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Home My WebLink AboutReel_0066D ,,' , ' v" " ""." ,'.':' , :<' ,,' ',,' ..' " .' ,"'''', ", " ", "'<'.',:.' '. . .' ,,' . '. :.',~~~~H; ..'. .,:. '.' , "" ,'. :.: :', ".. .. ".' :> I , ; "',, ". ' ' ,>' " ' . ',', ,'" ,', '. " ".' . " I:', , .,".' ,,'. ,.', ' ,.' '"., " ,.:,,': "" I , ',,' "'" ,.', . '. .. ,', "'.' '. .,'.' ".' ,;,". ,',' ,', :," ':', ., ": ".' ,':,.' . '..... "i,<' ", I',L " ',' , :" I. .,' I:" :., l;~~~t;i I:L " I" . ,'., I':.' , . ,', " ",'..'," ,', : ,','(, , .. .' "'f"', ,'.: ;,,:,'.", ',. '. ',' " , '.' . " .' ' ',': ",:' , .: " ,',' ,,',' ".., , '":,, .".',;., .'. "'" , , ': ' " ,,: "" .' ',' , "" ", .,'. ",' .1"','.: ',':" :. , , ,," ':. ,'" .-J' ':, :' " . ',.,.;, , . ~"" 'COUN]Y1fOJlD NO. 62.2.808 ADD~ESSING YES NO MILE POST 2./~ ~~, JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 9B36& ! PERMIT NO.ff-.;J-j-"-j I FEE PAID VY:s ~No I OFFI:5-,USE ONLY . ' f: W-.?S$ f;-\-:"'"" '1;"., clttf'/'1'i7 ' 1'4'K . OFFICE USE ONLY 1" CHECK ONE: (gJ RESIDENTZAL ' 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) SEE. ATrACt-':E..D ' MAP. Applicant agrees to perform the work in strict compliance with the terms and conditions set out herein, and ~ny special provisions attached hereto. ; Applicant Name'R08EItT UJ. FOR,&8Eec;. Contractor Name Address 60 PArl~oAJ ST Address I-IAOL..oc.K WA qp, 3 ~9 Applicant Signature -RaJ,^ --r. 4. - Contractor Signature "'" Date 1-/8-88 Phone "g~'O~2V Date Phone Note:' :Indemnity provisions of paragraph..2 :anc! '3.on ;,reverse sJ,de...-, L._... ,.."j,:,: ,..,. ,'. ... " 1\ In\lilllfll!r,,,,: , PER M I T tAli! U UlJ~-':!) i_i U;~'u.: " "\~' Subject to th~ terms 'and conditions 01) the reverse side, ,PERMISSION IS,HEREBY.GRANTED to" Applican,t to construct, operate and ma'intain a .road approach as requested above"and A~y" special provisions attached hereto. . , .. . ", ,<~. No work\h;.i~be 'don~:~d~r this permit untU ~e apPlica~t or ;c~ni~~~~~~'h~~' ~~~i~ied 1, f .. , telephone ,. ,; "" ,. ,.', i, :.:;", .. !J~J<.-~ Date .".. ... . . ~.'. h c",9 -'88 .. APPROVEDBYI : . . ",',:1 " oJ,' . :> . I ~ , "l,t:, I ~ "CALL ~.I ~ ..~ BEFORE ,J t_~ YOU DIG 'r.. . @ . / PERMIT INSPECTION REPORT-- ". " r'~l ~Work'covered b; ~ermi~:~a~'b~en' ~O~~leted - satisfactorily. I --,---,-Work .is not completed. ' _Recommend permit be cancelled. _Traffic control - adequate inadeqUate~ 1-800-424-5555 REMARKS FOl'm 113-a (R...A 2-JlZ): INSPECTED B~ DATE'" -IZ-PJ , L r~ ~. I ,,' - I' .... '.' ....': '.,... ,'. ," , ' .' , ,:, ",:, . .. .' .... '.' .,...... "', ' ,'" , , . ,', I ."0' I. '. : I' .'" ..,....,.. , :' i :,'; .... , . , ; . ...... ,: I,' I.,'. ," \};;~r \: " I' '.; , , ..... . ........ '. ';, ..... .... . " ,. '. .' . 'j ~ '. ..... I :.' : .. ',,'., " , , ,: " ,', . ,,'. -. . . '.. .' ::,:,., ",.: . ,"'''' . '. : . .j' , ::"" "; ',. ;.', .' " , " , I. . If ,.' . , , '.; .;' .'" , ;: ',' . .' ':.,.'. " I: .... ;,.' , '. " , '" . ", " . ' ", .' " '.'. .. ,', ':.. " '. ""', I, i,:'. J", , .: ( I~ ',' .' , , " .)' . , " . :':, , , " . ,,./:' ":'" i :,,/i)',... c, " " ,; l :i: \,'.' ,:( .... ":., " , ' ", ... ".,> "".', ,'",'".' '"',,, :",:'.,:., ',' [ :. :',' " , ," ':.;' ." ':' , , . . , : . ::' '. ' :' " [ , \ L I I L .,,& -. ~~:':..., GENERAL PROVISIONS 1. THIS PERMIT IS SUBJECT TO RC'A 36.75,130. ,140 AND ,150 AND AMENDMENTS THERETO. 2. THE GRANTEE, ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEffERSON COUNTY AND SAVE IT HARMLESS FRO'" ALL CLAIMS" ACTIONS OR DAMAGES OF EVERY KIND AND DESCRIPTION WHICH HAY ACCRUE TO OR BE SUFFERED BY ANY PERSON_ PERSONS, OR PROPERTY BY REASON OF THE PERFORMANCE OF MY SUCH WORK, CHARACTER OF HATERIAtS USED OR M..AHNEft OF INSTALLATION, IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING our OF OR 8'1 REASON OF ANY OF THE ABOVE CAUSES., THE PETIT.IONER, ITS SUCCESSORS OR ASSIGNS WILL.. UPON NOlleE OF COHMENCe'" HENT OF SUCH ACTION.. DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROl't IF DETERI1INED ADVERSE TO JEFfERSON COUNTY. 3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT HITH A THIRD PARTY TO PERfORM THE HaRK AUTHORIZED ~~Di~~~ F~~R~~~D ~~~Ml~~:D A~~R~~fe~~ ~H~A~~U~~Y T~~ ~~~~~~~~~1~1T~O~H~ T~R~~~~~~~~ ~~ T~A~:~:1~~J2~G:~~~E ~D If. ~Y T~~~A~~R~~T~~ ~~Hr~~ ~g~~:~~~;:OHAHeO:~Q~~=~C~~~: =~~~:~ gaD~Ay~R s~:ltU:~~:C~H~H~;R:E~~I~H~Q G~:~~~_ LATlON AS HEREIN PROVIDED. .5. DURING THE CONSTRUCTION OF THE fACILITY, THE GRANTEE SHALL COMPLY WITH THI! MANUAL (')pt tlHIFORfiII TRAFPIC: CONTROL DEYICE~ FnJt STRFET!; AND HfGHWAyg PUBLISHED BY THE U. S. DEPARTI'1EHT OF TRAHSPOR~ATlOH. , 6. ON COMPLETION 0' SAID WORK HEREIN CONTEMPLATED.. ALL RUBBISH MD DEBRIS SHALL BE IHI1EDIATELY REMOVED AHD THE ROADWAY AND ROADSIDE SHALL BE LEfT NEA~ AHD PRESENTABLE AHD SATISfACTORY TO THe COUNTY. . '. ":'. ~ '~"'l '\ .. T.' THe .cOUNTY RESERVES THe'RIGHT'TO ORDER THe. CHANGE 0' LOCATION 0.. THe REMOVAL 0' AHY STRUCTURE Oil STRUCTURES AUTHORIZED BY THIS PERMIT AT AA'I TI/1E.. SAID CHANGE OR REf1QVAL TO BE l'1.ADE AT SOLE EXPENSE OP THe. PARTY Oil ,. ,r PARTIES TO WHorl THIS PERJ1IT IS ISSUEDJ OR THEIR SUCCESSORS AND ASSIGNS. ~~~ ~~~~r C~~~~==ER:~~~N:I~::=r~~N O~R T~~Lg~C~:~" S 8~O~~1! A~~A~~~~E~~~~\g~N~~N~Hl~L S~H N~ ~~~E:E A:E~Ltl ~:~:IE fOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEffERSON COUNTY, ITS AGENTS OR REPRESENTATIVES, OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS" STREETS.. PUBLIC PLACES OR STRUCTURES lit QUESTlOff. _ : TH! GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COI1PLETlON Of THE WORK UNDE" THIS PERI1IT SO THAT A FINAL INSPECTlOH CAlI BY /lADE. .. .._ 8.. -1"....9. I;': ::f::~. _~:-. SPECIAL PROVISIONS APPLICABLE PRDVISIONS ARE DENOTED BY AN (Xl o 1. A COpy Of THE PERMIT SHALL BE ON THE Jail SITE, "AND PROTE~TED FROM THE ELEMENTS" AT ALL TIMES DURINQ TH. . ~ -.i CONSTRUCTION AUTHORIZED BY' SAID PERI1IT WITHIN THE COUNTY S RIGHT-Of-WAY. . .; .. i ......::. (g) 2." THE APPROACH SHALL 81 CONSTRUCTED IN ACCORDANCE WlTH THE ATTACHED DESIGN PLATE Typr-E.::../-----.:.': . 1'\ APPROACH. A J11.'N ~t:) fT. LENGTH OF /2.. INCH DIAMETER CULVERT PIPE SHALL BE PLACED 1,. . ! DlTCH AHD UID TO A TRUE LlNE AND GRADE. THE APPROACH SHALL BE SURfACED TO THE LII4ITS AS SHowN ON r.;. ~7~E~~~GA~~ ~~~F~~~D:A~~R T~~o~p~:~ei~E S~~~iE:~Y I~Nr~C~~~~~~E R~~~;_~~~w:~O~:t~ ~g~T:~Lp~:141~~E~~AN. lEI l. THE APPROACH SHALL BE SUfFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE fROI1 THE EDGE OF THE PAveMENT TO PREVENT MY MUD TRACKING ONTO THE COUNTY ROAD. AHY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE II1l'\EDIATELY CLEANED UP BY THE GRANTEE OR HIS AGENT. : [K] q. IF NECESSARY TO lNCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL BE REMOVED FROM BOTH SIDES 0' THE e:r~~A~~ALLT~~TI:~I~~=~7};~~Eo~U~~~~~yO:o~~R~~~~~g~~wl~~BER OR DISFIGURING OF ANY FEATURE OF SCEHIC o 5. WORK SHALL BIE RESTRICTED TO THE HOURS BETWEEN 9:ooA.I1. AND If:OQp.14. UNLESS OTHERWISE AUTHORIZED BY THE ENGINEER. o 6. A SURETY BOND IN THE AMOUNT OF S .. WRITTEN BY A SURETY COMPANY AUTHORIZED TO DO BUSINESS IN THE STATE OF WASHINGTON. SHALL BE fURNISHED TO INSURE COMPLIANCE wITH ANY AND ALL OF THE TERMS AND CONDITIONS OF THIS PERHIT AND SHALL REMAIN IN FORCE UHTlL ALL WORK UNDER THIS PERMIT HAS BEEN COMPLETED AND APPROVED BY THE COUNTy. o 7. BEFORE AJiY LOG HAULING OPERATIONS BEGINJ A SURETY BOND IN THE Al10UNT OF S. A SHALL BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAI'VoGE TO THE COUNTY ROAD AND TO INSURE COMPLETE REMOVAL OF THE APPROACH AND CLEMING UP OF THE RIGHT-Of-WAY TO THE SATISfACTION OF THE COUNTY. APPROYAL OF ALL CLEAN UP HORK SHALL. BE SECURED BEfORE THE BOND WILL SE RELEASED. o 8. SPECIAL CONSIDERATIONS 2: ..... "" Form 113 b :'"'. . Jl"iIi:~~~'-- L I :" "I.: , '. ~....... "/'i . ';."i .':'.' : ---"1' .... ," .. I .... , . '..... .., ..........> .... '. .' ,', ,:',' . .' .....' ...'... . ,,'., .,'. ',.", . . . ,'," ':" ,,' ~ '''.: " ''''', ' '" . . ... .' '< ............., . ',' .' , .' , .' :. . .' '., , . ..:'. " ' .. ," : " . ,,' '..' ':,:, . , ' , , '.: . '. .",', '..' . ....... . "" ". ...' ., ,.", .',. ", . '<. '1 I r , t f ~ .. , :. '.. :;"/.r :-: :.. ':';. " :.':,": / . "', :'" , " I':' .:: '.. :::",: 1 . ....i '.' ' " .' i.' ',.:.' .-: , :. .'. ..... :i ... ," ...... J ' .,.' ': ,. ':', " '.," , "" '. ;. '.' ,,) " . ... ... ... " "" .; ,: .... :,', " ' ',;, _I '.. ' " , ,,: ", ,,'" ',,; .. ......... . . '" :,:.,,': , "" . .'t" .-J , , ',: ,., ,',/ ': ,'" , , " ". ..:. . .~ J~~ '<~1~ ~...,-:s ""~~~ ",,:S 'Z; ',,-9..<- ,'~'O I ,...,,~., I '-('r ,'_E.O~l!.~ ' ~> . G~~;:""~' c_,,:"-'::' . <.,.,:~~=~<,. ./"'_ ,'. i . ""C:"~~<., ~ I "'<" _.:t:~:-- I . '-w ,y' IS 7' :;~. ~ ",".1" f1.ti '\ \ . \:::' ~( ,.1.. -..... '" ,,) , "\ .~ ~ '" " ... -.. --::::.., b~:: ,7 I ~ 1/ ? .~. , ,;<,""7 .:):)",t:;- Ar-i'tl..., . ._~~ ;:;'I'e~~s ~~~D NOYE~9 >b~& M.~E POST "(9"1 - I i OFFICE USE ONly'..... I ,. , , , ., , ,,'.. ' t;" ..',.,'. >., li~!l:~!\\~"~ ,< . I, ,.".. Ii . ,;: ;,-'::,." . '" " \",,:.,,1'.\ ,"",. .',: " '" '" "',' ", " ': ' , ," , ":, ", " ..';, - .. ,:' ,: .', .' ,. c,.i, .',", ,.,.. ,,':"'., , '. '."':,' '. ,',- i ,:.,:'."'," ',',:, "i" "" , i. :,....' . . :,:.':", , :. .' "". ':,.., " .,', Ii . " ; \."" 1 : " , t,. " i , . L . L .. PERMI,T NO. d'J"- .:1-,"'- / FEE PAID _Y'1S _No : OFFICE USE'ONLY,' I I I I .~ .~'"" " ,"'.. , .. \ '7l..:' ~. : " . ", " ,i ", "', , ':, . ',': . " ,.....' .'.., , " .,.': " , ,," ',' " """ ':" ",' JEFFERSON COUNTY DEPARTMENT Of PUBLIC WORKS Jefferson County Courthouse Port Townsend. WA 9B36& APPLICATION FOR ROAD APPROACH ~;., ~:-:,o:,~:::t:":'..i CHECJC ONE:" ..,,~ I o R7SIDEN!~' I;\r~RC:u.L, . ft;,/~3~,(' j,,?,~, Application i. herby made ror a permit to construct, operate and lIlaintain a road approach. Please describe ~oaction (Attac!' map or drawin9) A??f?<J.c, 6'09 PI, ,.:../o~f~ OF 1JUry' 101 1r-l,rrf-~€A_TllJl'-l Or-/. <$<-oE,-J C-o./L C"vJA-=...' I ~ ;;; ~ rCAU. .:...\ 'II - ill" BEFOAl: ' J .,~ YOU DIG 7[<. . @ 1-800-424-5555 I I RECE~V'E[J) . r...-:,..... '/ Fonn 113-a(RwA 2-12). - 198'Q JEFFEn::;iUi'" C:':':rU~\)T,{ E[\JGH\JEEJ,~S OFe::.CE L ;....;.;,.:. '.-1 i! , ':" ", '; , , "','",' "" '" I, '" I' ...' ' , " ',',.,. /,.,. " , ',. ': " , "', ',' " .:,... '.. ' I ,',".' ' i ,.' ",' '] '.... ,'.'.. .'. .,.'," .' ,': ','. ." I '. ..',. I., ' ,'", ,.:.' ,".. I ..............'. .', '. \' '::, ;: H. ,'" " i'" " ". ! " i . .,,'.... .' i " ;"",: , ,", '..;",.i', , ,.',' '" . ,,'''', . '.. . ""':"""'" ':;';;":, , '.,:i\:;:'.' ''''', ,,:,.'" , , , ':; ,< . ,'': ::," ;, " """, ' , .,"':.':" , ",":, ' " '.",... : . PERlUT INS'PECTIOIl REPORT,;- ",~ .,. f:l. ~or~~~v~ed b~ ;~ermi~':~;~ :~~e~~:..~~leted , , .ati5factori~y. "": ' , :' ',:' 'I.. ~Work J.. not cCJalpl~ted.' _: .:, ' _Ilecanmend permit be cancelled. _Traffic control - adequate inadeqUate-----=-- IlEHAllXS l:NSPECTED BY, -!JAh'tt' K-.UM.'91 DATEA-\\-.9? '....,., II' .._..,~~I ...... . --.J .-J " .-J ...... GENERAL PROVISIONS 1. THIS PERHIT IS SUBJECT TO RC'. 36.75.130. .IQO AND ,150 AND AHEHDHEHTS THERETO. 2. THE GRANTEE.. ITS SUCCESSORS AND ASSJGHS.. AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FROM ALL CLAIMS.. ACTIONS OR DA/"tAGES OF EVERY KIND AND DESCRIPTION WHICH HAY ACCRUE TO OR BE SUFFERED BY ANY PERSOH. PERSONS, OR PROPERTY BV REASON OF THE PERFORMNCE OF AN., SUCH WORK", CHARACTER OF HATER IALS USED OR MANNER" OF INSTALLATIONS IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAl'V.GES ARISING our OF OR 8Y REASON OF ANY OF THE ASOVE CAUSES, THE PETIT,IONER.. 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 JEFFERSON COUNTY. 3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTV TO PERfOR/1 THE WORK AUTHORIZED BV THIS PERMIT... THE THIRD PART'(.. AS A PART OF THE CONSIDERATION FOR ITS CONT.RACT WITH GRANTEE.. AGREES TO INDEMNIFY... HOLD HARJotLESS AND DEFEND THE COUNTY IN ACCORDANCE WITH THE PROVISIONS Of PARAGRAPH 2... ABOVE. 4. :V T~~~A~~R~~T~~ ~~Nr~~ ~~~~:~~~~:~~O~~Q~~~~C~~:: ~~~~:: 93DgAy~R S~:ttu~~~~C~H~H~;R:E~~I~H~O G~~~~E_ LATlO" AS HEREIN PROVIDED. 5. DURING THE CONSTRUCTlott OF THE FACILITY... THE GRANTEE SHALL COMPLY WITH THE MANUAL ON IlmFnRJr4 TRU,(C r.ONTRnL DEYIC~~ FOR STRt:FTS AND HIr.HWAV!I PUBLISHED BY THE U,S. DEPARTI1ENT OF TRAHSPORTATlOH. " .. 6. Oft COMPLETION O~ SAID WORK HEREIN CONTEMPLATED.. ALL RUBBISH AIlID DEBAIS SHALL BE II'V1EDIATELY REl'tOVED AHD THE ROADWAY AHD ROADsiDE SHALL BE LE.T NEAT AHD PRESENTABLE AHD SATISfACTORY TO THl COUNTY. T.o TH! .cOUNTY RESERVES THE.oRIGHT"TO ORDER THE CHANGE 0' LOCATION 0" THI! REHQYAL all ANY STRUCTURE 011 STRUCTURE' AUTHORIZED BY THJS PERJ41T AT All., TIME... 5AID CHANGE OR REMOVAl.. TO 8E HADE Af SOLE EXPENSE O~ THe PARTY all ,... PARTIES TO WHOIt THIS PERI1IT IS ISSUED... OR THEIA SUCCESSORS AND ASSIGNS. 0 ~~~ ~~i~T. C~~~~~:ER~~~N:r~~r~~N O~AT~~Lg~~~{~'1 s B~O~~EA~~A~~~~E~~~~Lcg~N~~N~Hl~L S~"N~ :;~E:E A~E~Lt I ~:~~I!. fOR AliY OAKAGE 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 QUESTIOlf~ " THE GRANTEE SHALL NOTifY THE COUNTY'S REPRESENTATIVE UPON COI'UILETlON 0' THE WORK UNDER THIS PEFU1lT so THAT II FINAL INSPECTlOll CNt BV HADE. '. ,- 8., SPECIAL PROVISIONS APPLICABLE PROVISIONS ARE DENOTED BY AM (X) lBI 1. A COpy O. THE PERMIT SHALL BE ON THE Joa SITE... ""AND PROTESTED FROM THE ELEMENTS.. AT ALL TIMES DURING THa o ~ 0:, CONSTRUCTION AUTHORIZED BY' SAID PERMIT WITHIN THE COUNT't' S RIGHT-OF"'WAY. 0 .; . 0 I .::."..:, ~ 2,." THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE HITH THE ATTACHED DESIGN PUTE TYPE /?_( : , ,,' APPP.OACH. .. Fr. LENGTH OF INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN DITCH AND LAID TO " TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LII1ITS AS SHOW" ON ~~=E~~~GA~~ ~~=F~~~D~A~rR T~~O~P~:~C~~E S~:~~E:~Y I~N~gcg~~~~~E R~~~~-~~~w:~O::t[ ~~;T:~Lp~:Hr~~E~~AH. Ita 3. : 'RJ q. 05. 06. THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FRO,", THE EDGE 0' THE PAVEMENT TO PREVENT ANV I1UO TRACKING ONTO THE COUNTY ROAD, ANY t1UD TRACKED ONTO THE COUNTY ROAD SHALL BE IMI'1EDIATELY CLEANED UP BY THE GRANTEE OR HIS AGENT. IF NECESSARY TO INCREASE SIGHT DISTANCE.. STUMPS AND BRUSH SHALL BE REMOVED FROM aOTH SIDES OP THE c:r~~A~~ALLT~gTI:~I~~=~7i~~~EO~U~~~~~YO~0~~R~~~~~g~~w~~~BER OR DISFIGURING OF ANY FEATURE OF SCENIC WORIC SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:ooA,I1. AHQ It:OOP,M. UNLESS OTHERWISE AUTHORIZED BY THE ENGINEER. A SURETy BOND IN THE AMOUNT OF S .. WRITTEN BY A SURETY COMPANY AUTHORIZED TO 00 BUSINESS IN THE STATE OF WASHINGTON. SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE TER/"IS AND CONDUIONS OF THIS PERMIT ANa SHALL REMAIN IN FORCE UHTlL ALL WORK UNDER THIS PERI1IT HAS BEEN COMPLETED AND APPROVED BY THE COUNTY. . ocJ Ji. o;.~~~ BEFORE ANY LOG HAULING OPERATIONS BEGIN... A SURETY BOND IN THE A/"IOUNT OF S~ "2.00 -- SHALL BE FURNISHED BY THE GRAHTEE TO PROTECT THE COUNTy AGAINST AHY DAMAGE TO THE COUNTy ROAD AND TO INSURE COMPLETE REMOYAL OF THE APPROACH AND CLEANING UP OF THE RIGHT-OF-WAY TO TI1E SATISFACTION OF THE COUNTY. APPROVAL OF ALL CLEAH UP WORK SHALL BE SECURED BEFORE THE BOND WILL BE RELEASED. SPECIAL CONSIDERAflONS A?A-V A./ep.t"\ ~ .::LA.1.:s'r79-J.-L.. A. 0:::.,..., Ivt:.J2..""r ~-;-- r}- .L"...'n'"'e~ T>4're-. j-t=' so, e:../::JNT-D~?-nR. ~,.;LJ...... 3=.N..s"f'-14.L-'- A "",,,'N..''YJWvH f'!Jt:: 7("\ cP /2-,f C;tUL.lI,.~~. J8lT. lkl 8. I -~~""'-'''~oc'''---..' ..: "".'-.- \ :0:., . .so "'7' / , , , ; .....' :' '.' \ J~}~;I '. '., ' ,Ii \ , "" " ,"', ',.': :' ", ".;'. . '.'-" i, ". " ..'.,..' \1 " ~:':" :' . ' ," . .,;,;r:/ L. Ii, I" I, . i: ./,< 1(' ; i'" : , ,:' :,: " / "." /"':', .. ,:<-,./,:,; _.~.... ':: "." , ! " .'.,'.".'. -, .... ',' ,,;.. ': ....', ,', ":..., . : " ',.. .' , " , '...,.' ,',', " ',: " /" ',.' ' ':'" ,', ' ';, " : " ." . , . "'. " , ' , . , >,,', "; " , " .; . ....: :; " II ',', i ,:'.; . 1(' <;: I: . '. '.' , I':,:','.': , : I;, "...., I',' I', ; . .., :, ':'. '."," ,,""" :'~ L : '. lL , PERMIT IiO.'\?'t -7-.,;2'1 - 7/ I FRANCHISE Nx: } FEE PAID K-Yes _No r ~,., 1'1 OFFICE USE-:'l~LY _ ,r .... I. j;ttFCN"IO ~\.'-1:",,_7-_2 -ff, ,,' r. '., . ~ " , " .' i t . . '.. ,: . ..,. .- " ' : " , ......,".' ..'.,',>'\? r ,..' I f..... ' ,. " :: .... , "" , , .'" , ',' ,\,.":, ';:"1' ':', ", .... , , '.", ,; COUNIY P~Au NU.~ Sll!n:"'lOG NO; MilE POSl 0,(0 10-=== 9FFICE USE ONLY JEfFERSON COUNn DEPARIMENl OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 98368 APPLICATION FOR INSIALLAlIOtl OF I/TllIlIES Contractor: Name Sholrl l~xrAvAtinp Applicant: Name PUD #1 of ,Jefferson County The Courthouse Address POB 1331 Port Townsend, WA 98368 Phone: 385-5800 Phone: Application is hereby made for a permit to construct, 1" Meter and lateral Address POB 179 Hadlock, WA 98339 1R~ 04RO operate and maintain The utility installation is located (attach map or drawing) (See Attachment) Louisa @w~redrick Street Applicant agrees to perform the Nork 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: 5~ :5, ~C;;,.. PE Date: 1- Zt,,; -&";j II~~ Subject to the following terms and conditions, PERMISSION IS HEREBY GRANTED to Applicant to construct, operate and maintain lItility facilities as requested above.' ~- I / / / / I I / I / / / / I I / i / I / / / I I / I / I PERMIT This permit is conditioned lIpon A~p1icant's compliance with Jefferson County Ordinance 2-81 and WAC 136-4D, inc1udin9 amendments thereto, the general provisions set out on the reverse sida 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: .LJ ~..::rI-- It - {l 0/1 c-~OTE SPECIAL PROVISIONS ON REV~RSE I I / / I { / / / I / / < / / / / / / / / / / / / I / / / / / / / / / / / / I / I I / / PERMIT INSPECTION REPORT Date: 7-2.7-88 ~~ ,CAU.~'1 ~' "l BEFORf J YOU DIG .,. riJ.....JJ @ ~~ork covered by permit has been completed satisfactorily. _ Work is not completed. _ Recommend permit be cancelled. _ Traffic control_adequate; __inadequate. REMARKS: INSPECTED BY: ,.1.1 N.::of--tl ,JI""",)./J 1-800-424~5555 Date: tf -II-g~ . -- , L - " , , J .' ' ',' , , 1 ,,,,:.-,' , ..'.'.'.. ',' '. ",-",. ", .- " ' " .. :'::', '''i",' " ' :'" '. .. .:':, ~; ...."..'...., r ..'..... . , . ;,:. ""! ':: ",' ",', ',' ",', ,,",",",', ',:, :'" , '. '..,... ", " .. , .', . " .:.... " ", " '.",,:,: ,", ' . ,".:;: , , ";',',., I.: .' .- ~ ,,';::{ , .. , ~ 2-81 ,)nd ~AC 136-40. .. HUU' .~ '" P"U6 "liJ.Jo.:k ft~ ~~ . J c-,.o,;n,vG t '~ ~R~(.fXr4<J"'/oN '-.................. /01/;111/1/'" ,.r'<L',;J;ele~ - - ~ ,(- - , ~~-----..........:. - I (~' f,v<;l>' ZaoAs', 'pI<:: ...........~ f ............ ,--1,. ___1. "In: '. ..u ~----/r/ 1~~~'~'~'J"_'~~I/~:~~dD^, '~""""t'~ [~ PolO H1fr6,e , ~ /,v"rAU-'/1/0j _, p ~ 1l---4~ '>'_:'::-':;'-',"-"':':' ':',.:::;..-:.'::" . , , ,:,."""'/ :,<,,~ti~};,:..-:\ ':';:/'.;. /Vo7.c ( NoTIFy p(}1) 7'~/ol? 72> ~n1~r ~F tJ~,eK. 077/f/N k>c//7E PK'oR 70 ;'INI" ~XC"'(MTla..v \. :8t<>Ck /;/ , ,EI'SEN.8E.<.:;; A~f)/TloN ;v I, fI.! r i!" TA??Ep ~e x~_.P~ ~ ,; t3hc:K /'- E/5EN:?E~$ A~~/770N +.' f '\;: 1 ,\: f 7ErrF";'~/'J Cc> l'uj);# ( ~ "/-II"''':> UU"y.::-,/J ~ ~R/)PO ro H,.,re:H E;:/:>7/~ ~ i ' .,' " I ,'. '. , ' / ", , " , .'.....,..'.. ' , " E-<'~rK' C-01tL'L 7 T/~ . ~ - " " .:, ".' r:-- - ~ ~ Vi I ~~ ~ ~rz WATE.e I /'1,fW r/&1 I __ I :i'E.a:cr ::;';'7"& ~ -30.<<4!.J """"~ 7"0 7'0"",/0. KE~. ~"'ACTI'~" ',..: , , tr ~~' .J ,.,.( _ _IHPtX'T~ -t Q'-??F :;;-'lNiJ " ---.s:f(r k,tlN"'~,. ". , ~ '- '-""0"< ,,.,-:re(J - ~/2"-""~_z" ~i'>'/ I(.fs "ile / h,-'E' , ',' " if T7',PI'Q<lt-7~bJC;( lJcT/l/i- r-/~r2.' / ""'/-"'//V~ /0" / ~-'Poo NN..v J l " ,~ Sr ; '........... 'SChllJ~ >' z~ I':r/ "'V",""'.b"'I"TE~ 70. ~EN" ;7/4/."-0'" "",.r", Cc/lC~f7iF i,?Mu$7' '4>r:A:' '''-, "'" <'./ " '2 YI" X I O(Jr~Er ro<p JS' ',ZM!.S SI1P,Itf '"-'/ r.u':o /.PTX I'~c: ;7"o//'J7' //777;</(', j ~;< J.\' I, \, It' /VErE~ 1,vS7'/7,(,{;'f770N 1/7' $~,xl< /-' Et$'EN....cc.S- A/)/)I'Tl,MI ;T"'L'1' U I l'i'aS - :l;:;,<:. - :rCA4: /I/~-',Io/ ,:, . '.. , , '.' ! , - ."...,..'.'.. .' "'''', ", " "';" ",'. "" ,.' '. ''', " .';, ' .' :.,,' ,,' ,,":' " '" :' '."', "." , ,..".' ,," .' :':,.: .. . , , ". ,.", ' " '. ," , " '',i ':: I, ~ '<" '1\ " ',: 'I.. ~ r' i, !" ,',' " :': : -:-' ,.",.,. ..' '. "'. " , , '.' ....."','.'", . , , ",." .', ',' """ " " :,.1 ',',". ,', ':~""" I' ,\~ t. ',,' .;" I, It ",' :': " ... ' "",,' ,,':1" ''', ,.." '. > ,':". " . ",' > :\". <.' . . .' " ""',', , "" : " " "': " '" ",',' :':,), "'", "~"",: "'. ': "':',,,1, " ',' , ", ," '. " ,:..:' .""'.' . "',,:, ", - . " " ' ,-' .....,' " , ",,' ,,' " < '.. ..' ." .,.., .'. , ..': " '\, '" ", ',", ,':',:' .,,",:' " , " :""', , . , '. .:. .... ' .'.. '" " '.' ,:". '.' : " . .... ':,:'.', .',":,'.: , . " '.'.,' L " ',:, I; . , .>., " ,..,. ... , , '. .,..." . : ,:,.", , ,i, " " ", ' " ,. '.',.,..': ,.,' v.. . .."..., . ..~. ..: 1'\.',. "....', , , ',' : , ," ''', :,. t: " " '.:." ", , It ',' ".. '. '.:;', " '/., L !, ''', , ...'<, :' ,,",::," ". '., ',:,", ::' ",", ,', . ,. ' , ',;: " ": .:", ': ..' " ." ",' ' .' " "', , '". " , "" ',' , ' " ' , '..'.'.'..... ..'.' '\'., .......' ", ,:: ,'"," ;' \. i...,.. , ':": '-J.."d,]"", , . ',:. 'I , --I, >.,..."," COU~OAD NO,_ STATE lOG NO, NILE POST _ OFFICE USE ONLY JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 98368 PERt~IT NO. S'6-,f'-11' / FEE PAID ~es ___No OFFICE USE ONLY CHECK ONE: o RESIDENTIAL APPLICATION FOR ROAD APPROACH [2g COMMERCIAL :," Application is herby made for a permit to construct" operate and maintair; a road apprpach. Please describe loaction (attach map or drawing) C7 / /? "" o,j, '-/ r, I. /L>t-,,,I- ;'''' '", Applicant agrees to perform the work in strict compliance with the terms and conditions set out herein, and any special provisions attached hereto. Applicant Name Vo/"'Il ""........\I13/~1 /,.-,. ~"',r~Jf'iC- Contractor Name Address ?J 0 Be>,,; -;1.-1"7 ' Address p",~ 1 /..,w~~. Applicant Signature d <j;;r, -a,;r~/ Contractor Signature Date (.,-;1 - 'j?"& Date Note: Indemnity provisions of paragraph, 2 ~nd 3 on reverse side. Subject to t~~~~ij]~~ons on :h~ :e~e~s: side, PERMISSION IS HEREBY GRANTEO to Applicant to construct, operate and maintain a road approach as requested above, and anYI special provisions attached hereto. ,- , No work shall be done under this permit until the applicant or contractor has notified , telephone APPROVED BY: AJ".".;z;f- /~ L <7 -1 Date S/6' /80- I . :' CAll 48 HOURS BEFORE YOU DIG 1-800-562 -6478 PERMIT INSPECTION REPORT ~ Work covered by permit has been completed ------ satiSfactorily. _Work is not completed.. . ______Recommend permit be cancelled. ______Traffic,control,- adequate " I inadequate_______ REMARKS INSPECTED BY: --<\ ",::II' i<; V~ DATEt.{.-1I ~?fj Form 113-0 (RevA 2-.82) I ~ ",-,.ro , '. III '- , . ','", ..'.-h.., ',' >', : ", .,' .'., " , '.. , " '. .' : :'" :, I .' ., I .' " ,',' , ": "". '. ',",", '.... ':'. ":', ",' .', .',':...' ,.' . " >, I, ie > , ,:.:', ,,".. ", , :,' " : ":', ", .',' .. :' GENERAL PROVISIONS 1. THIS PERMIT IS SUBJECT TO RC\~ 35.7S.130~ .]~O AND ,150 AND AMENDMENTS THERETO. 2. l~~l ~~~N~~il o~rs o~ug;~;~~~s o:tj~v:~~ I ~~~6 ~~~Eg~sl~ I ~~?~~C~H t~~F~~~O~C~~~~ T~OA~~ ~~V~U~~E~~~M~~5;tj~R~~R~t~. PERSONS OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUOI WORK. CHARACTER Of MATERIALS USED OR MANNER ~:A~~~T~~L:~~ O~; ~~E C:~~V:N~A~~J~, O~tl:C~i77 T :gN~~~U?~~ ~~~~~~~O~~E O~O~~nG~~R w~t~~G~~o~Rr~~i7~E og: g6M~~N~~- HENI OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREfROM If DETERMINED ADVERSE TO JEFFEflSON COUNTY. 3. IF THE GRANTEE EtHERS INTO A CONTRACT OR AGREEMENT WITt! A HURD PARTY TO PERFORM THE WORK AUTHORIZED T~D~~~~F~;R~6[6 ~~~M[~~:D A~~R6~Fe~~ ~H~A~~U~~Y T7~ ~g~~~g~~~~ 1~7 T~O~H~T~R~en~~~~ ~:T~A~:~~~~~/2~G::~eE ~O l4. ~~Y T~~;A~~R~f T An ~f N r~~ ~g~~+~~g~~ o~N~o~~a~J~~~~~i~ ~i~~:~ ~6DBAy~R s~:~tU~~B~~C+H~H ~~R~E~~J ~Hio G~:~~~E_ LATlON AS HEREIN PROVIDED. 5. OUR I NG THE CONSTRUCT I ON OF THE FAC I LI TV I THE GRANTEE SHALL COMPLY WITH THE &.r.tU/l.L ON UN I FORM TRAFF IC CONTROl DEvlCFS FOR STRFFTS AND HIGHWAYS PUBLISHED BY THE U,S. DEPARTMENT OF TRANSPORTATION. 6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED1 ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND THE ROADWAY AND ROADSIDE SrlALL BE LEFT NEAT AND PRESENTABLE AND SATISfACTORY TO THE COUNTY. 7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CI~ANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES AUTHORIZED BY THIS PERMIT AT ANY TlMEI SAID CHANGE OR REMOVAL To BE MADE AT SOLE EXPENSE OF THE PARTY OR PARTJES TO WHOM THIS PERMIT IS ISSUED1 OR THEIR SUCCESSORS AND ASSIGNS. a. ALL SUCH CHANGES, RECONSTRUCTION OR RELOCATION BY THE GRANTEE SHALL BE DONE IN SUCH A MANNER AS WiLl CAUSE THE LEAST INTERFfRANCE WITH ANY OF THE CQUNTY',S WORK AND JEFFfRSON COUNTY SHALL IN NO WISE BE HELD LIABLE FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY I ITS AGENTS OR REPRESENTATIVES. OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS.. STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION. 9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT A FJNAL lNSPECTlON CAN BY MADE. 01. [B--1, SPECIAL PROVISIONS APPLICABLE PROVISIONS ARE DENOTED BY ANf~(~~jJ'~I..'- ~;:.:~. .'! f\ A COpy OF THE PERMIT SHALL BE ON THE JOB SlTfl AND PROTE)TEO FROM T~E~jEL,.MENTSI A.T' ALL 111'''~~, DURING THE CONSTRUCTION AUTHORIZED BY SAID PERMIT WITHIN THE COUNTY S RIGHT-OF~WAXi' ~ '. I.:.: ..J .-l;i.~ l~~R~~~~?AC~ SHA~B~ CO~~~~~~~i~ 6~ ACCORDANC~ WITHI~~~ ~n~~~~~ g~~t~~/~f~~ ~~:~rafp-;:A~E~ DITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON D~~E~~f~G~~~ i~~F~~~D~A~~R T~~O~P~~~~~~E S~~~~E=~Y I~N~gcg~B~~~E R~~~~_~~:W:~O~ :t~ ~g~T:~Lp~~Mr~~E~7AN. HIE 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 HIS AGENT, IF NECESSARY TO' INCREASE SIGHT DISTANCE1 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 PERM I rrEO ON COUNTY ROAD R J GHT-OF-WAY. WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M. AND ll:OOp.M. UNLESS OTHERWISE AUTHORIZED BY THE ENGINEER, A SURETY BONO IN THE AMOUNT OF $ I WRITTEN BY A SURETY COMPANY AUTHORIZED TO DO BUSINESS IN THE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE TERMS AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS BEEN COMPLETED AND APPROVED BY THE COUNTY, BEFORE ANY LOG IIAULING OPERATIONS BEGIN. A SURETy BOND IN THE AMOUNT OF $ . SHALL BE FURNISHED BY THE GRANTEE TO PfiOTEeT THE CouNry 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. SPECIAL CONSIDERATIONS A:f'~kYll1/H.. :~ Wll? H /t:),,' I.A~;DP. A:;P,Oj]CI+<:.H, LJA/ '" rR;flL- P.1'l"':t; IF oKt\Rl.eM<; acetAl< ."U,A f1,;!<. ""'APR~llrH C hl'+^,?e"- "",' /I ~ h",,,€' :1-0 ,IS e... /hA-D€ []I/3, o 4. o 5, o 6, 0], [B"8, Form 1/3 b r -,,-- -- .- -- - ~ - ~ c~ 'E Ql *f 0- .(j\ l1li " , ,---:--'1 ..... I ,..'.. ..... ' I ",' .' . ' ""', } .' " ~" . ......,... :;;; :, ",' ,." ;: '..'..,' ,.' -:- ' " li!' .,.'. :, ".,,:... .. , , ',...,. ::,", ,.,"..... .' \-L \ " "L - . ,I--- ~ -'0 CJ\ 0 ~ .., ~ "'t ~~ ,,<,,~~ ,,\'" ~ J '" ',1. ~ --ii1- 1\- I '''' '3 ~ G ~ ~ . ; ~ ,;' ,I , .' ", .. ..~,'/ 4 --<:::, t ,01 - I "l '" 'S r" 0"'-- J . ' ""\I, ..... .". ," ,". " ?:l J).€I~: 77!~iJC/Crtf ,,:' r.., ,t7~::: ., ,. ...; , , · .!'jl't\1,~' ... 