ry or a!:> lI1a)' be directed for the protection of ttic:
traveling public; the barriers shall be properly lighted at night.
In accepting this permit the petitioncr. his successors and assigns, agrees to protect Jefferson County and save it harmless from all claims. actions and
damagcs of every kind and description which may accrue to or he suffered by any penon or persollS, corporation or property by reason of the perfor-
mance of any such work, character of materials used or manlier of in:-.ta]Jatioll, maintenancl.: and operation or by the improper occupanCY of right of
way or public place or public structurl.:, and in case any suit or action is brought :..gain!>t sail.! Jefferwn County for damages arising out of or by reason of
an)' of the above causes, tht: petitioner. his successors or a!>Signs, will upon notice to him or them of commencement of such action. defend the samt: at
his or their own sole cost and expense <lnd will satisfy any judgment arter the said suit or action shall have finally been determined if :..dvcrsc 10 the Jef.
ferson County.
Except as herein authorized. no excavation shall be maue or obstacle placed within the limits of a county road in such a manner as to Interfere with
the travel over said road,
Except as herein authorized. no excavation shall be maue or ohstade placeu wi\hin four (4) feet of the edge of the pavement.
If the work done ullder Ihj... permit illlcrfcrc:> ill4.lny w4.ly wjd) Ihe unJiJwgc: of the county road, the grantee shaJl.....hol]y and at hb u.....n ell.pcllSe make
such provision as the engineer may direct to take care of said drainage,
On completion of said work herein cOlllemplatcd all rubbish and debris shall he imlllcdiatcly removed and the roadway and roadsil.!e shall be left neal
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall be done under the supervision and to the satisfaction of the County Engineer and the entire expense of said
supervision shall be borne by the party or parties to whom this permit is issued,
The Department of Public Works hereby reserves the right to order the changl.: of location or the removal of any structure or structures authorized by
this permit at any time. said change or removal to be mal.!c at the sole expense of the parlY or parties to whom this permit is is!lued, or their succe~sorS
and assigns,
All such changes, reconSlructioll or relocation by the grantees shall be done in such manner as will eau!>C the least interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for an~' damagc 10 the grantee by reason of any such work b)' the County of Jeffer.
son, it agents or representatives. or by the exerdJ.e of any rights by the County upon ruad~. streets, public places or structures in qucstion,
This permit or privilege shall not be decmed or held to be an exclusive one <lnd ~l1all not prohibit the County frolll granting other permits or franchise
rights of like or other nature to other public or private utilities, nor shall it pre\'ent the County from using any nf its roads, streets. or public places, or af.
feet its right to full supervision and contra] over all or any part of them. none of which is hereby surrendcred,
The Department of Public Works may revoke. amend or cancel this pennit or any of the provisions thereof al any time by giving written notice to the
fll,:nnillee. The permittee shall immediatcly remove all facililies from the right of way. Any facilities remaining upon the right of way 30 days after writ-
ten notice of cancellation shall be removed by the County at the expense of the permillee,
The party or parties to whom this permit is issued shalllllaintain at his or their ~ole CXfll,:nse the s{rUClUrc or object for which this permit is granted in
a condition satisfactory to the Dcpartment of Public Works.
SPECIAL PROVISIONS, 1. Cable shall be installed outside the existing ditch line and
shall be a minimum of 30" below existing ground.
2. All areas disturbed during construction shall be restored to original condition.
In accepting this permit the grantee. his successors and assigns, agree that any damage or injury done to the property of the grantee or any expense
incurred by him through the operation of a connactor. working for the County or any County employee shall be at the sole expense of the grantee. his
successors and assigns.
and conditions as herein set forth.
. the undersigned. hereby acc~pts this permit subject to the terms
tJ c-r
,19 Y:?
Dated this
28
day of
Mlflll,;j11l1
Jefferson Co.
DEI'ARTMENT 01<' PUBLiC WORKS
District No. ~
Supervisor's Report No.
Supervisor will make detailed report with his recommendation 011 this application. Whellever possible show sketch of proposed
work. Supervisor will also make additiollal reports alld filial report givillg date of completion of work 011 this form.
Preliminary Report:
-;'wrl-rJ:$o"vv;"t...e-- ji:,t:>_ /y>' P .
,Vei'I" !y".,,,-R.ow "'''''<>'''-'-D e,':i:...
s:.\'\<:>'-^LD p\ ""'-1: ::::.4-131-<:'
/. e'i h "'.p. /. '}O ON, A.
'" it-H 5TI'T'" D A--1-' t::. 1) ; fc t-I .
0",-1- S ~ D C. 0 Fe: 1-0-1
s .-r>E. ,
Date: jf) /:> ~/P,B
Final Report:
PERM71T INSPECTION REPORT
\ Work covered by perinit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
Signed:
../L~/L..~
REMARKS
Uale:
c.)- F'r. '7
SI~ned: ~,... 0--.::...
.;. <'! " ~1.
LOCo'TION J
ddt~~- IN, I .5wmv22..'I.I lIi/(e 1:-
Clly ~~~CQlJnty.2" f'f Blate.w.
N.m.__.il.th!.A-1 T()'fPe-,,- -_.,~_.
OAIGIN"T~OBV J~.,..e- Dala~'t;'6
New 81 $/0 No. ~,J. Due Dale
Aepall 0 Tel, No, __ _: Temporized O.vO
Rea",nQe 0 SIO NO, . Du. Dala_
Typo 01 S<<\IlcI
elL ,'" Calor/B.', T.n'T\, Add,..
1.. 5 ?o
Burled Service Wire.
Work Order
P8llQO le,' I
NO L?.~ '3]'1
Complele by ___
cnN1A"CTOF\'S ACCEPTANCE
Firm -----
81Q"atu'._-.------ -
TIlle _ Date - - .-""'
Un;1 frleo 0 CQII Plu, 0 FII' S,,'" 0 $,
Bill 10: PACIFIC NORTHWEST BEI.I.
"lIonllon_,.___ ---- ,- --
Addroas_~__ - ---' -- - .-------"
Cltv_-,.~ .._<_._.--.-.-~-ZIDp-- '~-' ..-
APPROVAl. For Fill Sum/Co" PM $ ---- ,- --- --
A8Commen<le<l__~---,- _ ____---_ 0$\8 , ,,-- - '
ApprOV8dby _____ _-- 0818___
PERMIT REOUIRED 0 Vea 0 No
Received "om _ ,.,_ - - VerDII 0
Juri6dict1on_,-- __No, _Do\e__,
cor.cPI.~ 1 ED BV
Cell
_' .___ Date__
,___lor ServlC8 Connection
G""
, , ,
.' '
, -,
SkalCh WorI< RtQ<Jlrld' 1""ludo I.ength., dePths, wire .1,. .nd .mOUO\
$:?O :'B~ i?~', {!( 4..-~: . '
~H
"
'f()O
t{
Sw;" TV' 50"";' v2/f e
: ~ 1_~di~,ale',Nor\:+(
N~ A,)J>I~'~ ~
'.'I~',t', ~ ~
I
I
I
t
I
I
,I
_ ,fb.p4/. .
, -:-Y~~
"-
'R
N
NO-ii:-.Th;.lkIlC~~~.c~;il.Pr.p'e.."t.t\Of'Iln .Ildtl':~', ~l..e~i1f'l' th. t"..on""lot';r.,po"ilbllll~ 10 pro~'ty locale worle I" Ir" !1,ld
I - ,-~ ''r'l.~fr/f'~
J,.~ ^,J~.v _ ';:,U V,~C.e ;;:P', ,,', ' 0
p.~ t"op ~
GENEHAL I'IWVISIONS AI'I'UCAIlLE TO ALL I'EHMITS
This pc:rmit is subject to all applicable provil>ions of the Revised Codes ofWu!>hington. except thai an}' provbion in Ihb agrccfllclllllOI COl1!oi!>lent with
such resolution shall be controlling,
A baud in the amount of $
is rC4uircd for the protection of the COUIUY as !oct forth ill the terllls of lhe bond.
During the progress of the work l'uell barriers shall be erected and llIailltaim:d us llIay be llc,cs~ry or as lIla}' he directed for the protection of (tie
traveling public; the barriers shall be properly lighted at night.
In accepting this permit the petitioner. his successors and as!.igns, agrees to protect Jdfcrl>oll Count>' and !>a\lC it harmless frulIl all claims. actiunsand
damages of every kind and description which may accrue 10 or be surfcrcd by any per~oll or pcr~()ns. corporation or pruperty hy rea~ulI of the perfor.
mance of any such work. character of matcrials used or manlier of installa::on. maintcnam;e and operation or by the improper occupanc)' of right of
way or public place or public structure. and in caw any suit or action is brought against ~aid Jefferson County for damages arbing OUI of or by rca.'tUn of
any of the above causes. the petitioner. his succeMiors or assigns. will uponllotice to him or them of commencement of such action, dcfelllJ the same at
his or their own sole cost and expcwoc and will sath,f)' any judgmcnt after the said suit or action shall have finallY been detcrmined if adverse to the Jef.
ferson County,
Except as herein authorilcd, nu excavation shall be made or obstacle placed within the limits of a county road in such a manlier as to interfere with
the travel over said road,
Except as herein authorized. no cxco1vatiort t>ha/l be made or ubswdc pl;Jced within fuur 14) feet or the cdge uf the pavement.
If the work done under this pcrmit interferes in any way with the drainage of the COUllty road. the grantee shall whollY aud at his own c)"pcn~c make
such provision as the engineer may direct to take care of said drainage,
On completion of said work herein contcmplated all rubbish and debris sh(lll be iml11edi(ltel~' rcmoved and the roadway and road!ooide shall be left neat
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall be done under the supervision and to the satisfaction of the County Engineer and the entire expense of said
supervision shall be borne by the party or parties to whom this permit is issoed.
The Department of Public Works hereby reserves the right 10 order the c1mngc of location or the removal or any structure or structures authorized b~'
this permit at any time, said change or removal to be made at the sole expense of the party or parties to whom this permit is issoed. or their succer..o;ors
and assigns,
All such changes. rcconstruction or relocation by the grantces shall be dOlle in such manner as will cause the least interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any damage to the grantee by reason of any such work by the County of Jeffer.
son, it agents or representatives. or by the exercise of any rights by the COlllllY upon roads. streets, public places or stroctures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the County from granting olher permits or franchise
rights of like or other nature to other public or private utilities. nor shall it prevent the CoulIIY from using any of its roads. streets, or public places. or af.
feel its right to full supervision and control over all or any part of them. none of which is hereby surrendered.
The Department of Public Works may revoke. amend or cuncelthis permit or any or the provisions thereof at any time by giving written notice \0 the
permittee. The permittee shall immediately remove all fucilities from the right of way. Any r:lcilities remaining UJlon the right of way 30 da}'s after writ,
tcn notice of cancellation shall be removed by the County at the expense of the permittee,
The party or parties to whom this permit is issued shall maintain at his or their sole expense the structure or object for which this permit is granted in
a condition satisfactory to the Department of Public Works,
SPECIAL PROVISIONS:
1. No open cuttLng of roadway wLll be allowed.
2. CaLbe sha:Ll be i.nstaLLed a mi.nLmum of 30" below exLstLng shoulders.
3. All areas dLsturbed durLng construct Lon shall be restored to orLgLnal
condi. Hon.\ i:';'i';'\\{:\@U\ff\' &J~
";":\\':\I,'\lil\ ,\ ;)
j.)~ .':':.l \.1 \~.)U j U
In accepting this permit the grantee. his successors and assigns. llgrce thlltllny damage or injury done to the property of the grantee or any expense
incurred by him through the operation of a contractor. working for the Cuunty or any COllnty emplo)'ee shall be at the sole expense of the grantee, his
successors and assigns.
" tf, S. 1t/",s7-
llnd conditions as herein set forth,
~ Dated this '2- day of ~
. the undersigned, herehy acceptS this permit subject to the term~
,Jr,,,,.
.19~1
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
Fee I'aid_ Ye,; _ No
1820 Jellerson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385.9160
Receipt No.
Addrc:~Rtquest_ Yes_No
Mile Post
AI'I'UCATION rOil l'EIlMIT
To Department of Public Warks,
Jefferson County, Washington.
The undersigned U s: t/::,-;I-
herebyappl n-n-'i'r for permission /0 fJlAc ""
~rl/{ ..~':/ 4"",,/,.~ I/..~
5tb" _-/ .b<<r/e""r S'ert/lc.e" 4/1re. ;;.,...
tAI'plkUIJ/ ..ill J",\I',,/I,' f;/II)' l\hUllw "H/,,'.\ 1tJ"/I J
/"'""'1/""/
/P'b"
,5;,,./4 ",,,,/ ~;/.(' :7"1.,
SKETCH:
5c?e
.. ~",~",,/,
~rj t/r,t""""
?j>-'/32.
RECE~'\fIED
DEe 15 1988
JEFFERSON COUNTY
PUBLIC WORKS DEPT
011 eoumy Rood:
C4.--.:.6N/ (' 16/~.:=,4.J betweell
(SIIlII'IIr'Qrl'l/ Cft~\\-\frI'l't orllllll'f'/'im)
and agree~~ 10 do the work in accordance with your rules and regulations and subject to your inspection and approval,
Date /Z-/z. IL~
7 ~~,,,r^"Ii'"'''' ,c"""","',
(If apphcanlls II copartnership, set forth nallles of copartnersl
'2?..~ 4;b~- - L',/l
Alldre!>!O ~ Adll,.:,""
.f~.df..$~~...:L-
I'hone No, ~S2.- ~72q
Jcfferson Co.
DEPARTMENT Of PUBLIC WORKS
District No.
5"""
Permil No,
o'1?76
Supcrvisor's ItclJOrt No.
Supervisor will make detailed report with his recommendation olllhis application. Whenever possible show sketch of proposed
work. Supervisor will also make additional repOf/s and fillal repon giving date of completioll of work all Ihis/orm,
l>>reliminary ltelJOrt:
cJ <!...ve./iffJ f) sT'".
p;I-JeJ\;>- -;Co ,q..c>
.... p.
- ~o
o. ~ s- h.J (). '10
"'j>C''IJ C".,..h"w;j
/Ve
i::>d'c./~e. So
Date:
) 2.--z1 ~~9
Signed:
.A ~J.(~
Final Report:
PERMIT INSPECTION REPORT
.t/ Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
- inadequate
REMARKS
Dale:
c../_ I S- d';:t
,
Slglled:~ ",,""-,~
,>
~,
;
,
l'
"~', .',..; .",."
(,,; < - --,--,p -- ------- -
~~lOt No~e.l1 _ PEaRMIT ~utled"NIC'Wlr..
(Jur -/2 -Work Ord.r
--,-Ii" IN
";..: i q~I' f .:i.vtJ -S',z----'--CONTAAClOR'IACCiPTAHCl
.;; f ...1.:.(" #.__ OOonIY.J~-=-"":"-;;;;~ ::;.11,/" u______~_____,....-
fllfllt" ,t_~~ TIII._ O..,e. --
'" \,., < .b U"U ',In 0 COII'I", 0 ~III e.,,,, CJ S.. --- ,-
OI'\l..:..:t,.o.l((; tjv ...L~~~..__ Da'e_
N.w ~'1'l10 No, _____" ,_ D~. Oal. ~
I'\tp.h '-:: "Q' No, ____ T''''rxltI.td 0
Ru"..ng. c-J 11/0 No,. 0.. Olla ~
.', ~ 0'''''''''___
~f - ~ ~.,,,~:-.~.~.
.. =- -- ::!:~Et---_.__
.;::_~,~.;t;;;;" '-~f'"
U!TF-"'~..i!!!r.-;1-:'--J -,~- ;..s::...
tfi ,yt>C "'~f. ~.- ... - --
"',.)/- O(~.. iii _. - - ---
.j),:f,.... ~--..,....
~~ -"..- .-- .-... COMPlETEO
ccr~~"i ..____"" .'_ __. _. Call ___Io'8<trv1CICQr,~.ellon
'-' ~~r.-, .---- d----- - .' .'m---
._, I~ __:E&-_..._ - .__ , - ___.-- : :
iz;;-"...G .,.-~i^".:;-9)O'" ==.. =-- .,
~grll Ao~Tr;d7i~::;;cr.,,~;;,~hi~NJ .mount' .
J1E'FF (..~..,:Jf' ~r',,,.dl.''R..' . . .
., ,.,.':l"", "I ' " .
~~P_'._' .; ...:.. '_' ~ .:.. . .~
,-_. __~~, 1 -..--...--.-._~~""'"
'c/~()( l/wcA .sf
"ilIO 11,'"
No, ZE:::.~?
Compltllt b~ ____-
111110; I'ACll'lC NOIlTHW!ST lllL.L
Allt",lon, .. -_,_" ,,-.,.,,-..- ,-
"00''''__",__ ._- -"'--
CItV __. _,_..__.___..._ Z'Il__.__ --
A"'ROVAL "or '1., l..r'I'l/C'Oft Ph"" II __0, ....-_._
Pllcomm.nd." _" _ _ .., .__ 0.".. - -- _,
"~p'Oytdby_. ., .._....,_ Olte __.'_
~
(t
PERMIT REOUII'lEO 0 v.. CJ No
flIC.;Ytd f'om _'._00 _, VI,bll 0
J"rl.a.cliun _ ,,_ No ____ Cete __
f
1"
-,---- ,-------------
II1\lIC'le No'ln 4.J
. ' ':..sr+' '...
., ,
f
A~
'I:'
f:
,,( :
,
'0
- - ~-1.
I
:~~~X~
r-~-::;:..~
, 'I'
:(}'r"
__--i--' ~:~
t
t.
~,
11"
,--. ,'IU1.' n"~~~-;'C~oi~;~.-;.C'\JIOI"'c-;r.>.Ill'!I-;~i:,,;:;-;ifdei;.I"I'~~~l~';;;wn.'lbtIt')' IO'~"''''' lOcl.t.~trt ,,,.......
0!ll01HA~ COl'V
'2,1;,.;.'.~/~ ~~!:l;/' ~~tM
, "
r.~ \
t
" '--'-~rL.iis~-""?1r..J6'L""-.'--"'"'' ,"
Phone No,~2.- ~92<f
Phone No.
100% Recycled Paper
..,.,.".....-,-"""....,..........-.----.
',;:
~,
~.
': ,,:", " " " "'" " . ".'" " ....-':, , " .. ---, , " '
:',;> ::;" .':-i\ '. ,." ",' .... ,i ,',:... . ,
.', ..' '. ...... , .'t :;. ..,.,.'..,'.',' ,;':'.,.
, ' "'.', ' '\:.':(),' ,'" .', :.'", :". ' "
'" .": " ',;,:,,' " ,... ::,
; ',:., ....,".
-,'.'
" ' ,"": " ::':' . :",." ;'::,::
" ".. .'.. ,
. ". ' ". '.' <,.:: .
.... ,',' , , ' :-,.: '.:" , ,,,.," ,.'. .:: :,:'/': ,
': ,.," , .. ':.. ",',
, , . "', .'..': ,i,::'
",:", ';, /,.'.... ,.. ,..,,:"'.
", ".:' ,..,::.., ' , ", :;' ,,'..;,:, ':,.',
--, ': '..., " .'
'.. ',' ,.,', '. ..' ,.,.:.' ;,
,:' .
, ....'
....' " .' . " . \ .. . .'....
, '..,: '" "" ';,' , , :" ,:,
;: ......'~
'-" ':" " '.
", ,
:"..","'.,' ,"
,', .",: ':'- " '"
L..- "
--
f
''''-",
,l
\.
.
."
;,
':
j:
,I;
. .- -- --/::.,
", ,-'.' '" ".';":J, ·
'.: ":.' :1
"..,. \
....
':,'...
,:'::,'.
l
J
,
:
.'
;:, :.'
',. " '\,'
" , ",'
)"",,,;:""
, .
_. ,
GENERAl. PROVISIONS AI'('l.ICAIII.E TO ALL PICRI\IITS
This permit is subj~CIIO all applicable provisions of the Rc\'iscd Codes of Wa~hjllglon. except thai any provi..ioll in lhh agreement f1ul comistcnl with
such resolution shall be colllrolling.
A bond in the amount of $
is required for the protection of the county as !Oct forth in the terms of the bond,
During the progrCMi of the work such barriers shall be erected uud maintained as may be necessary or as ilia>' lx; directed fur lile proteclion of tile
traveling public; the barriers shall be properly lighted at night.
In accepting this permit the petitioner. his successors and assigns, agrees to protect Jefferson County :.\Ill..! save it harmlcs!. from all claims. actions and
damages of every kind and description which Illay accrue to Of be surrered by any pcr!>un or pcrMJIl!>. corporation or property by reasoll of th~ perfor,
mallcc of any such work, character of materials used Of manlier of iu!>tallation, maintenance alld operation or by the improper OC(:upanc)' of righl of
way or public place or public structure, and in case any suit or action is brought <Igainst s<lid Jeffersoll COUllty for dalll<lges arising out of or by reason of
any of the above causes, the petitioner, his successors or assigns. will upon notice to him or them of commencement of such action. defend the same at
his or their own sole cost and expense and will satisfy <Iny judgment aftef the said suit or action shall have finally becn determined if ud\'er!>c !O the Jcf,
ferson County,
Except as herein authorized. no excavation shall be made or obstacle placetJ within the limits of a county roatJ in such a mallner us to interfere with
the travel over said road,
Except as herein authorized, 110 excavation shall be made or obstacle placed within four l4l fect of the edge uf the pavement.