'TC,';! ~J !\:,;t!.,tf;"~~1~ j~~~ ,r I 1'_"'4"",...,.,,,,-fil ,~,..."" ,.J r'"8 ;:V", 'i'~'f'7i#'~/l I-=~?/c, '-' ~r- s?' _ ..r<> I ~ '::.. -r-;- -~ --S:.!. I , ji;( i, ~. --,_. "- ~ "<f , oJD . ~ " , '.' . i'. .,' .' ::F [.;'Y:, ,:', "',".. " ....., ,:,'" :, , ,..::.. '., . :"," ", ',' " ;I,: :", ,:," ..,'." ' ..',' ",:',' : " " .. ' , '" ': > ' ",":,,: ,,'. ' " ',' "1 " '. .: It' ..~..' .~' , .,...'..' ..' . kl':'Y~J~\ ;,,,,,,,,,.',,,.,,," " I~' " '" ..'.... .',...:".:.. ,.:' :' : '" ,',,.\' , " I 'l"" '",' ..:, ',' '.' ' ' I~ '\'___ .' ".. ..,.. . . - , ' , '--", , "',, ' ...'... " .. ',--;"- ". '...,. ',.'..',... .';.: '.,., ',:, .,' .: .' . ",,' . .,.. ',' "." :':::, " .' " .',,:."',:,. .' '. ,...,." ,. '.' '.::' .,.,........:. , ,,': ' -c;-, ,,;", .", , , . ",''' .. " ........ ..: " ". . .'.., ,.....,.,.. .' ',,, , ,.,.' :'~ ~, ','. '.:, '.", " J ') " ~..: !, .~ Applicant signa>ure Date 5'" ~ -fY PHO Note: Indemnity provisions of paragraph,. "" Contractor Signature Date ( PERMIT NO. RR-S-/D-/ FEE PAID ~Yes ___No OFqCE USE ONLY 7<1/00 9-,/,).5'rt? It.- C()~.UNTY'::"ROAD NO,~ 51' LOG NO, M lE POST C),/4 Rr; OFFICE USE ONLY JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 98368 CHECK ONE: o RESIDENTIAL APPLICATION FOR ROAD APPROACH G"COMMERCIAL Application is herby made for a per,mit to construct, operate and maintain a road approach. Please describe loaction (attach map or drawing) c:::...t 1..0 r-""'" :s; () S a~ j::"~en@i,~c.\: S.. ~ P1?,,') , t::},/4 , Applicant agrees to perform the work in strict compliance with the terms and conditions set out herein, and any special provisions attached hereto. Contractor Name Address Address R PHONE ~nd 3 on reverse side. fj ffilIiilffiltmN '- Subject to the terms and conditions on the reverse side, pJAurJroIfU{W ~.bRANTED to Applicant to construct, operate and ma'intain a road approach as requeste a' ve, and any special provisions attached hereto. PERMIT No work shall be done under this permit until the applicant or contractprhas notified , telephone APPROVED BY: ....{) r~ 'fC'iL.V\ Date 5 - (, - 88 CALL 48 HOU RS BEFORE YOU DIG 1-800-562-6478 PERMIT INSPECTION REPORT ~~k covered by permit has been completed ------- satisfactorily. _______Work is not completed. _______Recommend permit be cancelled. ______Traffic control - adequate inadequate_______ REMARKS INSPECTED BY: l:Jr~'yY&A"'J./j DATE'-I-\\-'i'>9 Form 113-0 (R....A 2-Jl2l ."", " ..'.. . :.' ...,'. . , .' , " I :~';::;,;:, ,:>i:, ;,~, ~ . ..1 " "" ',l ....., ',' ~ ..,' .1 ':', ',' .',:,,' ""',"; :',' '" i>': '... ':..:::'c:';' ". .", , .", '. ,<'/':';: .: ;'.:f,. ......, Ii' .. ,",', ',' :',' :;"" ",- '; . ,. ',' ,',', .' ,',". ',..' '" ':", " ", ',: " . ...'. ", .' '" "',:,",'" ',::,:' " ",,'..' '. L ',' " . .:', ~::,,~:<:: ".,: ',' ".1 , " "', ' ' :' ". '", ':',' ,.', ' ."", " ' ;:: ' ;,: "." . "',.'" :' ,'," " " " .,"'"",,' , """ " ' \' .,'. \ " :, ':. " : . '.," '. , ,'" .,> . , ',',', ',', .. " :'"',, ,," , ,,',' , , ,',' "':' ,;" ": ':' , .' . "',' "".,'.. "'..' "',;" ,'"" .-: "" " , ,: " I,> ',',' ,': . ..':' """L" " "" ::"1 i'" "" ' 'L 01, 13"'2. @"3. @'ll, - 0 5. 0 6, 0 7. L ..' .. /' GENEPJlL PROVISIONS 1. THIS PERMIT IS SUBJECT TO RClI 36,75.130, ,140 AND ,150 AND AMENDMENTS THERETO, 2. THE GRANTEE.. ITS SUCCESSORS AND ASSIGNS.. AGREES TO PROTECT .JEFFERSON COt.llTY AND SAVE IT HARMLESS FROM ALL ~i~~~~s.. Ag~I~=~P~:T~A~G~~A~~H E~~R~H~I~~R:~~~~~~R~~Ti~~ ~~~~H W:~, A~~:~~C~~R O~FB~~~:~~~~D U~:DA~~ ill~~~. OF INSTALLATION' IN CASE AAY SUIT OR ACTION IS BROUGHT AGAINST THE COUHTY 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- MENT OF SUCH ACTION.. DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ~y JUDGEI1EHT ARISING THEREFROrt IF DETERrtlNED ADVERSE TO JEffERSON COUNTY. 3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFOR" THE WORK AUTHORIZED ~~D~~~~F~~R~~[D ~~MI~~~D "'::~R~~FE~~ ~H~A~~U~~V T~~ ~g~~~g~~~I~~T~O~HlT~Rg~~~~~~ ~:T~A~~~1~~"2~G:~~eE ~O Lt. ~Y T~~~A~~R~~T ~~ ~~Nl~~ ~~~{~I~g;~orr~O:~Q~~=i~~~~~ ~~;~:: gaD5.h~\~~ttU~~B~C~H~H~~R~E~1 ~H~O G~~~~~_ LATlON AS HEREIN PROVIDED. 5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY WI"TH THE ......NUAl ON UNIFORM TRAFFIC CONTROl DEVICF!; FOR STRFFTS AND HIG~ PUBLISHED BY THE U.S. DEPARTKEHT OF TRAHSPORTATION. 6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL BE IHI'1EDIATELY REIiOVED AHD THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COuttTy. 7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REHOVAL OF Al'lY STRUCTURE OR STRUCTURES AUTHORIZED BY THIS PERMIT AT ANY TIME" SAID CHANGE OR REMOVAL TO BE KADE AT SOI.E EXPENSE OF THE PARTY OR PARTIES TO WHOt1 THIS PERMIT IS ISSUED" OR THEIR SUCCESSORS AND ASSIGNS. 8. :~~ ~~~~T c~~~~~~f.R:~~~N~I:~cr~~NO~RT~:L~gt~~~~s 8~O~~E A~~A~~~:E:~~\g~N~~Hl~t S~H N~ :-~~E:EA~E~~Lt,~~~iE FOR ANY DAI1AGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COllHTY" 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 A FINAL INSPECTION CAH BY KADE. SPECIAL PROVISIONS l~iPLlCABLE PROVISIONS ARE DENOTED BY AN (X) , \_..r-\ "'I":'-,~'" ,n A COpy D~lTH~IPERMlj'~l:l~~' ON lHE JOB SITE, AND PROTE)TED FRO" THE ELEMEHTS, AT ALL TI"ES DURING THE CONSTRU~"''',o~n~1~fr:\ ~, D PERMIT wITHIN THE COUNTY S RIGHT-OF~WAY. THE APPROACH:SHAll.A'BE ~O ~ CTED IN ACCORIM.NCE WITH THE ATTACHED DESIGN PLATE TYPE c.. - 1 APPROACH. A ....;'';0.1 'U) FT .LENGTH OF ~ INCH DIAHETER 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 M~E~~~G A~~ ~~=F~~~D~A~~R T~~o~p~=~e~~E S~:~~E=~Y I~N~~cg~~~~~E R ~~~~_~~~w:~O: ;~~ ~~T:~l p~Hl~~E~~AH. THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROI1 THE EDGE OF THE PAVEMENT TO PREVENT ANY HUD TRACKING ONTO THE COUNTy ROAD. ANY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE II'\MEDIATELY CLEANED UP BY THE GRA.NTEE OR HIS AGENT. IF NECESSARY TO INCREASE SIGHT DISTANCE" STUMPS AND BRUSH SHALL BE REMOVED FROH BOTH SIDES OF THE e:r~~A~~ALL T~T I:~I :~=~N;:~E O~U~~~~~Y O:o~~R~~~~~g~~wl~~BER OR DISFIGURING OF ANY FEATURE OF SCEN IC WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:ooA,M, AND ~:OOP.H.~ UNLESS OTHERWISE AUTHORIZED BY THE ENGINEER, A SURETY BOND IN THE AHQUNT OF $ , WRITTEN BY A SURETY COMPANY AUTHORIZED TO DO BUSINESS IN THE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH AHY AND ALL OF THE TERMS AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE lM'lTIL ALL WORK ~DER THIS PERMIT HAS BEEN COMPLETED AND APPROVED BY THE COUNTY. BEFORE ANY LOG HA.ULlNG OPERATIONS BEGIN, A SURETY BOND IN THE AMOUNT OF $_ . SHALL BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAJo\AGE 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 Form 113 b , ~I'."" ,,' :c ".', , ..: , " , , .- ~I, . ::, ,': " , . : .' . . ". I .'..' , " ' .. , ..."'.'..,' "...>. .'" , ,; <, I' " , .'. '.,. ,.,..'" ,...., . '. ',' , ,,' Ii I.......' i'.. . : ..'. ", .", ',...' ,,'...,., ','" ",.', , ~r . r ..'"." tl.\ .', ' ,:,,' . ',' I ..; .. '.. ' .. ....' '." " ',' '.' ' , '.'.- " .'.: '::' . ".'",-'.' '", ," ,,' , "":', , '" .' ..., , .', .- :..,.'. .. '. ' ,', , ',', ". ".,: :, ,',' " '." ',:,' '.' ',.',: '.', :"" ". .... ..... ,: '" .', >"." ' ~:"';;::. , ... ',' ..J sJ .:. ,i,;".:" ," .,' :, ..: " ,:}::;,i:' F' TYPE C-I COMMERCIAL ROAD APPROACH . , ,-' , PROFILE 25 30 35 40 45 50 160 FT. 200 FT. 240 FT. 275 FT. 315 FT. 350 FT. 200 FT. 240 FT. 275 FT. 350 FT. 410 FT. 475 FT. , '~':':, ";''';'' >... .1. ,'...... ',' "" I' ,; " ........,.. ...... '" I ..' L .',. " " ..,., I .' ,e ':" 'e'",'" . " , " "', , ',', .... '..'.,'.; I". . I'.,. " , , :(:, t "',-",, ~r~ ~ C~'R 1 IZ.DI. Inln,Cu-:YO'1 Ealaling dllch .' Eclga 0' Should., .... -.. '- -=--':-~~'=F-=-====L..r.._,.. ~ ISh.uld., widWl'ng ....J "" "Qui,",,) - ------- ::r ~':.-------_--L--------- ----- -~r-- ~, \ Countr Road Vorln ~- - - - - -, ;,', ; ---------------------------:------------- A!!!. .....', .' ',' ;" h- ;~ :1' ", I.' ! , Edge 0' .houldlr C of Countl Rood I I SIGHT DISTANCE REQUIREHENTS POSTED SIGHT DISTANCE SPEED LIMIT MINIMUM DESIREABLE ,20',,"n.- Ai. !!.'JI:!:":'!: -= _ I .. ~ -~n~.ball.I' ~ "'\;..~~ M.n.2",op COUrU 1II11n.IZ-C:Ulwlr,-1 I NarES: 1.) Culvert shall mee~ minimum specifica~ions for HS-20 loading. Approved ~ypes include: 1) concrete 2) corrugated metal .'f;,(- t Chairman, Board of County Commissioners .' r 'I .,' Date .''' Date ," I 1< '. , "" ,,;',' " . ' . ....,.. ' ,', :."', i . ,',,:. ';': 2.) County road shoulder shall be left .~ exis~ing profile. t f APPROVALS: Xi: t County Engineer '': , i r. r (. ~' , " For... 113-d t I , , ' " , " ". ::, " , " ; ''':: '," "." '. ;" ' :, ',:.,' , .. ',:,' ',< ,':', ' ',,', i ,,' '. .,'. '. ',:',:. :, .':, ':",', .-1....'..'.....,...;." :,.." , ... f, ;::. , ..'.' .. .. , "e ',' , .'.; '.' ,"'", ',:,' L-- ':; ,;. '..,.... '" , ,;, ,'" '",' [> "./;'. , , ' , I:. ':L_' '.... " , .... ..:'...'...'.','. '. I,.: '. . " , ,'1' "." , ,';; .,.'. , ;:~~r " ,,; , ,"< ,'" .. ' , , ~"i~;;~ " ' ". , , , .~~~'; " " " , , :,,:': .: ::":/) :. ...,.'.,.... I '," " :.' " ',:" :" " I( " " I!: ': ',:: . , , " \, ", ,', . ", ',', .'....: , ' , '" .', : ': :',,' ;:';' '.': ,; '",: " ':.'. , '" ' ,',' ',' .,' " '" : '.' ,":' , t , '" ~ .,.;:,.', ( 'i;!~>' \ "':',:', ;' :,' . ," . ....;:.' ,':" ',,: , ' ' " " " : " ",:,'" ',: , b . ,.',. ',.'. :';',' I" ,. ,; ".' ",' . I" "': ::,'. " , I. ,". :.,.' . ':~:< ,'. I; '.,:" , IL ", " , TYPE C-2 COMMERCIAL ROAD APPROACH (Double) 30' Rood Approach 30' IZ.Dio. min.c..,lv.rf (EdGe or Ihould., (~=i,::(\.n"', 1nO:t I IO'R \ ===':'':::-:==:: -~:.,,~ ----:::_-===:_- ==~~?\ '600 ' 6c1' to _ t 3O'ft ::[__,~(;;_E~I~:~~_d~':~ county Road \. LlaA!l ---------- --- -- ---- ----..--- --- ----- --- --- - --------- ----- -- ----- -- --- - - -- --- & or Cou." ROGd Ed~. a'.lhaUldl' I Izom.., AI. !!.."g!!i'J,d_ _ _ I . 2'f. ~ --~~ ' ~, -~o:::alla" " "'0,2; lap ....ro. M'II.'Z"CU,,,3 PROFILI! SIGHT DISTANCE REQUIREMENTS POSTED SIGHT DISTANCE SPEED LIMIT MINIMUM DESIREABLE ,', ..'. ,..-- k' :,: ' ", I , ,: :':.,' "'" , ''''',,' ',...., ,.' ". . . " ,'.' "": '::')'", ,,: '. " '.'..,.' . ':. ',," ,.'...'.',,':,. " '. ':' , . .' , " NarES: 25 3D 35 40 45 50 160 FT. 200 FT. 240 FT. 275 FT. 315 FT. 350 FT. 1.) Culvert shall meet 'minimum specifications for HS-20 loadini. Approved types include: 1) concrete 2) corruaated metal 3) corrugated polyethylene tub1ng--AASHTO ~~~) County road shoulder shall be left at ' existini profile. 2.) APPROVALS: Director. Department . /1 /J /(9 of Public: Works .~ '"7 {,l. ~ /1 ,/1, ~'h ~~~;"ci'::~~o~:rs [.{ '/f1 LC...,?//Ut11 lL- Fo,m 113-. , L 200 FT. 240 FT. 275 FT. 350 FT. 410 FT. 475 FT. Date 9fi./J.'f Dac'l-? -j1 '" : ,. , '. ,... '.' L ,.' " ',' , ; , " ,..., ".,.. , !" , ',' .. .. I ..... " , " i ", , I ,-.. '" I : ' I ' .."....,.." , ,', .. : ,< " , "";'" ,',: ,.," . " ' :' ". : ' ,;i', i .iMj,;!! . ,,;';'.:<::J;?::t~ : l:\~ " ~, , .',. ,: : ' .. '... :.",. ""':J'::'" "'. ',. ,,';' . 'I',C" --' " , . JI" ", ': - . - .l.," \ '_:~,'~.~,-,. '-1 .~t. " , .:-.. 1" I _"'~ ').4 .... -,;; 11'-! ' -.:;:~ ~~:i:... ---4 ,,.. "'" :!' ~ F-' .~> ;: ~: ,~- ...:. j,., .::..., ,~ '-':.-t i I ! .t_____ ! _.\r--~ '~-i~ -~ ~" ~~ ~ ':- l~ --.- r- 7- l- 7 --\ -t-.. ~ T;, r, ,: ~, 18- I A' I ~! r' )> , r-- I ~ I i- 1.:1: :\~ '---. .:~:._. ~.:~ r-----.,,! . ~,\\',. ~,!'-' <,:. L:, 'h ,. &.- ..:---.--- ~~ oJ' ;J_ ~ -)~. ~ ~'.:- -\:~ -:1\ v t --I -~ ..... ,,&: r_ ~ '/<" v ~ ~ ii" e \I' :z:.. --<. = \'i ~ Ilf '" ,...4... ':l!~'~1t.~ I' k'l":o>."I'-' I. t ~l!,-c1 r'- 11 ~'" -(~ '- ~ r' "';'A. '., .,Jt'Q ''OJ' ~r'^'"-""1 .. :1 2<<p7/ ?' , I ! ~-~ ~ --<. -~ ~ ~ ~ L .-- To. '" -I I ~ ~., <:> ,- .,. ~i,~.I ~ :' 1'. I. i, i i , I ,. I is! -.:z a' -...... '" .. -!.I-~ '?'-A_~ ~ 0- (\' ~ ~ ,_.. <S-....~ ;;- '-' '" , ~ ..,. -> ~'~ , '" --< " .'.~ .:: i .11'1 < {l{ 'I I 'i '" I ,..- ", " ~ L: .~.,..,;:"=.;"".",~;o l~~--~-- I~ -,.' ";1:.. .0:,._;. "11 ,t-I' .,.... , , '.,."'1 h 11,,-.,..... , .1'. \ c, - /'W'1 "R.,. ,;'iJKiY,' ',-ie~'i!f.:;-- H},!'i.'W:" " .!,""\~\" ,):.r~' ~'~. / __ )'~T' 9//.....1 I " :' JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS 1820 Jelferson Streel P.O. Box 1220 Porl Townsend, WA 98368 (206)385-9160 ---~0995 District No, 6 PERMIT In accordance with all <lJlplicahlc Revised Codes of Washington and amendmcI1ls thereto, and subject to all the terms, condi. tions and provisions written or printed below or on any pun of this form Port of port Townsend to PERMISSION IS HEREBY GRANTED TO 2601 washington St., Port Townsend, WA 98368 Install 4" conduit under Airport Road at mile post 0.09 683209 County Road No, Franchise No. Milepost O. 09 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 shail be void unless the work herein contempiated shall have been com pie led before April 7 Daled at Arpil 7 ,19 89 .1990 &\tf~@wm By ~/<~ 1.800.424.5555 . _____---.".-.,.n--..~-- GENEIlAL 1'1l0VISIONS AI'I'L1CAIILE TO ALL l'EIlMITS This permit is subje" to all applicable pro,;,ions of the Revised Codes of Washington, e;cept that any ,n,,,i,ion in thi, agreement not comistent with such rt:solUlion shall be colltrolling. A bond in the amount of $ is re{juirerJ fur th~ protection of the county as ~t follh in the terms of tht: bond. During the progress of the work such harriers shall be ere"ed and maintained as mal' be nee"""y or a' may be directed fur the ptoteClion of the tri:t\'cling public; the barriers shall he properly lighted at night. In accepting this permit the pelition", his SUCC,,""S and assigns, agree> to protect Mf"s"n County and save it harmles, from all claims, aClions and damage> of every kind and deseription which may aeerue to or be M,ffered hy any p,,,son or persons, ""t"ration or Prol~rt)' by reason of tbc perfor' mance of any such work, charact" of materials used or mann" of installation, mainteoan" and uperation or by the impruper occupancy of right of way or public pl.,e or public structure, and in case any suit or action is hrought against saki Jefferson County for damages arising out of or by "ason of any of tbe above causes, the 1~lition", his soce",sors or assigns, will 0'''1' noti" to him or tbem of co",men"",ent of sod. action, defend the ",me at his or tbeir own sole cost and expense aod will sati,fy any jod,ment after the said suit or a"ion shall bave finall) been determined if adICrse to the Jef. ferson County. Except as herein authori"d, no excavation shall be made or obstade placed witbin tbe limits of a cnunty rood in sucb a manner as to interfere with the travel over said road. Except as herein authoril.ed. no excavation shall be mude or obstadc placed within four (41 feet of the edge of the pavement. If the work done uoder this permit interferes in any way with the draina,e of the eoonty road, the grantee shall whollY and at his own expense make such provision as the engineer may direct to take care of said drainage. On eompietion of said work herein eontempiated all rubbish and dehris shall be immediatelY removed and ,'" "",dway and roadside shall be left oeat and presentable and satisfactory to the engineer. All of the work hereio contemplated shall be done onder the sopervision and to the satisfaction of the Coonty En,ineer aod the entire "pense of said supervision shall be borne by the party or partics to whom this permit is issucl1. The Depanment of Puhlic Works hereby reserves the right to order the ehan,e of location or the rcono,al of any strueture or stroctores aothori/,ed by this permit at any time, said change or ren.."allo be made at Ihe soie expense nf the pany or panies to whom this permit is issued, or their soceessors and assigns. All soch changes, reconstruction or relocation hy the gramccs shall he done in soch manner as will cause the ieast interference with any of the Coon' ty work and the County of Jefferson shall in no wise be held Iiabie for any damage 10 the grantee by reason of any such work by ,he CounlY of Jeffer' son, it agents or representatives, or by the exercise of any rights by lhe County ulxln roads. streets, public places or structures in question. This permit or privilege shaJl no' he deemed or held to he an exdusi" one and shall not prohibi, ,he Coonty from graming other permilS or franchise rights of Iikc or other natore to other public or private utilities, nor shall i, pre"n' ,he Coonty from osing any of ilS roads, SllcelS, or public places, or af, feet its right to full supervision and control over all or any part of them. nOlle of which is hereby surrenl1ercl1. The Departmeot of puhlie Works may r"oke, amend or cancel this permit or any of ,he pmvisions thereof at auy time by giving wrillen nmice to the permill". The permillce shall immediately remo" all facilities from the right uf way, Any facilities remainiug UIX'" the right of way 30 days after writ, tcn notice of canccllation shall he removed by the County at the expense of thc permitlee. The pany or panies '0 whom this permi' is issoed ,haJlmaintain at his or the;r sule "pense the structure or object for which this permi, is granted in a condition satisfactory to the Department of Public Works. SPECIAL PROVISIONS: 1. Conduit shall be a minimum of 30n below existing roai:May ditch and shall extend beyond the existing roadway ditch. 2::-;-i;"~3f:i'f~W;:'Sha'.'[1G,~ resp"nsible for all damages to county road right of way. .,. if J; ilm)lhJ~11~1 ~ '.' ...1 I..' ......Ih l U f\. In accepting this permit the grantce. his successors and assigns. agree that any damage or injury l10ne 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. * 754:P- ~r:~~.? ~~~""L':~ . the undersigned, hereby 41ccepts this permit subject to the terms and conditions as herein set forth. Dated tht / ,?-day of"'" ,4r~I't'---- ""U'k/ ,1917(' c::::; (!, 6:&/,,5 7l1,r-;;' 'Y-) \ ~'!r.JP ~fl( PJ,"?':-''. t-- .~. JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefterson Slteet P.O. Box 1220 PorI Townsend. WA 98368 12061385,9160 FCl: Pajd~ Yes _ No 3 'I "3~-~ KW:lpIN", Addre~Requt:!Iot_ Yes_No Mile P~t APPLICATION FOil l'EnJ\fJT To Department of Publie Works, Jefferson Coun(y~ Washington, The I/lldelsiglled PORT n~ POPT TO""15Er1n hereby appl_ for permissioll (0 BORE 4" PIPE UNDER COUNTY ROAD. IAl'pfinJIl/ ..'/1/ J"\UII,,' full)' w/lu/llI' ",hiII"-I W do ! SKETCH: SEE r1AP ATTACHED YELLOW HIGHLIGHT f~RKS lOCATION ,~ECE ~lVED APR 4 m89 JEFFER.::;v.. L;UUI'JTY PUBLIC \NOR!<S DEPT all eOl/my Road: ,AI RPORT ENTRANCE ROAD u, ACCESS ROAD TO E&E ENTERPRISES be/....eell APPROXlf1ATEL Y 50' EAST FROM (SIQIf'/W4!t'\frm,"',I/ff"I'lfI''''"''p</ill/J Gild agree_ 10 do the work in accordance with your rules and regulations and subject 10 your inspection and approval. J 9..13.9.- ICOnlraClort Ad(.!~"" c JeHerson Co. DEPARTMENT 01' PUHLlC WOHKS District No, {;, Permit No, oq9~ Supervisor's J{c,JOrt No. Supervisor will make detailed report with his recommendation on this application. Whe/lel1er possible show sketch of proposed work. Supervisor will also make additional reports and final report giving date of completioll of work Oil this form. llreliminary J{eport: Ii ~ Ry () ~'T R cfT"D /YIp' 0,0 I ;I- $y'^ fr~" "''''\'..'P/I~ / 2 ' 9~4(}et- $J1'-D / /If>fKO><, z' i> e"l' /'IOfb-H- $~.bC I ;=';~L 0"; :50 VI'H'I , i>t1-e--# Crl Date: 1- 7 -BJ Signed: .-!J/~/~~ Final Report: PE~INSPECTION REPORT Work covered by permit has been completed satisfactorily. Work is not completed. Recommend permit be cancelled. Traffic control.. adequate .. inadequate REMARKS note: ~- :), 5'1 ----- Signed: \, ~c::5 ~ ~ 1 ~ ~ " I / / I JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 JtUerson Street P.O, Box 1220 PorI Townsend, WA 98368 (206) 385-9160 N~ 0015 Dburicl No. 5 PERMIT In accordance with all applicable Revised Codes of Washington and amcmJrncnts thereto, und subject to a1l 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 Communications 2720 Oakridge Dr" Port Angeles, WA 98362 to Install a buried service wire form terminal N67 along the East side of Schwartz Rd, to 1220 Schwartz Rd. w,o. 1189-156 County Road No, 595709 Milepost Franchise No. 1.19 to 1.22 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 Don Olin, 385-9140 This permit shall be void unless the work herein contemplated shall have been compl~ed before May 9 , 19 90 Dated at May 9 . 19,89 &~~~@WlEID) By /J~ <~ 1.800.424.5555 GENEI{AI. I'HOVISIONS AI'I'L1CAJlLE TO AI.L I'EIIMITS This permit is sulJjCCllO all apJ)]jcablc pruvbjol1s of the Revised Code!; of Wa~hinglUll. CXccpllliat un)' provi"ion in this ugrcClIlcflt /lOI C(Jfl~j"ICrll with such resolution shall be cuJltrolling. A bUild ill lhe UlIlOUIll of $ is required fur the protcc.:tioll of lhe COUllt}'.h \Cl funl: ill the [Cf/m uf tile: bund. Duriug the progn:ss of the work sucil harriers shall be crcctctJ and IJwinta;llctl as may he lIcccs~ry or as may be dircc.:lctl for the protection of the traveling public; the barriers shall be properly lighted al night. 111 accepting this permit the petitiol1er, his SlICCCl;sors and assiglls. ugrccs 10 protect JdfcrM)1I County and save il harmless frulll all dairn... aCliollsUlld damages of every kintl und description which lIIay accrue to or be suffered hy llllY person or persons, coqxnation or properly by realloun of the pcrfor' mance of any such work, character of materials used or m....nller of installation, llIailllenance and oper111ioll or by the improper occupancy of right of way or public place or public structure, and in case uny suit or action is brought ugainst said Jefferson County for damages arising out of or by rea."ol1 of any of the above causes, thc petitioner, his successors or assigns, will upon notice to him ur thelll of commCIll;CIllClIl of !luch action, dcfem.! the samc at his or their own sole cust and cxpense and will satiSfy any juugment after the said suit or action "hall havc finally been detcrmined if adverse tu the Jef- ferson County. Except as herein authorizcd, 110 excavation shall be made or obstacle plal.:ed within the limit!. of a COIlIUy road ill such a manncr as to illlcrfcre with the travel over said road. Except as herein authorized, no excavation shall be madt: or oh...tacle placed within four (4) feel of thc edge of the pavemelll. If the work done undcr this permit interferes in any W:'IY with the drainage of the COllllty road, the gr;llltee shall whollr and al his own expen'>C make such provision as the engineer may direct to take care of said drainage. On completion of said work herein contemplated .111 rubbish and debris shall be immediately rcmovcd and thc roadway and road~idc shall be left neat and presentable and satisfactory 10 thc cnginecr. All of the work herein contemplated shall be done under the supervision and to the salbfaction of the COUIll}' Engineer and the entire expense of said supervision shull be borne by the party or parties to whom this permit is issueu. The Departmcnt of Public Works hereby reserves the right 10 order the change of location or the removal of any MruclUrc 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 rcrrnit is issued, or their successors and assigns. All such changes, reconstruction or relocation by the grantees shall he done itl.\uch manner as will cuuse the Ica.\t interference with an}' of the Coun- ty work and the County of Jefferson shall in no wise be held liable fur any damage to the gruntee by reason of allY 'iuch work by the COllnty of Jeffer- SOil, it agCnls or represclllati\'cs, or by the cxercise of any rights by the COLlIllY llron rO<llJs, streets. public places or structures in question. This permit or privilege shall not be JeelllcrJ 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 othcr public or private utilities, nor sh.lll it prevelltthc Coullty from using any or its roads, streets, or public places, or af. feet its right to full supervision anu control over all or any part of them, none of which is hereby surrendered. The Dcpurtment of Public Works may revoke, amend or cuncclthis permit or any of the provisiolls lhcrenr at UIlY time by giving wrillen notice [0 the pcrmillee. The permittee shall irnmedi:ltely remove all facilities frOllllhe right of W:lY. Any facilities rel1lainins lIpon the right of way 30 days after writ- ten notice of cancellation shall be removcd by lhc COllnty at the expense of the perrnittee. 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 isgranted in a condition satisfactory to the Department of Public Works~ SPECIAL PIlOVISIONS: 1. Cable shall be a minimum of 30" below existing shoulder. 2. Applicant shall be held responsible for all damages to county road right of way, \,' J,~)tiil:':il :(;1 t:~\ In accepting Ihis permit the grantee, his Sllccessors :md assigns, ugree that any dllmagc or injury done to the property of the grantec or any expense incurred by him through the operation of a contractor, working for the County or .my COlllllY employee shall be !ltthe sole expense of the gralltee, his successors and assigns. * Its:: ~...r and conditions as hercin set forth. Dated I"it' / ~ d:lY or"r , the undersigned. hereby lleCe[lts this pcrmil subject to the terms /~ ,19]> ~ ~""h''''/d'' ~ ~ \ 1-1) ~'" I\;p JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Fcc P..id_ Yes _ No 1820 Jellerson Streel P.O. BOll: 1220 Port Townsend, WA 98368 (206) 385.9160 R<<eipl No Address Requcsl_ Yes _ No Mile POSI I.l{~ +.., \:1..'Z.. AI'I'UCATION I'OR I'EI(MIT To Department of Public Works. Jefferson County. Washington. The undersigned hereby appi...!L::!1:!lf for permission /0 t4~f '" /.:J t!. 5' U/csr pkcc" ),ur!J S'erv!c.e wi'r", I'rC'~ 1;,.,-_;"",/ ,4/67 f {_lpIJ/ir,wl ,..,1/ eJ,'\aih,' lully ..hull,., ..i.\Il<'\ III do } /1c1 /" tYC'~1' ~r.& ~I dfre",ry c.r 12'20 Sd~.vh.~<i( SchWN'A ~"" Ida 'l9-IS"b RECEIVED SKETCH: MAY 5 1989 ~5~r~~NRKCOUNTY s DEPT, On County Road: 5'dw.vf.. j?vf bel ween rStu/..".,{lIl"ofOIJ\\.,I('..../flrmil..pO;III} alld agreeMJ to do the work in accordance with your rules and regula/iolls and subjt!ct to your inspection and approval. Dale S-- "/ 19~ .A;,f,. L79",,., ISi,lnDlur~or ^l'plicnnU IContractorl (If applicant is a copartnership, sel rorth names or copartners) 17-: Addle" Dislric/ No, 5 Jcl'ferson Co. DEPARTMENT OF PUULlC WORKS Permit No. n () \ 6' Supervisor's lteport No, Supervisor will make detailed report with his recommendation all this applieatioll. JYhenever possible show sketch of proposed work. Supervisor will also make additiollal reports ami final Teflon giving dale of complelioll oFWork oll/his/orm. Preliminary J{cIJOrt: S' f"'\CI~" 1'-' G/a....(.}~,<J. L..oc ~'7 ~\;> ("_"J (1AVy ~ L=1~,.A.~::;. 1.1,,\ -\., [,tl- ,......:>'-~ D-r,c.. Il (<:Qr..l' c\ R.."'-'>I! ~-r' /"'1./~ r'; "-," .," ':'.~' :;~.? "W,. ,"',' ........~ ;i~ Date: " ,~':;;; '~':~ X(~:.Wg; ~;~; ;\\'0 S-'1-8<1 Signed: -='~_~-- Final Report.: PER~SPECTJON REPORT Work covered by permit has been completed satisfactorily. Work is not completed. Recommend permit be cancelled. Traffic control.. adequate .. inadequate REMARKS Dote: c;:- ~.o-- 'Sf ~, Sl~nl'd: ~-:---<:::.---- ____ , "~,,.. .. ,'", " ,,. ,"" ',..., _', ,,:,,'" "i'",',>~" ,,',' '/' ,,' ,'. d , , ."