It'the work done under cllis permit imerferes ill.:lll}' way willllllC druinagt.'of llll.' counlY w:Jd. lhc gr:JlItee !>hall wholly and at his own expense make
such provision as the engineer may direct to ta\.;c care of said drainage,
On completion of said work h~reil1 contemplated all rubbish and debris shall b~ immediately removed and the roadway and ruad!>ide 11l1all be left neat
and presentable and satisfactory to the engineer,
All of the work herein contemplated shall be dOlle under the supervision und to the satbfactioll of the: COU/II)' Engineer ami the ellthe expel1~ of said
supervision shall be borne by the party or parties to wholll this permit is issued,
The Dep<lrtment of Public Works hereby reserves the right toon.1er the -:hunge of location or the: removlll of lln)' structure or lltrucWres authorizcd by
this permit at any time. said changc or removal to be made at the sole expense: of the party or panics to whom this permit is issue:d. or their !>ucccssors
and assigns,
All such changes, reconstruction or relocation by the grantees sh:J1I be done: in such manner as will cause the least interfercnce with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any damage to the grantee by rea!>on of any such work by the County of Jeffer'
son. it agents Of representatives, or by the exercise of any rights by the County upon roads. streets. public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and !.hall nlll prohibit the Count)' from granting other permits or franchise
rights of like or other nature to other public or private utililies, nor shall it prevent the County from using any of its roads. strects. or public places. or af-
fect its right to full supervision and control over all or any pan of them. none of which is he:reby surrendered.
The Department of Public Works may revoke. amend or cancel this permit or any of the provisions thereof at any time by giving written notice to the
permittee, The permittee shall immediately remove all facilities frolll the right of way, AllY facilitics remaining upon the right of WilY 30 days after writ-
ten notice of cancellation shall be rcmoved by the County at the expense of the permittce,
The party or parties to whom this permit is issued shall maintain at his or their sole expense the structure or ohject for which this permit is granted in
a condition satisfactory 10 the Departm~nt of Public Works.
SI{:IA\~R~d~~ors'shall be installed at a minimum depth of 30" below existin~
roadway ditch.
2. P e d is tal s hall be ins tall e d as n ear asp 0 s sib 1 e to the rig h t of
3. ~~ltl~n~gfi~[~eas shall be restored to oriqina1 condition.
In accepting this permit the grantee, his successors nnd assigns, agree that any damage or injury done to the property of the grantee or any expense
incurred by him through the operation of it cotllractor. working for the County or any County employee shall be at the sole expense of the grantee, his
successors and assigns.
. the undersigned. hereby accepts this permit subject to the terms
and conditions as herein set forth.
Dated this
day of
, 19
^"'Ii'/?/ ~
. _.....,^_..~.......~,.~........, ....-. '."-'.-"
,--_.,_._---_......~"'..'
~."..'......';,:~"....,,,~.',".,
\
R\..,. ,
~
ft,,~
~
-.
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fcc Paid_ y~ _ No
RCUII'I No
1820 Jelfllrson Street
P,Q, Box 1220
Pori Townsend, WA 96368
(206) 385'9160
Al1drel>S Requt:M _ Yb _ No
Mile l'oM
AI'I'L1CATION FOR l'EltMIT
To Department of Public Works,
Jefferson County. Washington,
u.s. weST PACJflC-HORT~W[-SJ-8EU
for permission 10 LJ4S~ 5'~-fp(Cr:::.. wrr~ /h_ C'!llCu;7- "n&~r
, Irl"f'IW/J1/1 "ill "",....,,,111.0 lull>' ..!lut Ill' h'1,\h~.\ III 11" J
Th{~ undersigned
hereby app/~
F(',;l~ 1fI.t.
SKETCH:
(5~C: Ct 1I"iC4 e.{)
~ECl(:'nfEn
~ .p1 [;... ~ \; . &Jl
SEP 2 1988
JEFFERSON COUNTY
ENGINEERS OFF!CS
On County Road:
F/..~/=-~_&/
belH-'een
fS/Q,..,WIlf..lt('fI1\\-.I"..../lllmll..PflIIlfJ
alld agree_ to do the work ill accordance with your rules alld regulariolls alld subject to )'our illspectioll alld approval.
Date 9-1 19~
<<().k~~ 4./L,..,
ISiHnillureuf ^flplicllml IConllpClOrl
(If applicant is n copartnership, sel forth names of copartners)
2 7'ZO Odkr~... d,
M""pl. /'j..h ~~
Phone No,~~-2.9-
^ddr~....
Phone No,
100% Recycled Paper
-,._.--:--~.~~~_.
G..I'."""""'~~,...,....~:r~~~W,~~~~~~"...,~.,.'''''''~........~~..'''_~"'\'I:'>I'''';''.,.i.-"<"/":;'''"..~_.,~,':-..~...'t,'.,._.,
""-',~.;,..._",,";,,,
.... C. '~1"' 3 1. 8;;:
0.3 4::' r Iv!
~~0r t Townsend Garage Pbl
I
:f>tr ,{;r Fe/"rf q-!
I
__ ...J j
-------- ---.- ,~_.. ---, - ,-,-..-.-,.---'
Sketch Wer.. A61qlllrCI1- Include LElnothll, de1.lthS. wife !.1r.(l dl,d iJ'"llounl
'J' f: H '( D",;"-l j .,?",<y"i 1<,,:\
o 1-''1,;>
._______---1~~.___>___~... --_.~-"--_..."'---
,
(t61
@ ~fic Nortm-t tIeIl
WORK LOC"\TION
Addreas #f~J' F/~ ,_ 1<J "
City No p.<< /., ,,A Coun y :;[if ff.~~,.I_. StutQ.w~
N8me~.\Lf.LT~~1V S G'KiG-
ORIGINATED BY y'o.-,^-~, __' __' D'lll~!fll'
New ~S/ONo N/;:>S43Y DU~D.to~~~
Ropalr 0 Tel. No, 3'r;')- t.3"l1 Temporized D".J"
Aearrangll DS/ONo,_.__._ DueD.t.. --....
Tv"," 01 SIlVie. ,TRC~
~l.... __!~!!.. _ >,._~!o"/B:!'.:..
Oelcrip\lon 01 Wor',t,
~.L!JJ:""'~ ,--"(2\ c,
~_..
a b ^:>~_I..1.~_L___ ____._ r: __
~~/~
Xl'
rT?~rJ, l: :
,/VIA:' ,
'. 1-', '0' '
. C /IN
~
n:-) (?
, , 'F 1/1,' k.. ''"!<.cl
---.,-.--. ,~~--
:f?z;;i
-"".....J
9urled Servloo WIre .
Work Order
f'll_ie-.ll
No. ,:Iff.:-.3.fi..?
Complete by ___ - --
IV
'-':"_~--- .,,~$I ,: I
~j{;;;-'"T~;~;;;i;i~;~~).! "eo !I'llll;'C' ,1,.i;~;;r~~~.,;';'~;;I~~~llcil"~ Ihf!' ronhtlr;to'" 'e,po~l!llbillly to pfOP",ly1ocalt" wOlk In Ih\f 'IHI'd.-
CONTAACTOR'B ACCEPTANCE
Firm
Slgn~ture ____
Tille
Unl. ~rle' 0 Con Plu. 0
__ Oete ___
Fin Som 0 $
eil! 10 PACIFIC NORTHWEST SELL
Altenllon_-------'-
Addreu._ ___._.
C,ty Zip - -'- --..-
APPROVAL For FI.t Sum/COil Plu. $ -..-'--
Reco'T'mended __...____ __ Date ---...
Aporoved by ____...._.___ Oat.. ---.-
PERMIT REOUIRED
Received from ____._
Juri&dicllon
o YII. 0 No
'_"--"---" Verbal 0
_ No, ____ Dalo ___
COMPLETED BY
ColI_
Dalo._.._._
!orServlce Connoctlon
'=--,
""'+Si
l.ndlqate,Nor.th
---
\
--'~~ @fJ:!'1
,~;,g~~
'~~T'
r0~;r~-" ..
V1T:L-
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.D, Box 1220
Pori Townsend, WA 98368
(206) 385.9160
N:
0892
District No,
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi.
tions and provisions written or printed below or on any parl of this form
PERMISSION IS HEREBY GRANTED TO U. S. West Communications
2720 Oakridge Dr., Port Angeles, WA 98362
10 Install a ,buried service ,wire from mile post 0.00 to mile post 0.25 including
road crossing at mile post 0.01 on Jansen Road.
Job # 88-349
County Road No, 588209
Franchise No.
Milepost 0.00 to 0.25
No work shall be done under this permit until the party or parties 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 October 13
Dated at October 13 . 19 88 '
&Wlrll_
.1989
Oy /J~, ;(L
1.800.424.5555
GENEnAt 1'ltOVISIONS Al'l'UCAlltE TO Att l'EnMITS
This permit is subject to all applicable provisions of the RcviM:d Codes of Wushingtoll, except that allY pro\'isioll illlhis agreement nul cumblent .....ith
such rt:solulioll shall be cOlllrolling.
A bond in the amount of $
is rctluircd for the protectiun of the county us !:Oct forth in the terms of the bolld,
During lhe progress of the work such harriers shall be erected iind maintained as lIlay he necessary or as may be directed for the protcction of tlie
traveling public: the barriers shall be properly lighted Ul night,
In accepting this pcrll1illhe petitioner, his SUCCCM.orS and assigns. agrees to prolect Jeffersun County <Iud save it hunules!; from all claims, actions and
damages of every kllld amI description which lIlay accrue 10 or be suffered by all)' persoll or persons, corporation or property by reason of the perfor-
mance of any such work, character of materials used or manner of installatiun, maintenance and operation or by the improper occupanc)' of right of
way or public place or public struclUre, and in case any suit or action is brought ragainst said Jefferson COUllty for damages arising Qut of or b~' reasoll of
any of the above ~uses, the petitioner, his successors or assigns. will upollnotict.: to him or them of conllnencement of such action. defend the sume at
his or their own sole cost and expense and will satisfy any judgment rafter the said suit or action shall have fillall~' been determined if adn:rse to the Jef.
ferson County.
Except as herein authorized, no excavation shall be made or obstacle placed within the limits of a county road in such a manner as to interfere with
the travd over said road.
Except as herein authorized, no ex~vation shall be lllaJe or ob::>tacle placed within four l41 feet of the l'dge of the paVellll'nt,
If the work done under this permit interferes in an)' way with the drainage or the county road. the gr<Jlllce shall whully am.! at his own c"pellse make
such provision as the engineer may direct to take care of said drainage.
On completion of said work herein contemplated all rubbish and dehris shall he immediately removed and the roadway and roadside shall be left neat
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall be done under the supervision and to the sUlisfaction of the County Engineer and the entire expense of said
supcrvisioll shall be borne by the party or parties to whom this permit is issued,
The Department of Public Works hereby reserves the right to order the change of location or the removal of allY structure or struclures authorized by
this permit at any time. said change or removal to be made althe sole expense of the party or parties to whom this permit is issued, or their succeSMlrs
and lIssigns,
All such changes, reconstruction or relocation by the grantees shall be done in such manner as will cause the least interfercnce with an~' of the Coun,
ty work and the County of Jefferson shall in no wise be held Iiab]e for any damage 10 the grantee by rellson of any such work by the County of Jeffer-
son, it agents or representatives, or by the exercise of any rights by the County Uroll roads. streets, public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and !>hallnot prohibit the County from granting other permits or franchise
rights of like or other nature to other public or private utilities, nor shall it pre\'cnt the County from using any of its roads. streets, or public places, or af.
fect its right to full supervision and control over all or any part of them, none of which is hereby surrendered,
The Department of Public Works may revoke. amend or cancel this permit or any of the provisions thereof ilt allY time by giving written notice 10 the
permittee. The permittee shall immediately remove all facilities from the right of way, Any facilities remaining upon the right of way 30 days after writ-
ten notice of cancellation shall be removed by the Coullty at the expense of the permittee,
The party or parties to whom this permit is isslled shall maintain at his or their sole expense the slructure or ohject for which this permit is granted in
a condition satisfactory to the Department of Public Works,
SPECIAL PROVISIONS,
1. Cable shall be installed a minimum of 30" below existing grade.
2. All areas ,disturbed during construction shall be restored to original condition.
11W~~1@~~ ~{~A,
In accepting this permit Ihe grantee, his successors and assigns. agree that any damage or injury done 10 the property of the grantee or any expense
incurred by him through the operation of a contractor. workillJt for the County or any County employee shall be al the sole expense of the grantee, his
successors llnd assigns.
, the undersigned. hereby accepts this permit subject 10 the lerms ~
lllld conditions us herein set forth,
Dated this
/7 day 01
tJd
, 19 'i?'ii"
^l1l'li~;Ull
//i~
..' 'UU~/ll Hecycluu \"'1:I~tH
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fee Paid_ Yes _ No
R<<:tipt NQ.
1820 Jelterson Street
P.Q, Box 1220
PorI Townsend, WA 98368
(206) 385,9160
Address Request_ Yes_~No
Mile PO!lI
AI'('UCATlON .'OR ('ERMIT
To Department of Public Works,
Jefferson County. Washington,
The undersigned tI. S We../-
hereby appl / (J- t - '0'1; for pe;mission /0 I /t'<C ~ "b,.r / .::.../ "{"'::::,,,::,~::,,,,/::/ :;,,~, "i/i:,~,,,:;
.:r..~"C'" 111 fA"'~ tF..st fo c::,s/;,,,..s ~'''~r Ir"~'~'~"'-'
/ ,K../T~
C/os~r~ If acra:5
SKETCH:
Set:- ati.,;,{,..1 eu,j elder '$8""- 37'7'
RECEIVED
OCT? l!l68
JEFFERSON COUNTY
PUBLIC WOR!<S OEPT,
On CounlY Road:
\["",,,,,,,"
/i'c/.
~ ;..jus=h ,wlfi{ C;/;,,,,r:.:I-,,,,e~
(S/Ulelll'fJ,,,,'Cf/I\\'\frl't'/tlrmlll'/IIJil1l)
and agree / 7 /0 do Ihe work in accordance with your rules and regulations and subjecllo your inspeclion and approval,
Dale ;0- 6 19~
~ R'.rr .dlr~k.~
ISigllulllrtuT Apr!lcul1t) IColIuaelorl
l1f applicant is a corartncr~hil). sel forth names of copartnersl
ll?:Q.Jlub:.kk".. ..a h ~ 9~,.t<, W/ 7"8:311'2
^lldrt"'- / v'" Altllrc'"\
Phone No,
Q,2-&7x76'
Jefferson Co.
DEI'AlnMENT OF l'UBLlC WOnKS
Permit No, oR'I L
District No.
Supervisor's Iteport No.
Supervisor wili make detailed report with his recommendation 011 this application. Whellever "ossibie show sketch o[proposed
work. Supervisor will also make additional reports and }7nal report giving date of completion of work on ,his form.
Preliminary ItelJUrt:
tf'",,.;;:> c.Ji!OJ>'-.Jl
571>;P ..s 'l'.J ..,.0,,)
M ..,e~au) S T",JC
r-..,. T~"'A:>C.#
e5'~ TI.)~E"o
1'".e,,"Z c::,
/,j "'J~;;>
dJlTH 4
6 p C-/ /"7.5.
n <:c..,v""#'GA-0
W/''- J1~ "7-1;)( Ar ~ -"1,/, CP. ~8
.P<~& ~<!d c7/1.<J -' "tJT .t<-15T y.s rar
Cf../r€/!. (./~c:. .z: F .4 d!#CK /,jc~
"C"',,",,//..-9<7"/o../ /.r ,;<?-9V;)" r",~)"
""/-'1~,(. -/h1ce<<.,(. r!lf"'/-'c € /...J
(']-.7:,*
,.,,0') "":
'l',"
';~~i~ ,_
-,',.
"
Signed: ~(?J&)a~
Dat~:1' /&0h\/~r-:j
, < ", ' ':" '" '/!," ,',r ','11 ',';J \r'.
Final Report:' ~ '.. ,'/' .'.." '~,l
PERMIT,INSPECTlON REPORT
('/ Work cove'red by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control.. adequate
_ inadequate
REMARKS
Unte:
~- 1;"- [;1
SI~ned: ~-..~ C-~
'ct,,:, f,?II'~~
@"....." ~./ PERM IT
'" P=dflc Northweet Bell OUT _. 10- t
IN
Burled Sel"ilce Wire.
-Work Order
P8mlft./l1l
No .12:: '3 '/7
Complele by __._
WORK LOCATION
'-- Addre~s ;l'S' dl'\lJ~lit-J
City J-1NmhJWJ:>__ CoUntl.S~ -;:'"
Nan,o !-oVA,,,,
Slale wA
CONTRACTOR'S ACCEPTANCE
Firm
S'Qnalure
Tille
Unit Prlel 0 COlt Plu. 0
Oate_--
Fie' S"m 0 S__
ORIGINATED BY ~D~J;:._.,___ OoteIO-s'-fSiS
New 0 S/ONo. _~oueoate_
R~palr 0 Tel. No, ___ Temporized 0
Rearrange 0 S/O No, Due Date__
Type 01 SIlVie<>
eeL Pl'llr Color/B.P. T.rrr>. AddrlllU
6ill 10: PACIFIC NORTHWEST BELL
Attention ______,..._.
Aodress
City Zlp___
A~PROVAL For Flet Sum/Colt Plu. $
Re~ommended
Approved by
De!e _____
Date ___'
Oel'JCrlpllon of Work ",CO,'nUtlc\-- Quantll)'
..!',OU!fonc'L PERMIT REOUIRED 0 Yes 0 No
.C.1!l'\)L0-ERan> Received from. _______ Verbal 0
.:tR, "~'"S~~,,'~' ",I) --1iE,-,..:. ----.--- ' , N 0 I
"C.la.. .w~"" Jvrisdlctlon -- --- 0, --- a e_
~16U~~ R:~~~ _~., UJ~ -~___-.- _~~~, ~~~PLETED BY. for sarvi~ea~o~neellon
:"wo ~=~-, ~.~~, --1-, _.__"~ Jr?\..........~ ?-?\ ' l.ndl~ate.Nor~h
Z~____t(_'LL5 __ '" -r- _
Skct'ch w--;(It. Ae<i~T;~~i~;lude i:..;r;QtIH, d~(;Ptl1S::- ';;;;-;;;i~-~n~Tan~1~,nl ~, 2..-:;' ~p,
, , , . , , , , . , , , , ' , , , 'P(lK' I
Yo ",rR. "
(lUt.J~1i: ::
I
:S~p'
C): 0':<,;
--
..p.!~~ ~..:Jt). Oiol'
~~slJiu.:
~
. :~~___'-t.'t>'A~isi~A,i~ ________~_~~_~_n_=_ j
,,,0");0' . T;;-,~-;'-':r;;~~~'~ ~;'1 b;;I'\-'1~~;~t:-;:;:~.r~';'~'t~-;-;-~;';~n' ,;ii~j~,~;';;;ee:of'lI respt)nstblllly1o properly locale work In 1M th::ld
Gi!nl!r41 PrOvisions, pC!r Jtdft:r.!oon COullty Ord".. ,..I: 2~/J1 and WAC 13b.40.
. '
I. All .ork donI: ulldt:r :'dll.l frdllchiSI! ~hdll be dOIlt: In d tllUI'OUl)tl dlld ..orl,lrI,,"I!k~ m"""~r, In the l"yll1'J of undcl"l.u'u"'r1d "'1!C!111lC!~ Gild "'I~lo:.. d'''' If'~'
cOfl5tr...ct10Fl of ottlt'r f"cllltItH. dud the ojl~.rlln!l of tr...ndll:~, the turlrlcl1n<1 under cuunty "udd:., ri'Jht"'Uf'''dl ur Olher cu","ly I'rui-ot'ft'....., t"" (JI'~'ltc!1.'
shdll ledYt: such treflCht'S. dltct\..... And tunnel:. tn ~ur.h" \;dy o~ lu llllt:rfe!"c d~ ltttle d:' pon1t.Jtl: ..ltli f'ut.Jllo;: tr.i.cl ""d ~h~ll tde dll ,JUI.' o'd
nt:Ct:'>Sory prt:C4u,t i 0":' :U ',lIlolru thl! .:."ml: 50 tll4 t ddllOl<Je ur lIlJUI'Y :>h" t I Ilf./t acrur or dd ~t: I.JI r't:d~un ot ..uell ..or~ ~ dud ..r'ert' 4"Y 01 :'Ul II tft"nCl......
~~~~h:~r~~ t~~~e ~~a~~:t: I~~: I ~p~~ i~4~ :~II~~r t~~'1 !l;.~jl~~; ~~dl~~r~~~c~,...~~~~~;~.. I ~~II~:IlI~:J~ ~~,.~~~~~::~y 01 ~u~~~lill:lJl!~~~~~~;: ~: ~ t~4~~;;~~;,;~~"~~ ~;,~','~~i.8
through 4ny fallun~ or nt:')tl!ct to prop~rly gu/lrd or 1)lvt: ...~rt\IJI'J Of <In.... tr~fH,;llI:~, ~1lChc~ or tUlll1el~ lJu!j or rr~ll1t4lf'l:11 tll l'.l' 'l"lIt..~. ~,I;;-',~'
2. Thl! grant~C!. Its succt'ssors or 4utlJn~. ~tloll COIII1\~nc~,con~truCthlll undt:r "uch pt:/'lIIlt 'J"<lrlt~d lJy the County fllfj1"t'er ..lthl" tilt' tlftOC pl'rioc.J \t,Ht'C1
1n such pl!r1Idt Ilona shall t14Vt: compll!tl!d onll h<lve III upl!ratloll suell portion ot till: Sy\tt'1D of lm!'I'Owt'''lt:'llt.. ... 111d; tit' ~f'l'Clflt:d III 'ouch 1Jt'l1l1lt ur tll~'
r1ghts thltn:;n conferrlllJ upOn thl! 9r4nt'l! ~hall ell,,"'1! lllld tenldn<lte tll~ofdl'.n ulloceuplt:ll $t"t:...U, rO<llh, ...tl.." <1ft: <,ulll't:rnt:d.