~ .' '.... ,: .... t,'..,i<\' ',",. :\: , .... , , ,', ",' " " , ,,' i,i' , It i ; :, " " ) ,,', i.': ,,",~, " ,',", P {,,,ii" <,oW @ E~MIT OUT _ _'I WOAK LOCATION IN - Address /7.:;;'n S,.';: w",,.rl' "2 12-;] City'" i'. "-c:ounty ~1'6;:'= State WI4 Name ~ ,',.( ,"-,1 K }~n I/,^,:"__ - ""J' ORIGINATED BY it", <,p Date~ New tit S/O No, '-'00'#0''1 Due Data_ Repair 0 Tsl, No,~~ 2,,,-,- Temporized Ii!I Rearrange OS/ONo, DueDats_ Type of Service 1 F ~ eBl Pair Colot/B,P. la fI j'''S'' Term, AddrlJts /'!., l'f'U "U'D /oJ 11./1... ..v L. ... Description of Work o .;. ^..u~ C_c.- ..,....~ :-: I ,. "1. Ti.. -:,. -- EI.~.".;"o:.. r__ ..._~ ~6- LJ , L ,,,} ,oj ActJ ~r~uu .,.. R':tg/~~~~ Quamlty Ire- Buried ServIce WIre - Work Order CONTRACTOR'S ACCEPTANCE Firm Signature Title Unit Price 0 COst Plus 0 Bill to: U S WEST COmmunications Attention Address City APPROVAL For Flat Sum/Cost Plus $ Recommended Approved by PERMIT REQUIRED Received from Jurisdiction COMPLETED BY Call t~" ,t5 ',~: , , ,,:0 ' -~' , , Pll990 /7,881 No, fi-/Srt' Complete by Date FI.t Sum 0 S Zip Date__ Date_ DYes 0 No Verbal 0 No,_Dale_ Dall'-____" ......__ for Service Connection Indicate North "'" :+~ .j " ASA'P~: Note: Thl. .ketch may 0101 be en accurate repr.s.nlallon In a" det'i's, it remains the contr.cto,.s r.s~perIY locate work In 'he lIeld, '-"- IL:. c... ~~ ..,. z.. Sketch Work Required - Include LengthS. dePths. wire si7.e and, amOunt cti ~il ?~~;f ~;'1 ~/;(!eA ' , ::::~::::: 'rd'" 'i[' . , , , , '\: '~.::.; C ,~ , , , . ,\, , , , , , " ' - . .. .... - - .- -. -..... ~.:"'-, s~ lo.,.v.....,.,i a 1<.d, ORIGINAL COPY ,)C" 04, P.9 os :'- .; I AM . '. .... ". ... .:..,. " :',: ',''' "., ':'. ' :,.- .'"....', . . , ',:', '" ", :' " ,,' i,,:' ." , " ,',,': " ': ' , " ,,", " i .'" '" ',:' : ',:': ,..'.:' ':'" ' , ,," ':, . " ,.' ! . .' <'. I ~..,: .. , ,'.' '. . I,':" : "', ,.'" ':" " ' .',:':,' .... ': ,"'. I " I. ...,.,'L- I', "'- LL -- -----1',: ,': ' , ',,', ,': " -- ,',.:. , , ' " " " ' "',, " ," " .'" , ' ',', "',':. . ,," ',' ". .. , ,', " , " ", " ': ' <,:':. : ",...." " ,', ' ",' ", '. ....'.. [.< t." I .. " ',':" ':< : , , ..' , ",' , " :. ,,::' , ",~ , ~ ',,', /." , ': :":, :,:' " " F 0 I ,.. " ' , ,,' " :', ,'. '., .': . ,:. . '., ", '. ..' < . " " '" ' , ,'" ': . ';' , ' :" ':, ' ,," "",'~~;~~ .: '. " ,',.:', ,,:' " . '.:, .-J .. :"~~: ,;, "',.:" 1/ "'"~~; . ... .., ~:"'" ," GENEHAL I'HOVlSIONS Al'l'UCAIILE TO ALL l'EIlMITS This pennit is subject to all applicable Jlro...i~i()J1S of tllC Revised Codes of Wa,hingwll. except thut all)! pro\'i~joll inlhis agr~clllclll nol consi,>tclll with such r~o]utjon shall be controlling, A bond in tile amount of $ is fl'4uircd for Ille prulCl.:lioll of the county as set forth ill the ICfllI!'. of the homl. During the progress or the work such barriers shall be erected and llIuintained w. Illay be necessarY or us may be directed for tilt: prutcl:tion of Ihe traveling public; the barriers shall be properly lighted alnight. In accepting this permit the petitioner, his SUCCCSl>ors aml assigns. agrees \0 prOlect Jefferson CoulIty and save it haflnlc~,> frolll all claims, w.:tiollsund damages of every kind amI description which llla~' accrue to or he suffercd by any pcrson or pcrsons, corporation or property b)' rea~uJ\ of the perfor- mance of any :such work, charactcr of material:s uscd or manner of illstallation,maintclWnce amI operatioll or by the improper occupancy of right of way or public place or public structure, and in case an)" suit or action is bmught against said Jefferson County for damage~ ari~ing out of or by reasoll of any of the above causes, the petitioncr, his succcssors or as~iglls, will upon notice lO him or \hcm of cmnmcnccn\cnt of such actiun, defend the same at his or their own sole cost und expense and will satisfy allY judgmcnt after the said suit or action shall have finally been delermincu if adverse to the Jef. ferson County. Exccpt as herein authorizcd, no excuvatioll shall be made or obstucle placed within the limit!> of a cOUllty wall in such a manlier as tel intcrfere with the travel o\'er said road. Exeepl as herein authorized, no excavation Shill! be made or ubMacle ph.ll:ed within four HI fect of Ihe cdgc of the pavelllcllt. Jf the work done um.ler this perm;l illll'rft:rcs in any way with the drainage of the count)' ro:.H.J, the grantee shall wholly and at his own cxpcn~ make such provision as the engineer may direct to take care of said drainage. On completion of said work herein contemplated all rubbish and debris ~hall he illllllediately removt:l.I and the roadway and roadsidc shall be left neal and presentable and satisfactory to the cngineer. All of the work herein contemplated shall be done under the supervision and to the satisfactioll of the COUllty Engineer and the entire expense of said supervision shall be borne by the party or parties to whom this permit is iSl'tLJcd. The Departmellt of Public Works hereby reserves the right 10 order the change of location or the rellloval of any structure or structures authori/ed by this permit at any time, said change or rellloval to be made at the sole expcnse of the pany or panics to whom this permit is h.sued, or their succe~sur5 and assigns. All such changes, reconstruction or relocation by the grantees shall be done in such manlier as will cause the Icast interference with any of the Coun- Iy work and the County of Jefferson shall in no wise be held liahle for any damage to the grantee by reason of aflY such work by Ihe County of Jeffer- son, it agents or representatives, or by the exercise of any rights by the ('oullty upon r(lads, streets, public places or structures in qucstion. This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibitlhe County from granting other permits or franchise rights of like or other nature to other public or private utilities, nor shall it prevent the CounlY from using any of its roads, streets, or public places. or af. feet its right to full supcrvisioTl and control over all or any part of them, none uf wllkh is hercby !lurrcndered. The Department of Public Works may revoke, amend or cancel tllis permit or any of the provisions thereof at any time by giving writtcn notke IU the permittee. The permittee shall immediately rcmove all facilities frolllthe right of way. AllY facilities remaining upon the right of way 30 days after writ. ten nolict: of cancellation shall be removed by the COUIUY at the expense of the pcrmittcl~. The party or parties to whom this permit is issued shall maintain at his or tl1eir sole eXpCnse the !>trllClUrc or object I'm which this permit is granted in a condition satisfactory 10 tbe Department of Public Works. SPECIAL PROVISIONS: 1. Cable shall be a minimum of 30" below existing shoulder grade, ,}:t-~EPB~t. s\)al~ be responsible for all damages to county road right-of-way. i; IldhVjini![!il'~lti!! L\ \~!dr V ~\bfi u U/;,\\ In accepting this permil the grantee, his successors und ussigns, agrce that any damage or injury Jone to the property of the grantee or any expense incurred by him through the operation of a contractur, working for the County or any COllnty empl()yce slwll be at the sole expense of the gralllee. his successors and assigns. II.:; I~sl- , the undersigned, hereby accepts *rt;t ll:;ctt:hi t\1s E D , 19~'7 7( and conditions as herein sel fonh. ~r/I r ....~- : ,: J Dated lhlf"" 3 * day or H: S. ~=;I- \ ~1.J:i ~\ J'~, JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS fee Paid_ Yes _ No 1820 Jeltcrson Slreel P.O. Box 1220 Port Townsend. WA98368 (206)385-9160 RCl.eipl Nl,l Addre!.SRcque!>l_ Ycs_No Mile Po~t AI'!'UCATION 1'011 I'EIIMIT To Department of I'ublic Works, Jefferson County, Washington, The I/ndersigned !I. s: hereby appl 3 - 23-'8'1 jar permission to #01'1-/, IJ",..f- !Ia<:~ a. /;""..,) seo:-vlce' wI,.. Ir~~ 1-11'1"/1'11111 ,,)11<1,,1,,11....1'.11)' ..IIUllw ..11111'\111"" I c/rlv<:"":J R,,,.,/r.e,/ /1/1 /50 r h Cksf()~d'~ SKETCH: cJ4c4 "..,/ ~rk- O,-",?,. 'if'7-$Y RECEIVED MAR 2 4 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT, On COI/IllY Road: //1df.4 4f./ All be()-\,een rSIU'''",'O/f''/I,,,,,,..,u,,,'lllfmil..,.,,/m/ and agree~ to do the work ill accordance with .vour rules and regulatiolls alld subject to your inspection and approval. Date 3-23 19~ t?dr~,.. ",I.". 1~/-5 , Iv/.! 9f?3C? I'hnne No, YT Z- "l S- '?tf '/d /' 2. 72(/ ~t<T lSiSOlllUrc ur ^pl1li~llnll lIf 3P1)licant is a copartnership, set forth !lames of copartners) fl: h{ok.~ .A",-r",(".- fCOlllrll~lorJ Adllrc,\ Jefferson Co. District No, b DEJ>AlnMENT OF I'UIILIC WOnKS Permit No, 0992. Supervisor's I(eporl No. Supervisor will make detailed repor/ wi/Ii his recommendation on/his application Whenever pOSSible show sketch of proposed work. Supervisor will also make additiollal reports andfillal report giving date of completion of work 011 this form. IJrelimlnary Report: ,/"1'1', ~~,e. \'C'\l"'> \'<-.""" I'Y"\,' c>.o~ 'k. (>1'\" 0,08 G~PNe'- ~..Ik't:> V"o, W Nb '\) ~ -k tte..s Dale: 6~2.'a-:8~ Signed: J\ f~ kd..fJ/1 Final Repor': PE~NSPECTlON REPORT Work covered by permit has been comple'ed satisfac'orily. Work is not comple'ed. I(ecommend permit be cancelled. Traffic con.rol - adequate - inadequa.e REMARKS Dale: -s-- 50" iY ? / SIAned: D-- cs- :,'" ':":, ',,' ,'.'"" , " ,", ;..' ; '" " "" .,'. :f:0::;' ,', 1', ' :' .' " :', , , .' :;. :, I:;' . I;.,. . " . " :\ ' ;',' i '., .",: ::'I~ '\f' ""~', '. : :; .~.':: '. , ,', " ;', ,: , ': '" " :.. :,. ,." , , .;: :...'.," :, " ','" , , .'.. '.:.' I';' :....., : .'; L ,. .: .': .: , ,.,'.'.' .',.. ' ',~;;l ::':1 ' ..". ' " " '.. '.' :,;' ':,' ',,' , i', ':: ;'. "::, ",;', ':, , ,'.... ,",' :"'1 """ ",' " ' " i. "'i" . 'll!""WJ!5r" PERMIT ~ " COMMUNICATIONS @OUT ----...1- 2 '3 IN - WORK LOCATION / ,/./ ~, / /J / Addre~_~~h CLL~L'~L City !':!>vJ~Jlf-.,6:,unlYd,. JUA* _ Slate ~, Name /7~ A/.....~ .'J)OIlUl----5LId.~.u._ ORIGINATED By:J) h/. /~ Date :J..z.t..J} New I:!il S/ONo,~ Due Date~<) Repair 0 Tel. No, ..tt.'r-6//0Temporlzed 0 Resrrange OSlO No. Due Dats_ Type of Servieo /r/f eeL Pel' Color/B.P. "/'/6 ?L/. /L Burled Service Wire. Work Order No, Complele by 1'8990 17,88) ~7-"8'f CONTRACTOR'S ACCEPTANCE Firm Signature Tille Unit Prie. 0 Cost Plus 0 Date FI.t Sum 0 $ Bill to; U S WEST Communications Allentlon Address City T/ilrm. AddrClU / t" 71/0- ~,n Zip APPROVAL For FI.t SUm/COlt Plu. $ Recommen~ Approved by Dale __ Date_ Oescrlpuon 01 Work AM~. .;:'v",... LJ:.~ l,Lo ~ ,7: t"', t" ./1 ~--z.-_~~ ,L "7 ",,_ I /~-__n. ,#,,;;.,, _,,~,..~ _/._ r.! .2V~~ /).'Ap-p7; ru<,.t. _ /~ L'/ _y~ -_CQnlract Rtllerence -- Ouanlit'f '-- PERMIT REQUIRED Received from Jurisdiclion o Yes 0 No Verbal 0 No,_Date_ Dale_ tor Service Connection Indicate Norlh ,101 :~+~ , , II ' [;J ___ -_J L p' 1<\ · I · · . · · /.i. .---:- - _Jlj'';.;_j';1-. --- / f.{;'oI;Jk' '&~)' jJ;'J.. . , ....-i''':!!:.'::' Nolo' Th'. ...'cn mAY MO' O. on OeOUI.'. '.p....n1.lIoo 'n.II d.""', It ,.m.'ns the oonl,'Clo,', ,..ponsIOlllty to prop.r1y '0'01. wOlk In lhe "eld ,.:,"i,".y ~ ORIGINAL COpy i,i'iii~ ~ __ .. ..h p' " "":': .... ....."....,,;....... '. ,ii::,, " ' ..i.............,....',. '.......<,., :< ..;.'. .;<., .,..); .i:' " '" L COMPLETED BY Call -~= I Sketch Work Required - Include Lengths. depths, wirQ sIze and arrtount , I . . . . . , . , , , - , '/iY' , , , . 1,1' tJ I ' , :U:V: V~ : ' , , :.' , , " L I , I .'. '.. ,r' ", ,',.":, :' ,.....; r'l r _...... " :', " u_.. ',"',' "', ,: .," '." ,'.'.. ,,',":,,: .: ", .' .'., ,'. '".' , ' , " , ,.., .'; , ',,' , "'" ',' '," '. '.,";'. " , " , ';, . "': :', , ' " '" " , ' ',' , ',,:, ' >,. , ,.' :.' ", ,,"' , .. ", , , ' , " , ,:',,' , , ;,,', , .:,: ',,' " " "" ,,' I. " ,;'.'; " ",' ,",","", , ". ,.' ',.-, ,'"" :,,' ",' , :1..." ..'. .' , ",' , :' "" ' '"'''-''' ,', I,'" , , , , ; , .' " I' .' I I I, ' I,'...,".:, ' '21 . ,~< ':' " ',I' > " ." '. ',: , , .', ,..' ;' :,; ~' i/ ! 2J....'.. ~ GENEllAL J'IWVISJONS APPLlCAIlLE TO ALL l'EIlMITS This pcrmit is subject La all applicable provisions of the Rc~isctl CoJcs of Washington, CXccpllhat UII}' pro\'i..ioll in this tlgrccmcllt not comislclll wilh such resolution shall be cOl1lroll;lIg, A bUild in the amount of S is requireu for the pHltcctioll of the count}' as set forth in the terms of the bond. During the progress of the work such barriers shall he erected amJ maintained us ma}' he necessary or as may be dircL'lcd for the protectiol] uf tlie traveling public; the barriers shall be properly lighted lit lIiglu. In UCCCplillg this permit the pctitiollcr. his succeSSors and assigllS. agrees to protL'cl Jefferson Coullly and save it harmless frolll all daims, acliom and damages of every kind and description which may accrue to or be suffered hy .IIIY person or persons, corporation or propen)' by reiJ\OIl of the perfor- mance of any such work, character of fl1uteriuls used or mallner of instaJlution, maillterwllee ulld opcration or by the improper occupancy of right of way or public place or public structure, ami ill case any suit or action is brought llgllillSt suil.! Jefferso/l Count)' fur darnuges arising out of or by rea!>on of any of the above causes, the petitioner, his successors or assigns, will Upo/ll1olice to him or them of commencement of such action, I.!efenl.! the !'tUme at his or their own sole co!>t anI.! expense aliI.! will satisfy anr juugmcllt after the saitl suit or action shall have finally been determi/lcl.! if udversc 10 the Jef- ferson County. Except as herein authorizel.!, no excavation shall be nmde or obstacle placed within the limits of a count)' road in such u manlier u\ to intcrfcre with the tra\'cl over said rood. Excl'pt us herein authorized. 110 excavation shall be made or ohstade placed within four 14J feet of the euge of the pavc/llellt. If the work done under this permit interferes in any way with the drainage of the cuullIy road, the grulltce shall 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 contemplated all rubhish and I.!ebris shall be immediately relllover..! and the roauway and road!>ide shall he left IIcut and presentable and satisfactory to the enginecr. All of the work herein contemplated shall be done under the supervision and to the satisfaction of the Count)' Engineer and the entire eXpcll!>e of said supervision shall be borne by the party or panics to whom this permit is issued, The Department of f)ublic Works hereby reserves the right to order the change of location or Ihe renlovlll of any structure or structures authorized by this permit at any time, said c!lunge or rcmovul to be llIade at the sole expense of the party or panics 10 whol1\ this permit is issued, or their successors and assiflns. All such changes, reconstruction or relocation by tile grantees shall be done in such manner as will cause the leust 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 granlee by reason of any such work by the County of Jeffer- son, it agents or representatives, or by the excrcise of any rights by the County ullOn roads, streets, public places or structures in question, This permit or privilege shall not be deemed or held to heun exclusive one and shall not prohibit the County from grunting other permits or franchise rights of like or other nature to other public or private utilities. nor shall it prevent the Coullty from using ,lilY of its mll.!s. streets, or public places. or af- fect its right to full supervision and control over ull or any pan of them, nOlle or which is hereby surrendered. The Department of Public Works may revoke, amenl.! orcancd 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. Any facilities remaining upon the right of way 30 d,IYs after writ- ten notice of cancellation shall be removed by the CounlY ut the expense of the pcrmittce. The party or parties to whom this permit is issued shall maintain .11 his 01' their sole expense the structure or ohject for which this permit is granted in a condition satisfactory to the Department of Public Works. SPECIAL PROVISIONS: 1. Water line shall be a minimum of 30" below existing shoulder grade. 2. Applicant shall be responsible for all damages to county road right ,of' way. In accepting this permit the grantee. his successors and assigns, agree thut any d,lIl1uge or injury done to the property of the grantee or any expensc incurred by him through the operation of n contrnctor, working for the County or any County employee shall he ut the sole expense of the grnntl'C, his Sllccessors and ussigns, *' C...I r1A u.J ~ [)~.. . the undersigned. Ilereby accepts this permit subject to the terms and cond~io~s herein set forth. D:Hcd Ihis*' /'7 d'iY of ;;- ~ ' 19~"1 ~,,,.j~2J<-1 C c;~ / w~ ~,~, ',,,,,' , ., "iC"... , , _:1">':':':':" , '," - :': ,','"",,' ,,' , ',:":,:,' .", ,',,,, , " ',,"',', ' ''.: ",' "::: " ,',' " ,'.,.. " " , " :, ,'> ,', ',' ",.',' .,',.'. '..... ',:' ' " , I'::,,; " , " \ ~\', ~~ fJ}, ~ ,~ "', I.r ! l' ,,~'" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Fee Paid_ Yes _ No 1820 Jellllrson Slreel P.O. Box 1220 Pori Townsend. WA 98368 (206)385'9160 lI.<<ell'l No, Addrel>S}{eqUl':S(_ Yes_No Mile PO!>t .. . APl'L1CATlON FOR I'ERMIT , To Department of Public Works, Jefferson County, Washington, The undersigned Pt, Jt f /t'!) CV n .s t> J'1 d u.J G -If" r () ~p 'I, hereby apP'r- for permission to 0>;0 ~r1 C!-qr ("('l't"~f,f:::!'.1.,;;~,",,,,~,(;E"J,,90 Rd 7'0 /'15.IQII MeuJ f-<-Jreler oServ/(!e., """" '!"wJ., P",o. e $7 i ./ (p -- - - - v.!/O I" I fL.f1 -I - - - I I ~~ i)' il <\ I - -'! ) I .s,.J I p r~';. ~,./ d.1 if J)l~ C </. 4,0 ~/I_ ,o/~~~ '?? y~ v~<,/g'5'.sO if 7.96',9 () tt--O:IV (..' :<;>+: Ou. <5' O~;?)~ r , I .' > ," SKETCH: .: t " i " , ,,' Ie On COUnty Road: 'l40ltx- be/ween P.r/C'e ~;r "'f 4~o/e S?,:: /SIQr..fI.-a"'\/U()\I-.\IIl'<'lllfmlf"p(I/m} : ':,: ":'" and agree~ 10 do the work ill accordance with your rules and regulations and subject to your inspection and approval. Da/e 1-/'-7-~9 /9_ Q&".,.-,....-cI t: c;,~L /? 7' 0" 1,.,-" D,-p/ / ISi~Uf~ (If A~rllil:BJ\lt ICOJllfMCIOfl I (If applicant is a corJartncr~hip. set forth name.!> of copartners) "::'-1-/0 Wd-/,,..,r, s;r , '''''''";07; T?!>~..M/}<__r,J 9'63t:.J{ _ .",," ( san~e) Phone No, 8'irS-:2 '?t!J(') - 91-3 :?' Phone Nil, '- r 100% Recycled Paper "'." ':",::,: :,' " , :'" " .,',:': "," " '. ...... .'. ... ' " ':'.,'.' '.' " " " ',i,'" ;"".,' " . ..<, , .'.'.,.'. .;.... ': .;. ...,..,.' , , " " 7 ,', ' , ,... ;..,'. . ." " .'.....,. '.. ." '. ,':' "'" ": , :.': " ':': "':, .. , ',', " . , ,',' " " . .':...} '., ,"., <' ,> ," ,"" '." , :.. ,\:- , r .', --::- '.,:' : ,"'"."" " ' " , -", .... ;. ':.', , ,"" ' , " :, :,' .':', ' ., :~?;:~~;: ',.. ". .'. ., , , :.' ,,' ': ," ',,'. :',' ' ~ , .,,' '. .', .'., . """, ,'<'" I " .,''',:, ,', '''''' },' "~:" . l: :.. hO-'-"L..- Jefferson Cu. DEI'ARTMENT OF l'UIlLlC WORKS District No. Permit No. OOO~ Supervisor's Ileport No. Supervisor will make detailed report with his recommendation on thi.\O applicatioll. Whenever pm'Sible show sketch of proposed work. Supervisor will also make additional reports lInd final report giving (late of completion of work on thls form. Preliminary Repor.: "'VOl~'<- ~(l~i?a1 i)~u~ ., .-......... Date: Fin.1 Report: PERMIT INSPECTION REPORT t /Work covered by permit has been comple.ed salisfactorily. Work is not completed. Recommend permit be cancelled. Traffic control - adequate - inadequate Signed: REMARKS O..e: &-/-/C{- J? Sl~ned: .~\'--;, - r,'''-. ~ ~'J~t:; >~~::;:- -----f0:'r' .~'. 6 JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS 1820 Jellemn Slreel P,O. 80)( 1220 POr! Townsend, WA 98368 (2061385.9160 lA, ~ N~ 0003 Dislricl No. PERMIT In accordance with all applicable Revised Codes of Washington and amendments thcreto, and subject to all the terms, condj, lions and provisions written or printed below or on any parl of this forIll PERMISSION IS HEREBY GRANTED TO Port Townsend Water Dept. 540 Water St., Port Townsend, WA 98368 to Open cut shoulder of Hayden St. to install new water service. Coun ty Road No. 641009 Milepost Franchise No. 0.17 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 April 17 .19 90 Dated at ,April 17 .19 89 &~~~~W~~ 1-800.424-5555 By ~.L<R:/- U-vVV) GENEI{AL I'I{OVISIONS AI'I'L1CAIlLE TO ALL I'EI{MITS This permit is subject to all applicable pfovbiom or the Revised Code,," of Washington, excepl tJlat all)' provision jlllhi~ agrcclIlcllt flul coll~i'lcllt with such rcsolUliolll>hall be corurollil1g. A bond in Ihe UfIIOUfll of $ is rCljuirctl fur the protection uf llll: COUIIlY as !oct [orth ill the lerms of the txmd. During the progress of the work 5L1th barriers shall be erected alII.! flwinlaincd as ilia}' be nccc.'S~lf}' Of as 1Il:.t}' he directed fur Ihe protcl.:tion of the traveling public; the barriers shaJJ be properly lighlctJ <Ill1ight. In accepting this perlnit the pctitiom:r, his successors allll assigns. agrees 10 protect JCrrCrMlIJ County and saw it hUrllllc!>s from all cfairm, aCliollsand damages of every kind alld dC!tCriplion which Illayaccrue to or be surfcrcJ b}' allY person or perSOIlS, corpowtioll or propert}' by rea,>oll of the perfor- maJlcc of uny such work, character of malerhlls u~ed or llHlllller of installation, maintcnance and operation or b}' the improper occupanC}' of right of way or public place or public struclure, <llld ill case allY suit or action ilj brought agailll>l said JeffersOIl County for d<llllages arbing out fjf or b}' rea'>oll of any of the abovc causes, the petitioner, his succcssors or assigrls, will Upon ilOlke 10 him or them of comJJ1ellcement of such actjoll, defend the same at his or their own sole cost and expense and will salbfy any judgrnetll after lhe said suit or aClioll shall have finally becn delermined if ad~'erse 10 the Jef. fersoJl Coullly. Except as herein aUlhorized. no exca vatiufl shall be lIlade or obstacle placed within the limit!> of a county ((};Id in such a manner as to irllerli:re with the tra vel over said road, Excepl as herein aUlhoril.ed, 1\0 excavation shall be made or ohstacle placed withill four Hl feet uf the cdge of tile pavement. If the work done under this permit interferes ill allY way wilh the cJrainage of the cOllnty road, the gramee shall Wholly and at his own expense make such provision ..s the engineer muy direct to take care of 1iaid drainage. On completion of said work herein cOlltcmplated all rubbish and debris shall he imlllediately rellll)VCW iwd the ff.llidw.ay .alllJ fIJ.u.hiUt, sllall tx'lc:fl neal and preselllable ami satisfactory to the engineer. All of the work herein cOlllemplated shall be done under the supervision and to the satisfaction of the CoulllY Engineer and the cllIire expense of said supervision shall he borne by the parly or parties to whom this permit is issued, The Department of Public Works hereby resef\:es tile righlto orwer 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 at the sole expense of the party or parties to whom this permit is issued, or their sUcce.\Sors and assigns, All such changes, reconstruction or relocation by the grantees shall be done in sllch mllllner as will cause the least illlerferem:e with any of the Coun. ty work and the County of Jefferson shall inllo wise be held liable for any dallwge Wlhe gn.llllee by reason of any such work by lhe Coumy of Jeffer' son, it agents or representatives, or by the exercise of any rights by the COUIll}' UpolJ roads, streets, public places or MrUCtures in qucstion, This permit or privilege shall not be deemed or held to be an exclusive olle and shall not prohibit the Coullty from granting other permits or franchise rights of like or other IUlture to other public or private utilities, lIor sl1<l11 it prcvclltthe Count}, from using an}' of ils roads, Slreets, or public places, or af. fect its right 10 full supervision and control ovcr all or allY part of them. none of which is hereby surremlcrew. The Department of Public Works may revoke, amend or cancellhis permit or any of the provisions thercuf al any lime by giving written notice to the permittee, The permittee shall imlllediately remove all facilities from the right of way. Any facilities relllllining upon the right of way 30 days after writ. ten notice of cancellation shall be removed by the County:1t the eXpellse of lhe permitlee. The party or parties to whol11lhis permit is issued shall mainlain ill his or their sole expense the struclure or objecl for which Ihis permit is granted in a condition salisfactory to the D~partmel1l of Public Works. SPECIAL PROVISIONS: 1. Waterline shall be a minimum of 30" below existing shoulder grade, 2. Applicant shall be held responsible for all damages to county roads. , In accepting Ihis permit the grantcc, his successors and assigns, agree thai any damagc or injury done to the property at' the grantee or uny CXflCllse incurred by him through the operation of a contractor, working for the COUlllY or any County employee shall be <It the sole expense of the grantee, his successors and assiglls, .,.,. C-"'fi.... (..0<l:..-~ J!j ~ ,thc undc"igncd,hcrchyncccp"'hi,pcrmit,ubjcct 10 thc lcrms and CO;d~i~ as herein set forth. Dalcd this'" ) 9' d"'Y or ~'.~ , 19~ 9' ~rljkrn"(J C ~~ I t.Vm.. -J ~~ ~ ,! 1\ .iy I;; ;:~~ ~' . " ", " 'L " ,,' ,',' ' ...,...'.'. '; " ' "c' , ,,' ", .' " , '." ,,', ,'...' , " ---'- ,', ." ,," , " :' ,"" '.,.. .', ': " {: ;. \ ....,,' "'-,I~ ~>~ ;....? , " 'z~, "'-'. .: ~_"'__,';''''':-_...-l:-..___ ~_~....-..:-...:......_,~ -- -.:--".-....:-...--.:.-.....--.-.---...--.....-.-----...-. JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Fec Jlaid_ y~ _ No 1620 Jet/erson Street P.O. Box 1220 Pori Townsend, WA 98368 (206)385'9160 Reuipt ,"'~ Addre!oS ReqUe5I_ Yes _ No Mile 1'000t AI'.'L1CATION FOR I'ERMIT To Department of Public Works, Jefferson County, Washington, The undersigned PrJ/'1 7'/,,,,o?ls,C"'l1d u...J<'JI",r r)<,/~ f herebyapp/~ forperlllissionto ojlJc>n (!trf -shc(//der',gf' /7<?vderz &;- To trlS/al1 i1t".<.J u..J'''!''1' .s C'/'I//e e"PI""'''' ",II "'" "'wl"II, "'r</'l:f-.'" "" , / C~ c./. 4p,f //;~ t::>u, ~f:"f:"~ I CJ ~ ^ 0></(>0'00 1.988 V ~O'/V C 0'-r.sPv D~lIIry t::>)- SKETCH: On COUIIIY Road: I/o/den S7.' ;) l'~'jJ . d I~ _ J;,p,.f"'$<d f t- \'~~ \" I" ~ I~ ~ \ ~Ij 't"tVj,- between l'1o/~ s;r -t 8"e 37., C~", rf? T ,Co",,""" (If applictlnl is a copartnership. set forth namcs of copartncrs) !I'yJr>1I 57 ISlal"I'<'fJ'''.If('"~u..\''''t'It>'mill'",,i'''J and agree~ to do the work in accordance with your rules and regulations and subject to your inspection and approval. Date J/- 9- ~9 , 19_ 0(,9<<'1-"'-1 t: /' Allure"," Phone No. , : ' " " . '. .' ~ ': ',."..' .' , '.'..,',..', " ..... ) ": .,,' .' ..: ',' .''' " " , , ;, , ,...,.' '. .' '. . .,.'" 'I ,.' ....... ,', ,': ,."" ' ':':', , , ", ,::",,':' , ',', .," ',,,' " :'[ " ,: " ,',: "", ' . . .'.' . , . .":,"',,\," :;.~i'" , . . ,. .... ..',.; . . ',':.", ....."'..,,. .' '.;' ......'., ..' ", ,".,.'.:" ," , ' .', ',,', ., ,.... " :,' ;:, J ..,.. . ...,' . .....'.,.':. , "",,":, '; ,', , " :,:."'" " ,,", ,.":; :<" "'., , , "',' ':' ,[ /,/ -'..... ,'.., " " , ":, ;,,' , ': ,; , , " '," : " '; " .... I. -~ '....... ....2J ^llllrc.... Phone No. 100% Recycled Paper ~ , -:--- " '"." : .'. ' : '..'. , " .,'.....' '. . '. " :' ','-;::,' ',' :i", " ,: . .' ,," '" .:.". , " " :. " Jefferson Co. I>EI'AIHMENT 01' l'UIlLIC WOI{KS Districl No, Permit No. 0 () () 3 Supervisor's Itl'port No. Supervisor will make detailed report with his recommendatioll 011 lhis application ~Vhellel'er possible show skelch of proposed work. Supervisor will also make addiliollal repOf/S alld filial repo" gil'illg dale of compleOo/J of work 011 lhisform. Preliminary Report: WO~\< ALl'{ t "''''I ~J..JS- Dale: Final Reporl: /' PERMIT !P"SPECTlON REPORT l /" Work covered by permit has been completed satisfactorily. Work is not completed. Recommend permit be cancelled. Traffic control - adequate - inadequate Signed: REMARKS /Jale: '-l-/q- ~'1 I Slgned:~ ~>- R> --- , ~9YuTY'ROAD NO.q'II5"~7 .,.:.>'!"A!E lOG NO. MILE POST ~.,.., OFFICE USE ONLY ( PERMIT NO.':?lI'-S--3-3_ FEE PAID vl'Yes ___No OFFICE USE ONLY , ~-oo ~k./7'-/Y99' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 9B36& CHECK ONE: JZf. RESIDENTIAL 0 COMMERCIAL A pplicatidn is herby made for a permit to construct, operate and maintain a road approach ~ Pleas~ describe loaction (attach map or drawing) \,la YYlLlp:, ~CJYv< (' v-.\'IY\QLL-vh"\ E' h-H>J.-.se..Gh'GYl 0 h +~ 19+--t- hrLy...,d :sik 0+ P-#(ll >t'y-' U\\1 12-d., ' , Applicant aqrees to perform the work in strict compliance with the terms and conditions set out herein, and any special provisions attached hereto. Applicant Name Ni \<"-e ~ Idr-i d;:t" Contractor Name Hi\( p 6rI1At€.S.. Address 9, 0, 'bOo{ 511 Address I q I f-tn 1 jrl P n :s+- wA q 326 Hod Iou:: I IA)A- q~33c, Contractor SAgnature Date 4/2-+/9,:1 " PHoNEi3$5:-03~ and 3 on reverse side. APPLICATION FOR ROAD APPROACH PERMIT ~~Th Subject to the terms and conditions on the reverse side, PERMISSION IS IIEREBY GRANTED to Applicant to construct, operate and ma1ntain a road approach as requested above, and any special provisions attache~ hereto. No work shall be done under this permit until the applicant or contractpr has notified telephone ./l-'"~K- L~ Date :')- z...- RP- APPROVED BY: CAll 48 HOURS BEFORE YOU DIG 1-800-562-6478 PERMIT INSPECTION REPORT ~ork covered by permit has been completed satisfactorily. _Work is not completed. . _______Recommend permit be cancelled. _______Traffic control - adequate inadequate________ REMARKS Form 113-0 OllilA 2-Jl2) INSPECTED BY:~ C'.>-- DATE'''--<l- 0'1 / " , T GENERAL PROVISIONS 1. THIS PERMIT IS SUBJECT TO RCW 36,75,130, ,140 AND ,150 AND AMENDMENTS THERETO, 2, THE GRANTEE.. ITS SUCCESSORS AND ASSIGNS.. AGREES TO PROTECT JEfFERSON COUNTY AND SAVE IT HARMLESS FROM ALL CLAIMS.. ACTIONS OR DAMAGES OF EVERY KIND AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERElJ BY ANV PERSOtl, PERSONS.. OR PROPERTY BY REASON Of THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USED OR MANNER OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAKAGES ARISING our OF OR BY REASON OF ANY OF THE ABOVE CAU5I:S.. THE PETITIONER.. ITS SUCCESSORS OR ASSIGNS WILL.. UPON NOTICE OF COMMENCE- MENT OF SUCH ACTION. DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF DETERMINED ADVERSE TO JEFFERSON COUNTY, 3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED ~~D~~~~ F~~R~~lb ~~~Ml~~:D ~~R~~fE~~ ~H~A~6u~~/7~ ~g~~~~~~~1~7T~O~H~T:Rgen~~~~ ~:T~A~:~~l=~12~G:~~eE ~O q. S~V T~~~A~~R~~TA~~ ~~NT~~ ~g~~{~~g~io~NeO~~Q~~~~~~~i~ ~~;~:~ ~D~AV~R S~~LtU~~B~~C~HiH~~R~E~~I~Hio G~~~n~_ LATlDN AS HEREIN PROVIDED. 5. DURING THE CONSTRUCTION OF THE FACILITYI THE GRAr~TEE SHALL COMPLY WITH THE ~l ON UNIFORM TRAFFIC: CONTROL DEVICf'S FOR STRF.ETS AND HU;HHAYS PUBLISHED BV THE U.S. DEPARTMENT OF TRANSPORTATION. 6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATEDI ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTA8LE AND SATISFACTORY TO THE COUNTY. 7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REMOVAL Of ANY STRUCTURE OR STRUCTURES AUTHORIZED BY THIS PERMIT AT ANY TlMEI SAID CHANGE OR REMOVAL TO BE KADE AT SOLE EXPENSE Of THE PARTY OR PARTIES TO WHOM THIS PERMIT IS ISSUEDI OR THEIR SUCCESSORS AND ASSIGNS. 8. ALL SUCH CHANGES I RECONSTRUCTION OR RELOCAT ION BY THE GRANTEE SHALL BE DONE IN SUCH A HANNER AS WILL CAUSE THE LEAST INTERFERANCE WITH ANY OF THE COUNTY'S WORK AND JEffERSON COUNTY SHALL IN NO WISE BE HELD LIABLE FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEfFERSON COUNTY I I1S AGENTS OR REPRESENTATIVESI OR BY THE EXERCISE Of ANY RIGHTS BY THE COUNTY UPON ROADS I STREETS I PUBLIC PLACES OR STRUCTURES IH QUESTION. 9. THE GRANTEE SHALL NOTIfY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UHDER THIS PERMIT SO THAT A FINAL I NSPECT I ON CAN BY I1ADE. 01. [3-2, ", '" SPECIAL PROVISIONS ..' :; i. ;;:Ui;J APPLICABLE PROVISIONS ARE DENOTED BY AN (X) A COPY;~F'.iHEj;~~H.Ii. \HALL BE ON THE JOB SITEI AND PROTE~TED fROM THE Et.EMENTSI AT ALL TIMES DURING THE CONSTRUCTION AUTHORIZED BY SAID PERMIT WITHIN THE COUNTY S RIGHT-Of-WAY. THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE wITH THE ATTACHED DESIGN PLATE TYPE -E..:::} APPROACH. A 'M:IU ?...e-- FT. LENGTH OF I? INCH DIAMETER CULVERT PIPE SHALLBE PLACEor;:r-- DITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON ~~~E~i:~GA~~ ~~~f~~~D~A~~R T~~O~P~=?C~~E S~~~~E:~Y I~N~~cg~e~~~E R ~~~~_6~:w:~O~: t~ ~~~T:~L p~~MI~h~~AN. THE APPROACH SHALL BE SUFfiCIENTLY SURFACED BACK AN ADEQUATE DISTANCE fROM THE EDGE Of THE PAVEMENT TO PREVENT ANY HUD TRACKING ONTO THE COUNTY ROAD. ANY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMI1EDIATELY CLEANED UP BY THE GRANTEE OR HIS AGENT. 13'3, @-'!j, o 5, 06, o If NECESSARY TO INCREASE SIGHT DISTANCE1 STUMPS AND BRUSH SHALL BE REMOVED fROM BOTH SIDES Of THE c:r~~A~~ALLT~TJ~~I~~~~7~~~6EO~U~~~~~/~o~gR~~~~~g~~w~~~BER OR DISFIGURING OF ANY FEATURE Of SCENIC WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A,M. AND l.i:OOP.M. UNLESS OTHERWISE AUTHORIZED BY THE ENG I NEER. A SURETY BOND IN THE AMOUNT OF $ , WRITTEN BY A SURETY COMPANY AUTHORIZED TO DO BUSINESS IN THE STATE OF WASHINGTON I SHALL BE FURNISHED TO INSURE COMPLIANCE HITH ANY AND ALL Of THE TERMS AND CONDITIONS Of THIS PERMIT AND SHALL REMAIN IN FORCE UNTIL ALL HORK UNDER THIS PERMIT HAS BEEN COMPLETED AND APPROVE.D BY THE COUNTY. 7. BEFORE A'.Y LOG HAULING OPERATIONS BEGINI A SURETY 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 SECURED BEfORE THE BONO WilL BE RELEASED. SPECIAL CONSIDERATIONS o 8, Form 113 b ~" , "", :<'it> ".--;.-H--- ",,,,,, ; ,-' ."r--''':-'-.' '" .. r' .,-... ," '....".... ." '--'--', _', ;, '..;)l{ 'j~"+~~~,~J:=j:' !{~~~~~~f;T~n~~~.'A~:;~~,'-_. :..~h!-' , ==~~} .~~~~j I ...,..r8::;;, ~ ... , lO'oni~24"n... - ' j:: ~ ~,~-'=-.', ..~ .-- ~ :." -~=.~~i~': :-::::~.. ,/;)/ .. . _ I ", 2~ :C:':',! · ~.".~:~""~ ~~. ! :_11l;=:;;;~....,~ ".~. -=- Wi,." ..;..., . ': .. ~dg. ohhO<lldor ..... . _ ...: ", .. ~::i::..~ - , ' ., ' ..,./)i '-t ,,;: ::~,:~: ;~:'=>:~~,~.:, c~um~ L:~;on,< .. ._.;"".....' . _~.~~. ..:'::t 1)<( - I :::'- .. ,. ,.., - ,c,: .." ',: ." . ~~. -, '::: --,..~... '" Iii> ~ :~~~j~~'.~::'i"::~ _ ~ '::~'; : ..: ,::~-:~~, ~d90 o'oh:~:~ :~;j~~:~",I, Rood .:i~::j:: .~.~~=' ,~:~:::~:-:':' ::i;} E, '. -, -,-'.--- ,'. :::(.__ ,.."._ .. '.--~--'--"-"-"'r'-'" ,i?>: .~~; :t~!'~~: .~~~~:t;:...::l :~= S1'~;; ~g<~l_ :j~~~ /, '.~ ,..., .1-1 :h';";:;I.;;;: ~~.~Ii~.i ;.;]7: .. ....lit l2"cui...; ~r :":":":' ,~a::-:~:::.. __ ::l :-::i ::~~~r'S' ~lii~2~~J?-~~~~~t~~C~~1~'~~ ~L;~:~~', ~., '~:'~~?SIGIrr DISTANCE REQUIRfMFNrS r . POSTED SIGHT DISTANCE r SPEED LIMIT, MINIMUM DESIREABLE ,'" \; " '..,' - . ,\ . " . ,. " " " , .,. i" I ,:,""':';"',\~" .. ...'...'.. I" " " .. t, .':",~:\;': " "', " ... -- , ,>, .. ,. ! ' I: ' " " I;' ."',. , ,'.:. .. . I, :',', ,. , " .' .'.', - " , ..' ..,-.. ~'~:. i. .; ~- .. ~.~ Ii, _. tj :' ~~.; .:..: ...' ~. ",' ~ , ; "., , r ...",'...' 1\: I j . ,,', Ii " ':, ' ,'.' ,;'.' .:" ".,.,'.., . "-. .,';' ~.,,' ' ," ""'::, ". ..,..;'.'.,',. "., ,; , , ", ",' , ~,.::" : "'. ' :" .', :",',' ,'.'., " ' , ',' 'I"~"~ '.:,,:' ",' ".' " ' ~, " ',; ,'."',' ."'..,, ' ,., I:. , " ,:,',',. I', ' , < '. ,.' .,' ",,',"', ',';":', L' " ",'", , ';':,"','.':/'" ',' ' " " "'" "', ",' ' I", .', ' I"',",:,."", ""." ' ',,', ',' L , t , , , '" " , ' 'L' , ,,' " . ',', , ., ," '. '. ,'. .""'.i, , ',' ''',' ", " ' ".' '" ':.' ' , '", ", , "':"""'" ,. '".",",,;".','..,',',,' ,; <.' '" ,',.'...., " : "-",': ::,,', '.' , ',' ',' " ': " ',":, '';':.:: i " :' ", , ",':.... " :"", ,', , .. ",",:,' .-: .. ", ,,:,;.,," ""',"',':',,' '"", ,,' " " " , ,,,' ~' 'fiOTES: 2S 160 FT. 200 FT. SO 200 FT. 240 FT. SS 240 FT. 27S FT. 40 27S FT. SSO FT. 4S lIlS FT. 410 FT. SO SSO FT. 47S FT. ,I 1.) Culvert shall meet mnimum specifications 'for 1lS-20 loading. Approved types include: 1) concrete 2) corrugated metal 3) corrugated polyethylene tubi,ng-AASHTO ~.J2). 'County road shoulder shall be left at n ' existing profile. 2.) APPROVALS: I 4~ 12, ,{?~ Chairman, Board of a 5IJt ~ County Comm1ss1oners .. , . L ~ Dace 9~-!J Director. Department of Public Works Date 9A,4.... "'=O'"" ..rs=c";. ;.1....:... ..-,.. : , 'J : , " c", :,,' , , ",', " :, ' ',", .:' :: , , ", " " ';,; ,,' ' ",', , ",:<':, Ii," ;,'iJ '" , ",", : ' ,',' " '~':1" " I ' I DiSlriCI No. 5 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson SITael P.O. Box 1220 PorI Townsend, WA 98368 (206) 385.9160 N::: 0972 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 primed below or on an}' part of this form PERMISSION IS HEREBY GRANTED TO Pope Resources 60 M Paradise Bay Rd" Suite 4, Port Ludlow, WA 98365 to Install 8" P,V,C, water-line along the West side of Teal Lake Rd, from mile post 0,00 to mile post 0,13, including open cut crossing of Paradise Bay Raod at Teal Lake intersection. ,,:>e"''O c-of 1 t7? i!\Z.i~' -J-o I-c \:lop.{ County Road No, 505309 Franchise No. Milepost 0,00 - 0,13 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 unlcss the work herein contemplated shall havc been completed before Mar c h 2 Dateda!. March 2 ,19 89 .19.90 &~~~@WB By ..J~ ~ 1.800-424-5555 JcHerson Co. DEPAnTMENT OF PUBLIC wonKS District No, Permit No, 0977_ Supervisor's Ul'lJOrt No. Supervisor will make de/ai/ed report with his recommendation 011 this application. JVhenel'er possible show sketch Df proposed work. Supervisor will also make additional reports and final report giving date of completion of work all this form. ]>>reliminary Ueporl: Te-'9t- '-"11<.e. ~D, m,F" ~'oo fa 0,)"3 w;~e.. r;tI-ovol-/:>eR. ~r""N~~i:> D;I-<I,I' Sec.",./<(. '1/:...L. C./?,o:S5 F>Al~--r-o,~ e.- RD _ <-V/f-I{ oj'eN c...", Date: z. ze-B9 Signed: Final Report: PE~ INSPECTION REPORT Work covered by permit has been completed satisfactorily. Work Is not completed. Recommend permit be cancelled. Traffic control. adequate - inadequate REMARKS Uale: C)'1~ r1 SI~ned: "S:>~ 0--/ t'\ ,-IJ ~ u ~ ~) 1- J ~ Ul t) l\l "') ~ ~I uJ~,~~. ~ ~U I \-. - i~; ~fon;;; ~~~ ~-a~_ e ~ ~~!!~ ;~g ~~~e5 ~\i~ ~~;A!:! >5 g~ll;:: i::l~ ~i~ii~ m~;; ~ .. 'Ill g ~ Ii" Ii ~ ii : ~ ,g~~~; "~;a ~.6 ~ H ~ ~! t1 5 ii~iiili ~ ~~ !S~~j ; ~d ~9~~\: ~ li3g ~~!~:ii S Ug ~-Il",.:; ij iili;; ~"'=~~G a '2.._ r. ~:;t~ .. 5!! ~h~.p ~ tip ~!!~~w~ ~ 'l!wg h;!I!~ !: 2ig ~~~~~; i ~a:: -:j1 AC! l;t ..t.. ~s!ls~ ~ EQ$ 1'1 '~u~ ~ IllR!I' ~~!/!!lI!" ~ $ll!; ! t; .... ~ IS Ii: '18 r; =8=~w 5 ii ~ ~1'Uil/~li ; lillr; Ii p.~ ~ t q_ ll""'g 0 liSll ~ "-~ ~ "II/"~ ~i'l-lil;;~ __~'" ~~K~~~ · ~H~ ~~9~~~~' oJ": ~ N ~ ~ ~ IX ~ ~ a ~ 8 . Q - S I 8 ~ - tl 5 - s ! ~ ~ , -! ~ I ' w, g, ; g ~ ~ i ; e B a: ~ ~ n ~ i ~ l! II Ii. ; ~~ Ii ! l:I ... ~:a 3 =! ~ tI ~ ii S ~ ~ ~ B 8 h ~ ~ ; ii N 9 ; M ~ i ~ ! "ii ~/'X :r. .. !-,:: ~ ... ~. ;; ... ~ ~ : ~ ~ \.. 'II 2 ~ a h a: f.!' \ \\l ~ ~ ;; . ~ ti ; ~ ~ ! <=<, <l ~' ~~!! Iii ~ ~ i~ -;>- ~ ~ ; ~ ~" --~ " ~ [;) ~l 8 ~l p~ ~ ~ 9 ~ . g ~8 . :! ,,~ . :: ~ ~ ~ uJ ~'l Ii) ~ !l - ~ . .. =n ~ .. - ~ ~ ~ " ~ - D ~ i ~, ~ ! g:.: ~ e "9 '. x ~ " :: ~ ! - . ~ g ~~ ~ ~ =:a;; h ~ 5 2 ~ 5 !! ~t~~~;! ;; ::H ~ " 5 . .. .. ';I ~ " a e g ~ ~!!~gE! ~ ~ ~ ~ h~!ss ~ "'- 9 H 2 ~ - "" - .. ~ r ~ 'II ~~~E~; iI ::I ~=: =5~;iJ " ::: .. ~ o~ ~~ ~ ij h ~ g g ~ :.: e ~ ~E ~ J ~!I! 'ij ~ 52.. ~g ~ C"'; l5 ~q =8:;~~ a ~ ~!! aq - g ~ Z! ~ ::: 5 " ; !i ~ ;~ :a .. 0 fi S ::i~i!1!l~ S 5t e H d :I il - .. ~ - ';I 1\ ~ ~;r ~ gp l :.: OJ ... ~ ~i~ ?: ~ Il .; ..: ~1 ..; ..; ~" ~ C <C o a: w ~ ~ -I <4: W I- I' rJ J)U)2 5Z ~_ ~ W W \J ~ ~ ~ ' ~. UJ W l (Q ~ uO o~ :rU\ ~o tllE~ - 0 7. 18~ 5 ~ ~ ~ . , .l: (~ ".:\' ~ " ,"'\ -:; '-' ~!~ - . ':l!!:; .' "" ;:; :::> o .... <l: W a: :::> '" '" IJJ 0: 0. ~~: Er':t r~2 c~ ~ ~ " ,-") ::; '-' ~!~ {) \; (1-, 7.~ ~ff "\/ m:i .,;.~ .J ;:j ~ ~ cr-' ~ } '-'I,c..-", ~tI::f& '" \l. .J ~ :J If! g if. ~ .~~~;..'~ ~.'.!:.'l;1J \ -C'''C~' /~ "~rg~~~<i j~;L' f?~~v-"" to II. JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P.O. BOll 1220 Pori Townsend, WA 98368 (206)365-9160 N:: 0953 Dislricl 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 part of this form PERMISSION IS HEREBY GRANTED TO Pope Resources c/o Skip Wood, 21 Shine Road, Port Ludlow, WA 98365 to Install a private ,road approach, (Type P-l), to the North side of Gape George Road at mile post 5.63 County Road No, 622808 Franchise No, Milepost 5,63 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 berore January 26 Dated at January 26 ,19 89 ,19 90 &~~~@W[EIDJ By ,~~ I<~ 1.800.424.5555 -- ---"'-- --'~"-_. GENEHAL l'Il0VISIONS AI'I'UCAIILE TO ALL I'EIlMITS This pcrtllh is subjecllo<lJl <Ipplic<lble provisions of the Rcvised ('odcs ofW<tshillgtOIl, C,\cCjlllhatllllY prmj<,joll ill thh lJgreclIll:flt not cumi\tcnt with such rcsolution shall be controlling. A bond in (he amount of $ is rel/uired for thc PrcJtcctiml of the l:lJtlllly liS Sl:t flJrth in the tcrms of the bowJ. During the flrogrc!loS of the work such barriers sh<lll be erected <lmJ lIl<til1(aincd <ts lIlay be Ilcl:l:!>sary ur as Ilwy be llirecled for the protection of thc traveling public; the barriers sh:J1J he properly lighted at flight. In accepting this permit the petitioner, his succcssors <lud as!'iigns, agrccs tn protect Jcffer!'ioll COUllt}' aud saVe it hllrnlle.~s frum all claims, <tctiom and damages of every kind and de~rifltion which may accrue to or be suffered by any person or perSOIlS, corrx>ratiolJ or pruperl)' by re<lson of the perfor. mance of any such work, cll4lracter of materials used or rmllllll:r of i/l!'itallation, mllirllerlllm:e lllld uperlltiofl or by thc improper occupancy of right of way or publil.: place or public structure, and in case any !'iuit or action is brought agaimt said Jefferson C(Junty for dam<tges arising out of or by rea~{lrl of any of the above causes, the pelitioner, his SUcce!'isurs or assigns, will upon notice to him or them of COIIUIlC/J(.'ClIlI:tlI of such llction, defcnllthe s:.tme at his or their own sole C{)~t and expense alld will satisfy allY judgment after lhe s:Jid ~uil ur:Jctioll shall h:J\'e finally been dClennined if :Jd\'crsc 10 Ihe Jef. ferson County. Except :JS herein authorized, no cxcav:Jtion shall be lIIade or oh~tacle placed within the lilllits of a county road in such a manner as to interfere with the travel over said road, Except as herein authorilcd, no excavation shall be made or obMllcJe placed wilhin four (41 feet of t/le edge uf the pa\'CmellL Jf the work done under this permi( illlerferes in any way with the drainage of the coullty lOad, the grarllee shall Wholly alld at his own cxpen.'~e make such provision ::IS the engineer 1II.IY direct 10 take care of sllid drainage. On completion of said work herein cOlllelllplatell all rubbish alld debris shall he ilJlllledilltely relllO\'ed and the roadway lllld roadside shall be left neat and presentable and satisfactory to (he engineer. All of the work herein contemplated shall be done under the supervision and to the satisfaction of the County Engineer and the ell tire expense of ~id supervision shall be borne by the r.my or parties to whom Ihis permit is issued. The Departmcnt of Public Works hereby reServes the righttoorJer the clwnge of locatioll or the rellloval of any structure or structures aUlhoriled by this permit at any time, said change or removal to be made at the sole expense of (he party or p<lrlies 10 whom this permit is issued, or their SUccessors and assigns. All such changes, reconstruction or relcx:atioll by the grantees shall be done in such manner as .....i11 cause the least intcrference with any of the Coun. Iy work and the COUnty of Jefferson shall in no wise be held liable for ::Iny damage to the gralllce by reason of any such wor!.: by the COUnty of Jeffer. son, it ::Igents or repre!'ielltatives, or by the cxercise of any rights by the CoulllY upon roods, strects, public places or structures in queslion. This permit or privilege shall not he dcem~d or held to be an exclusive one and shall 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 prevelltthe County from usins :my of its r{)<lds, streets, or public places, or af. fect i(s right 10 full supervision and control over all or any part of them, 1I0nc of which is hereby surrendered. The Department of Public Wor!.:s Illay revoke, amend or cancel this permit or any of the provisions thereof at all}' time by giving written notice to (hc permittce. The permittee shall immcdiately remove all facilities from the right of way. All}' facilities remaining tlflOllthc right of way 30 days aftcr writ. ten notice of cancellation shall be removed by the COUllty at the expense of the permiuec. The party or parties to whom this permit is issued .~haJl rnailllain at his or tbeir sole expcnse the S1ructure or ohject for which Ihis permit is granted in a condition satisfactory to the /)epartment of Public Works. SPECIAL PROVISIONS: 1. A 12: x 30' culvert shall be required, 2. All areas disturbed during construction shall be restored to original cond i t ion. .' ", ~ "'\'1: In accepting this pcrmitlhe grantee, his successors and assigns, agree that any damage or iujur)' done to the prorerry of the grantee or any expense incurred by him Ihrough the opcrlltioll of II COntflletor, working for the COUllty or any County emplo}'ee shall be at the sole expense of the granlee, his ,uceessors.nd/~" ~_~~ (111' {I- , Ihe undersigned, herehy neeep" this permit ,uhjeCl '0 Ihe !Crill' and l'onditions as herein set forth; Dated this L day of ~ ,/9 'i?Y I , I V1./ v--c>-C/ 1820 Jel!efson Streel P.O. Box 1220 Port Townsend. WA 96368 (206) 385-9160 Fce PaidL Yc~ _ No ~7'5Z2_ Rnc'pt No \ ~~~J;}~ ~~r1!{ <.t::..t >~J:'" r0~r-. JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Addre~ RCquclol __ Ye; _ No Mile P(>>l APPLICATION .'OR I'EJ{MIT A :.+""",c.2' To Department of Public Works, Jefferson County. Washing.Jl/n, The undersigned f't? / e hereby appl_ far permissian /0 )0/ C,,(vt>y+S; ~;~2){;_t~~::~~~ J\~>t7/C('" s f'.,T In I IAI'pJI<1J1It ..,IIJ.....'/~ ful/,~ ..Ilat ht ../\/". III JIJ J ;J " ~v .." l-V .', r " j . . lOT 43 lN3 I hW__...... LOr.. > ~ ~ LOr 5 ~ . ~ > lDT" ~ : t i I ~ ,,'*:r i Jdferson Co. DEPARTMENT OF PUBLIC WORKS District No. ~ Permit No, () 9 5 ~ Supervisor's RCIJOrt No. Supervisor will make detailed report with his recommelldatloll Oil this application ~Vhellever possible show sketch of proposed work. Supervisor wiil also make additional reports and final report giving dote oj completion oj work on this Jorm, Preliminary Report: c.f.l-?~ G =>R!J e...\ I<()~ M- p. 5',6::' ON LePr- :srmvt"''/''R'i> ~j/-I~P. ~A-NC> [).'fcfl Dale: (--25"'- BY Signed: ..JJ~-;/J~ Final Re~orl: PE:7T INSPECTION REPORT , Work covered b}' permit has been completed satisfactorily. Work is not completed. Recommend permit be cancelled. Traffic conlrol - adequate - inadequate REMARKS Dale: S . 3- 81 Signed: ~~,~ GENERAL I'ROVlSIONS AI'I'UCAIILE TO ALL I'ERMITS This permit is subject to all applicable provisions of the Revised Code!> of Washington, except that any pruvbioll in thh agreelllellt not cOII~i!>tCllt with such resolution shall be controlling. A bond ill the amount of $ is required for the prolcctiull of the COLlll!}' us !>cl forth in the terms of the bond. During the progress of the work such harriers shall be crcl.:lcd alllJ Illuilllaincd as lllaY be m:ccS~HY or as Illay he directed fur the protection of the traveling public; the barriers shall be properly lighted ..It night In accepting this pCfmillhc petitioner. his SLlccessors and assigns. agrees to protcc.:t JcHcrsoll COUllt)' and save it har/Illcs!> from all claims, actions and damages of every kind and description which may accrue 10 or be suffered by any person or pa50/ls. corporation or pwperty by reason of the perfor' mance of any such work, character of materials uscd or manncr of illstallation. mail\teuance and operatio/l or b)' the improper occupar\l:)' of righl of way or public place or public structure. and in case any suit or action is brouglll agaimt said Jefferson County fur damage5 ari'J.ing out of or by rea'J.on of any of the above causes, the petitioner, his successors or assigns, will upon nut ice to hilll or them of cOlllfllellccmcnl uf such action, defend the same at his or their own sole COM alll! cxpenst.: and will satisfy any judgmelltllfter the said suit or action shall have finally been determined if adverse to the Jef. ferson County. Except as herein authoriled, 110 excavation shall be mude or ob'J.tacle placed withinlht.: limits uf a county wad ill such a mallller as to lntcrfere with the travel over said road. Except as herein authurized, 1\0 excavation shall be lIlUlJc ur obstacle placeLl withill [our 141 feet of llle edgc of the pavement. if the work dOlle under this permit interferes in any way with the drainagcQf tile cuu/llY moll.l, Ihe grantee shall whull)' aud atlliS 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 he imlllcdiatcly rcmoved and the roadway and roadside shall be leftllcal and presentable and satisfactory to the engineer. All of the work herein contemplated shall be done under thc supervision and to the satisfaction of the County Enginecr and the em ire 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 change of location or the rcmoval of any 5tructUre or structures authoriled by this permit al any time, said chunge or rel11ovalto bc made at the solc expense of thc party or parties 10 whom this permit is issued, or their !,uece5Sors and assigns. All such changes, reconstruction or relocation by the grantecs shall he done in such omnner a5 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 hy reason of any such work by the County of Jdfer- son, it agents or representatives, or by the exercise of any rights by the County upon roads, streets, public placcs 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 privatc utilities. nor shall it prcvent 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 un}' part of them, nOlle 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 wrilten notice to the permittee. The permittee shull immediately remove all facilities from the right of way, Any facilities remaining upon the right of wa)' 3Udays after writ- ten notice of cancellation shall be removed by the County at the expense of tile permiuee. The party or parties to whotlllhis permit is issued 5hallmaintain at hisor lheir sole expense the structure or object for which this permit is gramed in a condition satisfactory to the Department of Public Works, SPECIAL PROVISIONS: 1. Cable shall be placed.a minimum of 30" below existing roadway ditch. 2"".,~fl'Pp'~,C;S;JJ,j; "sl}all be responsible for ".i;gJJ.ltl:9F!;W't-'fdr.~:J '~ !lJi::'WfHJ)U':,j'tI, f;l - _.., ~. ...~, l.o '..\ Ln. all damages to county road In accepting this permit the grantee, his successors lll1\.l assigns, ilgree that allY damage or injury done \0 the property of the grantee or any exrcnsc incurred by him through the opcrntioll of II contrilctor. working for the Cnllnty or allY County employee shall be at the sole expense of the grantee, his successors llnd assigns. /1.5 I(/"',/- . the undersigned. herehy accepts this permit subject to the terms 't' llnd conditions as herein set forth. 101';/ , 19'\-7 Dated thi~ I? day of ~ (I r It~sf : "':;:" ':'" 1",'(,.', ':'" ," , ." ',' ' ',:' " ';/' PERMrr 'I-,{ : ':, , I;',"" ,.',' " , ,", ;, ; ,:;': :' , i ;:': : : '" '..., i", I" :. .'- ,'. , , :',; :: :. .t ~l ; -- ----------. - -- ""' ~q ,~:J,M_~-~--~ r - : ' · · : · l"'.'''''''' + Sk~ICn ,wor~ R~ulr~ - ~ncl~d. ~eng~h;. ~epths, ~ir. .~Z. ',~d1;'ou,nt: : , : 0 ~~\, ' : : "" 8""'" " 09", ,,~\\ : : : ,: : ~ ' , . , >w~~?: f."'~ " ,svc..,' ':'..: ::./,::"'-/ ~OUT g;v IN LOCATION - Addrm lD 511 ~~ ~o, ~.___ Cily p:i, County ~\IIF. State\tWA.. Name S. f..l(S,s::h ORIGINATED BY c..A....'I:>l'!~ New ;g S/ONo"'O,~n Replllr 0 Tel. No,385-1;t'#o/ Rearranga OSlO No, Type 01 Strviee { ,r-~ ,..J:!!:.- PIlr COlor/a,P, ..' Date ~~ar:L Due Dale ~ Temporized 0 Dus Date_ ".-,.;;;;Ad;,t;;.,'- -- fl tJJ 77 CA'r!i.- ,(:t=!..~'ii!D. o..crlptlon of Work ~~~r~~~ r-'olJ,nllty .. "Dd r:-~, n AI""'''. ___..,_,__- ...' -:::.I.. ._ - "t"LlI"J,.) "\",,, -.:.;-,".. a. ,..' , u..... . b ..,-1i,;:1.l ~ ~~<!:...?~'''';.:I ~1- ~~-'~~--" .-~ , ....' ,.... Burled Service Wire - Work Order ~eiOO (7'&Il1 No, ~/a complete oy ____ CONTRACTOR' S ACCEPTANCE Firm - Signature Title Unit prie. 0 COlt PiUI 0 Date_---- Flit Sum 0 $_.- Bill to: U S WE51 Communications Attention --- Address_____,_________- city ._----7.lp APPROVAL ror Fist Sum/Colt Plu. $ Recommended __,_,____...___ Date ------ Approved by ________..__..___ Dale --- PERMIT REOUIRED 0 Yel 0 No Received from Verbal 0 Jurisdiction _-,- No, _._' Date -'-- COMPLETED BY Call Data ___ " ___ for Service connection ~O~,~: : ; ,: cJ.~: O ..e." \I . ' ~I.n ' , '1J ' , , ,':"'":';"' ,--- , '11 ~~ , , $, -______1 *",:6Cft,l.oc1t'T"t"~.' . . . . 'Q,tiL.i" CC:lV~ ~ \ ' ' ~----- - - .---- .- ._- NQt': T111. eketch may not be an 8ccure1e reprelleNfttlon In ell delalls, II rAmalnll t"'~ CMluH.l0,'ij lileponsthility 10 prop'!rly loee.lc work In the field CAt:G ~r;-oi:1t;G: ~, ,;'" -- ': ",' ,,,- " '" " , ".,>,' , . " .', : ,',' .' .....'....:. . .'" ",.' , ,:::, .... .' ,I,.: '..' :',', -, ."" "":": ,,',' ':,.,', ',;: ..,. .,"'" ..,. .. .,'.. .'.' I...-- ' ''-: '," ;""",',", / .' :.;',: ". I,' ': """" " , ' .' ,,: 1\ '.: [' .,.'...,'1, I',...,:'..,.,.L I" ". ;'.... ORIGINAL COPY ()4. 0(" tqJ ".;: ~I. AM , " -- \ r ----, . '... I .'" ,.1 ,~ , ',: . " "1 "';: ' t .' , ," I,' ", ,,' .,." ....,.......':., ; .:,,' ':" ',' " ',' ,.... '.. ..'.' .,' .", ". ,,'.' ',' .:", ..,' '.',' ".. .' ..' " , ,:','," ". ,.,' '. , .":' " )!, I , " '. i : ", ',... , : '" .', - ',' ..".:., :,' " '. ,:', " ' f' ~: " ,'. :: .:: , " , " , ,".: ,',. :, ',' ',', ': .' .,' , ',' ,.-: " ", ,." ,,' ',., ,.:'" ";:", , ::; " , , , :',,,: . ,,: " .""',, ",' , ' ,I ,,',' "',:. :'"" " ,. ..... , , , " ,:.';,' ....' '~tf ',:",' ..' ;' '.'''''', ':, ':,,'::: ::, '1 .' .... ' ..:-J '. , .' " .'." ... .-J' .' ,', " ,"-- , ,. ,": ,.', ',.' ,:",,:', , ' -: ''''.'::'..,''", i' ,'"."', ' ",',' , , :", : ,."'" ' " ',;,..,' ,.' ""',:" '. , '" ',':,. '.,": : ",.. ,', ',"" ' ':.', .:' ' " ,',,',,., ,.:;~,,!;~;;; ,:: :, " I, '.:',: ," " r .' , " Ii ...,' I.:: : , f> 1'-, ' .' ',: :,..,...', :', ,: , ,,::' , ,'. 'I " :' ' ':';",i ,:, " , " ,: ::' ::' , , :' , '" ,', ..'.';, ", ",',' ,,' " '~l~tiS ',' ',. ,P- ' .