J. The: lJr.ntl:t: shall Il!olVl! /Ill Hreet" 4Yt:nUt:S, allt:y', rl.l"d~, hhj!ilojdy.., rllJht'~ot.w<ly amlotllo:r euur,ty prol!t:I.th:.., .tler Id/lil!} dlld "1~l4111"9
md1ns 4nd doing conHructlon ","ork, 1114klng rt:poir.. to t:qul~Jlt:nt, I!tc" III <IS '-1ou<J <llId "<lfe conlJll1oll In 411 rt:~IIl:ct.. d~ tllt'! ;,l'rt: t.c-torl! II,~ eUl",,(:nCt:~
rnent of such work by the grdntCl!, Its dlJenU or contfaClOrS, <1111.1 0111 recorued IIlOllUIllCnu ..tdeh tl<lllt: be!;'n dlHurO"'1l or 1l1"\.II<lCl:d by tI,!;' wur. U,all c,l!
rt:sl!t to the spec:1flcatlons <lnll approv/ll of thl! COullty Enylnl!er.
4. In cue of lIny ddmllgl! to ..old nl'l!t:ts. Olle/lUCS, ~l1eyS. ro~ds, ,td'lhway!o, rlytlts~o(.w~'1 or otlll:r eOUllty prOllertl~:.. 0" tu lJ<lved or ..url"CI.-<.l rOd"-
.d~S. turn-outs, gutters. ditcht:s. "ood or cOllcl:ete w~lks, cJrdlll lJlpcS, I'MUl ur ellll.Jdrlklll<:Jlt '.dll~. urtlJ'Je~, t'.e~tll:", ;,'I"rvt''', l<l111.11'UJ:. or lliOIlU"'l'rn..
by the grantee, the sd1d 'Jr~f1tt:t: agrees to repdlr ~UCII U~"I~!ll! 4l the t:drlh'Sltlllll: pu"sltJle dt lU, o...n (OH dud eAI'''''I:.e,
S. \Jhen the County Engine...r llet"'l'lnlnes thdt 411 CIIIl:rfjency ..ltU<ltlUfl dOel> t:,I(lst, he nlay order ~nrJ havt: tlrJnl! allY ~lIiJ 411 ..ur'~. COIIS1<J!;'h',j 'It'<........dry to
reHore to a .sllft: condition <lny such street, 4vt:nue. 411ey, n"dd, hlfjli1oj4Y, dght.of....dy 0" utlit:r COullty propc'.ty left r..y tile 'Jl"oIlltt'e 0" ~<Jl'Jll~ In .i
condlt1un dangerous to life or propl!rty. He molY C<luSe to r..e rep14ced or rt:set rt:curdl!d n,onU/III:IlU It d (Jrolntt:t: fdth tf./ rt:l..l~c... ur. re:'t:t ..~Ihl' ..Itfllll
a rU50nable Umt: aftl!r eOl'rlpletion of constructIon, Ihe gr4nlel!, upon lJellldnd, ~h,i11 !ldy to ttle county ~Il co~ts of SUCll CurlHruCtl011 ur r.'l><llr 41,a
of doln9 Such ,"ork.
6, All construct10n or Instdllatton of m~lns, vdlves, jI1pl!", llo1l!s, catJll:~, HileS f'lll1nij ~nlJ fdCtlltlCS, ScrVl(C, I't:lldlr. or rt:loC~tl0n of tilt'
SlIme, perfon~d 010n9, Owt:r and/or unde" the county roods, l"i1)hts-of~\;dY or other county prOllerllt:' s...loJl!ct to :'<1113 Ir<l!l(.1'!st' SlIdll /,<: dum: If I ':Ouch
.. /IIdnfll!r dS not to fnterfere with tilt: constructlon, opt:rdt!un ond lu"tntt:IIMlcC ut other utIlities, puloltc or l..riv"tt:, dr"lll". dr"IIl~!le dtuhe:. 4l1d
struc:tures 10Cdled thel"l~jn, nor ...tth the 9"adll1!l or tnljlrovemerlt of Sucll county roadS, rlg~lts~ot-...oy or olllcr COunly IlrOI.....rtje~.
7. The owners ot /Ill oth~r ut11lttt:s, public or jlrlll~te, tn:.t<lllt:d In SuCh COUrtty rOdd:> , rll)ht~-of~..~y or other COullty IlrolJt:rtle~ 111'10" in thoc to
tht! Hne$ ~nd fadl1t1~s of the l)rantee ~hall have Ilreferellce..~ to the PQSltlon ~nq location uf SUCtl utllltlt:s ~o IIl~t411cd with reSllt:ct to tl,t:
grdntee. Such prefert:l1ct: shdll continue tll thl! t:V",flt of tile neecHlty of relOt4titllj or Ch~ll!lln<J the grode of dny "udl county rO<\d or r1ljht.ol'''<lY,
8. Till! grdntee. as far <IS Pf4ctlcalole, 5hall construct l1t:w utility fdcll1tle.. ulHlcrfJl'Ound, [AteflSlon of overhl:dd factlitle.. follo..ln9 strl!t'ts,
aVI!f1uC!s, "'4YS. boull!lIards or thoroughf~rl!s ~~I<lll be onlJt:l.tden Oldy ...lth tht: 4pPfov41 of tilt: COullty Eng1nt:er; I'llUVID(O, hal<ot:ver. Ul4l S<lld "1'llru~<l1
shall not be ul1rea.sonobll wlthhelil. CrllnteC! ~hall c:onvert ...xlstlnll o~t:rhl!d{l f~c1lltll!~ tu undl:rgrounl.1 f~ciljtle:> as ~nd \o<~len equiplllt:nt rt:[ll..c~hent
Is underuken. or \o<hen oUler c,I(lst1ng ovt:rheaLl utilttles drc pl~ct:lI unLlt:rgr(,urld, unle:>:. such fepl~Cl!IIIt!f1t Is un'ii~fe, jn~l/"4ct;'dl, or econ",nlC<llly
IJllrl!osona.blc. tlll~ e.o.tension polic:tes and procedures est<llJIlstll!d oy the lJr.dntee. 4ntl ufllfonnl'j dppl It:d through ItS Serll!CI: ort:4. shall be tile
st4uddrd In dt:tennlning ..holt Is "pract1clll, Impractical 0" l!conOfl\leOllly unrt:asoll~bll!" under thts ordjn<lllce; provided Ulllt no nt:.. overl'l!~d utl11ty
full1tles ..11411 be con5tructelJ or c5tdbltshed 1n <lny drl!<l set asitl\.' for public pork, set,ool, pl4YfjrOund or athll.'tlc fIeld "llrp05t:s.
9. Special Provistons:
fO,!'j.e>....,~ r-R~,vC?"
riA/./' CD~ I/"-T.s;;J
,nfr.;.IT #6
ct:J",c.-t:- '" /t<-~ //1/
c" G~ .-&T..5
o
",;),"T~
.4f1- -"'1"- <;Y;p"Y e -+ '-
"" 1 ..
"'/-9"~ /,,;fC,c~,,-
, 'c , ' ~"."'" ' ~. ~
r '
1 2, 1 7. 8 '7
o '7 : 4:3 P M..,_ ~ ~ t
I
,
" '. ~
.-
@ Paclftc NorthwNt Bell
CD WOAK LOCATi~ON , ~
Addres.s~ J-
Clly ~ ~/ty '1.4'P:>- St8te~,
Neme 8"l1M~ (/y.J#-#"
ORIGINATED8Y,.t). /;,' ,~ Date~:::/).d.?
New l2'!S/ONo,A/'O~J6''''''S" DueDale~"'>
Repair 0 Tel. NO,.1.?r-)'JI'J'? Temporized 0
Rearrange 0 SIO No, Due Date_
Tvpo of Service / /"j('
eUL PaIr Color/B.P, Turm, Addr."
.e6.// c: fro .6- IL >"1(" ~
1---
Oe&ct1pUon ot Work
R~~~~
OIJlnllly__
~~ "'^'_II--W_ ..(
1,..7:',/ L. L .r...,,", I
~; ~L /. ,
:.. yjL.,L,,, :2/2/)' ~_L
@)rl"'.J?,f .-/.,.L 7../.-/
~Z-"2;... -:tJ"'---- ...
~t ~...,~,
---
t
I;
Sk~tch Work Required. Include Lengths, depthS, wire size and amount
...
}i
t~,
",~:
1:.
I
j:
\
,',
I
'.,
'5"
~
c
,~
'\
"
"
, ,~~". " :~' i .,
, ,
.. ,',
" '...':'
I '
, '~~:
",' ..
_:,
I " ", ,~ ,',
1'BQQ016811 " ,
No. '6)- 3~3 :;' '"
Complete by ___ ',' ~ "
,
';'~'
,
T~ n s end Gar <.. g e POl
i;,",'
Burled Service Wire -
Work Order
CONTRACTOR'S ACCEPTANCE
Firm
Signature
Title
Unit PrieD 0 CO" Plu. 0
Date
Flet Sum 0 $
,
, ~ ;
:, ' ,~
,;,
I
I', 'i,
I'
,
Bill to: PACIFIC NORTHWEST BELL
Attention
Address
City
OIllIQINAL COPY
Zip
APPROVAL For Fl.' Sum/Coot Plu. $
Recommended
Approved by
Date_
Date -,---
PERMIT REOUIRED 0 Yea 0 No
Received from Verbal 0
JuriMicllon__No, _Date_
Dilte__
. ...._ for Service Connectlon
Indicate North r.
: : : : tf+l~ ~
. , , ~{
, f'"
~ .~" " 'i
~ (",. J
. n.'~,- ~
~I'~\" J
: : . ~\; ~
'G:-oJ~, ~
, ".3~1 ,;;."
( ~
" 'I . tl' "
1 ,~
,
~
}.,:
, ,
--
COMPLETED BY
Call
N.t:'l;;:-;:;;;;;;n~~"y nnl bl!l "" l.t~Cll'e.te 'er;;e'n1~110n 1M ~n dnlallK, it mrn,.lns thl!' C'ontro!c:tor', fQClponSI\)l/lly tn !"oper1y locate work In 1he field,
I
1
'f";
';'.
"
,,:,' '"
,.',....,.:
. ."..,. .... " . ,
.':; ~.. ': " '
'I'
'",'
," " , ' ~
": '.
;, ,~ . . ~ ,,;
~ "
:',i ;'-
'. ".,., :,
" ."", :." :,,'
')';: '
,,,:~': ',~'," . ;
.. :""': " , ~,
l ".' ':' "
':', ,:,." .':~ >,',"
, ---:-
,\
;::>.,
~\;:'
"
',. "" .".
-:
cr i.
, ;'
, , :', ", :.,': '", '"
", .
.: "
~ , , , :'"
, ' ", :',
" ' , , "i
, "',
. ";:
., "":'"
.,~.:- ,
" ----.. ' .'
", .:
",'." "
'"
. ',:
>
. " ,..,. Ii
---:- r ,
.. ,; :, ",
. ..., '."
" '
-;
I
" . :,~ .' . .' :'
; "
, .,.,..'
, :' ":
, ."; ':,
"
': ,
",'
;.:.
..
: ,.
',,',
:: :
:,'
:'
! "
,
'.
,::-
',,:':,
,"...",
" ' . ..,. '.
':,:' :,' ':,':' '", "
':\:':'.) " '..,..
'; :", '..:.':.":;
,;",' ,,':, ",', : ': ,.
':. "
,..,':..'. .
.":, ,,' '"
,:,,: ":,
'''. "
,",
:: .,"";
,'"..' I',
,', L.-
" "
, ' ,
j.
,,'
l
i;(();!,'\;;:;':!;\:~(:
',: '.,.
,
'.
,. . ..'
I:: " . .',',
': ,':, , ",,:
I" '. ':>
~ ..' .", " ' "
, ""'.'
1:',:-
, "
,.",',','., .
, , " ":,
" ,', .' '/'
" '" "
;, ' ,," .. ",. "" ,:,,',
':' ',' " ,,;
, .' ,,,' ">.' '
" :'
. ,: ,:""
':' ',';,,: ',:::
, ':. ',','
,>,.
.:. :,.'
" ':' "
"," : ',':'"
, ' ,
" '. ',:
.'.. ',.'
" ':"',.,."
, .'
"
'I' "'.'
,.' ,,'
--'." '.,
, '
", ' ''';
'.,. I"
- ','
.. 1", ~
;, \ .
:OUNT.Y ROAD NO.
iTATE LOG NO.z,07Qo'1
lILE POST _ '
OFFICE USE ONLY
PERMIT NO.
FEE PAID ;,--.res -Yo
OFFICE USE ONLY
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Jefferson County Courthouse
Port Townsend, WA 9B368
CHECK ONE,
"fJJ RESIDENTIAL
APPLICATION FOR ROAD APPROACH
o COMMERCIAL
.Applicatidn is ~e~bY made for a permit to construct, operate and 'maintain a road approach.
Please describe loac,tion (attach map or drawing) lo'{" ~ '~n~~C k. ~ tHv H...
(. rt 'II () L \ / " ~ "'..- ,;:1- ,
N n c..& '\ ve.rr
(~
Applicant agrees to perform the work in strict compliance with the terms and conditions set
out herein, and any special provisions attached hereto.
'<ji\pplicant Name Do.",;' \-2, ,) +1'.(,1"'"' . Contractor Name
Address I'~ y ~ '~~ ~~ "~ S C\
, <;e~C~', " W CA UL10~
ApplicaJlt Signature,. ~ AtfLJr...... Contractor Signature
Date. 1.-.1 - J - ~O\, Date
Note, Ind~ty provfsions of paragraph. 2' ''8.nd 3 ,on 'reverse side.
S e... 1+
Address
PERMIT
"
Subject to the terms and conditions on the reverse side, PERMISSION IS HEREBY GRANTED to
Applicant ~o construct, operate and ma1ntain a road approach as requested above, and any
special provisions attached hereto. ,
No work ~all be d~ne under this pe~it until the appl~cant or contract~rhas notified
I-'~^ h L', " " f'} " k ,telephone 7 <:; c;. - l..f \ q /1 .
APPROVEDB,Y' ,~'Q"""<1~ d'l;lN\'II""".,_ Date j..J- .7- "il'q
PERMIT INSPECTION REPORT
CALl48 HOURS
BEFORE YOU DIG
1-800-562-6478
~rk covered by permit has been completed
------- satiSfactorily.
_______work is not completed.
~ecomrnend permit be cancelled.
_______Traffic control - adequate '
inadequate________
REMARKS
INSPECTED BY: c.Qo NY\O^"",
DATE 4 - / /-<69
Form 113-0 (R."A 2-jlZl:
,
,
.
'. ~l
: ":,"
"..,.. ,'"
" :,':,. ,"
,"
,,'.:
,"
: ',.: , ,
.'.',
,'" ." " ":
",.,...:.., .
, :
,
!
I.
!..:,...
, :'
"
.'
""
,"
['
:..,.
.,.
:'
.'
.
:d: ",
,
':" ",
.",',:
:"'"
,
..
" ',",
:"
,
"
:...,'
':\
- 00:" f..
i
I
,
I
I
GENERAL PP.OV IS IONS
:,'r
"
1. THIS PERMIT IS SUBJECT TO RCI 36.75.130, .140 ArlO .150 AIlD AHENDME~TS THERETO.
2.
':"
THE GRANTEE" ITS SUCCESSORS Afin ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTy AND SAVE IT HARMLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERY KIND AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERsafl,
PERSONS, OR PROPERTy BY REASON Of THE 'PERFORI1ANCE OF ANY SUCII WORK, CHARACTER OF MATERIALS USElI OR MAImER
OF INSTALLATION; IN CASE AnY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTy FOR DAMAGES ARISWCi OUT OF OR BY
REASON ,OF AN't OF THE ABOVE CAUSES, THE PETITIONER.. ITS SUCCESSORS OR ASSIGNS WILL", UPOH NOTICE OF CQt1l"\t:Nce-
MENT Of SUCH AcnON.. DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY MY JUDGEMENT ARISIH5 IMEREfROM IF
DETERMINED ADYERSE TO JEFFERSON COUNTY.
If ,THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE HORK AUTHORIZED
BY THIS PERHIT~ THE THIRD PARTY~ AS A PART OF THE CONSIDERATION fOR ITS CONTRACT HITH GRANTEE~ AGREES TO
INDEMNlfY~ HOLD HARHl..ESS AND DEfEND THE COUNTY IN ACCORDANCE WITH THE PROVISIONS OF PARAGRAPH 2~ ABOVE.
lI. ~~Y T~~~A~~R~~T ~~ ~~Nl~~ ~~~~{~~~~~o~Neo~~Q~::~~~~l~ =~~~:: MD~Ay~R s~::.tU~~8~~C~H~H~~R~E~I~H~O G~~~~~_
LATlOH AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILlTY~ THE GRANTEE SHALL COMPLY WITH THE MANUAl ON UNIFORM TRAFFIC CONTAOI
bEYICES FOR STAFF.TS AND Hlr.HWA'fS PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
,6. ON COMPLETION OF SAID WORK HEREIN CONTE"PLATED~ ALL RUBBISH AND DEBRIS SHALL BE UV1EDIATELY REMOVED AHD
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY.
7. THE COUNTY RESERVES THE R'ljHT TO DRDER THE CHANGE DF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AuTHORIZED BY THIS PERMIT AT ANY Tlf1E~ SAID CHANGE OR REt10YAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO HHOI1 THIS PERI1IT IS 1SSUED~ OR THEIR SUCCESSORS AND ASSIGNS.
~~~ ~~~T C~:~~~:ER:~~~N~~:fr~~N O~R T~~~~~~}~'1 S B~O~~E A~SA~~~~E~~~~Lcg~NW-~l~L 5~H ~ ~~~:[A~E~lt r~~~~E
FOR ANY DAMAGE, TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY~ ITS AGENTS OR REPRESENTATlVES~
OR BY. THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS~ STREETS~ PUBLIC PLACES OR STRUCTURES IN QUEST ION.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COI'1PLETlOH OF TttE HORK UNDER THIS PERK IT SO THAT
~ FI~AL INSPECTION C'f 'BY f1ADE. .
3.
:f
:'
, '
:
,..'.'...
. .'":,,
:."
, "
:
"
:::'
.'8.
,
"
-(
: '
:
, '
~ ' . "
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (Xl
~o~~~~ug~I~~E A~~~~~Tz~~A~~ :~Ig" P~~~I~O:I~AT~~J~~D c~~~~~~~E~I~~~~~~A~~EMEHTS~ AT ALL TIKES DURING THE
THE APPROACH SH~LL-BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE f-\
APPROACH. A. L '0 FT. LENGTH OF ---.:... 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
~~~E~~G ~~ ~~~F~~~D~A~~R T~~o~P~~~~~~E S~~~iE=~Y I~N~gcg~B~~~E R~~~~~~-w:~O~:tE ~g~T:~L P~=H~~~E~~AH.
THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREYENT MY' HUD' TRACKING ONTO THE COUNTY ROAD. ~Y HUO TRACKED ONTO THE COUNTY ROAD SHALL BE IMEDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARY"O rNCREASE srGliT DISTANCE~ 'STUMPS AND BRUSH SHALL BE REI10VED fROM BOTH SIDES OF THE
e:r~~A~~ALl: T~~TI=~I ~~:~7}T~~E O~U~~~~~'f O:O~~R~~~~~~~~~W~~~8ER OR DISFIGU~ING OF ANY fEATURE OF SCEN Ie
WORK'SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M. ~D II :OOP.H. lftLESS 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 HASHINGTON~ SHALL BE FURNISHED TO INSURE COMPI.IANCE HITH ANY AND ALL OF THE
TER"S AND CONDITIONS Of THIS PERMIT AND SHALL REtiAlN IN FORCE ~TlL ALL WORK ~DER 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 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 SHALL BE SECURE,p BEfORE THE BONO WILL BE RELEASED.
SPECIAL CONSIDERATIONS 1\ I ~ r I,' .. -..'r
\ \JoV "'= V\..if" IfI \," \
-0'1.
.': ~ 2.
f ~ 3.
j ""
tl' , l2SJ q.
....' ,0 5.
0 6.
"
.", 0 7.
,.'., m
~',' , 8.
: ,
,:';.,'
"', "
': "
-'~""
: '
L
i
..
:.
I ','
:i
l
"
',',':
:. ,.,.
..-..........
',:',':::::... "", .'"
, "", "" d " '';
'. .,i',:/:.. ,
.. ' ",
..'....',',', '. .' ',".'
, ,':
" ,
,'" "
.1' ,',
" ".", "..',
I:
II'
I
l; ""
, ",.
I! '...
!:'.
ii'
;,;. ; u,:', ,:', ','
'," ,,", ,
,
'i, " " '
" ,,,'.,: ",,,:,:.,. :'
I: '.' '... "
I":'" " ,", ,""
,,'., . ' '.
i',... i' " .'.
, ' '
.' '
,
,........'....,..L
", ' ", " '
I
Form 113 b
i >~..
, '"
, ":,'
': ":,,
...'"' . ".. '
'" ", ,
,,',,'
,
L
,',
<
.. :,:'::
..'.,....
. ' '.' ",,'
_J"i
" " ....
.,.,
-.J'
\
-("~,~
,~~~if'
~~~
It\~~;,;~'' '-
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slreel
P,O, Box 1220
Pori Townsend, WA 98368
{2061385.9160 .
N~
0927
District No,
5
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi-
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO Puget Sound Power and LLght
310 Four Corners I<d., Port Townsend, l'IA 98368
to InstaLL. a 40' PoLe On the South sLde of Oak Bay Rd. at mLLe post 4.38
Job #8808257
County Road No. 569908
Franchise No.