~ ',' '. . , , ',.,..'. , '.. "'.....,.,. , , ',", ", ' ;: .' '"" ,',"'" ' ~ " " .' : I '.. ',' ~;' :" , ,. ' ' . . ; .')" L '.., , ,,' .' " '.'.: '.... ." : .',.r, ;", I' ' L L I, .JEFFERSa'i cx:>u-4TY FlU: DEPARTMENT OF PUBLIC WORKS ACT! ON REQUEST REQ\.ESTED BY- ROCHELLE 1989 DATE- ADDRESS- TF.~pF.R~nN ~T~TF. PI-tON.E NO. .. -2000 ALT. PH. NO.- NAT~ OF REQlEST- 0 IN PER:SCX'i ~ BY A-tCI'iE 0 BY LETTER TN<EN BY. FTT F'FlIJ PERTAINING ro- ~OFFICE 0 ENG/SURVEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOLID WASTE REQ<.EST FOR- ROW LOCAT I a"II- ROAD NAJ,E: PULALI POINT 274709 M,P. ROAD NLMBER PRO.JECT.. Pno.JECT TITLE DESCRIPTION- IS PULALI POINT RD. USAGE OR DEEDED? AROJECT Nt..>>.tBER- ATTACH MAP CR SKETa-t REFER TO- EILEEN RESPC'ND BY" RESPONSE- I FOUND NO REFERENCE TO DEEDS, PREVIOUS RESEARCH INDICATED NONE WERE FOUND & ROW WAS USEAGE (GARY ROWE. 1979). REVIEWED BY- (/14(;/ OATE- ;:;-r-/1 c:x::HTACTED REQLESTER 0 IN PERSO'I ~BY PHONE 0 BY' LETTER CONTACTED BY. h-r".. / RECCMl.IENDAT ION... PREPARE EST I MATE. FCR" ROlSI'E TO- INITIAL 0 DIREC1'CWI - 0 CONSTRUCT ICJI'IlI ENG. - 0 ACCX)l.NTANT 0 ASSISTANT DIR, - 0 PL.A.M\lING ENGINEER _ 0 0 ROAD St.FERV1 SOH - 0 ADMIN. ASSISTAHT - 0 , -t ~".",.....,j .....,.'. ,..' ...' . .' ,:::: , ,',', ',." ,::, ,,' , ' , ' "" " ,'" I . , ,. ,":,: ' . '. ..' . "':,': ' ': : . '" ,',' '" ",:: ' .' ...:, ..,' .' ...: '...' :::'" ", "" ,,: ", j, : " I ',," , :: .,... ,,< .... D "i'.' ',., ", ,'"" , ".: ,,"" ':,: ;, , ," , ,,',"', , "'" .. , . '. ,..,.." i , ..~~~.'. , " ' ", ",,:,: .:,,- .,. ::: ,. '., ,....,:, ,,':, .... " , , ... .. "::: .'!', ..... '; ..., ...' , ,. ,;.: :: ,,';', '".',:, ""; :,': ': , "', ".', ", "",' " ", , ,,,: " ',(: "', ,'" 'I:, , " ',' ',,' "': ';,:;(, " " "',,': ';:',;"" " ",.. '...' .,. , , ; " ", " ' :':,:, " , , ".", ''';','''', ., ..i ,:: .. , -.J' ,"", , , , ," .-',.' " "., .:' ..~.".". ~ ( PERMIT NO. rt':.J-.J'/-:;L FEE PAID ~s ___No OFFICE USE ONLY 1/-15" ~ ~tUJ...::.-9Z JEFFERSON CDUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 98368 CHECK ONE: o RESIDENTIAL APPLICATION FOR ROAD APPROACH ~ COMMERCIAL Application is herby made for a Please describe loaction (attach & . 4:.-* >z.bl Applicant agrees to perform the work in strict compliance with the out herein, and any special provisiops attached hereto. Applicant Name e -fJ(VI12..l<-'. ~\t)-1...,-/LIG,i2I' Contractor Name Address terms and conditions set /? - ~~~'<- ---- --=-- Contractor Signature Date Note: R PHONE ;;..1 and 3 on reverse side. Subject to the terms and conditions Applicant to construct, operate and special provisions attached hereto. PER M I T &lFIPl\U@\1ltlill on the reverse side, PERMISSION IS HEREBY GRANTED to maintain a road approach as requested above, and any No work shall be done under this permit until the applicant or contrac~orhas notified , telephone APPROVED BY: ./) ,,~' K '-:y"""",JI..-, Date "2-- 2'-1- 8A PERMIT INSPECTION REPORT CALL 48 HOURS BEFORE YOU DIG 1-800-562 -6478 ~Work covered by permit has been completed ------- satisfactorily. _______Work is not completed. ______Recommend per.mit be cancelled. ______Traffic control - adequate inadequate________ REMARKS Form 113-0 (RevA 2-.82) INSPECTED BY:.J)~ U -<MiA DATE--I,-\\-~9 ,'" , c,,,,,,i,,', ..''.. ,,' ' . ""':',,, ,;" ,..,,' :"):"/ '..:," '<"..', ,; :,,' ,,", ,', ,';..' ....>>' J. " 2, .".., ',,' 3, " ' ,\; ; 4, : " ,,:: 5, , .. 6, : ." 7, ,.', 8, 9, ,:,., , ,." I;: ~ I" " l\ ' : , """ "7- "" .," .. ":'.".'. '" .', : , ,,',' '" , ' ,," ,.",. ,"'''' '; '" ,.' ,:', ,,":',' : '; ..'''....' " .". .'.' ,'" , . .".' ",.", : ",! " :" I: , ;: .'" ,: :':'(~:':, I "":',,,:' ,.' " .. , /," ',,' ,', I, " I., ,'"" I: , , ' ,"'L ,,' GENERAL PROVISIONS THIS PERMIT IS SUBJECT To RCW 36,75,130, ,140 AND ,150 AND AMENDMENTS THERETO, ~r~I~~~Nmi O~~S O~U~~~mS O~N~V~~~ I ~7~6 ~~~Eg~S~Z I ~~n~C~H t~~FmO~C~~~~T~O'~~ W~uIIE~~~M~~ S~N~R~~R~~~. ~;R~~~iALe~T ~~~~Env C~~E R~t~O~U~~ ~~E Am~~R~N~~O~~H~NXG~~~~T "~~~, cg~tWg: g~~W lt~~ I ~~Egu~Ror~~E:V ~~~~O~FO~U~~YAg~I~~E ~:OVE CAUSES I THE PETITIONER, ITS SUCCESSoRS OR ASSIGNS WilLI UPON NOTICE OF COMMENCE- DETERMINED ADVERSE TO J~~~~R~~~ ~~n~T~~ ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF IF THE GRANTEE ENTERS INTO A tONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED ~~D~~~~F~~R~~[6 ~~~Mm~D A~~R~~FEt~ ~H~A~~U~~Y T1li~ ~g~gkg~~ll~7T~0~H~T:R~e7~~~~~ ~1'~A~~~~1~~'2~GmeE ~O ANY BREACH OF ANY OF THE CONDITIONS AND REQUIREMENTS HEREIN ~DEI OR FAILURE ON THE PART OF THE GRANl[E ~~TT~~SA~E~~~~I~Op~b~:~~D~ONSTRUCTJON WORK HEREUNDER WITHIN ~O DAYS SHALL SUBJECT THIS PERMIT TO CANCEL- g~O:~~S T~~R C~~~~~~~Tl~~ ~~r.~A~Ji~l:HEJH:y G:~~T5~s~HGf;A~~~f~1 ~~T~:~ip~ff~~ UNIFORM TRAFFIC CONTROL ~~EC~~:~~I~o~NgFR~~gl~~R~H~E~E~~ f~~JE~~~~T~Z6 :~~S~~~:~~~ :g ~~~niA~~~~~ ~~ :~~Eg~~~~;~ REMOVED AND 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 TlMEI SAID CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR PARTIES TO WHOM THIS PERMIT IS ISSUEDI OR THEIR SUCCESSORS Arw ASSIGNS. ALL SUCH CHANGES I RECONSTRUCTION OR RELOCAT JON BY THE GRANTEE SHALL BE DONE IN SUCH A MANNER AS WILL CAUSE THE LEAST INTERFERANCE WITH ANY OF THE COUNTY'S WORK AND JEFFERSON COUNTY SHALL IN NO WISE BE HELD LIABLE FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY I ITS AGENTS OR REPRESENTAT JVESI OR BY THE EXERCJSf OF ANY RIGHTS BY THE COUNTY UPOfi ROADS I STREETSI PUBLIC PLACES OR STRUCTURES IN QUESTION. 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 PROVISJONS ARE DENOTED BY AN ex) ~o~~~~ug~ J~~EAC~~~~Iz~~Ak; :~lgN P~~~I~O:I~~I~/T~~D c~~~n~~E~I~~~~O~~~A~;EMENTSI AT ALL TIMES DURING THE THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE~_ APPROACH. A ~ FT . LENGTH OF ....Q- 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 li~~Enf~GA~~ ~~~f~~~D~A~~R T~~o~p==~e~~E S~~~~E~~Y I~N:~cg~e~~~E R~~~~_~~~W:~O~: t~ ~~~T:~l p~~MI~~E~~AN, THE APPROACH SHALL BE SUffiCIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE Of THE PAVEMENT TO PREVENT ANY HUD TRACkJNG 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 DISTANCEI 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 4:00P,M. UNLESS OTHERWISE AUTHORIZED B't' THE ENG INEER. A SURETy BOND IN THE AMOUNT OF $ I WRITTEN BY A SURETY COMPANY AUTHORIZED TO DO BUSINESS IN THE STATE OF WASHINGTONI SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE TERMS AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE UNTIL All WORK lR'lDER THIS PERMIT HAS BEEN COMPLETED AND APPROVED BY THE COUNTy. BEFORE ANY lOG HAULING OPERATIONS BEGINI 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-WA't' 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 Form 113 b " :'" " ' ':', , ': . '. , ,: : " " . , :':'",' :' ',' .... ,;'n . ~ t J I .. ' .', , "" "" , ... , " , ," " . .'.' . , ' ., .."., ." , , ,,'.' ,~ , " , " , ' ".' . , :: '... " [' '. t..., .,.., "', " : ' ,', ". . , .. '. ''',; :" . '. , ',," , , : ',:',.. ,'. '.,.. " , : '. :, " - '..\ .,' '. . , '..'. ..' .; , , " : '.. ,', ,,',' .".", '., .' .,.,. ",", " " ,'",",, " ""," ,"" ',:: , , '; w ,~.'. ':' " '." ,':;/(' ..,::.:Ni~:~, , ',' ':... " , :" , , ,",..". ';, ,"',',,' ",' ,', "", , ',' ':" ':', " '." , ' .-J ~ COU~~OAu NO.~14211 STATE lOG NO. MilE POST "./t' TO_ 9FFICE USE ONLY . PERMIT tIO.~'il'-~-lo- 7./ FRANCH I SE NO, F-fF'I'MO 0es _No OFFICE USE ~lY ~/ . '';~ ' , .c~, 7:}'- 0 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 9836B APPLICATION FOR INSTALLATION OF IJTllITlES Applicant: D /' Contractor: Name (':iZ'f.-1.e''e-p t/J,./U'1J",-k-e!..f7 Name '7'a.-n<.....J:? Address .~ C' 3 7' 5:O'u.:"'j c:/. F.ddress / ~9-'Z--I~~,......Jl LVV', Phone: -:::r X'c;;',., "';/1 '3 c;8'3"r!d' Phone: Application is hereby made for a permit to construct, operate and maintain gB-1~J:1 -,,,'1 ~I ;f" CP6>'7laf~,<-";:T ~Zr7 /.0(1..&// / ~ / C 1<:04"='''') O-n:-'n / The utility installation is located (attach m~ or drawing) >a-E' 4-'/7/J /l c j-v:> c-6 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: ~e4--7~~~ Date:~.....'-I" ? (ref' cF I 1 I 1 1 1 1 1 I I I 1 I 1 I I I 1 I, I I I I I 1 1 1 1 I 1 I I 1 1 1 I~ , , PER M I T lA\lrlrlffillJJ\/ ~ 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 Ordlnanc~ 2-81 and WAC 136-40, including amendments thereto, the general provisions set out on ,oe reverse side of this form and any special provisions attached hereto. No work shall be-4one under this permit until the Applicant has received instr~c:ions to proceed from~ r5,..';,..-,.- ft://""U , telephone ,J80''- ?/tGV. APPROVED BY: (j!~? (?r4d.:;).e..?7 Date: ~ //0 /if c=J NOTE SPECIAL PROV~NS ON REVERSE LI I I I t I I I I I I ~ I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I PERMIT INSPECTION REPORT ~Iork covered by permit has been completed satisfactorily. Work is not completed, _ Rec~end permit be cancelled. _ Traffic control_adequate; __inadequate. REMARKS: INSPECTED BY: ..A".M:Jf-- f;;(I~ Date: 1..(-/1-89 " \ General Prowhlons ~,. Jefferson County Ordt t 2-81 4nd !.'AC 136-40. '..:~~ -- I All 'oIork done l,lnder sold franchhe shall ~ dOne In a thorOt.l9" 4'Md ..orlm4nll1r.e m4nner. In the lolylo'} of underQrOl,/nd pftlell"c~ ",nd c,~lu AtlQ tht<: c~nstr'l,lctfon o( other fadlltles and the opening of trenches, the tunneltng under county roads. rl9hts-of.'04<1y or other COuflty propcrtlcl>, tfle 9r.ntu:,: shaJJ le4'Jc such trenches. ditches and tunnels In such" 'W4:J u to Interfere on little u possible wltlt pUbllc truel ."d s".11 lIke .11 Cue ."d ~ii~~::"~/~~~~~f~ O:~e tje~~4~~c~h:t S~7;h~~ i~:t9~:~~: ~~4 :lJ~'~c;h:~;n7~~ ji~~~s O=n~"~;~,. ~~4~::S~~ ~~c~U~hp~~~~;O~n:i w~~r; t :;14~:q~~~= ~:~~~~;'~, such ....ork. The gr.!H1tce shall be 1 f4ble (or "flY Injury to person or person, or da,"4lJe to property sust41ned throulJh iu c...eleuneH or ne91l.'ct, or throu9h .ny f.tHure or neglec\ to properly qu.rd or 9ive ....arnlng of /Jny trenches, ditches Or tunneh dug or matnt.lned 01 the 'Jr.ntee. 2. The gr.ntee, Its SUCl:eHOrs or anlgns. sh.11 cQIrJI1ence construction under such permit gr.nted by the County fn9lneer within the tl~ PeriOd stated In such permit .nd Sh411 1'1""1.' c~pleted olne! have in op~r4tlon suCh portion of the system of improvemenn U I!\<lY be speclfie:d In such permit or the rights therein conferred !,/I:on the grolntee shall Cease and termlnue Insor.r .s unoccupied streets. rOolds, etc., are concerno:d. J. The gr.ntee sh/Jlllehe.11 streets, henues, al1e)'s. roads. highw.)'s, rights-of.\oIay and other county propertIes, after 14.)"lng and 1nsulltnq m.lns <!ond doing construction \ofOrk, making rep/Jlrs to equipment, etc., In as good .nd ufe condition In 411 respects as the, \oIt!re before t~e C~J1',ence- ~nt of such \oI'Ork by the grantee, its alJents or ~I\ntractors. and .11 recorded monuments whiCh h.ve been disturbed or dhpl4ced by the Ol'Ork sh.1I t.e reset to the specificatfons olnd approval of the :;.'~nty .Englneer. 4. In cau of any damage to '5ilid streets, .venues. alleys. roads, highways. r'fghts-of....ay or other county properties. or to p.ved or surr.ced ro.d- \oIays. turn-outs. gutters. ditches. \orOod 01' concrete \oI41ks. dr.!n pipes. h.nd or emb4nkment ralh. bridges, tresth:s, ....harves. landings or "O'Jnl,ll!lenU by the grantee. the said gr/Jntee .grees to relafr such dam.g~ .t the ~arliest time possible at its 010lTl cost .nd upenn. 5. When th~ County Engineer detennlnes that .n emergency situation does eolfst. he may order tnd have done any and .11 \oI'Ork considered necessary to restore to a ufe condition .ny SUCh street, avenue. al1~y. road. highway. rtght.of-w.y or other county property left by the gr.nte~ or agenU in . condition dangerous to l1fe or property. ~e lI'ay cause to be rephced or reset recorded II'lOnl.Aents tf. gr.ntee falls to replace or reset Sf,..... within . reasonable time after completion of constrUction. The grAntee. upon demand. shall p'y to the county .11 costs of such cOn'Structfon 01' rep,1r .nd of doing such work. 6.. All construction or instalhtlon of ,."fns. \'.1\Ies, pipes. poles, c.bles, Hnes fftting .nd facillt1es. service. rep"lr. or relocnton of the s~. performed .long, over and/or under the county roads. rt9hts~of~w.y or other county properties subject to Slid franchise sh.l1 be done in such "manner as not to interfere with the construction, opernion and m.inten.nce of other utllitfes. public or privAte. drAins. drAfn.51e ditChes .nd strvctures 10Clted therein. nor with the gradln51 or improvement of such county ro.ds. rlghts-of-",.y or other county properties. 7. The owners of all other utilttles, publfc or Prt~.te. installed In such county ro.ds. rf9hts-of-~ay or other county properttes. pdor fn ctMt to the lines and facilities of the gr,,,tee sh.11 h.ve preference as to the position .nd 10c.tfon of such utilltfes so instilled wIth respect to the grantee. Such preference shall continue in the event of the necessity of relocat1ng or ch.ngtng thlt grade of .ny Such county r.oad or rt9ht.of~~.y_ 8. The grantee. 4S far as practfcable. shall construct new utiHty facilities underground. r...tenslon of overhe.d f.cnftfes fol1ow1n9 streets. avenues. w'ys, boulev.rds or thoroughfares shall be undert.ken only wtth the .pprov.l of the County Engineer: PROVIDED. ho...evel'. that said approval shat! not be unreasonably ....ithheld. Grantee 51'1.11 convert existing Overhead facilities to underground f.cUitles as and \oIhen equ{p.nent replac~nt ts undertaken. Or ...hen other existing overhead utilities are placed underground. unless such repltcement Is unsafe. trrpriCtfc.1. or economfc.l1y unreuonable. _LIne extension poliCies and procedures established by the grantee. .nd uniform', app11ed through fts service aru, shall ~e the ~tanc!ar:'d fn detennlnlng'lOhat',ls i"practlcal. impractical 01' economiCAlly unreasonable" under this ordinance. provlc!ed that no new overhud utility fIJC;ln;~~S. ~~~.',1. ibe ~,Q?,~U~~e,:di~~ estab1 ished In any area set astde for publ fc p.rk.. SChool. playground or athlet1c (feld purposes. 9. ',SpeS!~l tr'Qv!~~~,;s~; d Lilt; / l -;;z - J / AP J2/2.-1...~Jc.. /! t/J;? , 1 \:) ~ 4LLe ;:' "%~ J: ~ ---+. Lel5 /"', /1.- 1>- fJ-f..-c.t4. 9-C-> C'~ .ff U";W c,'~At<-"71 't e7', ~ :; , (;'0 -' .... -J... ,J\~ ~~ "l ""- -*~ (\) ~ -- ~- I ~\ ~, <JJ - I'\tC<"<;> --?r I , jJ/lYVM-:!t> s1 c- ;.(0 ,.:,:. '., , ....: , , ..".... " , ' " :;' "",,'.',' "', '. .' " ':, , ..'; ", ,"":: ,,' ", " ",....", ,', " .' ',: . ,< , " , '; ":" " :,. ".:.",., ,,' '. ',.'.,',' ,"', ,,' : ',:', . ...., .' .'. ..., I,', " ,.,':<. :' \>,,:: ... ,... I: .; , . , ' : l ,,' :". ' ,', " ',',' " .. '..' " ,: :' ' , ,,', ' : ....,'. , ' .' . ; "", "- ..:;~';~f' :., ': , , , : ,',.. ' ", ...' ,,'..,'" ", , :: I:::', ii " , , '", , ,,' . .. :":::" : '; '. ... I~; ,- "..,.' '.,.":, , :' .' ',.. ", , .':: I: t f ': ' I : " " " "" , " [..,' L ,,' " '"',,, ,.',,', ,,",:, , ' ."... ....'" ", : , . ','" ." ...,. ," .'. : '.,: ,','< " , " '," ' , .-J ",... " :' ',:"',,' ,:, "'.: .,', , : , .. ,'," ','" , ,: I ::,<: .' .-J ,,'i.,. : .'. , . " -~ :QUNTY ROAD NO. "152.' 1 ;TATE LOG NO, lIlE POST 0.1'1 OFFICE USE ONLY JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 98368 PERMIT NO.8~-I',-IO-3 FEE PAID ~Yes ___No ~!.}C;; 3:;7. ..~NLY ,"/':-"1"--/ ~(l'~'_ 00 , jd,j r,r / APPLICATION FOR ROAD APPROACH C~ ONE: ~ RESIDENTIAL , 0 COMMERCIAL , Application is herby made for a permit to construct, operate and maintain a road approach. Please describe ioaction (attach map or drawing) tY-<,;.ed<l- <'f-/"i!. ~~~0<-v s'1i;.~p a..cc~, h..tn',- fi'"T2",,-.J~~ ~"( 5b<"=o~ ~,\~ Applicant agrees to perform the work in strict compliance with the terms and conditions set out here~n. and any special ~ovi5ion?Ja~tached hereto. Applicant N~me/!)Ik,U?AP--? ld--r/'l-H'"kQ~' Contractor Name <a?~() Address ,,)0-?/<1 S/J//-<"'~....~ c; 7 r .. Address yJv-,:;/L..... 7~ . /'~f J W,,-:t-t~ ~ APPli~t. Signature, /~. A" / ep Contractor Signature Date. rc?U' '7A9A'd' Date Note: Ind~ty prov(sions of paragraph" 2 '~ncl 3 ',on' reverse side. /i. Ch5f{1r~e/ PERMIT ~~~ Subject to the terms and conditions on the reverse side, PERMISSION IS HEREBY GRANTED to Applicant ~o construct, operate and maintain a road approach as requested above, and any special provisions attached hereto. No work shall be d~ne under this permit until the appl~cant or contractprhas notified c5co7/" /'; /~fZ ,telephone ,J,$,J' 9/t-;/ APPROVEDBY:~~cP (f)VOjl 'Date b~~cJ/~rf- PERMIT INSPECTION REPORT CAll 48 HOURS BEFORE YOU DIG 1-800-562 ~478 ~ork covered by permit has been comp1eted satisfactorily. ______work is not completed. _______Recommend permit be cancelled. ______Traffic control - adequate inadequate_______ REMARKS INSPECTED BY: /\....:t:>t- ~. OMJo'1 DATE ~-\'-'P,~ Form 1l3-a(RevA 2"PZ) ~ , ~.r.'nWJ. ~U~'lIl;Io<<IUnr 'T L - I. ......,.' ,.' I .' ,". I I .,', ..., .: I' '." "" I . '... '. :. I ' " '.. 1.., ,', I: , '. ' ,,',. '; , ~ ',,' , ,,/ "., , " ,.... . . '... i ,::>.\, ': :,","', " 1 ',' '., 'j "j . ,..... j , ""." ;1 "1 ..,... i .".,"'.",1 ," "",; , , " :' ",' :'" ",,,' .- " ..' " ,':' , , '. ..' ,'" ,",:. ", , , :' I':," "", " I .' " ',' , ,,' ""'. .,'. '.,.,.,.."'{ "(':,,:'. ," , <, , :. Ii,';" '.: ," :.:;..,;:,:~, " ':",,', i.-,',,',',.-' .. i ',' " :;. Ii :. ',' .".'.., I. ': " It ,,' , , " , ,. . " ", ,", '.. " '" ,', .,' , , " I , ....,:,,' '\" ' ,'... "" ,':,',' ,,', , ," " '.' '.::; , Ii " .: '. ..': .' I; " '".., '.':.',. .,..' I: ..,..'., , '.' '>'.': , ,.':',: '.' ':,:,':. ;, ,', ',:,','" ':,.' ,,' ' ,,' .' I ';:';." ,,' "'" :,''- ':':, , . .,' ,...'. ,.,.." , :,' " '.:, ...... "",. , . '. . .,y I':,,:,., ':' , \ .' ' ': . "L' ~ i ' ." " , IL ,'.""" GENERAL PP.OVIS IONS 1. 2, ~~~I~~~Nm'O~rs o~ug~~ms o~NM~~'~~~b ~~~E~~s~~ I~~~~~C~H~~~F~~O~C~~~T~OA~~ ~~V~U:~E~~~M~~S~N~R~~R~~~. ~~R~~~~AL~:T~~~~E~~Y C:~ER~~O~u~~ ~~E ~~~~~~Rr:;N~~O~~H~lG~~~~T H~~~, cg:~~cn: ~~~~Ri~i~ l~~E~u~R o7"~~E:y REASON OF AWl OF THE A80VE CAUSES.. THE PETITIONER.. ITS SUCCESSORS OR ASSIGHS WILL. UPON IiOTICE OF CO/'V'\EHCe- MEtal OF SUCH ACTION.. DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY mY JUDGEMENT ARISING THEREFROM If DETERMINED ADVERSE TO JEffERSON COUNTY. 3. IF .THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED ~~cJ~~~F~~R~~[D ~~~M~~~D A~~R~~Fe~~ ~H~A~~U~~Y T~~ ~~~~~g:':~~1~7T~O;H~T~Rg~7~~~~~ ~~ T~A~~~1~~'2~G~~~~E ~O 4. ~~y T~~~A~~R~~T ~~ ~~N1~~ ~~~gi~~~~~O~N~O=~Q~~~~~~~~= ~~~~:~ gaD~Ay~RS~:frU:5B~~C~HiH~~R~E~I~H~O G~~~~~_ LATlON AS HEREIN PROVIDED. 5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRArnEE SHALL COMPLY WITH THE MANIIAI ON 1'~IFnR~ TRAFFI~ CONTROl DEI/IeEe; FOR STRFF.TS AND HIr.HWAYS PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION. OK COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL eE II'V1EDIATELY REMOVED AHD THE ROADriAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY. 7. THE COUNTY RESERVES THE RIGHT TO ORDER lHE CHANGE OF LOCATlOtI OR THE REt10VAL OF ANY STRUCTURE OR STRUCTURES AUTHORIZED BY THIS PERMIT AT ANY TIME, SAID CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR PARTIES TO HHOI1 THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS. ~~~ ~i~T C~~~~~~ER:~~~N~r~~C~~N O~R T~~LggC~?~'SB~O~~E A~~A~~~h~~~~LC~~N~~l~L S~H ~ ~~E:EA~r~Lt~~:~~E FOR AAY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COI.lUY, ITS AGENTS OR REPRESENTATIVES, OR BY, THE EXERCISE OF AN'" RIGHTS BY THE COUNTY UPON ROADS I STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION. 9. tHE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERI1Il SO THAT ~ FI~AL INSPECTION CAf' 'BY /lADE. ,6, - 8. -0 ~ SPECIAL PROVIS IONS , . .,.." . F."""""," *",,",.. APPLICABLE PROVISIONS ARE DENOTED BY AN (X) . l~. .'A '~o~~! !~~/J{W f.}.Rt1IT SHALL BE Oft THE JOB SITE, AND PROTE~TED FROM THE ELEt\ENTS, AT ALL TIMES DURING THE CONSTRUCT O~jtI91'ORIZED BY SAID PERMIT WITHIN THE CDUNTY S RIGHT-OF-WAY. '2. :,- T~~.I~rr;R~AC~~t*AtI-BE CONSTRUCTED IN ACCOR~E WITH THE ATTACHED DESIGN PLATE TYPE ' APPROACH. A. ~m a FT.LENGTH OF ' INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN DITCH AND LAID ]"(i- A TRUE LINE AND GRADE. HE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON 6~~E~~G ~~ ~tl~F~~~D~A~iR T~~O~p~:~ei~E S~~~~E~~Y I~N~gCg~~~~~E R~A~~~~-w:~O~: tf ~g~T:~L p~=HI~~E~~AH I 3. THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO PREVENT AkY- MUD- TRACKING ONTO THE COUNTY ROAD. ANY HUD TRACKED ONTO THE COUNTY ROAD SHALL BE II'V1EDIATELY CLEANED UP BY THE GRANTEE OR HIS AGENT. If1 ~ q, ,0 5, 06, o IF NECESSARV'TO INCREASE SIGHT DISTANCE, 'STUMPS AND BRUSH SHALL BE REttOVED FROM BOTH SIDES OF THE c:r~~A~~ALL T~~T I~~I ~~:~~}~~~E O~U~~~~~y O:0~5R~~~~~~~~~wl~~BER OR DISF IGU~ ING OF ANY FEATUR~ OF S~EN IC WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M. AHD LI:OQp.l1. lI'tLES$ OTHERWISE AUl'HORIZED BY THE ENGINEER. A SURETY BONO 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 TER~S AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE UHIL AU WORK 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 AJiY DAMAGE TO THE COUNTY ROAD AND TO INSURE COMPLETE REMOVAL OF THE APPROACH AND CLEAN ING UP OF THE RIGHT.OF-WAY TO THE SATI SFACTlON OF THE COUNTY. APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURE,p BEFORE THE BOND WILL BE RELEASED. SPECIAL CONSIDERATIONS o 8, Form 113 b , ....... L ~, '>. . -": ~" ,',' " , ',' ,..', ,,', " , ,""" , ", ,', " ,'.' ',' ,','." .,: , ,..: ',: , ,:.' ..,', , " "" . .', . " ...",' , ".<..:, ..'::,,;' , ....:..... , ":,, ,:', , ,.,:::':' .: .' ", ",; . '. , ",.'" .:', ....>.'.,"i'}. . .,'.. ,'. ,'J.e , " '.' ,,': ..' ": ,," " ~.." .'.<:...". .J' .. t t~ t ~;~ f' ~. ~. .' .', " '. ", '.., ..... .,',....',. ' . " .'....: , " ':' . '.. '.', ,.'... '.:. :, , ,'," ," '." . ..,... "'.' ....,. . ..: i>' .. .' : ;,. : L '," " " ;.. :', :, "" ," :: ' : '.<, .. I, .-', .',. "'" ' ,', '.... :( '1 ..Jj , . , < .. ; il ,.., ;";{:~ . ' , ,'.. ' ';"';",." ,:'. ','.., . '" ' '. ' , '~.1' , ' ,..., . " ,.. '.... '-"", " , , ' . '.' .,.' .: ,',..,. .,.. . '.'. 'I , " . r~' ',' " '"", , ,.,., '. .'.' , '. , ,". ' ..' ,: " ..' .. " .,. .'. ,,', ' "," ".:: ' ' :',;, , ...,..".....,.,..'.. . .'," ""', "," , ~..,''':, ',,'. '.: ..'." ' . '.,.','> ;, . 'ii'" '" ,...' .',..'.'... : " " ..,' i "" '.' \ .,:" " ",.,'.. I .,.... \ , ",< \. ''", ,.-, ":, ".,: ,:'. ":,i,'" :,', ';, , ,',' ,:,;,,(' ,'." ,', '-:' ..., " .'. " ....;" . " ", " ' '.,', ',', "," \' ..... .,," ' J ':': ,'.:' ...,,:.' \ ,.'.i .. ,';.' . ;.' '. ". I;' "."," . I,~: ;,., " ' .' ',..' , . . . 1\ ' " ., I: ",,:-', ",'i ":""" ' p, ' i. " ~. ',' ,,' ." , '.' ,: ,'. . '.:;'''' ",",; ..',.... i" ..,' " ' , "":,::,,,,' ",'......,.,"..,L I' '., ',' .." . I . .,.,;,:',... ,'. ." , :,:' "::',';,' , " ~, . ..',:.: ." ".';L .,.,1.. " ~,L ", ;;, " , ' : ;, ", f' f {r L t . :1 \ > ,;,:" ';,,", '..... ',' ", ',,;.. .. ..','.....',..,.., ....,..,'..'., .. :"" , '" ""',..'''' .:'. ' ',. " " "", .','" ',' 'I, : ",' .', , ".. ' : ..,",', ":",':",.,','" .', ,... ,.: ',:' " ,,' .... . '.,....',. ...... .', ,'.' ~ .. n'> L~"l~;~~1 :' ;,';.'" " , , ' .:"",' ";;, , ,':,'....y"" , .' .: '~.. " " ',:,' , ~'" ,:,',::':--,1 " '",',' :, , ':"" . .' ", '.' <:::,,: ~""....'" ~ -'. , _ _ _.". .' .. .. "OI'E V'-I .,,:: ,j _,: '__: :;(."'VATE ft... '''jCJL _co: ~,____ __~ ,'-~" 1: -~:'I-:=-~~:,:,::~,= i' - - - -- . ~l'-- J_ . . . ",.' /;:, ',Ieima.) '0:..". .,,' 4 . .' _ __._. 4".~':M"'~" 'i.'m- ...~.::,,;C"':":'.':-- ...., ~ _,~.....~ _ ' .~~ ~:: - . __ _I"".' . . .' __ ,C',_:: -Co"" .~, . - - - --" < ," !-L"W .. . ,_L U t. v' Cc/.ln':t floOd .,. ..'- .--.- - .--"- ..::::~= ,_.<:~ :,''::: ::.: ..t:6~ ~ '~'''''1~.r - - "~: .-' .. ::', . .~...::: '.1,:,. ..._ .' , . :-,~ ,[1:0'...'.. _:::" ..' ..." '. ~ " , .." --.---... :: : "".:_:"",-,,,;-:7"" ~.. .. : .. - -'. - ..,-~ -- , ,- . - -~W!ij~~~f~~1c:~f:'::';?~,:~ ~~~~,:~::l::? I'OSTED SIGHT DISTANCE r 5PEEO Lll-lIT, HINIM\lM DESIP.EAllLE t \ I i , 1<O'TES : 2S 200 FT. " 160 FT. lIO 200 FT. 2~0 FT. liS 2~O fT. 275 FT. 40 275 fT" lISO FT. 4S !l1S FT. 410 FT. SO !ISO FT. 475 FT. 1.') .' CulYe~ ah&ll meet ~ni~ apecification$ 'for tlS-20 loading. ;.pproved 1:ype$ include: 1) concrete 2) corrugated metal 3) corrugated polyethylene tubing-J,.ASRTO ~.J~)' County road shoulder shall be left at existing profile. 2.) ---,;FPRcivAlS : Pate 9A/.e D1Tec~or. Depart~ent of l'ubl1c \lorks 4~ t2..(?~ a9i1~ Chalr~n. 20aTd of eounty eolllllli..s1oners . <- ..J L' ./ pate~ .- ' - ---' _..----::: ,.:- ,_..:--,- .o;:;;-,i3:'C; - .'.- __:-..... ..:'._' ;n_._->'- ,.. -~:.-----:- , .. , >' - " : .:" , \ ~\'.'. ..,1:., ii . .'." .'. ., i. i ".i .> . , ":" i '! ' i , '. ." (. ,'.. .... "_ 'h'" , ' , " :' .",' -. .,., " <;,:!~:'. I , '.. :":":' .....' ..,..,. ,.,'. '..., .'. , ' , " ' , '" ...' ';::'" . .,..' , ' .' ': :::" " '. ". .... .'... .''':'; , " '. .' ,',', ',.', ':' , , ','", , :"'" ' ;-, ;'. ' " :," .' .'..' .',,' ',' . ":'L . I':' .',',., L- I;, ...... ,", . I',: ,',.. ' ',' "..., ,: ,;' '. ',.'...'.. , . ::.. :1 .,.. I.: " I ,,,',;,- ;. , 'c .',,' ',.' , ' ,': .. ':, , "- .. t ~ , , ; -- .. .. I'. 0, . on h .--. ~ ,.... : r . I . i ! I i t 'J ,.' ,,', : , ' I:, 'f,h" ,r~,: <'k"!' :~ i'[ r f 'k, ,\ t: ~ - , , l' 1 '::" .'... '. '.','. ". ',' .'.."> ,":..' :, :,' "'.'..: ':, ,.,'. ..,: ',' " '," .' ' "" '" '", " ' . .". '. ':" " , : ,"':,:" ',': ." .',.,.. ::' " " ,:,',Y , ' , ,. ,.: '.' , :', i ( " TYPE p-, l'RIVATE ROAD APPROACH 'j " ,*' -- - ...----,-. ,-'--.--.- I"' .-. . I _ .... ... .0. ....... .. '" ..:;..;.... '0:') ;..~" . .'.: ~; ~:: -:::::.~~~..;. .~ -.~. . -..._--~-.. ._-..;---_. --:... -.,.---- ' ":" ' ~ '::: .1.: .. . ... :,.; "'....' --,'- -- ,.. .. I nO' ::.. !.- lO'II'I;IL2.4'Mcn. I ' ':..: .iO"','m','n', 'fl.'~ .... '2A'ma~'. I~ " ,~'Oiamin,Cutv.rt" tomln,lIad, ,,, ~Omal, ;;--~II'lIng 4It"'- ..~dg'~'.r'hOU"",'" ,..., .-;,::t:."'.:":~,': , '.. = ,.~ ' - ':.. ....':~~:::: : 0~;"ln. : " . - : t , 07., ,:.:'" .cOUNTY ~OAD "_',,- j -.... ~.;:. VarMI .. :, .LAN'" .... , . , - , ,..r Count, flood ! ~J.t~.~, ~': ]~;_":;_i/;~ ~".; : :'8 ~,~j':.' <<dg~2:~:DJ11d" _-::~ '.~~ '~,'~: :':~'~:"~'~\j : ~~:~. "~'---;~ d ,..-.._._ -_ _ .__ .. .___ ~, _ .. ____ _.. .. . __ __ +___.. : ,~ ;:2r.~iF~~~~~::_:::~~~~~J : :~~" '-~'~~l' <~!.~_~~::.~:~ ~~.~~ ~:~ ~:.'~~ ~ rS~: ~: " "',, ''l"101.n,4 .allalt~.. , -"10.12 "'Jio"'~" ...-- -E-.,,---..,....- _.._.... "_," ;i~i,;.IIL~';1:~':,,~;..;~t~~~~ ,';i.':':", ;, ~:.;(" ~'6'~~~-~~~T~:~EQU.I~:~~'---- t FOSTED SIGHT DISTANCE t SPEED LIMIT, MINIMUM DESIREA.llLE IJOTES: 25 160 FT. 200 FT. ". 30 200 FT. 240 FT. !5 240 FT. 275 FT. .0 , 275 FT., !SO FT. .S !15 FT. .10 FT. SO !50 FT. 475 FT. 1.) . Cu'f'~e~. shall meet alnlmum specifications 'Eor HS-20 loadlni. Approved types include: 1) concrete 2) corrugated metal 3) corrugated polyethylene tubing-AASHTO ~2). COWlty road shoulder shall be left at -rm n existing profile. 2.) ----,;pPROVALS : 1 l .4"7 /1. ~D<..<- OIalnaan. Board of a 9Jr ~ County Comm1as1oners .. f"- .II! . ...) Date 9--W f.3 Director. Department of Public Works Date ~A,h"" ~ ,*;;;-.is';c :-,.'.;~,;. ~ ,. -- -~----.:.... .~, 'M~"4... .......:._:_....l..-. '.~_ .. '--'-'- , , ..... '- ;t '" '. ,;. :, , " ",..' .