Milepost 4.38
No work shall be done under this permit until the party or parties 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 December 7 .19,.89
Dated at December 7 .19 88
&lrflIDWlBID
By~6~~
1.800.424.5555
_____ -c.. .,_:.....:..__...'_.._,._'-'~,:.:.....__, '-_"'."_':,.,..~~_.._,_.';"'".. "_~__\"'_"~'_'; .'~ '..~.~->,;;:.,
GENEIIAL l'nOVISIONS AI'I'L1CAllI.E TO ALL I'EIIMITS
This permit is subjecl to all applic..bl~ provisions of the l{eviseiJ O.xl~3 of Washington, except that aflY provi~ion in thi~ agreementllOt comistclIl with
such resolution shall be controlling,
A bond in the ..mount of $
is r~quired fur lhe protection of the (Honly as !let forth in lhe terms of Ihe bond.
During lhe progress of the work such barriers shall be erected >lnd Illaillluim:d as Illay be neccssary or as may be iJircctet! fur lhe protcction of tlie
traveling public; the barri~rs shall be properly IighlCt! <It night.
In accepting this permit the pelitioner, his successors and assigns, agrees W protect Jefferson Coullt}' and save it hannlc::.s from all claims, actions and
damages of every kind and description which Illay accrue to or be suffered by any persoll or persons, corporalioll or propcrl}' hy reason of the perfor-
lIlancc of any such work, character of nUH~rials used or manller of installation. llIainlen>lllCe and operation or by the improper OCCUfl.UnC}' of right of
way or public place or public structure, and in case >IllY suit or action is brought against said Jefferson Coullty for t!amages arising out of or b}' reaMln of
uny of the ubove causes, the petitiO/ler, his successors or ..ssigns, will UIXlIlllotice to him or lhem of commencement of such actiun. dcfcnd the same I1t
his or their own sole cost and expense and will satisry allY judgment after thc said ~uit or action shall havc finally been determined if au\'crsc to lhe Jef,
ferson COUnlY.
Except as herein authorizcd, no excavation shall be mat!e or obstacle placet! within the limits of a county road in sllch a lIlallner as tu illterfer~ with
the traYel over said road.
Except as herein authorized, no excavation shall be made ur obslacle placet! within four (4) fect of the edge of the p.an:menl.
If the work done under this permit interferes in any way with the drainage of the county ((l.Ud. the grantcc shall wholly ant! at his own expense make
such provision as the engineer may direct to takc care of sajd drainage,
On completion of said work herein colltemplatet! all rubbish and debris shall be immediatcly removed and the roodway and road~it!c shall be lcrl neat
Ilnd presentable and satisfactory to the engineer.
All of the work herein contemplaled shall be dOlle ulld~r lhe supervision and (0 the satisfaClion of the County Engineer and the entire expense of said
supervision shall be borne by the party or parties to whom this permit is issued,
The Department of Public Works hereby reserves the righlLO order the chunge of ]oculion or the rellloval of any SlrUClure or structures authoriled by
this permit at any time. said change or removul to be made at the sole expcllSc of the party ~r parties to whom this permit is issued. or their Succ~~sors
and assigns.
All such changes, reconstruction or relocation by lhe grantec:i shull be done in such manner as wj]] cause the least interference with any of lhe Coun.
ty work and the Coullty of JcfferMlIl shall ill 110 wise be held liuble for any damuge to the gruntee hy reason of any :iuch work by lhe COUnt}' of Jeffer'
son, it agents or representatives, or by the exercise of allY rights by the ('ounty upon roads. streels. public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one und shall not prohibit the County from gmnting other permits or franchise
rights of like or other nature to olher public or private ulilities, nor shull it prevenllhe COUnty from llsing any of its rmuJs. streets. or public places, or af,
feet its right to full supervision and control over ull or any part of them, nonc of which is hereby surrendcret!,
The Department of flublic Works may revoke. amend or cancel this permit or any of lhe provisions thereof at an}' time by giving wrillen notice 10 the
permittee. The permiuee shall immcdialcly remove all facilities from the right of way. Any facilities remaining upon the right of way 30 days after writ-
ten notice of canccllation shall be removed by the County at the expense of the pcrmiltee,
The party or parties to whom this permit is issued shall maintain al his or their sole expense the structure or objecl for which this permit is gralllcd in
a condition satisfactory to the Depurtment of Public Works,
SPECIAL PROVISIONS,
1. ALL areas dLstrubed durLng construct ton shalL be restored ,to
orLgLnal condltLon.
ms WW~~l(Vf\
In accepting this permit the grantce, his successors and assigns. agrce that any damage or injury done to the property of the grantee or any expense
incurred by him through the operation of a contractor. working for the Coullty or any County employee shall he at the sole expense of lhe grantee. his
successors and assigns.
J:3.. J.?'J./~ ~ , the undersignct!. hereby accepts this permit subject to the terms
Dnd condi=<<I~ein set forth.
Daled thi, /3 day of ~~ .19 'f5lf'
dJvtvJ ~
\
1,,~- ~,
0r. W
'r"\v""J:
Address Request _ Yes _ No
Mile Post
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
fee: Paid_ Yes _ No
ll.ccc::iptNo
1820 Jel1erson Street
P,Q, Box 1220
Pori Townsend, WA 98368
(206) 385,9160
AI'!'L1CATION FOR I'ERMIT
To Department of Public Warks,
Jefferson County. Washington.
The undersigned 1=>\ loci 70 IA.) e \(
herebyappl!--- for permissioll 10 RaIl 6 G 'CX.},?T., ~~'~"I,,,>~,!y)"lT #=: 0'8 q0
.~ ~O;J'3/3~. - :PU6<::..T To J 1l5T;A..L\...... 401 "Po Lt.. :,
o V\ ,S::)lXT}-t. S/1)"C o-f of'-.K- ~ y \CD. -(*'8'6 0 "'6 ZE 7 ~
SKETCH:
O\(Clc}\
.s'CE- ATT A. QM e.D
RECE~~JED
NOV 2!J i988
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
On Coullty Road:
.4.3B.
OAIC'fuy e.n
~ CE:,
YY) I LC Po-4=t"
/S/alrlll't//l'1/cW\\..I/fI't"fl,,,,Uf'plIll/J)
alld agree_ to do the work ill accardance with your rules alld regulatialls and subject to your impectioll and appraval.
Date /Jal/e/nhPfr/ ...:22 J9~
,{b~ %/!/l-
ISijlnalUfC: nf Applicllnll (Conllllctorl
/) Of DIJplicanl is a copartnership, set forth names of copartners)
S/O r"hU/Z. LD/?.A JP..e c, ;Pj').
Addre..,; AddIC\\
.J>Tr t1)4 q %-.=fGf3
C3B.5" - -F55 r~
"",::'
.. '
"'"
!'
.'$",
}
<i!
;r
"
~:
1
"
,',
f
I
\
L,
"
'';',
xc,
Ii
I)
:':'
,
"
JcI'fcrsun Co.
District No,
:::>
DEPARTMENT 01' PUBLIC WORKS
Permit No, () 9 z. 7
Supervisor's J{cport No.
Supervisor will make detailed report with his recommendation all this appliea/ioll. ~Yhellever possible show sketch a/proposed
work. Supervisor will also make addiliollal Tepons and ]inal report giving date of completioll of work all this form.
Preliminary Reporl:
CJA-1C- BJ9" 'I f?D . M i"
<I.U'
f.,/~ )//5 ,see",
fO"'~ j:Uyfi;~.
..i=N$r79",-,-ec
S H-<.(). ,4-.rlf)
Dale:
IZ -1.- ~S
Final Report:
PERMIT INSPECTION REPORT
l/ Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic control - adequate
.. inadequate
REMARKS
Date:
(h7--9~
" . .'.'/,
, ".' '..'
. .' .,.",., .....'c,
".. '
',.' "
.. . .... '.' :,
.. ' " , ..
,,', ' , ,c1
, ,c,,;:,
,'" c",
~ i ' , ..
',':" ,"
, ,; ,':', , ,
" '.....',
':,,,,:::,.',':,"
,',:" "
, ,': '"
" '...'.',',: ",
I' ,\
" ,~~
, " ','
:'.', ": '...",<:,':
", ' :,,":.'
/H2f rl
O"hH'
Lep-, ,'-<.)
,.,....,;U Y' ",,<,.r~
w"s
,,?-.<.<a,
Signed:
./l u,..:t:/- J( .y~
SIAned:
~ ,;:::...LA
, ,
<"
\'
,,:'
-, ",,' ",'
,:
, ' :,',
, "','
".".'.....,..', ',\ I
., ',', .,.,'.':
"
"]
, '
,
"
"
, '
':
':"
. '
.:,'~
'. ';.:..
'ii~~~' '..... . "
'. .'. ,.. PLJC3EI- Rl~ .
" . '. :': ' -,-------
.
'."':'." ''', '>'. '
,',., , '.
:'
> .....
,
, :':
"
. "
:, " ,
,'. ,
":: '.' ,
,
,", ;::.' ,,:
".. ,,'
" ",
. :
",^ :.",.
,.', '
. .'.,..,.'.,'......': .'.
. .."",
'; .',.
...,...'.' ',.',
~ r,',~;'.'-:' ' ",i",' ',:
,,: '.":' '.'
':':..,,:,".' ,
"".',':' ,
: ,,',:'" , ' ,", ;'.'" , "
I; ',. '. .'"
I' ',/.' ' '
'. ..: '
."J,,,;:;:~.';,
>:.,:;.,.,;.:...;.,
. ,.'
,:
.~ ','
.:
Ii,,'
I '
1\.'
,",',;
" .
11, .
,
~;
>
l'
"~. ..'
"
1
I:':
t .
j;;:;:';r,i
. "
i
, ,
~
I'
[.
L
.,
.:
....',', ,:"
.-
.. '
I
,
'.'
:."
"
:
: ,
,
':'- ;'"
,:',
L
I
: ...'.,..'
.. ,
~> ,
,
- ------: i .. ... . .
, ','),.
, , , "
. ,:" ; ".,., '.';,.,
.' .
" '. ',,,
, , ':"," "','
.. . '" "
: " ",'."
.,.',..::; :.
":" :": "'i"
','" ',' '"",
'.'... " .......'
. ,
",','
, ..., ..... . ,...::
, ',",
. "",, ',: "
, " '^
--1,' :', 'i'
", ",'
~..,
PL c.f<S[ ()I::Tfr.lli ':iR: ,I 1:::,1-11 \ Fore u,(;, uUi:. ,'X"i-<.U:',j;)IJ:, 10 3,:::.tvc.:
,\r(,'/\LJ~:,E t.rt-\,L}:~1T()A) c:~\ jj.~l"7() I.')!\l~ Cl...,AY K:[) ~P-rl-
H /~~i<13i~I,;5:~):~-::~c:;i~~:, ~:;?, ~,~:~Il~;~.~,_~~~~:,<~; :~L~ X~~ hi' ,\-'11
..L~~.'~~C;.!~.)__..i~.2-
!J.Oq'C
"i EFr:-,,~n-,.
~u (~) c\ 1-0 ,::"-i,:,:,\ '~tD'
C~kj ,':~Otsr-',vt ':::.1 L\c ~
L-Y>.r~ f~A. Y i..':.. L\,
COUNTY PERIII'I
~;~ /t\
~ \ \
:' \ ~
.' '''~
I ''"',',/1:. Y" \\0<\\
~~\\
,,'., _ _____---. _-.-.----.--- "~'X,\ <:t. ~~\\\'\
=,-,,LL;_ , "-
~'"
':;r::.-
"
'* PUC':l (::.r TU If CO:, .\LL_ i~; (>/)i.lJ\)lv k/l}.)
* Cu::17.'V'\,CK,S '1"('"'\ "/&1::; l\~..!_ (~!d 1~)t~J"J,,{(: !.)~~()r,
'* rLA(,(;E\<:;:) 1:::7.(J
.,.~ LeCkie':' i.'.:(\,
" CALL 48 HOURS
, BEFORE YOU DIG
1.800~424.5555
CALL ONE NUMBER FOR UNDERGROUND LOCATION ASSISTANCE. PHONE: .:,~', ' " ' ',e"
THIS SKETCH IS NOT TO BE RELIED UPON FOR EXACT LOCATION OF POWER FACILITIES
190,&' 11-85
WORK ORDER NO, ('~~~?-~~
,SHEETOF~OF .3
LABOR CHARGES
ACTIVITY
PUDEr
POWER
SCALE I // = CO::::/ WORK SKETCH
" JOINT FACILITIES ;;RANGEMENTS - OTHER UTILITIES 1-----
JFCNO__ ~JFCNO CONSTRUCTION
OTHER UTILITY _ OTHER UTILITY REMOVAL
ENGINEER ___ ENGINEE.R __ . OVERHEAD iRANSFORMERS REMOVE/INSTALL
U G. TRANSFORMERS REMOVE/INSTALL
REARRANGE & TRANSFER DIST. CONDUCTOR
---
Olvi$ioN'-------rC"Oi:iN1T-- -:--; ~~- ., I (,lRCUll MAP lQ I CIRCUIT NO \..
__v,)~:.~~.~: ,~J.-.JE?~~~~.~J~j-~~~~~~-1-=-h ~ .o~ I \ p~o ~ ~
Trll( F-'"TH I i y:) T:\' '\ ' ":,,: GF \, \(' ,,,)1 -' i ;= 'iT
e--_.:-....--::.,.__.:.:,:...:.:...--.:_.2:::._,_:~"'::.:..----------------'
,nc."o".:.\ 570 D~"r-':' (:::,;~.y 1(:[.) - p-rL_ P~jEF"'P~R\:,D,
~:;"'t"~~~~~Tl~Q~~~~:=____T=J~~=~~_\~:~:-=----- ::lMAN'SSICNI\TURf:
0,,1[ COM" FORfM).N'S SIGNATURE
, J
CHECK
")2:
COOE
AC001
10807
58304
58405
59335
'x:
""R"\J.J ORTi\ /2zk~,
[ASf,r.!r.~- J~ _ 0" POlECAAO~ /
f-"I 'u/fc. "'10
~Arf'(D
.1~' };j),.w~~"IIIlA.~ L;l.~
....."*''ll~~_-4UI
..' ". ,
L
'"
"
l
l
-
.
"
'.' '
" "'.
" . ,"
.~~;
" . '"..' " :
.
,,' .' " '
'. . ,. '. .;'
, "
,- . ,'.,',..
n' '.,
II ," .,'. '.
, ,. "'.."
,", ',,' .-
'"
'" '
I '.., "
.: :, ''-'' ",' , :..,
H..."...
,'. "
'.' .;.
"
..: ':;
" ,
".' ',,: "
.,
',., ,
.... "
~;Wf
.....,
"
'"
I
I
,
I i
I
I
I -",'; ..,
i :
:
,
!,;'
~
-::".," .'
... . '....,
.','
~i,;; . !.
" '.
, :',',
... "
"
,:
, ' ,
I;
. r
:
, " ',' '.'
;'.:. ,: " ::
,""
~;; ;...' f' ,
/, " .'.
;."
,:,
:,
, "
"
I: ;~t:8~'~
t
":,:
::,.:
;'..
'.. ,;
::
"
, "
,
~
" ,"
':,: '
,
'" ,," ,
,
,
: ,
, '
; '..; ,:
... ", '
~ " "."'. ", .' , ,
, " ',"",' ':
;, ',,', ,',.,:
I ,"',:,' , ,', ',', :,',
,":' ;:: :.
, . ':,:'
:' ":,'
;i '.'
" : ',':
, '
,
"
I:L
"
$\\
LtC,:;,
f\J
.. .;~
{~'" In
t(\
A lOci \-'''c: N"<c 'Tfi:t'Jl\ c"'-'') '"'-
oJ..) FJJD OF-~~K'.t,\'}("t\ &;; f~3) ,
I,):::;r 1(.1(';, {li....CV,':' - :;
1/ ~JI,::.J l..-::" '" ,:", ::k;' ~-j:; - :s.::. ~,;~
/,'''''',
i~
l~!~-/
l'; ,~1 :..~~.3
(II':D \
~'!:;7
,~-~
'~;:':\/
01' ,\~<,)
'.. /~:>,::~~~,~~ '\,
///1-
/I/' /f."
f.,c, .~./ \~,' ,
/" ": \" ,,-1.'"
- ~ /~,j '\....-"
I~X.r\p./ ..,\,'-Y , ,- 1 \ I''',
.. ',._'1'":,'.-- -..... Q"" ,. l, \/ c..
,.) -...
(~..i ';
~~ .j::.~:~'
Ij~t(-.}t)"
',\.
,.",",1
'.', '<.>
,,:-f- ~~
'*7j~
"" ":~'"
')
/"~.
IV7,\
,\~
'1:,'}0"
- i b I UC;f "\1", i"O_C: IU I {; lei)
I .- c: ;,;~,::,!i~ ~':,11y.., ,u LlE:. IJ 0 '
" It:\.'-, Cl"C'l' kl,.
1 . \ 0 -\., ~ Ie.: ~.,\ ~1: /";:::':SY'
i'l i_ tA.~LJ .. Ft),:::.C &2 e.S T
II ;LJJ Fr~J. "i'::LS::1l-. L)r'..') ,-':;i')i~';'':\
'" LV4..-:Li-:: 7'4.:' '.... \ \5c)(.:.
" :-,11\ ,. IC,-'LG9
II (~\ZlD'" f.c.3~)3>>i:<3' '~=~~q6,G
AT Xl l)AriL CC,i\:<::;r, 'Tt) ;.':':.)<:~H
..5--4. .__ SiL. .~~,(_,.'.,)u, \ ii
.. . I 't 1"-,-;';'.P" cy:...:~..: 'I.:::'.'r"",','
(:~ ~~~~L i(-~ y'l..J), L'');::' 'f
__ 790.87
VAULT TABLE
LOC
#
VAULT
GRID
NUMBER
'REMARKS
VAULT SIZE
AND
COVER
TYPE a siZE
EQUIPMENT
IN VAULT
PRIMARY
BUSHING
LB NLB
,
\ I' 'i",. ,""',",
'J i , ,,:, ~ . ''iCe ,:'.
IJ!'" ",:',e:,":""";
L:~. '5',,""1"",
\/ ",,-:, "', L," <:.~?,
<) ,".', ,': '~i
1--:-,
i 'I (C) ~'"
1. ;'~I:,/),(
'1.', ,~<:; i'~, t.. L .
~\"5',' 3~~)
';~
"
J); lu "~..j t..J2_
I. \, i:.. \ \:~f'\ L.-;
H Ii
..,.. 1'- \ ....
" If' i"t\ F
"
,,,," k V'",
\ .1.. \ :- :,:f
'1\<\ ',I",;
"
'""""
L
'cR.
-
" ';
;, .
---, "
,
. ", I:,
" "
:. '
..." "
", ,', ,,:
" ,.,:', ':
"",., ',.:"
. , ....,",'...'
" ,'",..".., "
,.:" ,,'::', '",:
, . ',: > " " "'.
/
, '., '",'.
, ::...,.'
',:, ',',
',,'
>, ."
:
" ;
"
.:
"'"
i
r '.
;
,
,. "
'"
.. "
:' :
, .'
",. '.
, " ':':
:" ,,'
, : :,
," .'...'... ," .',:,
,,", ':,
, " ,:,
:".'. .'
,'., ',' ,'. >:;:;:.(
, . , '. ","::<:'
".' .
,," ,. ,,' ,i'::" '~'''~l:
. " ',,' ,', ':;
" ",:: ,'"
" '" ,..", :~;~~
" ,:: :,'",
I " :'.
~ " ,',.,: ,
.,,' "
,:, :'"',,,;;;..
, , "l,
, ,', "
-1"',.' "..'"
" "
~'
.":,
>>.":,:"", ",
I ',';,
"
'. ...". ,
,:,'
,
, ,
,',
,
. ,,::' '~"..':
" 'i::L",
,','
. ,'.,
"",,',',: "
:.
"
t;\
,v
...~JJS~.l"..1t~l~~~~~:~~::l
(~ GO' I
> ,..~ j \ '~)()l~, , I
/%~. I
;/(0)
r/ /-,,_~...._'~; 115-:Y'}
; ;
4W /\ ,\;;~
~, .. .....W':,
",-.IX \ Y,N)(
" ' \ "-
\-'11 \\SOh
,~,_,_____.".__,___._(iJ)L,((~,__J
1M." n.lo
CABLE NOTES
f"'~:~"li~A/~~'f .Cl\t~~~~,i';~
IC)"
,::~'''7
l~) 0'
/ ('" <:::,--'/, { !
leu,) ,.1"1.,>,'-::.,,......_.;
'"". ':l~ " !
/, K', ""'\ .,'
1 ~/'- /'\" " \ .....
I / '. ~0,;:: fI .',) 'l
i TO, T1Sf/---:>;' /~ /<v~. '"'{.. I
I /~ 1/0:./ _," \/ ,,~:-..\ ,.(", ;
I " /,',',',;::,,'7,':,.//./' ,~,/ ''''- '<;~,'I
f/'r.:\~J;."" //,', ,.f/ \~:.
,/ v/" ',/ I
r'/' / // ,/ I
,..../ ,,' /X /" ~
r/,(/./~~""y" I -j' ,
I ~/~,\...:I ,':'" {'t:OI'.lHU 1
I /<~r)~' -;?'/ !
<.1...'>. ,'~.,,\ ,/" l
~/'" '<>:-~y< ....C'!,l_)7e:I:5~...;
CABLE
NUMBER
l('::./r~~\J
lU50~
\150"1
\\50;;:"1
I
j
'i
I
'I t
:1
"
LOCATION
FROM TO
CABLE LENGTH VOLT
SIZE FEET CLASS
I
'.}2
V3
','
\,':::>, ~ ,:.~:.}tU~i.i:c..b: (\').1 ~'"
.Tb""p; ~ '(]t,H,l ~,'{!:r (~~'t~'- -t!~:. Jr.p,
m)c.\.. *'?i,:Tl')< {75' ,LOC:;~~
,
,
~
,
;, .