~ . " '" , " ,;':," . ': '. : . ...'. ,', ','..' I..,.,.. ., '. " , ," , " i .. , ;, " ';' . ': ,...... , I, " , " ::: " '::.' ,':~}~: \, '[ ,,' , ,.... ---,:' , ~'., ,,' ! Pv~:4 /fe/I?, ~ ~ 4t!-L.. e r ~'\ \} ~~ o ,~ ~ '~ ~ L41$ I'" II~ 1>-- f3-f..-e~ ~c... ~ (iJ<4I u.~ a. ~rA..U A fY, ~ ;'~ , .... -l... .J\'j-.. ~~ J ~ ~ t '-' - - - - I 1\ j. 1~. nce"'':;> -7r. if'" P4-YL/~,--, 57 c-- '.yo t ? L ~. -.:-' -:----~-=.- \ -.;,:; '~W1 \:::,:,:u ., , ~ ;;-" rr."-J,' :'~'" 1ft' ~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P.O. BOl( 1220 PorI Townsend, WA 98368 (206) 385.9160 N~ 0983 District No. 6 PERMIT In accordance with all applicable Revised Codes of Washington and umendments thereto, and subject to 311 the terms, condi- tions and provisions written or printed below or on any part of this form u.s. West Communications PERMISSION IS HEREBY GRANTED TO 611 6th St" Bremerton, WA 98310 Install a 2" conduit under Otto St. at mile post 0,20 by pushing, to Jobll 89-8-5580 County Road No, 688319 Franchise No, Milepost 0.20 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 Harch 17 Dated at ,Harch 17 , 19 89 .19 90 &~W~@W[E[W By --<J~ ;(~ 1.800.424.5555 '----.-. - , GENEIlAL ,"{OV'SIONS A"!'L1CAIILE TO ALL "EHI\IITS This pc:rmil is subject to all applkable prm'isions of the Revised CoJet.of Wushingum, except that ,lilY plO\'isiulI itl this agreemcllt nol cUIl.sistent wilh such tesolution shall be conlrolling. A bond in the amou!lt of $ i~;retjuired for the prUlel:liUII of lhe cOUIIly a!o set forlh in IIle lerms of the bond Outing the progress of the Wor~ !ouch barriers !lhaJl he erected and lIlailllaineJ as ilia)' he neces_\<!r)' or as Illay he dirc<:tcd fur Ihe proteclion of the traveling public; Ihe barriers shall be properly Jighted al flight. In accepting this pcrmilthe pelitioner, his SUCl.:c!o..Sl}rs and assi!lllS, agrecs to protect Jcfferson C'oullIY and !,a'.C it harmless from ",II daims, actions and damages of every kind and dcscriplion which lIlay accrue 10 or he suffereLl by any perl>tJll or persons, ulrpomliofl or property by reason of the perfor. mance of allY such work, character of /lJaleriOJls IJsed or mantler of installation, IIlOJimenallCc amJ operation or by Ihe improper occupanc)' of righl of way or puhlic place or public strUcture, and in case allY suit or uClion is brought ugOJinst lkliLl Jeffcrson Coumy for dalllagcsarising oUI of or by rC~Mln of any of the abovc causcs, the pelilioncr, his successors or ussigns, wilJ UPOlllloticc to him or them of COlllmcnccmcnt of such aClion, defend Ihl; samc al his or their own sole cost alld expense and will satisfy uny jUl.l!llllelll afler the suit.! suit or acliun shOJII have finally been determincd if OJdverse to the Jef. ferson COUIllY. Except as herein authorized, 110 excavatiOIl sllall be Illade or ohslaclc placeLl with]" the limils oj u county ((/Old in such a manner as to illlerfen.' with Ihe tra vel over said road. Excepl as herein uUlhorizeJ, 110 e.\cuvatioll slmlJ he II10Jde or uhstucte plur,;eJ within four 141 fccl of lhe edge of the p.nernenL If the work dune Untk'r this permil interferes in any way wilh the drainage of the county road. the grantee shall Wholly and atllis own expense ma~e such provision as the engineer llIay direct to t:.I~e care of said drainage. On completion of said work herein cOl\templOJted all rubbish nm.l debrh; 5/1all be immeJiilte/)' rCflIO\.CU OJ rid tile roaJway and roadside shall be left neal and presentOJble und salisfactory to the engincer. All of the work herein cOlltelllpl:ued shall be done undcr the supervision and to the satisfaction of Ihe Coullty Engineer and the entirc CXPCIl!>C of said supervision shall be borne by the party or parties 10 whom this perm;t is issued. The Department of Public Works hereby reserves the righlto order the change of location or the removal of any structure or structurcs authorized by this permit at any time, said chunge or rernovalto he made ut the sole expcnse of the part)' or parties to whom this permit is issued, or their successors alld assi!!lls. All such changes, reconslfuctioll or rel(x:atioll by the gralllccs shall be done in such manlier as will cause the least interference with any of the Coun. ty work and the COUnty of Jeffcrson shall in no wise be held liable for any damage to the gralltee by rcuson of any such work by the County of Jeffer. son, it agents or representatives, or by the exercise of any ri!!hts by the CoulllY upon mads. slreets, public pluces or slructures in question. This permit or privilege shall not be deemed or held to be an exclusivc one and s!lallnot prohibillhe County from granting other f>Crfllits or franchise rights of like or olher nature to other public or private utilities,nor shall it prc\'ctlllhe County from using OJIlY of its toads, slreets. or public place!>, or af. fect its right to full supervision and control o\'er all or any ran of Ihcm, Ilone of which is hereby surrendcreLl. The Department of Public Wor~s may revoke, amend or cancel this flCrmit or un)' of the provisions thereof OJt allY lime by giving wrillen nOlice 10 the pcrmiuee. Thc pcrmillce shall immediately remove ull facilities frorn the right of way. ^ny f:ICiJitics renwining UflOllthc righl of way 30 days after .....rit. ten nolice of cancellation shall be removed by the CounlY <ltthe expense of the perminee. The pany or panics to whom this permit is issued shallmairuain <It his or IlIdr sole expcn.,e the struClure or object for which this permit isgrantcd in a condition satisfactory to the Departlllelll of Public Works. SPECIAL PROVISIONS: 1. Conduit shall be a minimum of 30" below existing ditch grade, 2. Applicant shall be responsible for all damages to county road right of way, :', ,,,::i1ffdffil;1r;f,lt'\ :!"lh"qt!k?;h '1 ~\ .~,.\''':' l,...! \.;.,IUJJ ... 1J In accepting Ihis permit the gramcc, his successors and ussigns, ugrec th:ltllny damage or injury done to Ihc property of the grantee or any expense incurred by him through the operation of a contractor, working for the COUllty or any Coullty cmployee shall be at the sole expense of the grantee, his successors and assigns. J(~ e &nn-s'k>~ L.-, lIS WtAf ~ ,;?he- ,the under-i.ned, hereby accepts this permit subject to the terms and conditions as hcrein sct forth. ~ ' Dated this 't!-). ( day or"1 fflMcJ;, , I;,'rg<( *~l&mJ~ ^_____....:..._:c,'___"_~~_ ' \ -(""'~'?~ ~1g~{~ ~~( rc.{~'}\,".."""'\ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Ft'e Paid_ Yes _ No 1820 Jefferson Streel P.O. Box 1220 Port Townsend. WA 98368 (206) 385-9160 l(eu:iPI No Addre~ Rt'quest _ Ycs_ No Mile POS! AI'I'L1CATlON FOIlI'EIlMIT To Department of Public Works, Jefferson County, Washington. 71/e ulldersiglled U S West Communications (PNB) herebyappl_ forpermissialllo push 1-2" 30' Pipe across Otto Street (Please see /rl/ll'li'UIIlh'IIIJ"\/'fII"'jltf/>'I'>IlUllw...illll.'I/IIU"J attached sketch) S-21N R-1W T-30N SKETCH: Telephone Company Engineer, Jim Williams. 478-4404 Terri Comstock, 478-5688 RECEIVED MAR 14 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT, 011 County Road: bell-veen fSral""t'U"'lfCml\..I/r,\'/,,,mil..,;uiml Gnd agree_ TO do the work ill accordance with your rules and regulations and subject to your inspection and approval. Dote March 9. 19~ - ~M... ~1;~.:t!- ,e""",,,,,,, ------;;- IIf 'pplic,", is, cO",Ir'ncrship, SCl fOrlh n'mes of cop.rlners) Addle.... ^ddre..~ Jefferson Co. Dlslrlcl No, DEI' ARTMENT OF I'VOLle WOnKS Supervisor's Report No. Supervisor will make derailed repon wilh his recommemlarioll olllhis applicalloll. Whellever possible show skelch of proposed work. Supervimr will also make addlliollal repons alld Jillal repon glvillg dare of completioll of work 011 rhis form, Permll No, Oi If, ? J)n'liminary Ileport: 1,-,.; ;..,,~ ;' .~ .~ :r._ ;-~,~ Dal,~:i ;/' ;...: ~_ _ _, ~,' '.... '_..oJ d Fin~liR';priri:'~'~~'I:)Vii ::-i; j~.:1!!Ci Signed: PERMIT INSPECTION REPORT , ......---- Work covered by permil has heen compleled satisfactorily. Work is not completed. Recommend permit be cancelled. Traffic control. adequate - inadequate REMARKS UOle: ,-/-/1-89 SiRned: ./!......-1/-' ~....J-1 ~-~ ~ ~ -.I l~ r/ ~ \J '.!l Vl . - 3 ,I :r- S3 S ~ '5 .~. " '<1 ~ c- p ';< (!J VI :2 3 rL ;- '2 d;:: to<; . 1- -.: := "t 0 ~ ~~"~ ~I-~~~;: ,,",00'" 1- _,,:::! <>< '~~%<:r'" l!J..!l:::oc ~:; 3 ~ 0 ~..$ V)~c::,;~ll::J ;) .." cC) ~~- ...> ~- ~ ~~ ~~ <l: ,. ::! o<J ~ ;J '" 0 -1= <! I i I II I oJ 0 l~ ~ ~ ":: '" ~ s ~ t ~ ~ '" -' e::i ~ ') .J -I Vl '::<!~<t: \li- . '1. -.9 ~"') Vl ::. 1- "1 ;- =- ! , ri I ~ ~ I.L J- ;) '" -.J ~ ,::E .:?'~ C>. ).. "'Il.~ :" - ~ \, \If - !!J:;:, o~ iJ 'E p,iJ- ~ =- ~ -...l "'0 ~ --.J ~ I- \I .~ (: ,~ {!j ,I t '). "'Cl - ~/~' ~ Districl No. 5 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Streel P.O. Box 1220 Pot! Townsend, WA 98368 (206)385-9160 N~ 0974 ~:i:/:~~:~~:,~~;~~_ ""./ "/';>0/N PERMIT In accordancc with all applicable Rcvised Codcs of Washington and amcndmcIIls thereto, and subject to all the terms, comH. tions and provisions written or printed below or on any part of this form PERMISSION IS HEREBY GHANTED TO Puget Sound Power and Light Co, 310 Four Corners Road, Port Townsend, WA 98368 to . Replace existing power pole and bury cable along right of way to private drive. -+ \Sc1 0 c-Z- '6 G \ County Road No, 932507 Franchise No, Milepost 0,90 No work shall be done under this pcrmit until the party or partics to WllOm it is granted shall have communicated with and received instructions from This permit shall be void unless the work herein contemplaled shall have bcen compleled before March 15 Daled at March 15 , 19 89 ,19 90 ~w~~@wm By -<J~ j(A,vv 1-800-424-5555 : " , ;: " .." " .,.. " h '~,,!, ..;;" " ~4:: " ~;" f; ".', " "",,'.' ,,'.,' , ' :,' :":> ,,' ".' .;, ' , ,,; " " , :," , ,', '....,...".".';,., ".. .','. .'.'.'. ...;;"' ,":"'\", ',::"':,:" ',.,' j'", , '..,... ""', ':",',',' .,"" , ",' '; . . "" " -...."; ',', ' , " " ..,.. ., I -:', '., , """'"" I;, ,_J', , ,,,,,' " , -. -' --.."- .- --- --, -~_.._---------.._--:.--..:.~.__..,'---, ---"'--~- GENEltAL /'IlOV/S/ONS A/'I'UCAllUi TO AU. /'EllMITS This p'''",i, is subject '0 all ap"lieable proYhions of 1/" ReYhed Codes of Washinglon, "ccp"ha, any p""i,ion in ,hi, agrecm"n nOl ",n'i"cn' wilh liut:h resolution sllalJ be cUlIlroJ/ing. A bond jn the amOUllt of S i.~ required for the llTOtCl'!iOIl of III) CUI/Illy ...~ sel fOr/II ill Ihe terms of lhe bond. DU"ng Ih. progress of II" work such h""i", shall he erec'.d and ",ain,"i'"d as mal' hc neec",,"ry nr a,' mal' hc di<celed I' OJ '/Ie p""ec'ion o( 1/" trave/ing public; the barriers .!illall be properly lighted L111l;ght. In acecp'ing 'his pe"ni"he pe'i1ioner, his soccessors and a"igns, agrces 'n ,no'", Jcfb,son enu",y and saVe il harm/." (rom all daims, ac,i,ms and damages of eyery kind and deo;crip'ion whieh mal' aeeruc '0 ur hc suf/ored hy an)' persOIl or persOllS, corp,,," Ii,,,, or propc"y hy <ca"", of 'hc perfor, malice of allY Such work, characler of malerials ",cd or mamler of iIlSlall",ion, main"oa,,,c and opera'ion or hy ,he impro,x" occupane)' of rigln of way or pUhlic place or publicWUcturc, and in ""any soil or action is broogln againSl said Jcffersoll CouOlY for damages ari,illg uu, of or by rmoo of any of 'he aboVe causes, 'he pe'i'ioner, his ,uc<OSsors or assigns, will upon nnlicc 'u /lim or 'hem of commcnccm.", of such action, dcfelld 1/,. same u, his or Ihcir OWII solc cos, and e'pen" and will s",i,fy any jOdgmcn' afler ,hc 'aid sui, or aclioll sball have finall)' hcen dC/ermincd if adverse 10 'h. Jef, fersoll COUllty. Excel" as herein aU'hllriz.d, 110 ",caV:"ion shall be made or ohSlade placed wi'hin 'he limils of a ""o"y ""d in 'uch a m'nmcr as '0 inlerfere wilh the lfa vel over S<lid road. E,ecp, as h.rein aUI/JOrized, no mavalion shall be madc nr n/"""Ic placed withill (unr 14) fcCl of 'he edge nf II" paYe'nCl", If'he work done under 'his permil in"rferes in any way wi'h Ihe drainage uf II" "nu"y "",d, 'he g,,,,,.. shnll whully and '" hi, nwn e'l~n" make SUch provision as the engineer may direct 10 lake care of said drainul;c. On comp/C1ion of said wo,k llercin eonlemplaled all rubbish and debris shall be immediale)y renn"'cd "",} IIIe ft>adway and r"'d,ide shall he Icf, ne", and presentable and s,llisr"Clory to the CJlgJncL". All of 'lie work herein con'empla"dshall be done under 'he supervision and 'n 'lie sa'islaet/on Oflhc ('numy Engineer and Ihe en lire "pen" of said supervision shall be borne by the p.my or panics 10 who/J1 Ihis pcrmit is issued. The Deparlmelll of Public Works llereby reserves Ihe ri,h, 10 order Ihcehange ofloc,,, ion or ,I" removal or any SlftlClure O"nUClUres aU'horilCd by 'his permi, a, any 'ime, said change or remova/lo he made a"he 'nle "'len" of 'he parly or parli" '0 whom 'his permil is issued. or 'heir SUCCCSSors and llssigns. All 'uch changes, reconSlruClion or reloca'ion by IIIe gralllees shall be done in Such manner a, will cause 'hc leaSl iOlerference wi'h an)' of ,he Coun, 'y wmk and ,he Coun,y of Jeffcrson shall /n 00 wi" be held liable 1'0' any damage '0 Ihe gmnlee by rea SOli of any such work hy 'he Cou",y uf Jeffer, son, i, agenls or represe",a'iYeS, or by Ihe exereisc of any rig/ns hy 'he CounlY "pon ro"d" sneels, puhlic places or SlruC"nes in QueSliun, This permil or priYilege shall no, be deemed or held '0 be an exclusive OIlC and shall 1101 prohibillhe Cou",y from ,raOlin, OIher pcrmils or franchise ri,hls of like or o'ber na'ure 10 Olller public or privalC u'iiilies, nor shall iI pre"enl'he CoulI'y from u,ing an)' of ils rll"ds, Slrcels, or pUblic places, or af, feCI ilS righ' '0 full supervision and comrol O,"r all or any pan of Ihem, none of which Is hereby '""endered, The Depanmem of Public Works may reyoke, amend orc""ce/lh/, p'"mi, or allY of'/le pmYisillns 'hereofa, any 'ime by giYing wrillell no'lce '0 'Ile pennillee, The permillce shall immedialely remove all faeililies from Ihe right of way, All)' fadli'ies remaining "pon IIIe ri,h, of way 30 d"y, afler wri" Icn notice of cancellation shall be removed by the COUlIlY al the expense of the rcrmiltee. The parlyor panies '0 whom 'his permil is i-"'''d shall main'aill a, his 0' Iheir snle expen" Ihe SnUClnre nr ohjeCl fur which ,his perm/I is gramed ill a condition satisfactory 10 the Department of Public Works. SPECIAL PROVISIONS: 1. Calbe shall be a minimum of 3D" below existing shoulder. 2, ,...API;H~~}lt, 'Sh~,l be responsible for all damages ", ;::IJ'''lj,j.l',li1(Ot ,:--0\ 'j If tJ... :' W'1i \'.'tu [j, 'II !Iii i~' .:~.:.:.:!..: LJ.. J ...f IJ..V to COunty right of way, In accePting ,his permi, 'he ,ramee, his sUccessors and assign" a,ree lila' any damage or injury done '0 'he proper,y of 'he gramee or any ex",nse incurred by biOI 'hrou,h 'he opera !ion of a cnmraClor, working for 'he Cou",y 0' any Coun,y emp/o)'cc sh," be a, Ihe sole "pensc of Ihe 'ranlee, bis :"ccessO'}"}d assignA ~ ,/ ~ 0 ~ / 'l\ r ~e.1- / tJZ-VC/ C/ ,111e nndersi,ncd, he,eby accepls 'his permi, SubjeCl'o 'he 'ern" nnd condiliollsQ herein SCI forth. Da,edlhis"C}O daYOf-l( m~ ,19'1<"'07 -!{ ~J~ ~ ^rl'lkmll ._-'---~," "'~""'+"'''''",,,,,,-,,,,,,,,, nr.\'MI'l(' I'HI'ljlt:1t~.I'\"C. '-, ", , C;". '- , C ----:-]. ',.;' , ': ',' " f . ' . .'. > r . .',. t: ..'. ~ ! '.' f . "... ,..". '" " . '..',., '.' " ,c,,". ; ii, c". ii, '., " " , .. :' ,',' , .'...; '., " >' " I:' ,'. i. , , . ii, I: .',":': , " ',\ ... .c.i .. '.' . , ".,' " ' , ; , " , '.' '....,.. '-;-"" ':.. ' ,> ;: ~ : . ','" I ',', JeffersulI Co. Su,)crvisor's UCfJort No. Supervisor will make delailed repan with his recommendation on this applicll/ioll. Whenever possible show sketch ofplOpo,ed work. Supervisor will alm make odd;I;O/1(// reports and final repo,! giving date of completioll of work on Ihis form. Permil No, 1') q 71' " "':' ' , " " ":'.' ',,', "",:.," ,'.. I. .". I I District No, -s- OEI'AnTMENT OF l'UHLlC WOnKS l)rcUmjnury neporl: CH,'''''rlc 1.4"'1 Aott-P ,m,p' {). ")0 /< e.(, / -'Tee e.", ~S""')".Jl pcJIc::. nate: '3-f</-8'J Signed: -::::1 ~<.~e:'MJf '<, " I", "" ,,:: " ! ! , . " Final Report: PERMIT I I "'" ECTlON REPOllT Work covered by permit has been camplfled satisfactorily. Work is not complefed. Recommend permit be cancelled. Traffic conlro' .. adequate - inadequate REMARKS ~ f ~., [ I It, ~, f, : r k , Dale: 5'- I z?-F]$ I Signed:)!/-. ~ ~ ul.nll'l(' """1 n(~. I~('. ", 1 ;. \ 'j l~ ':.:,:. '" ',' " . '\, .;', ,', " , '!;:'" '. ...".... ". ',:', ",', " :,', ., ,," ,"', , "', .. .... '.' ' ,:. "::.. ".', , ," , :", ,",', ", " ,", " .'..... . :'.L ':" ,," ',',',.',:" ',,', .. >, .'.. : ..'. :, ,'... " :'" " '., '. ,:: "', ',' ' " " "I ,.,' ":,' . 1< ,:', . 'iL- . '" - ,:C ':'" , " .... ..," ,,- ,-" ," "'..' . .,' : :,.' : " , ", :" ,. ,.:,-'" , ,', " ,:'.:'", , , " , ,:' " ' " ':',' " ' ':' "" ,.".:"" ," , ",,: ":;, , ',' , , , ,,:, "" , , .",:,:, --.I," , , . ,," '" ",:" ."",.::;" ',,,' .' ,':, '. '" .,"', ",:' :':' :":, ,", ","" " '," .- -- .",' ... ",,~ .. I ~" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Fc:e Paju_ Yes _ No 1820 Jetlerson Slreel P.O. Box 1220 PorI Townsend, WA 98368 (206) 385.9160 Rcu:iplNo Addrc~s RcqucSl_ Yes_No Mile P~l ...<lfn To Department of Public Works, Jefferson COUnty, Washinglon. The ul/dersigl/ed p\ ) ('7Fr' hereby apPI-tL-- Jor permissiol/ /0 &"0L. C. \ Vl CO, RD. AI'I'UCATION I'on l'EnMIT fbLDPt'C... Rep( CX.!GT.. 'POlX... ct 1I'l:5TA.LL '?II'I'I/(UIIf "'IIIJ".".'II~'IIII1.1' ..11<1/ II.. ..illw\ 1"11,, J 12; L0, UE) SKETCH: flECE~VED MAR - (, i989 JEFFERSON COUNT\' PUBLIC WORKS DEPT, 01/ Coumy Road.CJtlfv, - HADLo Q Ie ED -nefween- @ex-ppuy1, m~e Pd.~' (S{(JI""''(U..\tc''~''._\fff'f'tf>'IIII/''I'(J11II1 and agree_ to do the work in accordal/ce wilh your rules and regula/ions al/d subject /0 your iI/spec/ion and approval. Date FP-./5, 2"7 ~ 19~ '/jJ,A--h;' ~ _ ~ klo"'rv 'Sj((nmUre~lf '~I1J1;Ca;l .:z:::: /) (If applicum is a c~anncrship. lie! forth ",lines of coparlncrs) < ~/C5 7~, 1A51.4-JfM><:> /C7J, A"""D ~ ^'""" l-YJ/r7c7JA r7--UO,?-ndY N M Phone No, S R- ') - 4--==fc)E:- Phnne No, 100% Recycled Paper (Cootraclor/ "".' ,','" ,,'''C }I , "" ( " I ~ :' " "'" "\, , , ,:,,: , " ':,' I} ,: ',': l. "',,, ' , , ' ',"" , , I': "', I " " ',::' >':" , ,,",'" :' "', ,','",' " " :" ,',' "" "". ;, , '\, / : ,_,I! '1 I"' ~":' 1:\::': - - '- , , '\ '( :.:.", :..: " ': ,JFFF (,C; '11:-:\ ,~,_-r T, ~\ i:... 1'- r ~ \ , ,........-. " '." :'J::".'--.l ~ ~ _ _ '-, t -' ,_ '.: ' """t- C-.[)' '-' ,....... '-.' I,!~. , ' "':C:, ',.:';, fIf.~ CO~","\'<< C,.' , , ::,' ""'. I *:,X;i' ~.. ~ T" CAll 48 HOURS BEFORE YOU DIG 1.800.424.5555 * F't.j(;;'lC.~T 17 '.~ ,. , ,,, c, * LC.x::At-,;;-l":"'; :.::'t?~::':' * r-'Lr-'\.fJ(:EJ('_~', (,: F:'i"':) , CALL ONE NUMBER FOR UNDERGROUND LOCA TION ASSISTANCE, PHONE: THIS SKETCH IS NOT TO BE RELIED UPON FOR EXACT LOCATION OF POWER FACILITIES 790_65 n.a5 'l"", PUGET '-=-0 ,,- ': e:./ z:. POWER WORK ORDER NO WORK SKETCH SHEET OF ---'-- OF ~._ .. .... 'u....__....'---,-..,_____.._'__' LABOR CHARGES ___ JOINT FACILITIES ARRANGEMENTS - OTHER U_T.:::~~~,__,_ r---- ACTIVITY I CODE I CHECK JFC NO. I )fC NO L.. CONSTRUCTION ACOOl l" OTHER UT LITY i OT 'R U TV ! REMOVAL I 10807 J.. ENGINEER1 EN~~NEE~IU - --- ~--- OVERHEAD TRANSfQRt.tER$ RE.~OVE/INSTAlL 58304 l i ~. U G TRANSFORMfRS REMO....E/1N$1 All _I ~05 -1-~ i ~:~R:~NGE '~~NSfER DIST CO:~:0_~_+..~3:.._J..___ 1 I--.--+-------+--------+------.---~--- DNisiDN-~---.-~~---,-LriM-.i" NO ---- "-'CI~~UIT "".l~'- Cll<<fVtT ~.0 .'_ I RfSP AR[J. , ; .1"O'ATf.~-L---:- ...... : :~~i~~-":,~--:~.'~.~,~_~::~~:~~~:~~~~~~~~__:_=~==~~~~~~~~=~:.~~1~~;~~~-~~~"~~~ c:~~~~= UX:,6.11(lN 1 Pf.Il'/yI1T .'lO rlfA"I ,M4f)~"fO ~~,.;~~~~;(~r_~w~~b:'~:_=_j";:j~:~~,~C~~:~~~-=~-1 "'" ~o:__=I~:~~:~l:~"' ! ~=--- ! OAn COM!' I FO.tIr"'AN''.>'5U.NAnlR{ I i SCALE 1--- -- ", ~>........ , :: ," "" " ,,' .' .,',',:, '. ,"" " ':.....'., , . , ...., ' : .....' ,',.., ..' '> " ',': '. , .' :'" '" . '...: .....'..... ," ........ .,,' . .. ",:', " '; "'''L'' ''... ' ," ' , " ','" , ' ; -' I . ',~,",'.'... , : ' " ", , " '.,,' .,' , '", ' i' .,. ...... , " .' ! "'. : , ", : ":' ," .' :', ',' " " .:" , ,,' "'" ", I .... ,"', I I I, f. "..'.. ". :. , :.' ' , , ',.... , '''.' :", , ,""> , ' , ,.:' " .' :,::, ::' :, , "',, ", .',: ,,' :,," " .. 1\':'" ~,.....,...:. ',' ,", ,;" '::, , '''. ' ., , '. I ---1. " :' ,,', ..1<. ..,:' . .',:, ... - '.... I " II ! U", i!l" ,I' III : (,~ (,I}! ,I ~/~ \//?l ~I /\ KV / i 'LC- - --fr~- I r, I~ f~C)-- It I,) \ ',:...:;J -- I """'-:;":"":'10< I~ '\ ,',2'r_ \ - I--. ;po 0 "'- : F " ,:; /" ~--- !'l , .... r \-'i !,.. r,",', .,,/' \'1 ); ::> I )> :r (") (} [5 -i C ~ I t)J B '~,)ill , Li ~() l C CJ ' ~ ro rn ~ r 0 r ' f.,- UI It; [), 'i! f'l j/. r::, U' ('\') r 'i: ti ri) ~~.... " ['1': ~ ~ 0 (; d z ~ I/!~ 0-: ~~ 6' ,,~ S .j> r 0, S~ ,.. x Z '0 iii ~~ ~ ~ III U\ ES Ul 0 ~r;; )> 2il'"' !:_c ~o!:f ''I [J' crl ?l,' "7 i" ,., c:-, ,~ i; ;:;;, .J' [~ ~tv'r:r D 'I (' :!J \1 r( r\' (~, ".", ~:! ~ LII \~:: :'"I, J" I." r,~ Lj '-' , t; Ul I" [; ,_ 00 (' " , I ~;;jf\~1 / -:-"<. "'- } ~,/ .'-1"" jj0..>:-_<~,-; .~" ..JC .. ;Y,,'- '... :\1 {X\/I~ ~\ '~';r- ,Ii 1;"7'-~~-::<:-:.-;'::'.-.'i_ .. '-.-:V I' : If. 3. ,....:-,....,ICi:::::, .. '"'_''' II f B~ -"-... . II - @ 'Il~ ~ C'JJ J G" ~O 11'11 0 ! Ie;' ik I ; ,,,_.,_......,.,..,.J !t; i r: ',/ I ~I': ,-----,.-(C)J ~--' $0 t'l C Q~!:j ~o!:! ... ,., JG~ ~ ~ c ::{0 z~~ !:j ~i! ~ i'\)J, ~m ~ If 1lI r '" .,1" f" ,.. r+ ;0< tJJ C [,1 , . ~c f~ LL~"'-"- ~'11--' <, i'\ rJ1 r', ," r - '" ." ii' G'> V "1,' I' Q L'f^' ,_, (\; c. '~f~:~' ~ O>~ '\~ f'A L . (Y' rr; "'~ 0 ,,1 rv:.' C! ,~ () C:~ r' ~,!:.: , Q'r.'d; 0:. ~~t.:1 )-.l!::J?l~~' ~$f ~' d ;.6\ ~ 6 "'c Cl t5 t) ," _.. . f"" r" )> "'1 , [) ~. : 0 ;:: .. rvt..r, 2: ~..'" L (~Uj ;;:: 1\\ ti; I.. ~)O Ul v (11~' l,..- ~' ~.' 0 0 fA I (: K- ,0 '< r, -', r, I)" ,0.., s, ,'. t~ ", r.; C'~ ' :-- ~2 ;: l~ ~ tj, \ tJ ['\1, rv .. <:: J?, ["'0 ~ c r;: ~ f l;I (} ('I;), ~~:l'~c3 Z~ III N I f.,N Iio""" 01'-), ~ =(\1 r-"". iV', !<<-~ ~ 8 (j, 6 ~_l ~ i~ '" iii \ ---''<;~' fJ}:v, \..",::,rg,.~~~ ,it8J4L( ffi>Wr.\ J.-'--~r' ~, ~ JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P.O. Box 1220 Pori Townsend. WA 98368 (206) 385.9160 N~ 0981 District No, 5 PERMIT In accordance with all applicable Revised Codes of Washington and amcndmcnts thcrcto, and subject \0 all the tcrms, condi- tions and provisions written or printed below or on any part of this form U.S. West communications to PERMISSION IS HEREBY GRANTED TO 2720 Oakridge Dr,. port Angeles. WA Install buried survice wire across 98362 and along Ludlow Bay Rd, Jobll 89-73 County Road No, 508209 Franchise No, MilepostO,87 to 0.90 No work shall be done under this permit until the pany or parties to whom it is granted shall have communicated with and received instructions from This pcrmit shall be void unlcss the work herein contemplated shall have been completed before March 17 , 1990 Dated at March. 17 , 19 89 &~~OO@WlElID By /J~ ;(-ArUVJ 1.800.424.5555 GENE/tAL I'R()VISIONS AI'I'l.ICAlILE TO ALL PERMITS This permit is subject to all appJic:lblc provisions of tIll': Hcvisc:d Codes of WiJshinglon. except tllat auy pruvbjo/l in this agrccmcnlllot cumislctll with such resolution shall be controlling. A bQlIJ ill the amount of $ is required for the protcctioll uf the cuullty a:-. M~t furth ill the terms of the bond. During the progress uf Ihe work lluch harriers shall be cn:clcJ and Illaillla;ncu as fIlay he Ilcccs~ry ur as may be dirc(;ICd for the protcl.:lion of the traveling public; the barriers shall be propcrl)' lighteJ at night. In accepting Ihis permit the petitioner, his successors and assigns. agrees to prulccl Jefferson CUUIIIY and save it harrnJcss from all claims. actions amI d..uuagcs of every kind and description which lIlay accrue III or be sufTered by any person or perSOI1S, corporation or properly by rcason of the perfor. m..nce of .IIlY such work, char..ctcr of malerials uscd or manner uf installatiun, maintewUlce and operation or by Ihe impropcr occupanc)' of right of way or public pl<lcC or public structure, and in case any suit or action is hrought ugainst suid Jeffcrson COUnlY for damage!!. arising out of or by re,mlll of any of the abm'c causes, the petilioner, his successors or assigns, will upon notice to him or Ihelll of commcnccment of such aClion, L1efcndthe !><tme at his or their own sole cost and expellseand will satisfy uny judgment after the suid suit or al:liol1 shall have rinaJl}' becn determincd ifadwrsc to the Jd. ferson County. Except as herein authorized, no cxcavatiOll shall be made or oh.\wde placed within thc lilllits of a COLI/It)' road in sUl,:h a mallner as!U interfere with the lrawl over said road. Except as herein authtlfilerJ, lIO cxcavation shaH be lllaLle or ubstacle placeJ within fllur HJ feet of the edge uf the p.H'ernenl. If the work done under this permit interfercs in LillY way with the drainage of Illc coullly ruwJ, the gramcc shall whully and al hh own expense makc such JllOvision as the cngineer JJlay L1irccl to take care of said drainage. On completion of suid work hercin contemplatcd all rubbish allll debris shall he immediately rcmoved and the rood way allLl 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 satisfaction of the COUnty Engineer anLllhe cntire expense of said supervision shall be borne by the party or parties to whom this permit is issued. The Department of Public Works hercby reserves the right to order Ihe change of location or the remmal 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 part}' or parties 10 whom this permit is i!osued, or their successors and assigns. All such changes. reconstruction or relocation by the grantecs slmll be L10ne in such manlier as will calise the leilsl interference with any of the Coun- ty work and Ihe County of Jefferson shull in no wise be held liable for any darnuge to Ihe gnmtce by re..son of all}' such work by the County of Jeffer- son. it agents or representatives, or by the exercise of <lny rights by the County UpOIl ro.lds. streets. public places or structures in question. This permit or privilege shall not bc deemed or held to be an exclusive one and shall not prohibit the COUnty from granting OIher permits or franchise rights of like or other nature to other public or private utilities, nor shull it pre\'ent the Coullty from using ~ny of its ro~ds. streetS, or public places, or af. fect its right to full supervision and control over ~Il or any p~rt of them. /lone of which is herehy surrendered. The Department of Public Works may revoke, ~rnelld or cancel this permit or ,my of the pro\'i~ions thereof at an}' time by giving written notice to the permittee. The permittee shall immediatcly remove all f~ciJjties from the right of wuy. Any facilities rCIl\:linillg upon the right of wa}' 30 days afler writ- ten notice of cancellation shall be rcmoved by the Count}' ;'11 thc expense of the permittce, The p.lrty or parties to whom this permit is issued slwlllllaintain at his or their sole expensc the structure or object for which this permit is granted in <l condition satisfactory to Ihe Department of Public Works. SI'ECIAL PROVISIONS: 1. Cable shall be a minimum of 30" below existing ditch grades, 2, Applicant shall be responsible for all damages to county road right of way. @'J!\\f1rT:lml.@'I{Qll\ :.,<,.';!'V"I!i,Ir.' I. lzrd ,.)i'-;!J t,.;;/t,! _t I," ~J ll.l In accepting this permit the grantee, his successors nnd Assigns, agree Ihat allY d.lmage or injury done to the property of the grantee or any expense incurred by him through the opcrution of a contractor, working for the ('oullty or any County employee shall be at the sole expense of the grantee. his SUCCCS.'iors and assigns. -Jf Its: tU,/. and conditions as herein set forth. Dated this * 2.0 day of-V:-' . the undersigncd.llcrchy aceep!s this permit subject to the terms ./Mrc4 ,19~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Ft:e Paid_ Yes _ No 1820 Jetferson Streel P.O. Box 1220 PorI Townsend, WA 98368 (206) 385.9160 II.ro:iplNo. Address f{equest_ Yes_No Mile Po~l APPLICATION FOn l'EnMI'I' To Department of Public Works, Jefferson County, Washington. tI S IVc sf- for permission /0 I /J..c t!!- /7"" I"sh If, ;r;rf/, sri", The undersigned hereby appl ]-/Fff"l )wmt g",rvrce wr,,,<- I',.,~ t~r"IN,1 1:?'ltJ &'..j /,11'/,/11'11111 ..,lIl/""rll>t'}lIl/y "hullt.. ",,11t'1 tullll} "f ~ rOA..t, co.I,..." 8",1' ft c.k,/o"'''r'> r/-. e.!:rsh"j c!r:rv~v1 SKETCH: t.1>rk ,4...r:,r 'S' '1-7.,3 5".~ C< 1/"",/"/ RECEIVED MAR 14 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT all Coumy Road: j.ka1:~ &>,y frI/ between /Sf(lIt'lIffl'..I'<.mll-\/'..../n'mi/t'l'oil/f} and ag'ee~ to do the work ill accordance with your rules and regulations alld subject to your inspection and approval. Dale 3 -/ '5 19~ ~~*'" ~ .6'"",(&.- IConlractor) ISi8rl~lllrC of Arflljc~ncl (If applicanl is a copartnership. set forth n;lInes of copartnefs) b7.<' a4rrL_ (/ ~ ,1~...k~ tV#' '7fr3't'2 ""~7- y<'1 Z. "" Addrc\lo Addfe!\.\ Phone No. 100% Recycled Paper 1)IJOne No. .-"'~ Jcffcrson Co. Dis/ric/ No. nEJ>AHTMENT 01' l'UIlLlC WORKS SUfJcrvisor9s RC,JCJrt No. Superllisor will make detailed report with hi\' recommendatioll 011 this application. ~Vhelleller possible show sketch of proposed work. Supervisor will also make additiollal reports and filial report gilling date of completion of work on this form. Permit No, 099.,( Preliminary H:eport: Da~.e;)f ~.._ ~ l' r,' ~ Fim!l. Reportf.~ .. ~} ~~.) :.~2~ ~~.;: / PERMIT}NSPECTION REPORT f / W~r:k'co~er;~,t~y permit has been completed .., ~ 1 Ci ;~_~~~~f~~t~rjl1{.~ :" i:l j, ., ..", \york:I~.J:l9t.C.o~~!et~d-. Recommend permit be cancelled. Traffic control - adequate - inadequate Signed: REMARKS DOle: t.,-/O-?; I Sl~n<d:~'- 0'- L ....."" ,; ,.,' ".', -:- " " , , ',' " '.' ",'::"'" '",,' , , ' "",' "",,' '.. '" ,,', '. ": ." :, ,', ,,'" ,'-,.... ~," '" '.': "", ~'(I.:l....~';-:! ,-,;, ((. {.-:. "(II 'r" .-m II III NO U=7~,- COmpletO by ,---' ,. PERMIT 1-/3 , '..' , " i '. " j '..., ..,.,.. : ,. ,'. '-, " .....". .,: .1' ',< I I.;. " , I. ". I:' ...' ,.'.' Burfed S8rvloe Wlr. - Wol1t Order @ ~ North--' IlelDUT IN WO~K LOCA!ION II D r;) J. ACIdt~ri;9-3,Lb ~Qw ...,-~' f:__--- CIlIl_!~~:L~~, COUnty ~UL._..." Slala ,W) NamD. ,.--,.---.,-'" ,._--,,--,"--- - ORlGINA1E08Y _iQ.~~~--. ,_ Oala J.:IQ:J9 New CiJ SIO No,lL15.15.~ ~i_ OU8 08.1 $.:..(;;>-W Aspalr 0 Tel. NO. _._", ... -. TlmDOrll~ Re."ange 05/0 No, ,_---- Du. Oa.. -.- -- Ty~~f s."'~'E~:bolo"i~,[1z-T;;., -~ ~[!Q;t~ ov"~it~kl~ '~..:J . ._'.~'--O;;;;;;;;W;;----' ~~=~:t~~- '.o;;\l~ \J1:::.J:i:~.&J~:&~~' ,,"-- .I.c.,:;"- ~'.o,...c.a...c-~ ,- .JYlP.Y'l':.l:.d.. ,_---f-.,' . ," ,-- COHTAACTO~'S ACCEPTANCE Flrm_-",.,--"'-' ..,-' ,...--.' ,---"." Slgnaluro__,_,- ,- ---. --'- ..- Tille _--,-..,-,--_.,--_. Oato .' ' ,---- Unit P,lel 0 co.t "UI 0 Fl.' Sum 0 S ,-,.'" " ",' , "".' . " BIIIIO PACIFIC NORTHWEST liELl AUenllon -' ,. ,. - ,,- -' .""" ,... Add'sl8-- ,-,-'-- ---' ,---,," -",--" Cl'Y- .. ,___._" ,__ZIIl_ ,.,-"-'-' APPROVAL Fo. na, Sum/Con PI'" S ,." ' -- .---- . Recommeno.d _.._' . __' ",___,,_ Oa", ,.-' Approv.dby _'_.' _, ..__"' -- ,Cale --' - PEAMITREOUIREO 0 Va. 0 No Rec.lvldlrom- . ,. .._""_'. __Ve.bAIO Juri.dlcliOn ___ __' No, __ O.tl, --" . " > >. .. COMPLETEC BY ,_..._____,_'_., " -" Cllt -' -'-- C111l___,._ ,._____' _'0' s.<Ylc. Connection L .:' ..,--,-- -.' . ..--. - ~-= "--"'-,~' .--' '-:-:-:~~.'~~JS-- f--"- ---' .-'---' .' ' t/::~~ e '=1f:~[~;i5i~ -~,~ ,-- --.-:: ','." ~,-----'--"-'--- " I s,oltch Work """,Irod' Include LlIIIQln., IMp,"" wlr. ,I.. and .moun\ V"" . '.....' tfrA Afr fi?,' ' ' , , ' . ~' ' . ' r-~ ... ':' oj, ' ' . ,., , &'>\ ~('" rlf', r~ l? ~ '1.0 , oli-,. .. - ---~ ~, ,-~~-, [: ., i~ J, I~w: '8 '~ ~ y'''''''- ~.......... ,1.(' ' , " ' , f .)I~' 1/'01'1 :D ,- ' ;---..' ---' ,,----- Indicat. NOlin .5 :~'~~i< tV " i p' ,,'-' t, , ' " :, I'., I~I A' '5J'A"[P""" . """ "~". . .' .., ...... .' .' ".""~' 'c:--- 'J'~~ ' ",."", o<!. ' , ' ' ' D-~+-O,..o:'V.qtJ"'-("). '9-a-:", ", " 1h:. ...,~,;;;;;.~-;,;;.;; ~;;-;; <u,.,.',;.~~;;;,-;i';;;;-;;;-"-";;;""; ;-.-,;..:;;; ,';; ;;,..;~;;;.-.-;~;-;;;:;:m;-;;;;;-';;;-... -';~~l.:';';;""';'- I : ,.'''' '" " .. " :, " , ' " :' .- :'lI !" , , '", ,'" ~~i...:. . ,... LC:"~~':':"': ,." " "", ,... "", ',', ,,' " .",:..., , ,'"..." ". :', ,,' ' , ..:' .' .'. "'> , ..'"..' : ',' , ,,'..: '., ..' .... , ~ .,... '. . :........:. , " ...'.. ',', " : ,,'. , ,'..., ':..,"'':'};;:,.' , ',' ": , " , ',,' .: ""to ;' :, " I: 1\, ONOINA~ CO,y . .' ...'.: ,:. . ,"',,' ::" : '. ",," , ~l~fi~~1,'" ",,' ,,',:: ", .' .;..',. ;' . ,." ...::' . <', \', , .' ',. ,:', ,",' :,:," '.' " "",','" ',' I; ',' L" i"::" '",;. h.',":" ;: ':',,:' ". ,., . I,':. " l,' ",:,,:" ' " I, ',. I, I< .' - ,,' : ' ' I" '. i..' .-01 I, \ ,'i , , ';:," " " " , ", , '. ,:" , , .: ,~".,... \ --'~,~, ;-w'i1 '~'r/>'K"jt ""~~'7- ff),W"C\ v '~' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Je"erson Street P.O. Box. 1220 Poll Townsend, WA 98368 (206)385-9160 N~ 0964 Districl 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 HEREIlY GRANTED TO Jefferson County P,U ,D, III P,O. Box 929, Hadlock, WA 9B339 to Install a lit service connection/meter to 191 Otto Street at mile post 0.20. County Road No, 688319 Franchise No, Milepost 0,20 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 February 17 ,19,90 Datcd at February 17 , 19 89 &~~~@wram IlY~~~ 1.800.424.5555 GENERAL I'HOVISIONS AI'I'L1CAIlLE TO ALL l'EHMITS This permit issubjcct to all <lpplicahlc provisions of Ihe Hcviscll COOes of Wil~hjngl(Jn. except that ;lilY provbiuII in liJi~ agreement nol t:tJmi\lC:rll will] such resolution shall be controlHng. A bOlld ill the amount of $ is rCl/uircu for the protectioll of the CUullt)' a... set fonh ill 1111: (crrns of the bond. During the progress of the work such barriers shall he crCl.:tcu and Illailllaillcllus ilia)' be Ilcccs~ry or <1.\ mOl}' he directed for the protection of the traveling public; the barriers shall be properly lighted 011 night. In accepting this pcrmillhc IlClitioller, Ilis SUCCcs.\ors and assiglls. agrees to protCl:( Jcfrcr!lcl/l COUlll}' aru.J save it harmless frurn all c1ajrm, actions afld damages of eVer}' kind and description which may accrue to Of be suffered by :my person ur l>crMllIS, corpor:ltio/lur property by re<lSUrI of the perfor' mance of tiny such work, character of materials used or manncr of installation, lIlailltcnance anJ operation or hythe improper occupancy of right of wtly or public place or public struclUre, and ill case any suil or action is bruught :lgaillSt said Jefferson County for damages arising out of or by reasoll of allY of the above causes, thc fJCtitioner. his successors or assigns, will UpOll norice to him or IIlelll of commenccment of such action, defend lile sallie at his or their own sole cost and expense anJ will satillfy allY judglllelll uftcr the said suit or action shall have finally bce/l determined if adverse to the Jef. ferson County, Except as herein authorized. no excavation shall he made or obstacle placed within the limits of a coullly road ill sUl;h a manlier as to interfere wilh the travel over said road. Except as herein aUlhorized, flO excavation .~halJ be made or obstacle placed wi,llill four 14l feet of the edge of the pavement. If the work done under this permit inlerferes in uny way with thedraillage of the County ruad, lhe gralltee sllall Wholly and <it his u.....1l CXPCf1;,C rna~c such provision as (he engineer may direct to take care of said druinuge. On completion of said work herein contemplated all ruhbish and debris shall be illllllcdiately reUHH'l',j and the roadway am.! roadside shall be left neat and presentable and satisfactory to (he engineer. All of the work herein contemplated shall be done under the supervision and to the Satillfactioll of the CoullIY Engineer and the entire expense of said supervision shall be borne by the party or partics 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 permil at any time, said Change or removal to be made at the sole expense of the p:lrty or parties to whom this permit is issued, or their SUCCcssors and ::lssigns, All such changes, reconstruction or relocation by the grantees shall be done ill such manner as will cause the least illlerference with any of the Coun. ty wClrk and the County of Jefferson shall in no .....ise he held li:lble for allY damage to the gralllee by reason of any such work by the COUnty of Jeffer. son, it agenls or reprc!tematives. or by the exercise of any rights by the CoulllY upon mads. streets, public plul;cs or slructures in question. This permit or privilege shall nO! be deemed or held to he an exclusive one and !>hall not prohibit the COUllty from granting other permits or franchise rights of like or other nature to other public or pflVate utilities,llor shall it pre\'entlhe ('oul1lY from using any of its roads. Mreets. or puhlic places. or af. feet its right to full supervision and control over all or any pan of them, none of which is hereh}.' surrendered. The Department or Puhlic Works may revoke. amend or cancel this permit or <Iny of Ihe provisioll!; thereof at .my time by giving wriuen notice to the permitlee. The permittce shall immediatcly remove ull facilities from the right uf W:lY, Any facilities remaining upon the righl of way 30 days after writ- ten notice of cancellation shall be removed by the COUnty at the cxpcme of the pcrmillee. The party or panics to whom this permit is h;sued shall maintain at his or Iheir snle expense the strtlCturc or ohject for which this permit is grunted in a condition satisfactory to thc Dep.lf(ment of Public Works. SPECIAL PROVISIONS: 1, Applicant shall ,be responsible for all damages to County road right-of-way, l') . :-~..t In nccepting this permit the grantec, his successors and assigns, agree that any dumage or injury done to the propcrty of the grantee or any cxpensc incurred by him through the operation of il contractor. working for the County or any County employee shall be .11 the sore expense of the grantce, his successors and assigns. 4'- J"'eRer.f'8vI. ~/1.~ fuD #/ and conditions as hcrein set forth. Daled 'hi'''"' Z2..I<\J dnyor!l: fe6rual'lj . the undersigned, hereby acccpts this permit subjecl 10 the terms ,19*n ~ ^f1l'lil:llIl1 1820 Jellerson Streel PO. Box 1220 Port Townsend, WA 98368 (206)385'9160 Fee paidL Yes --:- No./. ,.,.:5"r': .;_' :n 'T/~ ~;..' 7 ,;" 1--/;;;:,f/ 1(CU:lpt ,,",0. ~",:;J JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS AddrclOS ReqUe5I_ Yes _ No Mile PU'>I Al'I'L1CATlON 1'01{ l'EIlMIT To Department of Public Works, Jefferson County, Washington. The undersigned JEFFERSON COUNTY PUD #1 hereby app/~ for permission (0 INSTALL AI" \IATER SERVICE CONNECTION/METER, TAPPING FRON (,If/filiI/lilt 1\,11 '/....I'li/...filll}' ...11ll111I' ""l\h..~ It! 11/1 J A 10" PVC MAIN AND USING AN EXISTING ROAD BORE CONDUIT AT 211 OTTO STREET, TO SERVE A PROPERTY AT,191 OTTO STREET GLEN COVE INDUSTRIAL PARK. PLOT PLAN ATTACHED, (to serve Burton Bell property) SKETCH: RECEIVED FEa 1 3 1989 JEFFERSO ' PUBLIC wo~~~~~J+ On County Road: beH1.'eell rSIaW/lO'tJ'O'Io/rru\\',I/rfl'/IJflllil..plliJ//J alld agree~ to do the work in accordance with your rules alld regulatiolls alld subject 10 your illspection and approval. FEBRUARY 10 Date 19~ SH(llJ EXCAVATING PUD #1 OF JEFFERSON ImJll1lV Al"l"lical\lf (CIll\lrac\Orl (If applicant is Il cnpunncrship. set fonh names of copartners) P. 0, BOX 929 AlldrcMo ^.hlfC~~ HADLOCK, \VA 99339 38S-SOCO . '" ,,';,,' --'----".---'-, Jefferson Co. District No, L ))EPARTMENT 01<' PUBLIC WORKS Permit No, 096 <f Supcr'Visor's Ilcport No. Supervisor will make detailed report with his recommendation on this applicatio/l. IYhenever possible show sketch of proposed work, Supervisor will alm make additional reporls anti final report gil1ing date of completion of work on this form. Preliminary Ileport: Orr-c S'/l ""'1" O,zc. .e)(\'5rlN~ C"",t:>",-.+ +0 ii\e.....Hb, '"b "r7:H'J () I'/-R.A> 1> .. +"'4 ?HJ~ ~I/-~ j;L.., ?A-Je-p R.,\), '-1 .. ~ ~;: Dale: 7 - 1I-,a},L Signed: .x1 -cJT I(~ Final Report.: PERM~ECTION REPORT Work covered by permit has been completed satisfactorily. Work is not completed. Recommend permit be cancelled. Traffic control.. adequate .. inadequate REMARKS Dale: '--\-\\-16~ SI~ned: ~j~ K~ fll.\'MI'I('I'"I"ojlt:"s.,,(', / '-/ SHORT PLAT township 30 north, range , WEST , w m, washington, TRI/NACATEO CONCReTe MON, 6:WITII.BR/lSS T.AB, REP'<:AC/A/G WOOO POsT /N ROCK CAIRN, ~ /7 ~ 'I//;ml"W N880/4'40'fVZ&39.05 ~ 2':1~/,77.?';~ I 207.34 ~ ~~ I () 0 O'<}l;:j Kj ~, & : .30 ~ ~ l1.: If'J''' ~LJ~ ~~~~ ~~ E~/ ~ ~~<o~ ~ '!J ~ ~ "'j2 ~ ,:or ~"'1d:r '- -i0~;;=~;;";;;~;~ ~ ~_, ~ ~ /~ .. C> ~ ~ ~ - --- ~1 ~ 3i: It\ ~ , I f. , I f I ~. '.. ',- ~ ,', "'; ," ". , ""''''-,,. " ;i,', ~': " .: :_'>i " " . -."~"" ..; ,,', \",:',,',/ -;",.. i ,",'. LOT 4- 0.7,2 ACRES ~ ~ '- Q(1Sr11JG CO^"l)l,IIT wj I_I" S~V'CG :;z J 1 0 Tro .s r ... :; I~ ~ !I ~- ~ ~ '- LOT 3 0,90 .4CRES- C,ljDlL/lC /V1creRS ~ ~ t::: ~ (J': l{) ~ ---" - ---,(~C!:!.S,-,:::~cAScMENr AReA '8" I ~ N/80/44o':!: 23329 -- /", , , '" , , o;',p' ,..' , :' -: ,:, I: '.;;.,: t ~:, t' ~ r (, .f; .' '" !~. .' ;:~ ' ';;" t ':,: , "", : :" ::':: : ' ,',;,:, ," "", , , , '" , '" " ,:' ,'.".' i' " , I:, , , I; , , ,... " , ,,'.' .. I, -', i",'.' I 1",L :"" ":,:., '. ",'-: (::' . ' Ii,' : , " ':' \ Disl riel No, 6 ~~~ ,~>p-? rt<r" ,{. -: \.:.....;..:.:...:.......:..:...--.:.._.- JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jerlarson Stnlel P.O. Box 1220 Pori Townsend, WA 98368 (206)385-9160 /N,~ N~ 0859 PERMIT In accordance with all applicable Revised Codes of Washington and amcmhncms thereto, and subjecl to all the terms, condi- tions and provisions written or printed below or on allY part of this form PERMISSION IS HEREBY GRANTED TO PacLfLc Northwest BelL to InstaLL a burLed cabLe from JunctLon Box at Otl:o SI:, to 2'11 Setoni1Rd, along the north sLde of Seton Rd, Job, # 88-279 County Road No, 6860 19 Franchise No, Milepost 0, 10 'to 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 uniess the work herein contemplated shall have been completed before Aug, 25 , i9 89 Dated a(.August 25 ,1988 ,~ J,re CALL 48 HOURS BEFORE YOU OIG 1.800.424.5555 . , Y' ',',' ':, " , :,; ",' ,.', ,.' " " ,,' " ' " , &~~~@W[8ID By ;.d~ K~ , ..',' .. ,: "" ',~ ," .,' ,', , ' , , ' ," i, "'",', , Ii " ". : , ',: " " 1 ': " \; , '"., ", ,:", ",:~ .. ! i ,-' ':,' ", ':", ,",",', '," ,',.' ',,' " , ," ,", ", I ' ~. .", ",' ".. ',',' .,', , " .,.,: ':,' ': "',,, ',' , ',-.J,i. " ., "" '.:' , - !I GENEIlAL l'Il0VISIONS AI'I'UCAIlU: TO ALL PERMITS This permit is subject to all appJicublc pruvisions of the Revised (,<x1c~ of Wa~hjngtoll.l:~CCpllhall..lny provbioll illlhis agrt:cfl1l."nt not comiSlcll1 wilh such resolution shall be conlroUillg. A bond ill the umoul1l of $ is rClIuircll for the prOlcctioll of the county a.. set forth in Ihl.: tcrrns of thl.' bond. During the progress of the work such barriers shall be crcclcl1 untlllluinlaincd as may be llcccs~ry or as ilia)' he directed for lhe PWU:CllUIl of the traveling public; the barners shall he properly lighted at night. In accepting this pcrmillhc petitioner, his succc!.sors alld ussiglls. agrees to protect JcfferMJlI COUIlt}' am.! save it halrnlc~s fwm all claims. actiolls and damages of every kind unll dC!iCription which may accrue 10 or he suffered by :Illy persoll or persolls, corporatioll or pro~rt)' O}' rea SO/I of the perfor. mance of any such work, character of malerials u,!,cd or 1Il..lI\ller of installation. maintenance and operation or by the improper occupancy of right of way or public place or public structure, amI in cuse allY suit or action is brought against said Jefferson Coullt)' for damages uri~ing out of or by rca"oll of any of the above causes. the petitioner, his successors or a'!'signs, will upon notice 10 him or them of cornmcru.:elllcnt of such action, defend the ~rlll.: at his or their own sole cost and expense und will satisfy allY judgmellt after the said suit or actioll shall have finally been determined if udvcrse to the Jd. ferson County. Except as herein authori:led, no excavation shall be made or obstacle placed within the limits of a county road in sLlch a manm:r as tel interfere with the travel over said road, Except as herein authorized, no excavation shall be lIIade or ubstacle placed within four (41 feCI of thc edge of the pavemcnt. If the work dOlle umIer this permit interferes in allY way with the drainage of tile county road, the grantee shall wholl}' and at hh own expense make such provision as the engineer may direct to take care of said drainage. On completion of said work herein COtllempl<llcd <lJ) ruhbish <Iud !kbris shall he immcd;:HeJy rctlllH'co and 11Ic {{><ldwny ':1110 roadside s/Jall be Jefl neat and presentable and satisfactory to Ihe engineer. All of the work herein contemplated shall be done under the supervision and to the satisfactiol} of the COUIllY Engineer and the entire ex [)i'1l!,C of !iail.L --. supervision shall be borne by the partY'or parties to whom this permit is issued. The Department of l'ublic Works hereby reserves the right to order (he change {If locuti\JlI or tllC removal-of any structure or structures authorizcd by this pcrmil at any time, said changc or removal 10 be made at the sole expcnsc of the pany or panics to WhOllllhis permit is i!>sued, or their SUCCCS!iors .' and assigns, All such changes, reconstruction or relocation by Ihe grantees shall be done in such manner as will cause the least interferellce with any of the Coun- ty work and the COUnty of Jefferson shall in no wise be held liable for allY damage to the grantee hy reason of any such work by the Count}' of Jeffer' son. it agents or represcmath'es, or by the exercise of any rights by the County L1pon roads, slreets. public places or structures in question. This permit or privilege shall not be dcemed or held to be an exclusive olle and shall not prohibit the CoulllY from 1\ranting other permits or franchise rights of like or other nature to other public or private utilities, lIor shall it 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 part of Ihem, none of which is hereby surrendered. The Department of J'ublic Works may revoke. amend or cancel this permit or any of the provisions thereof at uny time by giving written 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 duysafter writ. ten notice of cancellation shall be removed by the County ilt the expense of the permittee. The party or parties to whom this permit is issued shalllllaintain ut his or their sole expense thc structure or object for which this permit is gra11led in a condition s31isfactory 10 the Department of Public Works. SPECIAL PROVISIONS: 1, No open cutttng of paved roads (Otto St,) wtll be alLowed 2, A condutt shall be tnstalled a mtntmum of 30" below the extstLng roadway dLtches. :3.... ALL dLsturbed areas shall be restored to orLgLnal . (ii'~';i~i'J~ulfton, In accepting this permit the grantee, his successors and assigns, agree that any damage or injury donc to the property of the grantee or an}' expense incurred by him through the operation of a contractor, working for Ihe County or any County employee shall be at the sole expense of the grnntee, his sacce"ors and assisnsPAClflC NORTHWEST BELL , the undersigned. herdl)' Ilccepts this permil subject to the terms and conditIOns as herein set forth _ -.L Dated I"IS 0 J d,1Y of ~ u,tJT , 19 t.I~N~GER , & t.I ORWE 2720 OM\GRE\~~~ W~ gS'36'l PORT M~ ' \ ..', r?y 1,\'w.'1:jf", ,'I "'::-Y~"1~~~, ,~~:" Y<~:r-\ ~;--... JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Streel P.O. Box 1220 Porf Townsend, WA 98368 (206) 385.9160 N~ 0943 Districl No, 6 PERMIT _1 ~;:',',:;2~~il~{ In accordance with all applicable Revised Codes of Washington and amendments tJlCrclo, and subject to alllhc terms. condi- tions and provisions wriuen or printed below or on any parI of this form PERMISSION IS HEREBY GRANTED TO u, S, West Communica tions 2720 Oakridge Dr" Port Angeles, WA 98362 to Install underground cable along Otto Street from mile post 0,35 to mile post 0.36 along and across Seton Road. County Road No, 688319 Milepost Franchise No, 0"35 to 0,36 No work shall be done under this permit until the party or parties to whom it is granted shaJl have communicated with and received instructions from This permit shall be void unless the work herein conlemplaled shall have bcen completed before January 24 Dated at January 24 , 19 89 .1990 ~~~~~W[EID] By A~ K~ 1-800-424-5555 . __, ._ h.;.....__._.,__ :_._ _ '_;~. '_h~'''::._:''''_~~_-' GENEltAL I'I{OVISIONS AI'I'UCAIILE TO ALl. l'EltMITS This permit is subject to all applicublc provbions of lhe Revised Cwes of Washing toll, exccpllhat any llrovi~ioll in this agreemcnt not CUIlSI~tellt with such resolution shall be controlling. A bond in the amount of $ is re4uircd for the prutcclioll of the county as sct forth ill the terllls of Ihe bcllld. During the progress of Ihe work such barriers shall be erccled aud lllainlailled as lIlay be llccessary or as /lIa~' be directcd for Ihe protcction of ttic Iravding public; the barriers shull be properly lightcd atllighl. In accepting this permil the petitioner, Ilis successors ulld assigns. agrees 10 protect Jefferson COUlllY and save it harmless frolll all claims. actions and damages of every kind and descriplion which may accrue to or be suffered by any person or persons, corporation or property by rca~n of Ihe petfor. mance of any such work. character of materials usell or manner of installation. maintenance and operation or by the improper occupanc~' of right of way or public place or public structure, and in ca!)C any suil or action is brought against !laid Jefferson County for damages arising out of or by reaMlIl of any of the above causes, the [JCtitioner, his SUCCC.'i.\OfS or as~igns, will upon notice to him or them of comlllenccment of ~Udl action, tJcfeud the same at his or their own sole cost and expense and will satisfy any judgment after the said suit or action shall havc finally been deterrllillcd if ad\'erse to the Jef. ferson Coullty. Except as herein authori/.ed, no cxcavation shall be maue or obstaclc placed within the limits of a county mall in such a manllcr as 10 interferc with the travel over said road. Except as herein authorized, no excavation shall he malic or ubstacle placed within four I.H fCl't of the edge I)f the IJ.I\'ClllCIII. If the work done under this permit interfercs in any way with the drainage of the Coullt~' road, the grantee shall wholly and at his own CXpl:nse make such provision as thc cngineer may direct 10 take care of said tJrairwge. On completion of said work herein contcmplated all ruhhish and debris shall be imHlcdilJCcly rCIn{J\'cd IJIlU Iht.' mmJwuy and madside shall he left Ileal and presentable and satisfactory to the engineer. All of the work herein contemplatell shall be donc under the supervision and 10 the satisfaction of the Coumy Engineer and the entire e),pensc of said supervision shall be bornc by the pany 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 slluctures authorized by this permit at any time, said change or removal to be made at the sole expense of Ihe party ur parties to whom this permit is is!lucd. or their s.uccessors 'and assigns. 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 County of Jefferson shall in no wise be held liable for any damage to the grantee by reason of any such work by the Coullty of Jeffer- son, it agcnts or representatives, or by the exercise of any rights by the CoulllY upon roads, streets, public places or structures in question. This permit or privilege shall not be decmed or held to be an exclu!live one and stlallnot prohibit the County from granting other permits or franchisc rights of like or other nature to othcr public or privatc utilities, nor ~hall it prevent thc Coullty from using any of its ro.ads. streets. or public placc~, ur af. feet its right to full supervision and control over all or any part of them. none of which is herchy surrendered. Thc Department of Public Works ma~' revoke. amend or cancel this permit or any of the proviSions Ihereofat any time by giving written noticc to the permittee. The permittee shall immediately remove all facilities from the right of way. Any facilities renwinlng upon the right of way 30 duys after writ- ten notice of cancellation shall be removed by the County at the expense of the permittee. The party or pallies to whonlthis permit is is!itled shallmailllain at hisor their sole expense the structure or object for which this permit is granted in a condition satisfactory to the Dcpalllllent of Public Works. SPECIAL PROVISIONS: 1. Cable shall be installed a minimum of 30" below existing ditches, 2. ,Ald "'~:'~~"Sf;"f~.t~~~~,~d during construction shall be restored to original condition. "''J!l;i,q)j",lpH'l1 ,\ i;, H'~~; \~'/H q/:H':~~~ ;~t "~."...:.,~, l; \." .du i.J bln,i In accepting this permit the grantec, his !lUcccssors and assigns, agrce thai any d:lmilge or injury done to the propellY of the grantee or any expense incurred by him through the operation of a contractor, working for the County or any COUlllY employee shall be at the sole expensc of the grantee. his successors and assigns. -Jt t(5; /VeST and conditions as herein set fOllh. D:lIed this'* 2-6 day ot/.- , the uwJcrsit;lled, herchy accepts this permit subject to the terms (7;.",_ , 19.1;?9 , "', ','-','",,' ,',,-," ",.':,'" ;- .',~.,.~:._I,.;..~~,:.....:~,:.-~--.-:.~~~.- \ \'Y "1:Y'rt;}; ~,r~~'f+ ~" ft~),,'w:'-~" .0.-""'11' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Fee Paid_ Yes _ No 1820 Jetferson Streel P.O. Box 1220 PorI Townsend, WA 98368 (206) 385-9160 R<<.eipt No. Address Request _ Yes _ No Mile Post AI'I'UCATION FOH I'EHMIT P...l/'/>""'~~{- "r. -/.!: ;::r:1~'i:?h17 To Department of Public Works, Jefferson County. Washington, The undersigned t/ 5:" hereby app/~ lor permission to UJ1/er ()!fo i 6av/; S;Jt ~I ;:>nv~""Mt. tv" 51- /Iv(c~ IrdM 1/~t::,';:,~"(rllw-'U~~'J""'"~/l)J,,~KIS/;~ CQ"AII 10 5""fv" 1/'",,", C:"$r 'fn/ cro>> ;;..A" ../ ~/ SKETCH: '5"''''' ",,#=,t~/ /drk a-~r Y7- 2..6 RECEIVED JAN 2 3 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT. On Coumy Road: ~ft" c,< t?m bet~,'eel1 (SIQI~lIl"<1""'t'm\\'_\lr"'" ",,,,ill'flIIIIIlJ and agree~ to do the work ill accordance with your rules and regulations and subject 10 your inspectioll and approval. Dale /- 20 19~ A>kc: .?'