':.' '
>,
, ',.
,
,
I~ "
f~
VI
VI
I
YL~
.\~~1':,,:.
:', "',' , ,
( ~, '. ,...
i ,
I, .. ' .':'"
",' ,
.............' .
" .>.:;"": ':.." .
./,;,r.~: ..,,':. .
[, ,.':,', ,:, .'.. .,., .
, ... '.' ..'..,.
I'" ," '. .,...... .'
),'.', " ' '> .
; ..... .. ',.',.'...
'i ," "'.',
" '
, L
' ">
~
VI
V?
c.
V3
.
.'-- ~!
:
.-- ',> ,;; i
'.
, .,'
, '",
, ""'" ,:"
, ..
,
,,: ' .- '
,.,..'.',. ."
,',
>. ., '.
,
,.'.
,
\~
':
, .' ..' ;'.
i, ~'
',.
:
",.,.".....,. ":' '...',:.
"., .,"; .'
",,' '.. ;',,.', '
,,' . ,:'
..:
'.,.. ': ...,',..
,,' ",,' ,.' ,'; "
"
..'.',;,':
., ."
': '.",
"".',','. .......
..;.",:! 'i
I, ':'
.1:'
," ,
. ,
,
-
--J
...
I iK~::':i;~: · ..
\ ":;~i:;f,':"\:,'~:'.,::.. <',.'
:' .:;,:;,,;i.J ...
iCi!<\.. '. '
~:: ,.". :':,:: " '
, " ",
; , "," ,
..,'
',' " '
,.,\', .
,,' .'",
, " ',.
" ,
, , ',", ",
.;, :, '""" '
, ' ''', ': ":,'
.' .';':,
:\, . ." '.' . . "
I ..: '
':, ,'.
, ,,:'
, '.
11':..
,:\'.:,; ',,:
,:"
,
:',
,
,
,
"
;
:;.
;
..',
(
I~'
c
",
..' ,,,,
'. "
i: ~ ':" ,:,',
":" ..
, ,
", )
"
, ..
. ',:,
".;..'..'..... '.
" : ':..
, .
.'.'..
" ...,:".;
'"
'.'1
'" i,
:
"
::
..'..." :,';
..'...
.,'
"
L
U.G. GENERAL NOTES
RIGHT OF WAY PLEASE ASCERTAIN AND OB1A.lN ALL NECESSAflY OPERATING RIGHTS AND
EASEMENTS PER WIO,
FINAL GRADE FOR ALL TRENCHES AND HANDHOLES TO BE (STABLlSHED BY DEVELOPER,
IF ESTAB,LISHED WHILE IN CONSTRUCTION, PERSON & COMPANY WILL BE NOTED ON
FOflEMAN'S COPY WHO IS ESTABLISHING GRADE. DEVELOPER SHALL BE LIABLE FOR
CHANGE IN GRADE,
DEVELOPER TO PROVIDE RIGm OF WAY OR CENTERLINE STAKES AND LOT CORNERS,
BACKfiLL PRIMARY PER STD, 2221.1321 AND UG SERVICE CONDUCTORS PER STD.
222U319,
NORMAL TRENCH TO BE IN RIGHT OF WAY, 2' FROM PROPERTY LINE BELOW ROAD OR
SIDEWALK GRADE IN DEPTH. MINIMUM OF 36" BELOW FINAL GRAD~,
ALL VAULTS TO BE PlACED ON CORNER OF PROPERTY LINE BORDERING EDGE OF RIGHT
OF WAY OR AS NOTED ON WORK SKETCH
INSTALL MINI. PAD TRANSFORMERS PER STD, ,4/09,1135,
INSTALL CABLE TERMINATIONS PER STD'S 2254,3217, 2254,3218, 2254,3219, 2254.3220,
2254,3221 AND 2254.3222,
MAKE SECONDARY LUG CONNECTIONS IN TRANSFORMERS PER STD. 22478051 OR
SECONDARY CONNECTORS PER STD, 2217,6391.
. CAP ENDS OF SECONDARY CABLES PER STD, 2291.1115,
INSTALL PRIMARY CABLE NUMBERS AT EACH END OF PRIMARY CABLE PER CABLE NOTES.
ALL CONDUIT RUNS WILL BE MARKED FOR FUTURE LOCATION, CONDUIT AND
ELECTRICAL MARKERS,
INSTA,LL PRIMARY YELLOW CABLE MARKERS PER STD, 221 U 147 AND SIGNS PER STD,
221U013,
INSTALL LINE GUARDS FOR EACH CABLE RUN IN ALL VAULTS.
MEGGER ALL PRIMARY CABLES PRIOR TO ENERGIZING. SYSTEM SHALL BE ENERGIZED
UPON COMPLETION OF INSTALLATION.
INSTALL DUST CAPS, ON ALL UNUSED POSITIONS OF PRIMARY BUS/liNG,
INSTALL GRID NUMBERS ON ALL PSP&L fACILITIES AS NOTED ON WORK SKETCH.
COMPLETE TRANSFORMER RECORD fORMS FOR EACH TRANSfORMER INSTAllED AND
NOTE GRID NUMBERS.
JDB'FOREMAN WILL BE RESPONSIBLE FOR EXISTING UTILITY lOCATIONS. CALL
1'800424:5555. '
JOB FOREMAN TO BE RESPONSIBLE FOR ALL ISSUE AND RETURN MAIERIALS,
JOB FOREMAN WILL BE RESPONSIBLE FOR ARRANGING ANY OUTAGES WITH CUSTOMERS.
JOB FOREMAN TO COMPLETE THE J,F,C,
L1NECREW WILL BE RESPONSIBLE FOR RESTORATION,
THERE SHALL BE NO ,INFIELD JOB CHANGE WITHOUT PRIOR APPROVAL Of THE
ENGINEER IN CHARGE Of PROJECT AND,OR SERVICE AREA.
~
-,' ,
, '..'
", !
" ~I" " '.
:
i ", """ ;
, ",
, """
'...' '" j
i '..
,
. , ..'"
, .',
"
':'" "
, '.", " ":';"
: ,:',
.' ,': "
r, ,.',
i, " :,.."
';":,,:
: ,
,;:
';',
:
:
, " ' '
, ,
,
:
!;,
f',
1
'",
. ""
,
,,:;,"
: ! ',',. .,.,iJ;..
!:'.., ...."
. ,>,
", '" "',,,
;' ,'" "
":,' i """..:':
,,:' ": I':', "',
"
, '" ':,'; ,,.,.....;.
,
,,:, " " ..'.. ':',,:..
..,. .".
: ", ':
"....:. ,:'
" "
,':':" ',,' :.
"", . , .:
'..' "
, ,
, ,',','
, "
---J
',' i'..:,
::
-' "i
'.....>:
~,
,,"..',;'.
IIlIIII
REPURT NUMBER.. ~ST830'0'
DAT~ 1/22/88 TIME 08'43
H,D COST ESTU!<HI~ S'($"I'[:r'l
~1""n:'l'ntd,. ISSUE (T"'61)
WID i~I,!r1D[:r~: 880825700
F':',CE :3 DF;..S
INVT. I L,OC. I STCJCI<I"'r'l. I DOC. NO. I SIC I ",I::T" , IliC. 11':(.,1 I"/U NO '[t./'n:'F;E:J);::Y I L'ATE
STemI', I SP,TST I I I S I ,I 1 N.J I On^)D~!.:5'i'(i() I I I /
(,U,;NTITY
I'~E(,U I I":E])
QUANTITY MoTL.!D
ISSUED CRP. ITEM ASSY MATERIAL DESCRIPTION
~'....."....._......".....,.....~.. ,....,...'''.,-.........~,..,..........,~.........'........,..............,.. ..~~......"",,........,..'h........ ...........'.......'.'.'........,.'.......,.,........,,,'...,.._.... .....,_....~....,..,..,._..._
1
~)
:'5
("
I::,!
3
3()
4
~~ ~:)
7B ~:};;,~50(...
'I'D 0610()
"'(() ::~().!.10(:;
4U 4(.)200
40 420()()
:.;>? 6 '~~4() 1
CIA n3~:>OO
..~;n 1~~5()OO
7,,; "UJ')()
1 <-> 'TTT:N CDI... 1~!S'SY HS 1/0 1 ~:}I(\I
ELBOW 200A I/O AL 15KV
CAP INSUL W/3FT eRND nIR
CDI,II,I BLDCI( 6"J~>() " IID'"E
ADAPTUR STUD 5/8 fPANSF
Pl...f~rTE Gr'l!) ::.~DBSU II ~< ,'. 06" TI-j
WIRE 2 SD i STP DARF CU
SICH BURIED CADLE i0"XIJ
li"'d~l( E:r:: [;(, E'L 1':: PI.n,n I C;
D I STI? I DUT I UN.. ,:;'EI~VI CES I (lCT, ItiC. II::,;. !,!,j II'I/U aaOB:!.~';7()(-)
200 ~;6 31~500 CADL, ~./0 19S'f 3!,; 600V IJG
.. ..,..........,....'"...., ""..' ..,..... ( S T U F.; ES cn:J) I"> C IT E:i'i :" ) ,.. .."..".... ..,..." ... '"'''' .,..,.." "" ""
DISTI'nX:'I..I'r:I:':JN"" TI'~(;I,IS'F"ClI'~liE::t,,:; II\CT. IIIC.., 11':;0'", il,j II,UCI fli:lO!J2'),!<JO
~~~ <:, :.:,~ 4.? (-) ,) 0 ){ F '1 P 1'1 2 ~:; "('.... :.~ /..; (;', ,/ 1 :,:.! ()
EQUIPMENT - EXPENSED
ll~d:,' r ,
11'11::.
11'~(I.r~~JIW/lj 880025700
61C.1b~ C:03CoSG~- l$39' GC=. -1S
l,;,~~31.::, - 1'5'::F] b^"f - A
1t>:3 c.. 35"1- 15 :3 q (Q 2>
(",3C:,s4s - \ 'S3"1':)~
&3103(:,(,- tS3.E:i'4-4
5V0* 10 - L.6CJ(
DIV, 6 ICUUNTY, JEFF
!CJ<T
I'IAI"',::, Ol-\ -3,3 ICI<T,:: IRO- II'~(,' N,j 1
------------------------------------1
I E:ASEI'IEN'I~ -[0'1(:.1 POLE: Ct'r1;:D"*-0 I
,-"--_._--.--,-~._"_.~." .'.'..-..'.---.".-'--..,-----.,.---/
1 PEF':I'lH"F~M~.J_~ CD,IIMP""E:!) !
""'''''''''''''''''''''''''''''''''''''',,,,,,,1
I N~r;I,JN ElY. I CHECI(ED BY I (r1"'F'FW\lCl\ 1:<Y I
-::r.::. t:::- I I
TITI.,!':: :
ETHINGTUi,j, AL.I)!;::
UG F"Fn: F)(T
LDCATIUN 4370 UAK BAY RD - PTL
----_._-,-~-,--",._--,-".,..,'---._-,.,'-_.,
DATE ORDERED IDATE FILL!'::D IE:NGRD BY,
/ I I / I I ::I:>I::::.
EIL,L.ED BY
IRECEI\lED BY ISTUR~S APF'RO\l~L
I 1
IDATE CUMr. I FOREMAN
I / / I
SIG I
I
..,..I
SIGI
I
DUC NIL
ESTIMATE NU. DMK 88082~7 IDATE CUMP, I FUREMGN
THIS REPURT WAS PRODUCED FRUH CC~lRULLED PRUC 1 I
DI's'P t I~ STF~ I r;:11 FOF~' ~1t,1 I...li\!' 1::~f1 GEN.. F I l1r" COCr;:D.. SYS ^ DPr:: [:!'lGF~ !:::/l,,} r~!S''<';'T" S'I.IP ,;nv" C.",S"l'F
,
~,
t
i
l'
!
'i
t;
'"
I,
~,
r
.~:
,.",'
I
~
\
,
~, "',
,
i
I'
~".
t:,
~. .
I"
f
j.; I
l~l.'"
Ii.. -^
... "..
"
,
, " . . .
. , .. .-- '-' . "': , .
~ ;", '," .': 'i'
u4'r'i L..... : '
:.' ,:,'i
N~ ! 0896
..
-, ...
,
....'
\
'\:' ~
~~r~<(;1
>:!e~ ~,":"
rr )(4~'''''';;'
.. "1."
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Slreet
P.O. Bo)( 1220
Port Townsend. WA 98368
(206) 385.9160
District No.
5
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to .11 the terms, condi.
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO Puget Sound Power and Light
310 Four Corners Road, Port Townsend, WA 98368
to Push 2" conduit under Oak ,Bay Road at mile post 4.38 and bury 60' of cable along
the North side of Oak Bay Road from mile post 4.35 to 4.38
Job # 88 08257
.,
County Road No. 569908
Franchise No.
Milepost 4. 35 to 4. 38
No work shall be done under this permit until the party or parties 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 October 13 .1989
Dated at October 13 . 19 88
&~~~@W~l!
,~~
J~~L
CALL 48
HOURS
BEFORE
YOU DIG
By4~~
.
1.800.424.5555
':'.,'.'
. :-:?-, ,>'. '. ' ,;" , '~.
:,':':., ".' ".' '" ': ," ':" ,:, ,,' " ' " " ,:.. ',<': ',: "":', ,
," , .' '., ',.. ,:", .".' "
,'>' ."," . . '.', .,.:.. .. ,.' ,". .. :,..'>
," " , ", ", ':'.
.- ':- ' : .-",,:, , " '" :,':' , ',,: :'; i":' c', :',
': ' . ,.... " ':- :": '. .- ',', " " '" " " " '" .' '-:' ' '" "
"': ". "", , . ";.'. ", C" ',' :''', ,: "', .;,:' ,",I, "
" " '.": . "':, ':",.' , ,''',' "".' ,:', ':,
,', :,:', ", ,',: ' '., ," ": ' " , .," ,,' :"
, , :,," , '.',' "':: ", " .' ',: ,:'
',C .', ..':, ,", ' , "'," "', '
':':", '.." '" ""',, ,,',
'} ,:, ,,;",..... ,', "'.- ".: "
,.'..,:. .., ' . '. .'.;,
;".'... ','.. .,: ,.."., .,..........,.:.,.,'~~
~>'.:',:' " '. .;'
,.. . " '., . '.:
"', :', .' '
",:':i' "....,',' ,':,' ','.'
"'..':::, .; , " ",' : ,',',
",',
. :' .......
':' "
",
,
~
,
..: ..:;:;
. ... "
, " .-', '. ,'.'
i ' ',..'....
GENEIlAL I'HOVISJONS AI'I'UCAIII.I, TO ALL I'EIlMITS
This permit is subjccllO all applicable provisions of the Rc\'i.~cd Codes of Wa~hillgton. C.\CCPllhul any provision inlhis agrcclIlcnlnol tonsi!>lcllt wilh
such resolution shall be colltrolling,
A bond in the amount of $
is required fur the protection of the count)' as set forth in the terms of the bond.
During the progrcl>S of the work such barriers shall be erected and muilllaillcd as ilia)' he Ilcccs~ry or as Iflil)' be directed ror the prOlccliulI of the
traveling public; tile barriers shall be properly lighted at night,
In accepting this permit the pC:titioner, his Sllcccsson. and assigns. agrees to protect Jcffcrl>Oll County and save it harmless frolll all cJ<.iillls. actions and
durnugcs of every kind and dCM:ription which may accrue to or be suffercd by any person or persons, corporation or propcrt~' by rcason of thc perfor.
mance of any such work, character of matcrials used or manJler of installation, maintenancc and operation or by the improper occupancy of right of
way or public place or public structure, and ill case allY suit or action is brought against said Jefferson County for dumages urising out of or by rcalton of
any of the above causes, the petilioner, his succes~ors or assigns. will ullOnllotice to him or them of commcncemcnt of such aClion. defend Ihe same ut
his or their own sole cost and expeme and will sutisfy any judgment after the said suit or action shall have finally been detcrmined if adverse to the Jef-
ferson CouIlIY.
Except as herein authorized, no excavation shall be made or obstacle placed within the limits of tI CQUllly road in such a manncr as to interfere .....ith
the Ira vel over said road.
Except as herein authorized. no ell.cavation 511<111 be made or obstacle placed within four 14J feet of the edgc of the pavement.
If the work dOlle under this permit interferes in any way .....ith Ihe drainage of the county road. the grantec shall .....holly and at his o.....n expcme make
such provision as the engineer 11l3y direct to take care of said drainage.
On completion of said work herein contcmplated all rubbish and debris shall bc immediatcly remuved amI the roadway and roadside shall be Icft neal
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall be dOlle under the supervision and to Ihe satisfaction of thc County Engineer and the elllire expense of said
supervision shall be borne by the pany or p:lrties 10 .....hom this permit is issucd,
The Depanment of Public Works hereby reserves the right 10 order the change of location or the removal of any StrUcturc or strllctures authorized by
this permit at lIny time, sllid change or relllovalto be madc at the sole expense of the pany or panics to whom this permit is issued, or their successors
and assigns.
All such changes, reconstruction or relocation by the grantees shall be done in such manner as .....iII catlse the least interference with uny of the Coun'
ty work and the County of Jefferson shall ill no wise bc held liable for any damage to thc grantee by reason of any such work by the County of Jeffer-
son, it agents or representatives, or by the exercise of any rights by the County upon roads. streets. public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive onc and shall not prohibit thc County from granting other permits or franchise
rights of like or other nalure to other public or private utilities, nor shall it prevent the County from using any of its roads. streets, or public places. or af,
fect its right to full supervision and control over all or any part of them, none of which is hereby surrendered.
The Department of Public Works may revoke. amcnd or cancel Ihis permit or any of the provisions thereof at allY tinlc by giving written notice to Ihe
pcrmiuee, The permiuee shall immediately remove all facilities from the righl of way, AllY facilities remaining upon the right of way 30 days after writ.
ten notice of cancellation shall be removed by Ihe County at Ihe expense of the permittce.
The party or panics 10 whom this permit is issucd shall maintain at his or their sole expense the structure or ohject for which this permit is granted in
a condition satisfactory to the Departmelll of Public Works.
SPECIAL PROVISIONS:
1. Condui:t shall be a minimum of 30" below existing roadway ditch and extend
beyond ditch.
2. Cable shall be installed a minimum of 30" below existing shoulder along
North side of oak, "Ba'Y:;~lli~'
, .i'~I\.J ~
'" "'Jd II
In accepting this permit the grantee, his successors and nssigns,llgree thut any dumage or injury done to the property of the gralllee or any expense
incurred by him through the operation of a contractor, working for thc County or any County employee shall be at the sole expense of Ihe grantee, his
successors and assigns,
und conditions liS herein set forth.
, the under!;igned. herehy accepts this permit subject to the terms
Dated this
I (., day of
,19'86
OuTO~~\Z.
~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fee: Paid_ Yes _ No
1820 Jellerson Street
P,Q. Box 1220
Pori Townsend, WA 98368
(206) 385.9160
Recc;PI No.
Addre~ Rt:ques(_ Ycs_No
Mile Pus, 0/ r r7
AI'I'UCATION "OR PERMIT
To Department of Public Works,
Jefferson County, Washington,
The undersigned 7?vq BT ;;b .tUE'/L..-
herebyappl_ for permission ro _ -PUSH e I( eDIL!DL/ I T UItJ.l)el2 KD ?C-OJc.
fA""lwUIIf h'illd''MIl/It'Jull,I' ..hili h.. 1'i".VW:> IUuu) ,
~.f6AL ?1?)).,fAffY (!A/BLG C7, C:J<.V) - Jo.D# '8"'i5D6c.57-
C::T.I7'(/L,~_ToA). Also. lli 8 fc;{) / 6;:' ?/2//vlAlC. Y ('4.Ue-
677 ;Ja'C-77---1 ~ r. DAle:' ~ Z'/).
SKETCH:
On Coullly Road: OA'K ..D4V. lZD
$: ALDER- ,eD.
bel ~1.-'een
c:s en TI;{)A.CH, RtCSJ?D
(Stall'lIl'tI'.."Cffl.II'.I/fl't'/rJfmlfl'fl/111I1!
and agree_ 10 do Ihe work in accordance with your rules and regula lions and subjecllo YOllr inspeclion and approval.
Dale UBPT:" I l' 19~ '
~~; ~~
ISillnlUUrtor Appli,anU (ConlraClorl
/:J ur applica'}1d~ D copartnership, set rOrlh names of copartnersl
<.3/0 roue ~/euee.:5 <12'.J
Alhllc~ . ,_) Addre...
roerIN,tMl <;f'.A)/)!l..JA 9 %3b d
Phone No, '--'!!:~S --4-35 ?
"
~-,
I,' . .',
, "," ',', ,:,,' "
," ,:":,,,
1,.."".."'....-
, ,'.' ,,'
" ',"
" ",
", ..
I' ' :,',,'
, " ,
I' '. ...,,,'., ',',
'. .. '.' ,: .',
, " ' ,
" ,''', ".'
" , "i', " ,'.'
, ",: "'" ", ,
, ' ',' """, ,
';" ',"'" ',',' "" ,:'"
;'" "
, " ,:,'
,'. ,,' .', ". ',".
",' " '" '
.' ',: "',
,
,', ':",
I:, ' ' " , " i
If. "":"', ,,'
I, .
II.. "
1\' "
11 ,", '
: .", . "
Ii "" ,','
,
, '" "," "
\'" "': ,,' ,
I ,
Il'; ',' '.', ,."',, '
I, " ','
, ',,'., , ," "
; '"'."'.,, ,'::'
',',','" " :"",':
" "
I, ,
;' ,', i, : ' ,
, ,",:," ,
':..' ',',,' ,
; , ,,"',
I::: "', '.,
\ ."','. ."",'
! '."',.';'
", , ' ,
,;:.'
" C:' ",
"
i ,
.
I
I L
L
PU~.ASE OBTf\IIJ G.R:,d cS/vl,T~ FOI~ U..(S u\.,)<:: CXTf.JJ'sIO/,);:, fO S<:.k:Vc..:
l-'ll<':, .A.U.:E Er/w,J6TOU @ 4,,3')0 01'1:: [:'lAY lCD'rJrL
M/^~ 137.19 RID6c. U.l DR:, UW':'ILVUr::DfILC,"]'O)>S-!. P'I,~~,,'n' I/.()I./c
MR, Ic()'~"f., T'H,')k:ilC.UB::; Ci:;Lj'?",,::J cJ......:: RAy' {CD ",'1'L
lJEFF CO, ' UY:-0T-,-O'~A.p
f-llJ(;cT TO PU:':-:H 7)Q' - 2.'Sh",-,-~.......-jr
C,)/,,)J)U Ii UnDeR cA~ MY m \~ ~,
(::See: R:oAD DEmI L) rp
AL~)O TO T3 13 bC',' (.) f) '?:.
kY...'lIc:T PI S"I [Y.:' (')f: 1';:0 ~ \"
DAH L COI\JST. ":,,,}l"~"'- '.K',
PI,)'"'.H t:" .:sTL C.0AJfJUIT Qi'....
5<1 - lW\D::t:: o;:"c. E'::-/::"\i LL) --
;:,dTE. ~ ..
* PueCT TO Ttr::> ALL IU COUlJfY"R:.~
*Cll;:''1D^-'~es ,(7) TriB ALL Of..) PE'lllf\Tc PROt',
* 'FU~(;EtC6'te:&.
* LCC-A1C'S R1:Cl..
"* fU5,H \tE~
.' "
",;'"
:' "'''' '
", '
I ' .,,",
" ',' ,':
, ':
. ..,. ",' .'
" ," ",'
'" '"
":' "
I
J"
, , ,
"'" "',
, ", ".. :',. >,.
,',', ' "
'" '.
I"~
""," ::', :,':
I, . "'. ", .',
I" ,":'
'''' " ",
"1"t "
" '.', ,
'( ',',
--__-=<lli1'~; " ,,'
. " ,...'
....,.'... .'..
" ',: '
" '" ' ,
",,', ":",
" ',','" ":'
'.' :'.", , .
, ',:.'
" .:
, "":',
',.,
:
I"~':
, :..
":" :,
, '
,
I
1
PUGET RI W
--
COUNT'l:' iJF-RMIT
'~
1- "
'q, \,
'<
Y,,-
:"..
CCALL4S"HOURS1
t:'IJEFOREi:fOU'.DIG"
:,;1~800~424~5555!
CALL ONE NUMBER FOR UNDERGROUND LOCATION ASSISTANCE, PHONE:, ';',', '," " , ,.
THISSKETCH IS NOT TO BE RELIED UPON FOR EXACT LOCATION OF. POWER FACILITIES
.65, 1~"'5
PUOET
, POWER
SCALE " ,( // := B.:;O' WORK SKETCH
", JOINT FACILITIES ARRANGEMENTS - OTHER UTILITIES
, ,
WORK ORDER NO, 8EOBZ5'7
" '.SHEETO~~ OF 3.
LABOR CHARGES ,,' ,
ACT(v\TY COOE" CHECK
I ACOOI x:.
10807
58304
58405 '
59335
JFCNO,
OTHER UTILITY
ENGINEER
JFC NO,
OTHER UTILITY
ENGINEER
CONSTRUCTION
REMOVAL "
OVERHEAD TRA.NSfORMERS REMOVE/INSTALL
U,O, TRANSFORMERS REMOVE/INSTAU . .
REARRA.NGE & TRANSfER orST, CONDUCTOR
",51,01< ''''J I COUl<T'I..,..";",,,,,,,.,' '" I U"''', P N, 0 1':: \ 11 I CIRCUIT M'P~2>
\0e"..::>1C1U ...J6r r ~Y\I c:;q (- co - OH '0'"
TLE ETrllll.BlbI,), /-\L6E: - UC::, PJ21 e.LJ
i>cATl0N4370 OAK. e:A;./ leD - PTL
C'RC~1e'e c \ ~
., C!N'ERmBDI::: 10nAWI<BY'DK
I CHECKEu UV
I APf'R,01EDB't'
,\ ~""!---
o"n COMPo
VATE COMr
l,L-'
~_M_
MN8I~"1"'"
L
.tSP, 'RUr}..i ,J OATE 9' /, 'f;Ee:
EA.c;r~NT J -Cl POU: CARD
,....T -lV'2.
PERMIT AND fRAN,
..J EFF (0,
MAJ'f'EO
FOREMAN'S SIGNATURE
'-OftfMA,.,'$ SIGNATURE
,
~'
1.
r
.'
i:
"
I
,
~
.' ~ ~
" :1
,
"
,
'",' ":, ,
, .,,>' 'I'
., ".." ...: '.
. i. ", " '
,'. " J
' .'" ".,
'. " :'
, ,': '., .
.', ' ',' "
, ."
::, ::::..
"
,
'x:
,
~.
~
r'
11:1 .. ", . ',.
I:"~"~ ..,'.. ..
Ii ."..., .
I' :>
., '.'
: I
....,
I ",.. ,.,..
I..........'...".
I[ ..,' ,,"
( <: ': ..
, <: .
. . ....,. '. .,..
:., ,. ,. .,...
"'.., .
"
,.,. ,"(.';:
1 .
i ',' '
: '
J :,
" "
, ,
...
..".
,
,
"'''',.:,..:
.' ."..,':
! :i'
': ..
I, ,<:
It .:
! 1'..,' ::
.. :,.':
.,.. ...,
"
I,. '.'...
I', "."
, ''.' ..
l
.. "
! ,
'. '
,
..'
. ,
~ ...:, . , '. . ...,. '. ".','
:,...d: ..
../:. ..'." '.
:i,','. '. .. ,.... ..
:
,
"',
"
L
IL
"'.
'., "'\."
\', ,',
" \',
"',", \~~~
" ~'...,
''>\, .~7
"'. ~
"".'" \~ rl~
<~r
@\ \., ..~~
V I,l... '. "$". t\7;\
-, ~. .,-.----.-" X I)
./~'<'~~~ "~..:-.. ~/
'//', .'.'? '\, ~'
/' , ",,;;:11 Xx I
rfJ// '.A " ""S7~,
\\~, ;Y ~,~ f\IX d
, Lj~cc.Cl /, . I>" 1:., ~"...., "-'~'"
t/'" ,//'1 ". ~ ',)-\"
,~,~ ,'.., '"vr-<Q., /, ,.\t-'':.l' ':-. \/2,' 'V>>,'\
\ ~".. N~~ 6'l-' / I x \ J '-:
\ >-,-\5' .' <;__ _) '----"/
, ',:' ,,'. , /,. ""!:no" "J,./
~ ATTI
,
'"
j;
,
P1\
N
CJ:'C>':l.LS'r
~cJl-E:-'il
(,,)H-:S~
."~-~
ClV
'I.l:>T I'~ H :;, n:.i~"I .1, A:SSY
II e.-I ~~>I?.l lLJ::)r:Ic... Olt) ~r~'...:"::t.
.' u.sco O~) <-'10 1::.1c.lc:r- Fu~e.@;$T
" QAI::,u::. TN::> .. 1\:50<0
~' :SLLl, ~D'I' 10, t.:<Q'1
1\ C3Q:I/)H(o::AO::')7.3 ~ 15'3(1G:~4
(Tf.o..P [:,0)
AT X.I DAHL C'ClI..J:ST, lD PU:;:,H
.3""'\', 2" SiL, 12.01,)[,)011
l)l:>Dt:.~.: CA K E:.A.. Y 12: D,
(3 e:e -' et'Y-J.::' L~I AI L J
" .,
',' "
VAULT
GRiD
NUMBER "
U?f.,':;7:3
1:f5~j1';"''''
(;~Q3il'1
, ~(~.\"~~~~'\S~
.LOC
'#
pr~
'Vi
;:v. ()
r~ 'l"";'"
.~ '
J~3i,,34~
1.~5~9::j~!';
U':>b-c.:<:"'iI
"I"i'f.31f"YZf
'V3
I:
I
L
VAULT SIZE
AND
COVER
VAULT TABLE
TYPE a SIZE
EQUIPMENT
IN VAULT
REMARKS
PRIMARY
BUSHING
LB NLB
E'Kr ST, f'(JLI::.
'IE.Jl:.t'l, ;:>,,,,...E...'
II):';. C~Lcfi:-l1S00
It)s(~'LL
"-i '5,,,:.JQ. ,',
I,D I Ceil; I:..Z-
Hi()\ Pt,,()
I-ll-\ .
\v\!U\ ("I\D
H,H,
~,.
(--<'I PO:;:"
".1 -- ~O)(
(
"
-,
2.5K\/A
pfv\ TK 1=-
r.:.S !.::.v,,\
1"I~\ 'TiC'"
.1
.
"........ .... !',
""'ll
-T,
. .'.'...' i
~ .."...,.i
':. ,'.,.
" ",
":' . ' '
,i.,..,
.'., ,', ,',
" " ,.,.", "
,"" .
;' ., ,..'
" ", .... ',.:
, .,
.., "
,.' :,
" ',':
, , .
,,' , '.,',
,'., . ..' '.., ,', .'.
, ' " ,., ,
" .','
,:"
" '"". ,',
'.' .,'. ,.'..
.... , '..
" , ,", ,; .. ,...,
7 ,',' '. . '.' "
, ...'.,:..
" ,,'
.'..'.., ".
",', ' ., ':.., ',;....'
",. '.. .",.
, ':,> ,:
" '
'. ' ...', ". ..,
: '" "". ''':, ':'
, ' ....' .' : ..
" .' ',..... ",
" , ,',' ,,',,'" " ","'....',
',', .
','.:,,' .. ':
,''', '
"
" -::"
" :,
: .' ,,:.'
".,' " . '
.': "
.,', ',",
",' '.',,,
'. '.'; " .'
" '},
,,': ..,":
i.,
~
,
. ,
, '
.
:
:,A~:
,:..,':'
, "
:',
--1
,." ,.'
, ...,,'...'
, ,'.,
'; "
." ','....:
.' "
",:'
~
'.
~
,,'
'. ....".. ;d . !
" ",' , ;: ,4
" .'
,:, " ' "'"
> ".... . .
"., .',' I' ......
':,~ '.", ",.' ','
r .', '....,...'.'
! >" ,'.
: , "., ,
.: .:"
'...'..'....,'..".,...,..'..
, , ",,:
.i",....... ,'.,.
.. ..,....' .
,', :,.
....,: .
': ,
" I
, '
, :','
':
...,'... . '.
':""
",,'
I' <:
I,
!~'~i~ii
![',~~;:,
, '
, "
,", ",::
I ,'.:.'~:l.~;'.~;:.i
:.:,p,;,:;: '...',..
;, '.' ..' ',;)
i . / :~> .,: . .\.1
;,.".'
, " "":
.,.:' ,
,".,'
,':"" :"
} " ."
, ".,'" ,:',:;
":,':' ',,' "
," "
., ,"
:'; ,.: '. '.
:", "i" ,
, ':'"
\ . :':' ~.~,:,:':;,
:~, 'i' .' ,,' .'
,;", ,
., ''', ":":,' '
, ,,' . : ' ..
'. " :"
, ...,.'... ,,'..:'
'. ,,.' /.:',' ,
I" .':
I: .,"
.:',
; "
,
i,'
" '
:, ;'.
t
"
) .'
;,
I '
'L
L
lJ G PIC" I MNY Di:'-..T AI L-
[-=-==-""'====~
:SU)l1 10 . 2J~,''1
~ eST
~>--'~115t",)Ci'
,/ 0
,.
,.
,.
I." ,." "....--2:.1150,
~" ~
I," \ ~\ ~ ~
'\,KllC Y,Nl<:
, "'ltSOt.:.
[c/ul DETAI l
.. .'- --- -- .--, '\:~~ - ;\"'~~-"--l
/, " ,', ~
~,;;:;A~"\.#
.':? /'~<~
TO reF ' /?' .// v ~
,/ 7("0>_/7 /- '-/) ,
/~~r-~ / // ,;/ ~)
;;.>-7 ,.;Ie " ,,~>-'
/ /~?
,/.){'$~",", I
~-1f8,!'~ -:7 Ft:Of"'tU
"ii:)' '~.,
()~- /; ,
_~/::~_~ ___ (tJO~l-
OJO -~eAl~)
':.-,. :r:' .".'
_"" 11," '..,,' ~.,A~LE NOT~~;.
11~1..'AI':.'1.. C!t\!_ 0<-.
LOCATION 'CABLE LENGTH VOLT CABLE
',FROM ,TO SIZE ,"FEET CLASS NUMBER
T I V I .;~"h,,' ,148 lSk'.vI150b':
vt \/2 .'" '2.2.7 ',",.',' \,\50"1
: V I V3 " -:)00' ,. 1\505
, '" " "
, " .,',i'.1 ,".,""",,;' Ih,!?,-,""~I2:f'
V2 1tMP. - CblJ lea 'ell.:.1" ~ ..P.
V3 '~~~ ''%- 1'75' IPOOV .
"
I
.~t=c":;;_~::~:~f~~~~c~:'~_-~="1:1
* ~~~~:,,~'-'=,~,~:;c:::j f i
.' ____'_,~.~~~.__..,._..__,___,.__.._...____ .._________..___ ..__ r-~.-~ .J
:.. '", .
, ,
.. ,,'
L
"~'.
"
',. ...'
. '!, '"
'... c:
..:, , ":',
, ,"
" ..,' <, '.
: :,,'
..",....... '.:
,
.', ,', : ',,'., :"
,.,...' ,
.' "
: ,,":
','
.' '~
I"~
,'!
", ,:
, ,",'
. .'. ..., <;:J.::':
. ". '\',}',;'2:,::
,,',, ,
"':'ii ,': '.'
',. ,'. .'.. ,i,'
. ,"; ,..
, '"
, , '
'.. ":,
, ,
,: '
. ~: . . ..,' ,
. '. . I .' .'.
----1 ,.: ,
j' :i
,
U.G. GENE~AL NOTES
,RIGHTOF WAY 'PlEASE ASCERTAIN AND OBTAIN ALL NECtSSARY OPERATING RIGHTS ANO
~S~ENTS,PERWfO, ',' " " ,,', '" ,,'
FlNAi;'GIlADE' FOR ALL TRENCHEl; AND HANDUOLES TO BE ESTABLISHED BY DEVELOPER,
,If ESTABLISHED WHilE 11>1 CONSTRUCTION. PERSON & COMPANY WILL BE NOTED ON
" fOREMAN'S COPY WHO IS ESTABLISHING GRADE, DEVELOPER SHALL BE LIABLE fOR
CHANGE 'I N 'GRADE.
DkvElOPER,TO'PfiOVIOERIGtJT Of WAY OR CENTERLINE' STAKES AND LOT CORNERS
a...cKFIU;PRIMARY PER STD. 2221.1321 AND UG SERVICE CONDUCTORS PER STD,
"2221,1319: ", ,
r.;ORMACrRENCH TO BE IN RIGHT, OF WAVe i: fROM PROPERTY LINE BELoW ROAO OR
',' S!~E)Y~LKGIVJ),E1N DEP!H,MINIMUM OF WBElOW FINAlGRAOE. , '
ALL VAU( TS TO BE 'PlACED ON CORNER OF PROPERTY LINE BORDERING EDGE OF RIGHT
'c. Df.~~V.?R~~DTEDON<W?~KSKETCH." . " . , '
.;~~sr:~l.i~I~I'PADrRANS~OR~ERSPERSTDAI09.1135"", ' ,
~ '''SIALl CABLE'TEIlMINATlONS PER 5TO'S'2254,3217. 2254,3218, 2254.3219; 2254:3220,
,.,22S4'~,22.1 A~I)2254:J222,,,, ' ". ,.., " ," . ", "
I':' ,,::'. MAKE,SECONDAllY LUll CONNECTIONS IN,TRANSFORMERS PER STD..2247.8051 OR
'SECO~D~RYC()NNECTORSPER STD, 2217.639L, '
'. ~~ ENDS€;lF SECONDARY CABLES PER ,STO, 2291.1115.
1~~TAll PRIMARY CAEiLE'N~MBERSAT EACH E,.O Of PRIMARY CABLE PER CABLE NOTES,
AlL CONQUIT RUNS WILL BE MARKED fOR FUTURE LOCATION, CONDUIT AND '
',ELECTRICAL M~RKERS.
"INSTAlL PRIMARY YEUDW CABLE MARKERS PER STD, 2211.1147 AND SIGNS PER STQ,
:~Lm~ ' '
, .'N~T~l.l;lINEGUA~DS fOR EACH CABLE RUN IN AU VAULTS.
. MEGGER'AlL PRIMARY CABLES PRIOR TO ENERGIZING. SYSTEM SHAll BE ENERGIZED
.,U!'O~~OMPlETIONOF INSTALLATION. '
, INST~LL OUST CAPS ON ALL UNUSEO POSlTIONS OF PRIMARY BUSHING,
':', INsTALl GRID NUMBERS ON ALL PSP&L FACILITIES AS NOTED ON WORK SKETCH.
"CO~~LETET~SF~RMER RECORD FOR~SF~R EACH TRANSFORMERiNSTAUED AND'
NOn;,GI!ID NUMBERS. , ' ' ,,' , '
JOB R:>iiEMAN Will BE RESPONSIBLE FOR EXISTING UTILITY LOCATIONS, CALL
: 1 :a00-424-5555. ' "" ' "
',J?Bf~REMAN'~OBE RESPONSIBLE fOR All ISSUE AND RETURN MATERIALS:. ,
JO~' f?R~M~N WILL BE RESPONSIBLE FOR ARRANGING ANY OUTAGES WITH CUSTOMERS,
, JOB FOREMAN TO COMPLETE THE J,F.C;
,,', ,'!,' ,
LINE CREW WILL BE RESPONSIBLE fOR RESTORATION,
THER~ SHALL BE NO INFIELD JOB CHANGE WITHOUT PRIOR APPROVAL Of THE
ENGINEE,R IN CHARGE OF PROJECT AND DR SERVICE AREA.
:1\
:;,
,
'~
'I"
!
t~,
"
"
,,'
I
:it'!
~.
I
,
~,
1
~'-
1~
r:
I,'
I ~;
,;~,
j
\
},
:' ~,' :
:::, "., , '
" ,'", ".r"
" ,',
, "" :':.:
."
,
REPORT NUMBER' EST230-01
DATE 09/28/88 TIME 17:32
T&~A~~~{~ES{I:G~Ec~~~~~M
WIO HOMBER, 880825700
I"AGE: a OF .3
,...,--_._-,--,_._------'------'---.--~
INVLILDC. ISTOCI<I'~M.I DOC.NO. IS/CI t,CL 1t1C.II,:AI IJJlO NIL IUHEI':ED BY I DtlTE I
STOI'~E (SATST I I I S I I IIU I l:laoa::!:'i700 I I I I I
__M~_._.~_'_M..____.____.________'_'_____._'M_'_.'.___M__'_.'____._,__,_,_____.___.,"__.__________~'_.._____.----,---'
OU,',NTITY
('~E(,U II'~ED
OUANTITY MATL,ID
ISSUED GRP. ITEM ASSY MATERIAL DESCRIPTIDN
"........."""" ,..""".""""""",, "..."",,,,,,,, '''''"'',, "",,,....,,,,,,,.., ",,,,,,,,,...",,,,,,,,..,,..,,,,,,,,,,,,,,..,,,,,,,,,,,,,,, "",,""" ....,,, ,,""',," " """"..'""'"",,, """.""..",.."""."',.."...,,,.,,,,,,....,,"'..
DISTRIBUTIDN- POLES TDWERS
I
::.~
2
()ND FD('fUI'(ES I tICT" 111C. II":'.,,, N,) III/D
07 :',!'1100 01 ArU'1 EPCJXII'WD SIDEI'1I1'1'I:>'.:',
12 37100 BDLT 1/2X 2 MACHINE
1 'I 646(')0 vJASHEI'~ I I':> BDI,..T SIZE/I":IW
48 67500 BDARD TYPE B HUMBER 18IN
OBOu:!:.noo
----,------,-_._..,,----------,---""----_._-------------,-,-_.._.-,-,_.._._.,'---,._."'._,.._--~--"-_._.~.-------
DISTRIBUTION- DH CONDUCTDRS
1
1
j
1
t.ND DEVICES
41:l ~>'4"'OO
41:l 'IB100
~>'I :.,:51,)0
2:'>' :'i400()
04 4200,)
IACT. IMC. IRA.HJIW/D B00025700
ARRSTR SURGE 7.2/12.47
CUTOUT LDAD IHTERTP FUSE
CLAMP TAP OFF 1B FITS 10-1/0
STIRRUP BOLT 14-4/0 ACSR
WIRE 4AWG CU FLEX INSUL
~,!
------_.-,----_._,-~~----_..--,..------------------'""-,.~--,------,--_.,"------_._----'-~._-----'--
D I ,S'TF(IBIJTI ON""
:5
60
1
I
1
::,!
UG CONDUIT, BURIED SYSTEMSIACT.
II'iC.
IRA.NJIW/D 800825700
2
1
76 24:',00
76 ;34UOO
2~:) 1300(:)
2~:> :'3:5200
"If.. 63S>0()
76 ,'':WO,)
7f.l ~:>l)40(')
'1 ~:) ~5 ~:> ~:) (.) 0
2:'> 0:5("),)
76 6'1600
'10 63,)0,)
DELLEHD 2111 ADS PLASTIC
CDNDUIT 2 IH PLASTIC
BEHD 2' 90 DEGREE STEEL
BUSHING 2' THREADED GRND
Hli I~RI~CAST 4'8"X4'8"X3 6
HH 36"X42' W 21 'X24' MIHIPAD
CDVER HH 4'O'S8 3X3STLPL
SCREW 1/2X1 EVERDUR
7"1 CDNDIJIT 2 GALV
HUT 1/2'SPRIHG SHORT
STRIP 1-1/2X7' CARRIER
~,~
4
.,._,_._-----,--,------,-_._--'_.~.._-'-'_."..---_._'----,----_.---------------~--_._-_._-------'-------
DISTRIBUTIOH- UG COHDUCTORS
1 j :''")
1
5
;:,
6
AND DEVICES IACT. IMC. IRA.NJIW/D OUOU25700
85 9"14()0 CABL 1/0 CN JACKET 15KV
7U 52:'>00 1() TERM CDL ASSY HS 1/0 15KV
70 06100 ELBDW 200A 1/0 AL 15KV
76 30600 CAP INSUL W/3FT GRND WIR
48 40200 CONN BLDCK 6-3:'>0 6 HDLE
4U 42000 ADAPTOR STUD 5/8 TRANSF
US> 69401 PLATE GND 280S0'X.06'TH
'I::!
3
DIV, 6 ICOUNTY: ,JEFF It! ",,";i,Z.'(/l6' ICln HAl""::' 01-\-.33 ICICH:IK:O-53 I 1';: A , N,,)
TITLE' ETHINGTClN ALIcE "" UG ("'RI EXT I [,"SEI1ENT PT- 1o?t:1 POU:'. CArw
LDCATIDN 4370 DAK BAY RD - PTL
I PEr~M&FI'~AM
IHAPPED
__.___...__,.__,_,_'._M._______',.___",.,__...,'_'___"___,,.._,___'___M,,__.___,,~___.._.,,_,__'_______'M.-----.------
DATE orW!:::i'U'.D I DATE FILLED IENGrn> DY.
I I I I I I -p~
Ilm,"l'Jt.l BY. I CHECICED BY I APPROVE'.D DY
1 pI::::: I I
_________.__.,..____.M_____...__.____.___________'_____--,'.--,,--..-.,,---- ---,-------.----.---.-,-.,-
1:,,:1:, I:: I,:::':~: '" ~:'~, '" ,.. "" '. !"I:::", (,: ::::~, I,: ~), ""~:~, '" ".!,,:~ ,:~~:, r,: I,,: I,~,(': ~: ::", "" m ,:~::::: ~ "" (~(': ~ 1',,:.':,1:: (,l, 1:1,", I: :": I""" :~:" (,: i
ESTIMATE NO. DHK 080U2:'>"1 IDATE COHP. I FOREMAN SIGI
THIS REPDRT WAS PRDDUCED FROM CDNTROLLED PRDC I 1 I
DOC HO.
DISP'R STR'RM FDR'MN LIN'RM GEN.F'MN CDDRD. SYS.OPR ENGR R/W ASST.SUP ADV.C-STR
" "",'. ,,: " '",' ',' ',', ,,' " '
,,' <"" "'" ":',' '"", ,,' '" "",' " ' '", '
,"."..':., '......' '" ..'"....... " ,,' ".
" , ' ,".. ',' .' ':', .':"
..,' '.' '"..'. '. ',' '. ", "",' .',..,;". ,.
,', ,',': ',' .. ,.'."',' ,'. " ' ,', ,,' "
", ',,", ' ',' " ;, '.', ". ' ',' ,',""" ".,.,',
'. ".' ',,'.'. :. .." i', :"., :,',
" .""', ..: ' "', " ." ':
", ,'-'-,,':,', '" " "" ,,', .,', ," ",:.. '.: . ,""
,'.i:, :i',i . , ".... . .'....' '. .' . .i' " ." "",."" '. ',,:' ,
'"i" "" ."" '''''', "., " ': ".
,,' ',' " ""', ' ::" ,,,,,
" ," ",. ,,'
,":, .',"':', " " ':",:':,'" ,'"" ..'~
.,.:i. .. ":.,, ",f,
" ,,'., '.'.. , .','... .'.. .:," :,'
: ,''':1, . " \ " " . .
" ' " , ' '
\" ".,.
>,
'. "
, ',' ", :" "
, ' " ";,
, '
. "
. . ";1IIIIIIII1lI
'';'' ""
,,'
"'"
Tf.,D 1~(:J.p:, I:'::;:T ;1:I;r"'~:1:: S'y,~:'TI:::I'i ~J/O I~UI1DI::f':' I3B0B25700
111'1 r 1",1, .I.,~L .I. ..,S UL (1 '''r, 1 ) ,..,,,..,,.,_......,,PrIG[:,:,,,,,,::?,r:I~_::>_,____
HNT. I LOC. I ST(JCI(I'~t1. I DOC. NCJ. I SIC I ACT, I t1C, 1 F~r~ 1 1,J/i:J flU. I EIH[r::ED BY I DATE
STi:ml:: I S,\TST I I I S I I I N,J I Bi:l013:;!~''/OO I I I I
REPDRT NUt1BER: EST230-01
DATE 09/28/88 TIMI:: 1'/'32
-------~---._-,----_._----,-------_.-._.._---,-"--'.~------,._--,-----.,._-----,-_...-
QUANTITY QUANTITY t1ATL.ID
F~E(WIF~I:':I) ISSUED GF~P, ITEt1 (',SSY 11t,TERIAI.. D[:SCF~IPT.l.OH
----_._--,~._-,- ~----,.._._..,.- --..--..-----
30 84 83500
4 :58 4:',000
25 76 6EI300
WIRE 2 SD 1 STR BARE CU
SIGN BURIED CABLE IO"X13
t1ARKER CABLE PLASTIC
DISTRIBUTION- SI::RVICES I ACT, It1C. IRA.NJIW/O 880825700
200 86 31500 CABL 4/0 19ST JC 600V ue
--------------'----------------------(STDRES CODE-C ITEMS)----------------------"
DISTRIBUTION- TRANSFORMERS I ACT. IMC. IRA.NJIW/D 880825700
2 62 4"/000 XI'" 11"11 2::; 7"";:!.4':)/120
EQUIPMENT - EXPI::NSI::D
I ,~CT.
Inc.
IRA.HJIW/D 8D0825700
G/Z./D #"~37.3 -/53'7&.?f - poG-C:
!O~.3-=1-6 - 10'.3'154 - v <::.
to8~30lJ-163094 - V.3
vJU1F I()- '2 t;.9
DIV: 6 ICOUNTY: ,JE:FF I U""11 A I"'.::. ICier l'lr~I""::'OH. 53 IClcr.::. /,CO-.33 If~A: N,,) I
I
TITLE: ETHINGTON, ALBE UG 1"'1'<:1: Exr I EASEI'!ENT Pl-i'bge I POLE Cr"d'W I
--------------------'----------------------------------------------------------1
LOCATION 43'/0 DAK BAY RD - PTL IPERI1&FRAM IMAPPI::D 1
-----------------'-------------------------------------------------------------1
DATI:: ORDI::RED IDATE: FILLED IENGRD BY. IDRAWN BY. ICHECKED BY IAPPROVED BY I
I I I I I I oDIC I 1) Ie I I I
------------------------------------,-------------- --------------------------1
I"II.,LED BY : I'~ECEIVED BY : STt~:J~AFPI'W\lAL, : DAT; CO~I"'.: 1"'OF:EI1AN SIG: DOC NO. :
--------------------------,------------------------------------------1 I
ESTIMATE ND. DMK 8808257 IDATE COt1P. IFDREMAN SIGI I
THIS REPORT WAS PRODUCED FRDM CONTRDLLED PRDC I I I I
DISP'R STR'RM FOR'HN LIN'RM GEN.F'MN COORD. SYS.OPR ENGR R/W ASST.SUP AD\I.C-STR
.s
:f
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jcllerson Street
P,O. Box 1220
Port Townsend. WA 98368
(206) 385.9160
N~
0921
',' '".'.
;.
',;, ,,"....,'
. "
, .
,
~
, "', ".:O'i '. " '
, ,,';,' \~
',.'....., ',',
',':
l
'. ' "
"
" , .
, ,
..
...' ,'",... ,"
,".
, ,
\
c~~~
~,r~I#;if
>.#.~J:"
r't~!,~~.
;yO \~'1
.4P1> .
District No. 6
PERMIT
::.:;
In accordance with all applicable Revised Codes of Washington and amendmcnts thereto, and subject to alllhc tcrms, condi.
tions and provisions written or printed below or on any part of this form
PERMISSION IS HEREBY GRANTED TO Lawrence P. Johnson
!,.
J
r
.~
,.
;f
7170 Highway 20, Port Townsend, WA
98368
to
Install a private road approach, type P-1, to residence at
mile post 6.32 Cape George Road on the South side of the road
p:
"
"
f .
~;.
",
~,
County Road No, 622808
Franchise No,
Milepost 6.32
No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with and
received instructions from
r
:1;"
This permit shall be void unless the work herein contemplated shall have been completed beforeNovmeber 30. 19 89
Dated at November 30 . 1988
~
l
t
r
".
V:
.~"
't"
~""
~~
J ,)-;
CALL 48
HOURS
BEFORE
YOU OIG
.
By ~~~
1.800.424.5555
$,';
,
~
A;,
.. . ..
." ":"".' ' ,'." ",'. '.'.. '.', '
", < ,',' :.'...'.
'":',, "i"", ,." ""
'" '.,:
" , "..:.'.: ' ::' " ':, .. " :: '
.," ,,' " ,
. " " "
," "'" :',
..,: .,..
.....',.. ...'
.:: ',.'
,.: .....' ,
" .," ",;. '. ,:..'..
.,.". " ."
'"
,', '...:' '. :
....'..... '"
, ..,..',.
.' ,
':, '.
.,'. ','"
~, ,,' '
.",',
{
#
i
"
i
I'
~i'
",
:
" ", ' ,"" '
, " 'i" .,':
',', ",:",::,
"', . '," ,", ,,' :,
,.' .:. ',.... '
", " ' ","
'.' ", ,..:.':
, ..'
, ",," :" "" "
,,' '" ,,' " ",
: .. ,,',., .' .'. :,' ,"',"
\ ..', '. "
, ',:' " ", : " :' " " " :,,,
: ' "".
. ", ,,',,::
'. " "..,
:
" ,
~
"
~:
',;.
" '
" ",;,:
, ..'. ..:.,,'
",' ,,"
." ':",.',. ::,"
, ,",
, ' :. '.
; '...,',..' '..:77
.::
". ' ,:-:, '
,,:,' ',",
"
..-
~.
I.
t'
t,
Dislrict No.
b
Jefferson Co.
DEPARTMENT OF !'UBLlC WOnKS
Supervisor's 'tCIUJf. No.
Supervisor will make detailed report with his recommendation all this application Whenever possible show sketch of proposed
work. Superl'isor will also make additional repOf/S olldfinal report givillg dale afcompletion afwork oll/his/orm.
Permit No, 1)9 2. (
l:trcliminary Itcporl:
6.3~
tvo
C>, IZ.
c../J-fe.. C.co"-re
~o fl,.t> w '" Y \) ;fCJol
V>l :+-!"."'"T Cv.lv",,,,,
RoA-O 0'-';
iN ,...11:.:::,
-;o.....,..tf
I'l-P-e,q.
~;DE
~Ho"''-l::>
.:3e
Dale:
11-2-9 -9R
Signed:
-<J /~'/< L~
Final Report:
PERM~r.:cTlON REI'ORT
Work covered by permit has been completed
satisfactorily.
Work is not completed.
Recommend permit be cancelled.
Traffic cont.ol - adequate
.. inadequate
REMARKS
Dole:
C/-/1... - (,fJ
Slltncd:
D-
o .r-------
I ",_ I
z'~ "'''J
~ '--'--.
"\
,/
!
) .
I
/.
/
i
/'
/
/
/
,I
,
,
/
'--
\
\
'\ ',,--
\
"
'-~".
'~
~
,~ '--~
-! .......,
...
",
'-
..".... ~,
'\.
I
j
:~~~-~
/ /'~ -ll:!-..,._____....._".,
"
.......---..
U)
-l
'"
-.-."
.................
...._'.
-0
.--
:<1:-
~Z
_.----~...~
.--.--."......",
-;
......----.
I
,
,
;!;
..
c.
w
/
~!c:',)
",
"
"" ,'., "
", , .
, '
>.:' ,
,
[','
"
'"
[,
,
"
L;:.,;
;'<
", .
'.:
:,. .....
"
, :
,
'"
, ',,'
'}'
,\,;
.
)
~;,
..,'
f
",:,
',"',
,/
"
',' ',:"',
"J,.,;,
, "
,
, "
;: .
"J ,I.' ",
, , ',,,
"., J
'.; ',;:';.." '
, " ...'. "
J," ,"
: ~~{t~, . ... .
,:;,",.", :
'.
.. ,', "
" ,,'"'' ,',' ,,,'
l:;., ,',..'.',.... """
I :' ":,... "
I;, ': " , .
h", .'
l, ,,' .'..' '.
I, . ..
I; .",-
i , . ".
I' ','
I,
; .
, '
'.
.
: '
,
L.
." .
..JEFFE:R5a'I c:x:Jl.a',ITY
DEPAR'1loENT OF PUBL I C WORKS
FILE
-<;-2-7/07
~' ~CTIO" REQUEST
REQUESTED BY. L ~'l::::!::!Z:!::
V
ADDRESS -
DATE- 9-- /2-89
PHCHE NO.- '?8S'- 7/0~
ALT. PH. NO.-
NATl..WIE OF REQlEST- 0 IN PERSC::Ii ~ PHONE 0 BY LETTER TN<EN BY- ~
PERTAINING TO. 0 OFFICE g--ENG/SURVEY n ROAD MAINT. 0 EQUIP. MAINT, 0 SOLID WASTE
REQUEST FOR _ /7, '?f "
LOCATICN- RCIlD _ I).u:J IIAtJL-(jG,J:::.. LO ROAD NLNBER 527109 M,P,
PRO.JECT. PAO.JECT TITLE RAOJEcr Nl.JMBER-
DESCRIPTICN- ~ ~, r)O;{;;,..""A"';"'" on c..A~~ ~.
,.M ~ z:.. ~--7 ~4 / dAA.-f {/~
:t ~ "~ t1h' A~ <<~~./':;;~~
""'.<7,' ~~A. hr't A'-h r:JJd FYa-d/t"",k /2d, @ ./!I'~
~A'/I""'<~' .--~ _~ (~ -6e.. dih..< <>>11 4-/4-~)
,~j ~~~ ~ ~
ATTACH MAP OR SKETQi /J
REFER TO. ',/r.67'71- /~3u--r: 1l. e~RE.SPCND BY- ~ t;;,/3.cJ''j'
-- / '
RE.Sf"a>ISE. (Jfi./lecl ,7,'3'5(/.#1 A0 ~5't:.ded 4~/3'-'69
REVIEWED BY- DATE.
CCHTACTED REQl.ESTER 0 IN PERS0'4 0 BY F'tCINE 0 BY' LETTER <XlNTAcTED BY-
REc:x:::JM.ENDAT I CW..
PREPARE. EST I MATE . Fa<-
ROUTE TO- INITIAL
0 DIRECTOR - 0 c:oNSTRUC'T I a'4 ENG. - 0 AC(X)U'oIT ANT
0 ASSIsTANT DIR. - 0 P~ING ENGINEER_ 0
0 ROAD Sl.PERV1 SCR - 0 ADMIN, ASSISTN'\IT - 0
,
,
,
-".
, :.,', :," "
'. .:'
--,
.1
, " ,
"
,:",.,:
:'; )
, ",:
.... ',',
'.: '
..
.
.. '
, ',,"
,
"
'.,
..,'
1.
"
"
,
':'
, "
.' ....
''', '
, ,.'
,
.......;
...,."..." :',
,,' " ..
.. ".' ....':,
'.' ,",,', ',;,
, '
," ".' "
,', "'<":",
,', ,'1" ...
',::'. ' :' ,,'
.....,'...".
" . ','., ,
. '
" :
"':,,"":' ',;,'
,',', '
'"
, ,." I.'.'
-'
, '.'
,
':':'" .-
--.:-
......
,l
\
-i"_~ff):,f$}'1
~:~~~.~
,.#.l~Y'
ry~~1"-~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jllflerson Street
P.Q, Box 1220
Port Townsend, WA 98368
(206)3B5-9160
i.^T;'-' ___
N~ 0930
District No,
6
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi.
tions and provisions written or printed below or on any part of this form
AlaLn L. DeChantal
10
PERMISSION IS HEREBY GRANTED TO
P.O. Box 988, Port Townsend, WA 98368
Bo~e ,~r ,pLJsh un~er Cape George Road at mLLe
Chevy Chase Development).
post 6.95 (BayvLew at
County Road No. 622808
Franchise No.
6.95
Milepost
No work shall be done under this permit until the party or parlies 10 whom it is granted shall have communicated with and
received instructions from
This permit shall be void uniess the work herein contemplaled shall have been compleled beforcDecember 19. i9 89
Dated al December 19 .19 88
, AftIIDWlEIDJ
1.800.424.5555
o/;;;~~
GENEHAL "IWVISIONS AI'I'I.ICAIII.E TO ALL l'EIlMITS
This permit is subject to all applicable provisions of the Revised Codes of Wu!ohingloll, c....ccpt that UIl)' plUvisiulI inlhi!> agreement 1101 cOll.,bl~nt .....ith
such resolution shall be controlling,
A bond in the amount of $
is required for the prolc(.'lioll of the enum)' as !oCt forth in the terms of lhe bUild,
During the progn:ss of the work such barricr.s shall he erected :1mlmuimuim:u as fila}' be necessary or as may he directed for the protection of tlie
traveling public; the barriers shall be properly lighted at night.
In accepting this pcnnillhc petitioner, his successors <lnt.! assigns. ugrccs 10 prutect JcrrC!MlI\ Coullty and save it harmh.:l>s from all dailm, actions alld
damages of every kind and description which IIIUY aCCfllC to or be suffcrl~d by any persun or per:-,olls, corpur<uion or property by rca:-,oll of the perfor,
mallcc of any such work, character of materials used or mallncr of in!>talliltioll, maintenance and operation or by lhe improper occupancy of righl of
way or public place or public struClurc. and in case any SUil or aClion is brought against said Jefferson Count)' for damages arising out of or b)" reason of
any of lhe above causes, the p.;:tilioner, his sucee~ors or assigns, will upon llotke to him or them uf COIIHllellccmell1 of such action, defend lhe same at
his or their own sole cosl and expense and will satisfy any judgmellt after lhe said sui I or action shall have finally Ocen detcrmined if adwrsc to the Jef.
ferson County.
Except us herein authorized. no excavation !>hall be made or obstack placed within the limits of a county road in such a manner as to interfere with
lhe Ira vel over said road,
El'Ocept as JJerein authorized, no el'Ocavalioll !>haJl be made or obswde placed willi;]) four 14) fe~.l of Ihe edge of the ,1<,n'cmcnl.
If lhe work dOlle undcr this permit intcrferes in any way with the drainage of the count)" road. lhe gramce shall wholly and at his own expcn\e make
such provision as the engineer may direcl to lake ctlrc of said drain:lge,
On complclion of said work herein contemplated all rubbish and debris shall be immediately removed ami the roadw:IY and road!.idc shall be left neal
and prcsentable and salisfactory to the cngineer.
All of the work hercin contcmplated shall be done under the supervision and to the satisfaclion of lhe County Engineer and the entire el'Opensc of said
supervision shall be borne by lhe pany or panics to whom this permit is issued,
The Department of Public Works hereby reserves the righl to order the change of location or the rcmoval of any slructure or s.trUClurcs authorized by
this permit at any time, ~id change or removal to be made al the sole el'Opcnse of the party or parties 10 whom this permit is issued, or lheir successors
and assigns,
All such changes, reconstruclion or relocation by the grantees shall be done in such manner as will cause the least interference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any damage to the gralllcc by reason of allY such work by the County of Jeffer-
son, it agents or representatives. or by the exercise of any righls by lhe County upon roads. streets, public places or Slructures in (IUestion,
This permil or privilege shall not be deemed or held to be an exclusive onc and shall not prohibil the COUnty from granling other permits or franchise
rights of like or other nalure to olher public or private ulililies. nor shall il prevent the County from using allY of its roads. streets. or public places, or af-
feel its right to full supervision and control over all or any part of them. none of which is hereby surrendered,
The Departmenl of Public Works may revoke. amend or cancellhis permit or any of the provisions lhereof at any lime by gi\'ing written notice 10 the
permittee, The permittee shall imllledialely remove all facilities fromlhe righl of way, ^ny facililies remaining upon lhe right of way 30 days after writ. '
len nOlice of cancellation shall he removed by the Coullty at the el'Opcnse of the permittee.
The party or panics to whom lhis permit is issued shall maintain at his or their solc el'Opcnse the structure or ohjecl for which this permit is granted in
a condition satisfactory to the Departmenl of Public Works.
SPECIAL PROVISIONS:
1. Condui.t shall be i.nstalled a mi.ni.mum of 30" below exi.sti.ng di.tch
grade.
2. All areas di.sturbed duri.ng cOnstructi.on shall be restored to
~~i.g~~~u~urj'~. " f the paved road surface wi.ll be allowed.
:ill] \J illIfilllllJW
In accepting this permit lhe grantee, his successors and assigns, agree thnt uny damage or injury done 10 the property of the grantee or any el'Opcnse
incurred by him lhrough the Opefillioll 01' a contraclor, working for the COlllll)' or any County employee shall he at lhe sole expense of lhe gramee, his
succe~tn a:signs, /2 /9/_ ~ #'.
-f L~, {fL-f~' . the undcrsigned. herehy lIcccpts this permit subjecl to the terms
and condItions ilS ~n set orth. /J.. / _
-)tOaled Ihi, 1fJ day of4 ~ i 8!if
~A~
^1'1'li'nrll
\
~
rrl<~\
I> ,:p
Fcc Paid /Ve5 _ No
~S"'2.'2..1
R<<eipl Nu.
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Street
P,O, Box 1220
PorI Townsend, WA 98368
(206) 385.9160
Address Kcquesl_ Yes_No
Mile Pml
Al'PLlCATION FOR PERMIT
To Department of Public Works,
Jefferson County, Washington,
The wulersigt!ed Ift../J-/^N L- .fJF d!- #1'1-/./ -m L
hereby appl~ for permissiol/ /0 ,6&/1-G7 t/PIJ6?/7 c!btl//!-f' At7M =#== 9'6
/~ R1,c;,W, /AJ4P4-'y~.i-iA/ IJ/;. c9;t'""J?c;;">':6;;';;~/i-W 4-T
eju?t/(" CI/1ff51:? ,j)Ft/R?o~U6>;v-r-
SKETCH:
RECEIVED
DEe 13 1988
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
all Coullly Road:
#=.4CJ
bet ween
(Stalt'f!f'tlft"lfffJ.\\',I",.../ormilt'I",illl)
alld agreeL to do the work il/ accordallce with y,?~"es al/d regulatiolls al/d subject to your iI/spec/loll alld approval.
Date 18- - /3 19~
~ ';;I. ,Ae~ 9f/f1f/ PP/HN6-7CJ
ISlllnlllUreorAf1l1hCllnll ICOnlrQClorf
~ a ;ED X 9 ?,,~PPhcant is a copartnership, set forth names of copartners)
~A;f ~~~ Bc?ew'O 1i1111F36f' A'''''.
Phone No, :-> ~/9h"S
,,'~
),C13/1C')5/0
--
-------.
()
___., :D OJ 0
-----Xlm~
mJ:>--3:
:0 n C ' -------
I Z -----
- ----
-l
-<
Vf.~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O. Box. 1220
PorI Townsend, WA 98368
(206) 385-9160
N~
0866
District No.
6
PERMIT
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subject to all the terms, condi-
tions and provisions written or printed below or on any part of this form
PERMISSJONISHEREBYGRANTEDTO U.s. \.Jest Communications (f<o88-7-QZ.?'Z..)
to Install 1931 feet of buried cable from mile post 6,54 to mile post 6.90 on the
Southwest side of Cape George Rd.
County Road No. 622808
Franchise No.
Milepost 6.54 to 6.90
No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with and
received instructions from
This pcrmit shaH be void unless the work herein contemplated shaH have been completed before Sept.
Dated at September 1 .1988
,1989
&~~oom
By A:J~-r ~
1.800.424.5555
, .'; fl' <,~
GENERAL I'HOVISIONS AI'I'L1CAIlLE TO ALL PERMITS
This permit is subject to all applicable provisions of the Rl:viscd Code~ of Wu~hington. cxct:pt that any provi!lion inthh agreement not com.i~tent with
such resolution shall be controlling.
A bond in the amount of $
i~ rel.J.uired for the prulection of the county a~ set forth ill the ter/ll~ of the bond.
During the progress of the work such barriers ~hall be erected and maintained as IIla)' he lIece~:wr)' or as may he directcd for thc protection of the
traveling public; the barriers shall be properly lighted at night.
In accepting this pcrmitthe petitioner. his ~uccessur~ and assigns, agrees to protcct Jefferson County and save it harllllc~s frum all claims, actions and
damages of every kind and description which may accrue to or be suffered by allY pt:rson or persons. corporation or property br reason of the perfor-
mance of any such work, character of materials used or manncr of ill~tal1ation, maintcnance and opcration or by the improper occupancy of right of
way or public place or public structure, and in case anr suit or action is brought again~t said Jefferson Countr for damagcs arising out of or by rcawn of
any of the above causes, lhe petitioner, his successors or assigns, will uron notice to him or them of commencemenl of such action, defend the same at
his or their own sole cost and expen!ic and will sati!>fy any judgment aftt:r the said ~uit or action shall have finally been determined if ad\'er~e to the Jef.
ferson County.
Except as herein aUlhoriz.eJ. no excavation shall be made or obstacle placed within the limits of a county road in such a manner as to interfere with
the travel over said road,
Except as herein authorized. no excavation shall he made or obstacle placeJ within four (4) fet:t of the eoge of lhe pan~lIlellt.
Jf dIe work done under this permit interfercs in any way with the draina!;e of the county road, the grantee !ihall wholly and at his own expense make
such provision as the engineer may direct to take care of said drainage.
On completion of said work herein contcmplated all rubbish and debris shall bc irnmediatclr removed and the roadway and roadside sh:111 be left ncat
and presentable and satisfactory to the engineer.
All of the work hcrein contemplated shall be done under the supervision and to the satisfaction of the Count)' Engincer and the entire expense of said
supervision shall be borne by the party or parties LO wh?m this permit is issued.
The Department of I'ublic Works hereby reserves tile right 10 order the change of location or the removal of an)' struClure or structures authorized b)'
this permit at any time. said change or removal to be made at the sole expense of the party or parties to whom this permit is issued, or lheir succc~sors
and assigns.
All such changes, reconstruction or relocation by the grantees shall be done in such manner as will cause the least intcrference with any of the Coun.
ty work and the County of Jefferson shall in no wise be held liable for any d.1l11age to the grantee by reason of anr ~uch work by the County of Jeffer-
son, it agents or representatives. or by the exercise of any rights by the County upon roads, streets, public places or structures in question.
This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the County from granting other permils or franchise
rights of like or other nature to other public or private utilities, nor shall il prevent the County from using anr of its roads, streets. or public places. or af-
fcct its right to full supervision and control over all or any part of them, none of which is herebr surrendered.
The Department of Public Works may revoke. amend or cancellhis permit or any of the provisions thereof at any time by giving written notice to the
permittee. The permittee shall immcdiately remove all facilities from the right of war. Any facilities remaining llpon the ri~ht of war 30 dars after writ-
ten notice of cancellation shall be removed by the County at the expen~e of the permittee.
The party or parties to whom this permit is issued shall maintain at his or their sole expense the structure or objcct for which this permit is granted in
a condition satisfactory to the Dcpartmcnt of Public Works.
SPECIAL PROVISIONS: 1. Cable shall be installed a minimum of 2 feet from the edge
'~of pavement, and shall be a minimum of 30 inches below the
existing shoulder.
2. All disturbed areas shall be restored to original condition.
!fi'M~,lW1@,ll1\Qn, ~,~,
.g!~I\.Itvhll, I I..,'
In accepting this permit the grantee. his successors and assigns. agrce that any damage or injury done to the property of the grantee or any expense
incurred by him through the operation of a contractor. working for the County or an)' County employee shall he at the sole expense of the grantee, his
succeSJ~ a/n~ a:s~n:, () /},L ~..L_ A ...)
V...l,-,-,~... t<. It'"6 ~ () LJ'" . the undcrsigned, herehy accepts this permit subject to the term~
and conditions as herein set forth,
Dated this
/3
~/l~
L/. S, LJvd
sr'
day of
. 19
t(!7-11.411<<d~(/J
r
ii,
t~,
I,
Y
~.
,?
f
!r
'I;
~.:
L.
'~
,
t
~
~ '
V
~~"
~:I
.- '.,'-"-. ~"."...
!f;;"-.'q"." ",,~.;+~,':'~~~':
:,,';
:i< '
'. ,
>:; ,,' "
,:, ','
,",:, .:
l1f
..';}.:,
,
,,'
>' >,' ,"
',. ,'. ::',,'.
,,,">':,'.',
'.'"
",
,',.,
\
!''''~~
~,~
1=~ !~
w
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Fee I'aid_ Yes _ No
1820 Jellerson Street
P,Q, BOil 1220
Port Townsend, WA 98368
(206) 385.9160
Rcuil'l No.
Address u'eqUtsl _ Yes _ No
Mile Post
.
APPLICATION FOR l'EllMIT
','
To Department of Public Works,
Jefferson County, Washington.
The undersigned U S West CO:lllnunications
hereby appl_ for permission 10 bury 1931 ' of buri ed cable a long Cape George Road
M('l'lin/llI"llIl/l'VliI"-'Iull)..../JiJlh.. "rj.lh..,wUuJ
JPleas.e seeattached sketch)
SKETCH:
-\DB ,",\:)"E. ,:/.q L:?S, 2-
REC'E\VED
f>.UG 3 0 1988
COUNTY
JEFFERSONS OFFICE
ENGINEER
Sff 1+ --rT1l-G-I/UElU/
On County Road: Cape George Road
bell\'eell
/Star.."t'fJft'_'fCffJIHI'....'lIrmll..f/oilll}
and agree_ to do the work in accordance with your rules and regulations and subject to your inspection and approval.
Dale August 26, 19~
~~Si;:,,[f;/if2/ 'Coo,.",."
(If applicant IS n copurtnershlp. set forth names of copartnersl
Addrelt!t
AdllrcM
Phone No.
Phone No.
100% Recycled Paper
<",<:,' "'"
.." ',.',' ..',' " "":,'< "';"
,:;' "',: " ':, .,', ,,' "',
". .' . ,"'" .....
.. "",:'. ',.' ,,' :
" " , ' ':',' ',' .',' .' " :. .; ,
,:' : '.'," ", ,', ,; ,i, ,
,. '.' :', > ,,' :' ,'.'. ".. """, '.
.' " " '." . " ,':
.' :.',', ,',''',:. '", '.','::":', ,'" .,..',..., "":,".,:' . ,:,"." ":"," :,.:':
':".',.' ".... '.', ,',: ".:',' , ,
;': ,,'.:, ", .':" "': ", ,',., , .. '",." :' ,:', ',:'::: ":< <: "",
." ' : :, ': '" .. ,',: '. ' ,:','.', ,",' ",,":::, '. .' ":,',: ':<:. " :..'
. : , . " "'''' " "
:.' :-.." , :" " ". .' :., ", .:.' ,..' ':':: I
:.' '.' ",," , : :",. "','" ,':': ":'::
,', 'i, ,,',' :-:-:
, " ", " " :.
'.: " , ',,':,',. , ,,'
": .,' '., . '" :" ,.. :,',
:' ".:'" .." '. :,', :: :',:'.
", .
::
, , :".'
,'.: ',.
, :',
'. :,..
"
',,.'" ,
,.
"
",:.
,;
';"
:iIIIII
'.' '"
...--..---.---- --_. ----...-.-------.-. ------.
Jefferson Co.
District No,
6
DEPAHTMENT OF PUIJLlC WOHKS
Permit No, 68 ({ (,
Supervisor's RClJOrt No.
Supervisor will make detailed report with his recommendation on this application. JYhenever possible show sketch afproposed
work. Supervisor will also make additional reports alltl final report giving date of completion of work on this form.
I)reliminary Report:
/1'1.", (,.5'-/.-Ie 6.90 Or' RI. CAf'e. Ceo"'-)€. R'P.
/J'}I/I&-r Ke~? .2.' F~"" E.I'_ 'l--hR.CU91f- OOA, PNr-/'RIi(
~~u=-." fr M/rJh>-I"''''-' g;F 30" Bekw Ex;s-r-itvJ :sHoV\LD~
J R~ ~ - /l1 0 ~ i>; i-c-rI /;-./ y-j" ,. .s 19-/2.lj).
"
Date: B /31 / gR
I I
Final Report:
PEHMlylNSI'ECTlON REPORT
l/ Work covered by permit has been completed
salisractorily.
Work is not completed.
Ilecommend permit be cancelled.
Traffic conlrol - adequate
- inadequate
Signed:
)J/~ (..".L~
REMARKS
Date:
'3'-/ L -~7
SIRned:
D
=----
,
(?;ion
12-- 2 r"/
S ]0
~-
.;-\
?- ".";;12-'-
'-'
J.sn=;,::e= V'>",
l.:OUI') j-'-I
Vq2r"J0.-
(6::0'0'
\
8'J12X1i1 fL.{ jVAf2-bJl/J 5/~UU:::iZ..
.p..s GrZt) 0I0f} sLo P;;s /YJ,J/.'-'I
c.e<='/o.--c. Q(J...,:;<;., /Vy
-::9
\i'
/-
-;l.'
'to '?"2-7-Cf232-
Vi Tou) f\J-S0Jr:J
Tf2-c....
470-SG2>'~J
.._._,;:,',-,.-",';.;.~.~:
\
r,,_%~
~;~~if
~~;J:,
1?<))Jr< 4
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O, Box 1220
Port Townsend, WA 98368
(206)385-9160
District No.
6
PERMIT
N~
;,1:: CEI VE D
Die ;:'
0935
1-'),' II
01 Jl,I!~, r ~_,_,,, .. Nt,l;,
In accordance with all applicable Revised Codes of Washington and amendments thereto, and subjcctlO all the terms. condi.
tions' and provisions written or printed below or on any part of this form
PERMISSION IS HEREIlY GRANTED TO Jefferson County P. U. D. No. 1
P.O. Box 929, Hadlock, IVA 98339
to Install a 1 Lnch servLce lLne to parcel 22 of Arbutus Plat, 6260 Cape George
Road.
6eA/D COf Y
-Je AFe I j'01A.n--.
/h,h.Jt<5
5-f:-
ECf,-.\\lEO
R . '1"'::09
JI\.\'\ ~ - NI'!
N COI) Cp\ .
frE.~'SO B\<.S Oc..
JE. \ \c \NO . .
?\..IS....
(j (0
J~
County Road No.
Franchise No.
Milepost 6.30
No work shall be done under this permit until the party or parties 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 December '27,19 89
Dated at December 27 ,19 88
622808
~M_
By ..JJ~ I<~
1.800.424.5555
Ho' kup
GENEIlAL l'Il0VISIONS AI'I'L1CAIII.E TO ALL l'EIlMITS
This permit is subject to all applicable provision_~ uf tht: Revised Code~ c)f Wa~hillgtoll. CAccpllhat an)' provision in this ugreclIlcnt not consistt:1ll with
such resolution ~lw,1J be cOlllroJlillg,
A bond in Ihe amount of $
is required for the prutt:t.:lion of the count)' as !oCt forth ill the terms of tile bond.
During the progrc~ of the work such barriers shall he erected and mailHuineo as lIlay he Ile(cs~rr or as may be directed for Ihe pwtcctitJll of the
traveling public; the barriers shall be properly lighted <it night.
In accepting this permit .he petitioner. his successors aud assigl1!.. agrees to protect Jefferson County and save it hanlllc~s from all dainls, actions and
damages of every kind IInd description which lIlay accrue to t)f be !>uffcrcd by allY person or pcrMlIlS, corporation or property b}' rcaSOIl of the perfor.
mance of any such work, character of materials used or manlier of installation. muintcllullce and operation ur by the improper occupancy of right of
way or public placc or public structure. and in case allY suit or action is brought again.'>! sajd Jefferson CUUIlIY for damages arising out of or by rcason of
any of the above causes, the pctitioner. his succcssors or assigns, will UpollllOti(.:e (0 him or thcm of commencement of such action. defcnd lhe !\alOe at
his or their own sole cost and expense and will satisfy allY judgmcllt ufter the said suit ur aclion shall ha\'e finally heen tktermined ifad\'t:rsc to the lef-
fcrsoll COUnty.
Exccpt as herein authorizl'~l. no excavation shalll)t: lTlade or obstacle plact:d within the limits of a county road in such a marmer as to interfere .....ith
the travel over said rood.
Except as herein authorized. no t:xcuv~.lliun ...hull be maue or ohswde plat;cd wilhill fuur l4) ft:et of the edge of the pavemcnt.
If the work done under this pcrmit illlerfercs in any way with the drainage of the t;oUrlly wad. tile grail tee shall whully uml ut hi!; o....n expense makc
5uch provision us Ille engineer may direct CO take care of said drainage.
On complction of said work hercin contemplated all rubbish und debris shall be illlllleJialcly rellloved arid the rouuwuy ami roodside shall be left neut
and presentable and satisfactory to the engineer.
All of the work herein contemplated shall bc donc under the supervision and to tht: satisfaclion of tht' COUlllY Enginecr untl the entirc expellsc of said
supervision shall be borne by the party or parties to wholl1 this permit is issued.
The Department of Public Works hcreby reserves the right to order the change of location or the removal of uny strUCture or structures authorized by
this pcrmit at any time. said change or removal to be made at the sole expense of the puny or panics to whom this pcrmit is issued, or lheir succeSSors
und assigns.
All such changcs, reconstruction or relocation by thc gruntct:s shall be donc in such Illallner as will cause the least interference with any of the Coun-
ty work and the County of Jefferson shall in no wise be held Iiablc for allY damage to the gralllee hy reason of any sllch work by the COUllt)' of Jeffer-
son, it agents or representatives, or by the exercise of any rights by the County upon road.~, slreets, public places or structures in queSlion,
This permit or privilege shall not be dcemed or held to be an exclusive one and shull/lOt prohibit the COUnty from granting other permits or franchise
rights of like or other nature to other public or private utilities, nor shall it prcventlhe C'ountr from using any of its roads, streets. or public places, or af.
feet its right to full supervision and control ovcr all or allY part of thcm. none of which is hercby surrcndcrcd.
The Department of Public Works may revoke. amend or canccllhis pcrmit or any of the provisions thereof at any time by giving written nmice to the
pcrmittce. The pcrmillee shall immediutely remove all facilities from the right of way. Any facilities remaining upon the right of way 30da)'s~tfter writ-
ten notice of cancellation shall be rcmoved by the County at the cxpcnse of the permittee.
The party or parties to whom this permit is issllcd shall maintain at his or their sole expen...e theslrUcture or object for which this permit is granted in
a condition satisfactory to thc Departmellt of Public Works.
SPECIAL PROVISIONS:
1. Water LLne shalL be placed a mLnLmum of 30" below ext.sti..n~ roadway
dLtch.
2. No open cuttLng of roadway allowed.
3. All areas dLsturbed durLng construct Lon shall be restored to orLgLnal
condLtlJlJm&
In accepting this permit the grantee, his successors and assigns. agree that any damage or injury done to the property of the grantee or any expense
incurred by him through the operation of a contractor. working for the County or any COUllt). employce shall be at the sole cXflCnse of the grantee, his
successors and assigns.
~l~~cin~~
'}!:Oaled this 3Of-t.t day of '\-
(.ItA Ij WI
. the undcrsigned, hereby nccel1ts this permit ~ubjectto the lerms
I:kC0-v\~
.19~.f"
~~:
~t
L
~:
t
.
t'
~,
k
.-
I:
.t:.
~
,
f
<(
\
j.
,
j;
r
.::~ '.. . ....--
,. '..::'" .....'.., ..>'.' ..,.... "
...' :. :..' .': . ....
,.;..:~.. :'.' '::;....;...... '..'
". :i', ',,,:" ",' " ';, '"," ,
, , :,' " , ," " ' " " ' " ,
" ,,: ,',,;': ," ',' ",: :;, ,,'
": ", ,,', ,,', " , ,',' '" " ': " "
::",:.,,'. ;"';: '. ......":.':....: .<i'," ",,;; '" ,: :,;
, " " " ' ,,'
, " " " ",
" , " " ", ", , ,;'
, ',,' , " ," ' "
, ,', , ' , :" ",
,:,; , ' , , , ': ' ,':,,"
, , ,,' , , ,
:,'", ' ," ' , ,"'/ ,'"
"
",' ,,' " " ' >:
,,:'
\', " ,',' " ,,"/'
. . .... .',.
.......' '.' '............ ,.',
'.' .' '.". ',' ::.;
'. ::, "''''..' .....
: .
.': ;..'
. .' . ,.'.:.
.
C,'
" '-',"^~' ","~'"
'. . :". . ,.;. '. ,,,
',. . ..,...,-..,... ".:.,.:
" . ,'. :;'
-,.
. ~. /.----~.\' / :-":'~~'~I~'~-(,"""
./ ""1,\' " \ 'i' \" ::J, /
/'>:">~~' ",.,(1, /
-:--' ~,i''fIPI', '/ /
"" . 'T' ,......:: \;.t!F' ' ' f .
, " : ,,:'!/J!!m:1t-' :" r' ",}"" . /
, ., _ ':,.,'5:lt~," .,;'.': /
. ~'~I"';' ,";' _~I "'., "')'l!{',(
\. ''',;, ':./'. ',:::" ~':'i ,'. ,,17;., ';;.f :y(~~,>"",
.'\, ,', ", I' L.,." ~ ~;.......
,.'-, < \: ", :', ~'~~~ '-
\ ~\
" \ I I ' · ' ", ' ,
, \ \' \ \ (' ,,;')J \
'. \ \ ,"
\. "" \ \ I . " ,,:;,' (
-.. \," \ ,." \
\
\ .
\ \ ' / - i J '. :::, :r.:.r:-;'/ J'
, \ _:-:;,,~___I ,.J I /!,:// , ,
',' "',U>/'
L
r \...,;.....'.
(-
f
,,'
"
-;t-
<. (j1\.
I
';0
~
F
~
~
:P
,;1
?1
~'
,
I
~' . ---
t' \
~ \
" "-
, '. ...
I "',... ".
" f\"'\
", ~ \
\.! \
L
0-j)
---"'-'
:.()
7.1]
w(D
~\ n.
~ rn
Vl r
~ ~
~I
...,,-, ",,,.,, ..
,'. .'.,'. '.
., :.
"',:_' ',:',/7!~;':, )~,i,:; :.
,_,t,,',
V:",L'i,' ".'
"-t..,~." :-;;i:,:
">,,' ~,'. ~: i: '\-
~ '..?
"-;';'-;;,," ,,--.-' ,