.z"'" /7,;" , A',.""/,/,,... IContractml ISillOutur~ uf ^l.plicillll (If applicant is a copartnership, set fOrlh names of copartnersl b', -2:lZ.(? a krl9' ^ddr~!<o-\ J1I ~k ;;/-4 Phone No, q~z.-f"'lZ'l ^ll<lr~\.' ":-"._~-'... -'_:._. _.~-"":~":""":""~_':':'..:"'__.' .....:....:.....:., ~ .....::....::..,,-'..:... ~._..: JcI'fcrsolt.- Cu. DEl'AnTMENT OF I'UHLlC wonKS Dislrict No, Permit No, IJ 9L{'? SUIJenisor's UC)Jorl No. Supervisor will make detailed report with his recommendation all this application JVhenever possible !Jhow sketch of proposed work. Supervisor will also make additional reports allll final report giving date of-rompletion of work 011 this form. Preliminary Report: O:1'\-<:> ~.-. S.^",,<:> ".".\>' ......._~_ Q,}S'" I-c o.3{, O:\-t..'<\- A-N\':, 5,1\-<>....<..<:>ell.:> I <2.",;0r-""'1 C () N \)--tt--r Dale: ' Final Report: PERMIT INSPECTION REPORT ~ Work covered by permit has been completed satisfactorily. . I ~ Signed: Work is nol completed. Recommend permit be cancelled. Traffic control - adequate - inadequale REMARKS Uale: 1 ~) 1, -'8.'7 SI~ned: 'i; , ,,!;;;ctiY'; ,,'.. "ERM'f~ ?>iY (!;'I;,:/ OUT ,-,~2-D __ H> i'iT~i/' WOAKlOCATlON IN ___ _ ) AddrfiJ1~hr,~ 12./ "i,\ ~~~~~~..:...c/}...r"'SlalC~. .i ;,-".., " :',' I tl , '-:-.~ , .' , ", ,',,' " . .".i.' '. ,,', , f' ',.,. p": ,."..' '.' ", ,',.."", i.. "".. , , '"" ,,::,' . ;, (';, , .' '.. I:': .'.,' L :~,: ".' .:> '," : '. .". . .,..'..,.,' ' :: ", " . , " , ,: ' '.., , , , I.L' ," ,", '," ",' " , , " , , , ,''', ::' :::.. .." I I~ \, ' ' ,'" .. . ..',.. : ,> I, :",' '", r i '..:. , . f l: J! t ,f: , I j ; i i L t ':' Oet~r;.otJon of Work R~I!~~~ Ovel111ly n-~ Z__, .7 A/..I^ '/. - ../ './ ~- '- J),,~ C-: 'r _~ .l')L./. .L.. -- ... ~ ",h, ;:,.. A ~ f"..._ 02, /\".~ ,_ r - ___ 17:;;J.;7 ....-'::7 ,.7 I ,/ '2~~ ' ./ L 7. ..,...kZ & ~~~:?:'-~ .~:~~ I ...~~. "~""~ '.,"~""'~.. ~'"j7'~T"~(> 7 .J' , ,- .c::.;,:,: ~ I n..# t...['~i;.....,,), 1- . " I" , '~~'H '11 , j,." "-9..1 ~ r' ~,'I"r"" ,.,( , &....,,,., ~ " '\l ' \-) , ORIGINATEDBY~, ~Y/..t~~ Date~ New ~ SIO No, NAJ'~, 2 C. Due Dale ..L,::,~ Repair 0 Tel, No, J.f:s.. <Y/J::a Temporized 0 RearranQl: 0 SIO No, Due Oete '. o. of Setvlee /,.e" Lr - ~!L P.!, ColorlS.P. Term. "'ddr.u i ~~~. .;...~-- , e;'/TO' .-. --_. ~-_... -' :":_--'----.. .'"-.., Burled ServIce Wire. Work Order CONTRACTOR'S ACCEPTANCE Firm Signa lure n~ ~~ Unit Prlca 0 COil Plu. 0 Flat Sum 0 $ oeaao (7,SSl No,~~ Complete by Bill 10' US WEST Communications Attenllon Addreiis C~ ~ APPROVAL For FI.t Sum/Con Plu. $ Recommendad _ Date ___ Approved by DaIs ___ PERMIT REOUIRED Received Irom Jurisdiction DYes 0 No VarOSI 0 NO'_Date_ COMPLETED BY Call , Dale__ . for S~(vrce Connection ,C't><,r<1!y InClicale North ,r. , ~'~+> IV No'o: Th'. ".'on m.. .0' ~.n "'or... ropr"M"""" ,. ." d",,,,, It '".'.,.. tho CO."'CIO". '.'0'k1""'"'. 'n p'oporty 'oe.'o \Nork In 'no nO'd, ,.. .' ORIGINAL .... .. ... .' , ", , "~, '" t..,',; , " " ,- '. ',,' '. " '" " I ',. f '.... . , ",.',: i " " ! '.'".,'..' :,' , r ! I . ..' , : r ,i , :,: ',' , ! : :'i': , ' .." "r, ii', 'H, t" AI,' PI" '. , , " ".',' '" ,,' ,: " ',.' ",.' ,', '.' " i:' ',,':, ,'. "':,,,' "'.' ." " .':',:',,:: :',,'':',' .', ,', , ' \ ' '" "~.' ':" "" :'" '," ' ",:", . ,....'...' ,'.' '-1',::,' , , " .',' ,':" ,,'\, " ,,' ",'" :;.' : . ,', :' , ",,'1 "':"""'" ".,' ".'.: '.1' - : " '.' " .. '. .... .: :','~.. .... :. "'.:':",' ':''' ..-' .. . " " ':. ". :." ".', .",' ......... .' .... ' ".,"',',.,',' : ., '.' , , .,,:' · .......'.". L I'" .,' """"" ". I','., .' ' . : .'.",.;:'.. '.' ',:, ":'.',' , ,', I ",,'" . I ,.... '.'.' ~ ',: III!li . ". ,.... ',;":'.:, "..'" ..... ':. :'. '. .. ' 0;,:r~;:?'~< . ." :. .. , :" : }::. :..: ,,:'" ", ',', ,'" . I '. . .' .... . c .: ': :: '," .> , ',;, r ;',:. .'." . "', '.' , \" it' . "J, ~. - , , :;,: ... " I;; 1 .',". COUNTY HOAD No.~9' STATE lOG N:l. MILE POST t1.3' TO.f!::i9- 9FFICE USE ONLY ..C>_" .' . PERMIT /l0. 88-/(")-5- I FRANCHISE NO. FEE PAID /Yes _No OFFICE .uS}.; ~LY .7.,.;'''f,,-../~~ 7" ;'},.-o< _ b AS:~?' JEFfERSON COUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 98368 :'.' APPLICATION FOR INSTALLATION OF IlTlLIlIES ContraC1:.0r: Applicant: Name Jefferson County PIIIl #1 Name 1 ; nrlcnoy 1;'....,...~H!'lt--i ng l.ddress 1216 22nd/Street Address P. O. Box 1331 Port TOImsend. WA 98368 Por.... 'rn\"nc::pnn \.JA Q.R~hR Phone: 385-5800 Phone: Application is hereby made for a permit to construct, operate and maintain A 'lO" h'J:lt-p.,..rn~dn ~vt-r.>ncd.....n nn f'l..t-..... C::t-r9nt ~Y"'i?m 59t9J:l Rgaa ~9'ltR 599 feet- The utility installation is located (attach map or drawing) (AttAched ) 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 fonn and any special provisions attached hereto. Appl icant Signature: /2. /J A In. -'If; . /J- ~ L-,~, -1 1///// ///////1/1111 / 1//1/1/1 111//1 PER M I T ~WIO)OO~~.\EOI Subject to the following terms and conditions, PERMISSION IS HEREBylGRA~T~D to Applicant to construct. operate and maintain ~ti1ity facilities as req~estedabove." Date: 10/4/88 This permit is conditioned upon Applicant's compliance with Jefferson Co~nty 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 ~nder this permit until the Applicant has received instructions to proceed from' , telephone APPROVED BY: .--<I ..,.-U- ;(~fL.o4 . 0 NOTE SPECIAL PROVISIONS Ot! REVERSE I / / / I / / / / / I / ( / I 1/1 I / I I I 1// I I / I I ! 1/1 I I I I I / / I I PERMIT INSPECTION p.~ ~Work covered by permit has been completed satisfactorilY: _ Work is not completed. _ Recommend permit be cancelled. _ Traffic control_adequate; ___inadequate. REMARKS: INSPECTEO BY: f\,..~ K~ Date: ~,...,ae'''' C /.1.#& .>.' '. ~ ~ rCALL :"'1 ' ~.; ., BEFORE ' ~. _ YOU DIG ~~. r.lt. tl. @ ~.~ 1-800-424-5555 Date: <.(-\\-+A Glen Cove - Clar~nce Lammers Main Extension . . .p ,-,' , .' . . ..~., I '! .' ......>.. i i. .: ...... '..' ""'. ..... . .......:. . ........ .. ..' ..... . , l'. ........~.. , .,::.' .' . ' ',', , ':. .... '. .. " ". ::: . i............ i. :. '..' .... ... I ' '. ,". ',. "", ,,' .... .... .... '.... I ~~ ' . " ..... .. . '. ." .' ". ',... ......... , "" . .:: ,..<.....' " . .- . . '>':" :- . :,,' .'"..' . . .... .". . ..' . ,c. ..,:" ,".',' , .' ,:.: .:, ': , .. '. ":.:.: , ;' : , .' . .'. '.' '.:' ,'. : " ,'..: " " .::..;: . ,.':: . .... .', . ". .' ': ,.: , .> .1.... ----I. , Ceneral Pro'~hfo", pt!r Jefferson Count}' Ordl ! 2-81 and ....AC I J6.~O. 1. All ....ark done under said (r"nchise shall b.: dOlle In 4 thorough and ",ork-man:lke maMer. In the Illyl"? of unCer'ilr<,Hmd plpelln~~ and C4:l1e\ and the (OnHruclfon of olh~,. facilities oJnd the opening of trenches, the ll,lnnt!llng under ,"ount)' rOdds. r1qht"-uf-W4'f or ether (o..nt, ~ro~ertlo!s. lhe gr.sntec shall 1("-'IIe SUCh trenches, ditChes and lunneh In such oS 'Will as to interfere u little cIS poulble with publtc trot...el and $h.lIl tile .11 due .'11;1 fleeeH""'1 prec4utions to quanJ the u,me SO thH (laru<;e or Injury Sh411 not occur 0'- ol.rhe by rell\on of 'Such wor'oli and "'''ere 4nl of such venel-n. ditches (u" tunnels arc left open lit night. the grantee \h411 place ","rnin'] II'JhU ilnd barrtc4dcs dl suCh" pu~ltton 4\ :0 gh~ 4C::tquo!ltl:: .Hn1r,,~ 0' Such ...or~. The l}r4ntce Sh411 be 1 t<lole (or 'lilY inju..y to person or persons or d~m~gc to property su\t.sined th..ou'll'! Its C4rt:I"Hr>eu 0" neglect. or through 4ny f"f1ure or neglect to properly gyard or ghc .....l,.nln<j of any trench~s. ditches or tunnels dvg 01" mollnuillt:d by the !jrolntt!e. z. rt'n: grantee. Its successorl or usil]ns. shall cQl!l'1ence construction under such permit gr4nted oy the County ["'llncer ...ithtn the tirr.e period suted 1.1 such permit and shall have completed o1nd ho1'JC In opl!r,1tton such ponlon of lhe S15tt:m of tmpro~emcnts .IS fTl4Y hI.! specified In such perl'llit or the ri"ihtS t.~~reln conferred upon the gNntee shall cedS\.! 4I1d tcrmlno1te Insofo1r ,1'5 unoccuplt:d strt:cU. roacs, etc.. <Ire concerned. ). The grantee shall lea'lt all streets. a'lcnues. alleys. rOo1d... hlqh....a1s. rlghts-of-...",y and other county properties. .fter l.ylng .nd il1'it.lllng m.ltns .n~ doing construction 'oIQrk, 1'l4klng rep4irs to I!quf~nt. etc.. In 015 good .l1d sdfe cOl1dltton in all respects <is thet "ere bt:fore t~e ClYl"el'lce- /T'Ioent of such wOrk by the gr.ntee. its 4qents or contractors, 4f1d 0111 recorded monu'oents ",hlch ho1ve been disturbed or dl!oplaced by the wOr.. sl'l411 ~e reset to the speclficHtons and approval of the County [n'Jlneer. 4. In CASe of any d4lMge to s/lld streets. avenues. alleys. roads. hlqhways. rl9hts~of-",ay or other county properties. or to paved or surfaced ro.d- 'oo4)'S, turn-outs. gutters. ditches. wood or concrete .....Us. drolin pipes. hand or en,banlment ,.4115. brldg~s. trestles. ...hant:s. 14ndlngs or II"oOnumtnh by the qrtntee. the said grantee 4grees to repair such do1mage o1t the e4r11e~ttll1c possible at its own cost 4nd eJ.pense. 5. When the County Engineer determines that .n emergency situ.tlon does exist. he may order .nd h4ve cone aflY IInd all 'WOrk considered necessary to restore to a SAfe condition any such street. 4Ve1'lUe. o111e)', rOo1d. hlgh....ay. rlght-of-....y or other county property left by the grantee or dgenU in a condition dangerous to 11fe or property. !-Ie lIIay cause to be rl!p14ced or reset recorded monurfltnts If a gr.ntee falls to replace or reset UlfIt within a reasonable t111'1Q after completion of construction. The gr4ntee. upon demand. shall pay to the county all costs of suell construction or rep.lr .nd I}f doing such work. S.. All construction or Instillation of mains. vahes. pipes. poles. cables. Hnes fitting and facilities. service. repair. or reloculon of the same. perfonned along. over and/or under the count)' rOdOS. rlghts-of-WolY or other county properties subject to said fr.ncMse shaH be done in such ill manner as not to interfere with the construction. oPt:r4':.ton and m.intenance of other utilities. public or private. drains. drainage dltthes and structures located therein. nor with the grading or improvement of such county roads, r1ghts~of-.....y or other count.)' i>ropertfes. 7. The: cwners of 0111 other utilities. public or prf~ate. installed In such county ro.ds. rlgl':ts-o:"-\1,y 0'- other county properties prior tn tllre to the lines and (actHtfes of the grantee shall h.ve pre(en:nce as to the position tnd location of Such utl1ftfes so 1nst.lled wIth respect to the gr.ntee. Such preference shall continue In the event of the neceuft)' of reloc.ting or ch.nging the grade of any such county ro.sd or right-of-",")'. 8. The grantee. 15 far IS pract1cab'e. shall construct new utility facilities underground. [lltens10n of overhead faci1it1l!S fOllowing ltreets. avenues. ...ays. boulevards or thoroughfares Sh411 be undertaken only with the approval of the Count)' Englneeri PROVIDED. ho...ewer. thal u.ld 4ppro....l sh.ll not be unreasono1bly withheld. Gr.ntee shall con'lert exlstfng overhead facilities to underground facilltfes as and ",hen equipment ,.epl.cement Is unc!ertalr.en. or when other exht1ng overhead utilities are placed underground, unless Such replacement Is unsafe. irrpractlcll. Or econQllllcllly unreasonaote. line eatensfcn policfes and procedures established by the grantee. and unfformly applied through Its servfce area. shall be the standard In determining "hat Is "practical. impr.ctlcal or economic.lly unreasonaole" under this ordinance. provided th4t no new ove,.hud utility facilities shall be constructed or established fn any .rea set .side for public park, school. playground or athletic field purposes. 9. Special Pn:lvlsfons: !,. /, w/T"reR. t-,':Vc::- :5ifI'9LL- i3e. .rN~r-""'-l..eD -zo' FR.o tV1 ceN I'ei'?-. L ,N e: 0 F o ?-,~C) /'7 ::S/". /,n/Nt..-n-.....r'l'1 of 2'. wrl-;-ei'!-I...; NIS :S 1'119 U- t?<?- r1 "",'oN;~",~ 0 P 30" BeLow eX"';S-':NJ KO/H> W,4y i:> ;fc/-(. 3:. ,4Ll. ,.4R.erl5 IS e. P. eS ;-ve.eD >;>:'.s;--v1i2i3.el::> I';),^K.;N~ co"vsrRVlc)'-,'crJ 'i-o OR.'-9;/U"qL c~~p."I:CJA.J .5;f~~ .... / ! ,',,- "". .. , , . '.' '" 'I ~'J~ . .'~i": ' / h~f--,.- r:x ! G," :, . j l' I J~ I :~-~-,R_..-r--t-l ! 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(:-- ~ \0 ,..--- 1::::: ,____. -..;" "'l :::>IlII'A.:.J L.:.~J C~;;; :;;;;~{ F::: ;::::~~ ::::.~'r:;~ L.._.1 L_'_h' Coo._.. .--- .L..... ____,L,_mJ """...-.&1""",,<, ~Ur-J .< do 1'..--., ("---'I r----' I'm -.---, ,,;:;:,..tllV'<~, ,,- u.."P ..I "".'1 s?~,,, , ~fu\U~ ~" t:j C:~:~ l~~ '~~ -:~f~~ I [-----1 r....... !?"'!V .=- -j-f-i--~" l:;:)'lr:::: !::::::il( ,1' '::::: ::::'tF':1 l'lO o:::~U) ~pJtLT. : ;.1, '1::,.:.....1"........ ~..O..!'l... .~,~ u.. :o.e:JSl'otUi;CO . eUHIil.p. !, . C~!!;:--C:'~]f:':::: ':-::-j ['l'l'-~:::' .':1--1..---1-, . p;;.J....~ IOV ! " : . " : f .......:---------1 ~l-e~" 1----------- -----. /. ---L-ri i.----.----- 1'0-! I, '---I: I . -\ . Ft-Jure 10' ~ I p )PD 0 r-"---' -- __~o i "~r~.~~.' 0 Ir____ ..__......_ ..l_~. Z;':::"-"--\, ........"fJIYIBX~~ 0 I Q~' /-rd P ; If;) .yP.....~UJ !Eomllol,IOIJ - J <? C- I \, . ,. . I,' 0.. 0"0:, ':11, L.. ' o c-q '7"-,od h.- I 1 '\---: 1-c-r--1 r~\'" 10' I ~rl I ~ . ~---- ---OJ '--L i I, L ___ I .',:=~ . .......1 :1 . .... .,...., '..,.,: ~ \ , ---" ': '. , ...' '. ~ " 1 . ,.,i ", f.: '.' '_.. :",; I: ;> I" .' . " ." { ," " (~, .. 1"" 't O~~::;fO ~ ,. ~' f~ l ~., ( ~~,,(. y; , .. r I ., I t\ ~'''~f'''~' C",.c..... \':' { !" ~.: .. . ~... r;f.,lfn..J Co lo!J" ... - - ."," I. ..... :..'.... :.. ,," .', " '., .<.: ",' . , c' ".' \ ;.' . ',' :....'..;,':. ....' , ' .....'..'... .,.,..'...'...... ..,.. ,'.... :' :, . :..,' ", . . "', '. ." '>".'."'" '., [i '.. ',....... '. 1)../ . . ..... . I '; . ' ..:..;- Ii.,,""'." If, '; :., :' ....... ~. . ..' '. ..', , '..;' ',' .... t. ;',-- ." . 1'\"'''' . I'.' . ... .. l'! \ " i './ . '.. . ;.' .,...';: ....'.. '. " . '. ,: ': " ...... .... ..', ....':. : . ......... , ." '.. ..... .... .' ,....: ' . C . :'. ',' , ..'..', "::.:,<, ,'.,".:' ..', ,; , .,.~} , . '. .:'" ..', ':.': '. " ,,: '. '.' .'., "" .,: , .' '. :. ::. ---;'. ; '.: '.' ......j:',.;' I . .; ,'"'' .. .. .. .... " " " , ...... '..' " .........,. '; .... .... ,'. ..... .... ,,' :.. .. " .r ..,,: I; .' '.', , . . ..':.,.. , -:--j , I....; " . '. , .. . ..:.;': ". '.,~:: i, -; " ;, .,... ,.: .' .'..... ...., ' " ,.,.'.. ' :. . ...., ).,/:;' ; ,. ".: :. ,/ .. ~0tTY i<OAu NO. 6~ STATE LOG NO. - MILE POST .L2.2l2..TO_ 9fflCE USE ONLY "----7_ .. PERMIT HD. 1<'~ - 'I - "'0 - I FRANCHISE NO. FEE PAID ../Yes _No OFFICE/US~ ONLY ..?-./J5,,/';;;:7/'-~rl' ?57t JEffERSON COUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 98368 APPLICATION FOR INSTALLATION Of IJTIUTlES ,I L .. Applicant: Name PUD #1 of Jefferson County ".' ;'. ContraC1:0r: Name Sholll EXCAvRtinp Address POB 1331-The Courthouse Port Townsend, WA 9836R / POll ]'7Q l.ddress "~rll ,...,..!.r " '''' 9S~~9 Phone: 385-5800 Phone: 1R~-()4R() Application is hereby made for a pennit to construct, operate and maintain 'lfl lateral wil'i water meter '. . : . ...... :':. ~ I. " '. .. . . .'. . " '" . .'.' '.'" .. "c' '..., " .< :.,', : .',. ", I . " . '.;:.. ... The utility installation is located (attach map or drawing) ( ..' I">.' 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~e of t~s fonn and any special provisions attached hereto. Applicant Signatur~~ 11. Date: r-;:;3-~ . J (f I I I I I I I I I I / I I I / I / I / /'/ / / / / / / / I I / / / I I / / I 1/ / I I I PERMIT " . "," , " ., ","'. ",' ,'. ,c. ," .:'. .', " \ . Subject to the following terms and conditions, PERMISSION IS HEREBY GRANTED to Applicant to construct, operate and maintain l!tility facilities as requested above.' This pennit is conditioned upon Applicant's' compl iance with Jefferson County Ordinance 2-81 and WAC 136-40, including amendments thereto, the general provisions set out on the reverse side of this fonn and any special provisions attached hereto. .' . No work shall be done under this permit until the Applicant has received instructions to proceed from' , telephone APPROVED BY: --<J./ ~ 1~_~A-Wl.f o NOTE SPEC IAL PROVI S IONS Otl REVEllSE I / I I / { I / / / I / ( / / / / I I I I I I / / I / / / I / / / / .- / I / I / / / I / PERMIT INSPECTION REPORT l\ fIDfIDfij)fOlIV1lEfiil ~~"i C;~o~'1 ~ork covered by pennit h~S been comPlet~U:JfsWllJ!,l,l;4~ I.' YOU DIG Work is not completed. . ~ 7 [';iJ- Jl. @ - _ Reccmmend pennit be cancelled. _ Traffic control_adequate; __inadequate. REMARKS: --fI-- INSPECTED BY: Lr~-' (! ~ 9-29-8A Date: ., " . " . " ... "'.. , . , " . : ", :.' ", ',' ". : [ .. .,... . -~ . '. '. ',. :: ',: ." ..: ... . '. '.. " '. ," \" ,'.... " ,.". ..'...... , . . .\;~rj;;t .... .,.. .,:'.;,i'~:,);\'{ / ....,...." " .' .: . .', .. '.i',',:;::. :.:, ' ..' ~,/;' " ......' ,......\. . . ',',:" . .. . ','. > ~',:: 1.800.4~4-5555 {-11-89 Date: Q /~Y; C.v~ : :.' ' Se h4:' t I ~~, 6'1"7""-;- :, I', :,.''.-'" ..:. ......., ..' '. .... . ....' .'. .' . . .' " '. ' , :,;, ;:'.' ..'.. :..', ;:. ..,,". " ..... ~. , .' ,. '., . .' '.'. '. ' .." ........,:,;.... .'. '.. :,;' c.' "".' ,',;, ". ,'. . ,.'. '.' .:' :,."<' .., :. . .::,:.'. I". ..'....' ......, I: . '" I' '::; ,..,. ',. ..' I, . ....' ~. I' '. I. I . 1 : '. '-:-- .' '. L ~ . I'. L , Gene,.., Pro"hlOIl'f, pcI' Jeffusctl Count)' Ord1 } Z.81 4nd \.iAC 136-40. 1. All ..ork done under utd fr4nchhe shall be done In a thO"ou9h lInd workmanlike manner, In thlP 1.)'1nl1 o( under!Jround pjpellfle~'.nd c.~les clod o'~;. conHructio" I)f ottlel'" facilities 4nd the openfng of tr~nches the tunneling under count)' r04ds. ri9htS-Of...4)' or I,IU~,!.- c;o"nt,y propertj~s. t"e 9r.ntC!(:,: shall leave sue'" trenches. ditChes llnd tunnels In such a kay'u to interfere n little n possible .Ith public tr,H'C!1 ."d ..noli 1 Ule .11 d<.le ,"d ~fi~~~:"~,.P~~~~~; ~O:~e tle1~4~~e;h: t S~7;hi~ ~~:t9~:~~: ~~.;lJ~r~c;h~~;n~~~ 11~~~s O=n~"~:~,.~~a~::S:~ ~~c:~U~hp~~~~;o~n:s ..~~r; I ~;.f .~:q~~~; ~~~~~~~'~, such'rOark. ThQ 9r4ntee shall be 1 fable (or any injury to person or Persons or dllrn4g~ to property susUlned t"rou')" Its C4r'eleur.eu or ne9lect. or through "'ny f"Oure or neglect-. to prO~lt!r1y qU4rd 01" give \oI4r'nlng of lIny trenches, ditChes or tunnels dug or In4lnulned bj the ']r.ntee. l. The gl"lIntee. fts successors or asstqns. shal1 (()fT."ence constructton undel" such permit gr4nted by the County Englneel" ..,Hhln the time periOd ~Uted fn 1iuch permit 4nd Sh411 have canp1eted 4nd h4ye In oper4tfon such portion of the system of improvements lIS /My be specified In such permit or the riqhts therein cOh(~rred upon the grantee $011.11 cuse 4nd tel"ll1inate Insof4r liS unoccupied streets, r04ds, etc.. 4fe concernl:d. J. The gr.ntee st,.:~l le've.ll UreeU. avenues. alleys, r04ds. hlgh....)'s. rtght$o.of...,ay and oV,er COunty properties. after l.ylng .nd tnn.ll;n'} m",fns "'nd dofng cor.Hructfon kQrk. 1114kfng repairs to equipment, etc.. in lIS good and safe condition in 411 respects lIS the)' ..ere before the ctnflence. rnent of such worlt by the gr.ntee, in aqents or contr'Ctors, &lnd .11 recorded monuments whfCh have been dhturbed or dhpl.1ced by the worll. sh411 ele rl!!1iet to the specifications 4nd &lpproyal of the County ,Engineer. 4. In case of any daNge to said streets. avenues, alleY1i, roads, hlqnw.ys, rfghts.of-w.)' or other Count)' propertIes, or to pa...ed or surfaced rOld- ""a)'s. turn-outs. 'lutters, ditches, lotOod or concrete ..,alks, drain pipes, h.nd or embankment ralls, bridges, trestles. ""har.,.es. landIngs or II"..,nl,/ments by the grantee, tn= safd grantee agrees to rep4fr such dam4'}e 4t the earl~c:t time possible at its own cost 4nd eJ.penU. 5. When the Count)' Engineer determines that all i!!mergenc)' 5ituatloll dees ellist, he /lId)' order and ha...e done any and .11 '"Orlt considered nece1iury to restore to a safe condition .ny such street. a~enue. alley, road. highway. rl9ht.of...,4Y or other county property left by the grantee or agents ~n . condition dangerous to IHe or property. ~e rr<4)' "'USe to be replaCed or reset recorded IIIOnt.nents tf . grantee f.lls to replace or reset Ut'Ie WIthin a reason'ble tIme after comPletion of constroctlon. The grantee. upOn demand. sh.ll p.y to the county .11 costs o( Such construction or repatr .nd o( dofng such work. 6.. All constructfon or fnstal1ation of m..tns. v.lves. pipes. poles, cables. ltnltS fltttng .nd (.cIHtfes, ser...ice. rep"'r. or relocatfon of the same. perfol"lroed along. o",u and/or under the COunty rOlds, rights-of.",a)' 01" other county propertfes subject to uld fr"nchlse shall be done fn Such . molnner as not to interll!!re \lith the COnstructfon, operation and m,,'ntenance of other utlltties, publfc or prlvate. drafns. dr.ln.ge dItChes .nd stl"tlcture~ located theretn. nor \ltth the grading or fmprovement of such .tOUIlS)' r04ds. ,.tghtl-af.ttIY or other COunty properUes. 1. The Owners of.ll other uttllties. public or private. installed In such count)' ro.ds. rtghts-of.way or othl!!" county properttes prior tn time to the lines and faetHtfes o( the gr.ntee ShAll hl...e preference u to the positton and locatIon of such utnltfes so tnstAlled with respect to the grantee. Such preference shall continue In the event of the neceSSity of relocating or chlngfng the gr.l!e of Iny such county r.oad or right-of-wIY. 8. The grantee. as-far.. practicable. shall construct new uttllty facl1tttes underground. htensfon of o...erhead facOitles followIng 1itreets. 'venues. ways. bouley.rds 0" thoroughf.res shall t.e underuken only with the apprOVAl of the COllnty Engineer. PROVIDED. ho..e...e,.. thlt Sil" a;lpro...al ..ha11 not be unreason4bly withheld. Grantee shall Ctlnwl!!rt ellfstfng overhead f.clUttu to underground facilities as and ",hen equipmoent repl..cement h un~ertaken. or when other elltsttng Overhead uti1ltf~l are plllced underground, unlen such rephcemellt Is unsafe. '""racttca1. or economtcall1 unre4SQn4ble. Line edension policies and procedures establhhed by the grantee, and unlfonnly applted through tts Servtce area. shall be V,e st4nl!"'rd in detennlnln9 WI.t h "practical. tmpr4ctical or economical1y unreason4ble" under thts ordfn4nce. provided that no new overhead utl1ity facilIties shall be constructO!d or est.blhhed in an)' area Set aside for Public park. school, playground or athletic fleld purposes. 9. Special Provistons: /. m&J' G>i'e~ C'1T :s t' 10", ,RorH; c- s/'h'l1.L R~"r-oRe /l<..L D"sJ-"'(~8 f:J::, ~<!i'/lS f.." OR"9"'-v"'1~ co~ p ,'.,t.'b..-v :'::i:?I\jFr;fj;:l,:ti'i(~f, ~\ / ( -.;mi' , ----1__._..__..........._...,.__.___________ I S'[';"Wc 1'1/1,.-" , '.. " ,.., ,..,... '":,,, , , " , ' , .. ," "".':. ,', ' ',"'" , '" ' .. .. :',' :,>, , " '. " , '", " a " ".." .,., o .' '".. ,,;""; ': " ..".. , .', ".',. . . ~,'f;~e/;' .> " ,,', ~;' '--'1- --r--.-J-~-_.--.,-'--- ",'. ,-, p. " I ..... I'J':J. '\-:-1 '" .'.' 'p. . ,,---, '< I,C'" ..,--.-,..--...--.. ...- '-~--.-'-~ f - - \Sf 7/1,'/i\v ... : ..;.. ' 1> to" ">'o>~ _ .ff :,.. r . ~~ N . & - ~ Ul.<l( '" - ~ ~~ lP --_.-----.--. - .~ .~.., Ol?'c STREE.T !; -. f: ..t:.. ~,., f :;;::r" ---t,J~ ~~~"~~tict~i2~~;~~~~J,~~_~~I;;~~ l" \l j (j\ ;~I-l'~., -. <> "',Ol-! . " ""I " I ," "I' ." c' ~" -'" , -, , = '. "" ""'1 , i; __ ""\~" 0', " _ _ C",._ ~~ L----1r--- '" o,~ .\' "l f" l _ ,: ! 6' Ii ~ ;\ f n I ; '1 u .. ...- ''''-=.L' .. -.J) OJ '~ i r l' '" ,.. " ~I Ii 'l.'~g [;' --!.~..q. 5.. " r~ '" .. , \, ~:A i-Ur'1 rJ:;> ~~ -< (J"l ~ ..--.--- --,.--'-'--- ~' I L}l @> ~ y " '1'.' t" '1, " ~ ~ ' , ~! :', i :"':, . ',,' " .:< , ..., :"',,.'. .": "'.: ':, " . > ',".:.'.. ,... .' ,:' .". ...., " " " ': ':' ,:".." " . .,....., ',,' '. " . , '. , ':..,', " . ...'.' "..'c:" '. ',': ,":......, '.. .... :.' ." '. ".'...,; ;," '. < , ,,: "".. " " ,:.' , , ,",.,.. .\.,. '.: ,,'. ',".,: ,.' . '.; .< " '.,' ,'....,': " .;. '''',': ',:" '.,,',,;'" ,..,.,.. r..: ", '.. ::' :,... " . ' ,', ',. .,'," ''':: .' .. ..: :: " " . .. , '.:<'1 ...: '.. .,.-:..1 .. r,:<' :::: " , ,:', :" .." '.., ...., "" ':." " " ',..'. .,'. I:.'.,." " ':',.', '. , " '. ,:' . , , ' ':,., ", ....,. ,; '. .": ';. 2'!,.' "L"'.'. .' :: " :: " :', -cOUNH ROAD NO.~ ST~~ LOG NO. MI7:.POST r!7.13 TO_ 9FFICE USE ONLY , PERMIT NO. ;;;"'il"-b- 'is - 'I FRANCHISE 119. FEE PAlO ~Yes ~o OFFICE YS;: ONLY 7'4 6/,./8S~.c()' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 98368 APPLICATION FOR INSTALLATION OF IlTILITIES Applicant: Name PUD #1 OF JEFFERSON COUNTY Contractor: Name SHOLD EXCA V A TIrlG Address POB 179 HADLOCK, WA 98339 385-0480 operate and maintain AddressPOB 1331 - COURTIIOUSE PORT TOWNSEND WA 9R1AR Phone: 385-5800 Phone: Application is hereby made for a permit to construct, Ii' t/m;LIII.. wi I" M 6rz.1l- The utility installation is located (attach map or drawing) ,..t;t.ul"./ d"~7" 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 fonn and any special provisions attached hereto. Appl icant Signature: 5CZ<.-o<-:5"..t__ 'h- PZ Date: ~- "3/-'i!jJ // / / I / II I I I II I I II I I I I I I II I I I I I I / I I I I I I I I ,77T' Subject to the following terms and condi:i:n:,Mp~R:ISSION IS HEREBY G~~~~~ to construct, operate and maintain utility facilities as requested above.- Ttiis 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 fonn 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: .-Il.-<Arl-- /<~ , ~OTE SPECIAL PROVISIONS ON REVc~SE 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 L.L.L!. I I I I I I I I I I I Date: &0,-8- gg 1-800-424~5555 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: j)/~ It..~ Date: '-l-\\-Sc, EDENSAW WOODS - GLEN COVE C~ner.l VrO'tl~lon\ li<er Jl!ffcr~on County Orol , I 2.FH dno WAC 1 )6-';0. 1. All ..ori:. cone under Hid frdnchl~e ~hdll lie con~tructlon of other f.acllitles and the ope.nlng shall It.a'.e ~uch trenches, ditches d/'ld tur.ne.!S In necesury prec4\,1tlons to qU4ro the S4"'e so th4t cdn.J.<,Ie ditches or tunnels HI! left open lot nl'lht. the 'Jt'4ntee s\,;ch ",ori:.. TI1I! ']rdntee s11411 lJe 114ble for dnJ inJur;l thrOu'1h .In)' r"jltme or flI:qh:ct to properly ']U4rd or 11he 2. The qrllntee, Its st.:cceaors or 4Ul'1nS, shall COt"ncnce conHructlon unCcr such permit '1rdnt~d bJ the COUllt, rn'llnter ..lthln the tlll'.c r-erlod "Ute~ In such p,:rmit 4nd ~hall hhe c()11p1eteo 4nd h4~e In opU4tlon such portion of the s)'stl:rq Qf Impr01t"lIl1."fln n rr.4, !.ie s~l!clflcd In '5!Jch permit or the rlljlht" therein conferred upon the <,Irdnlee Sh411 CC4'5C dno termin4te Insofdr lIS. unoccupttd strl:l!t~, rOdds, etc., dre c.oncurrlll:d. ). The l]rantee '5hall lehe ,,11 stre.ets. oIvenues. d11e:l's. rOdds, hiljh"'4}'S, rl?htS-Of...dJ and other COunt)' propertlu. .fter ,.,In') .nd lnH.llln'] 1Il"lns dno doing construction 'oIQrk, mdldn'] rep"lrs to equlpo"lCnt, etc., In 4S ljlcod 4nd 54fe condition In dll rt:specU .. ttlel ..ere btdore t~e c"'nence. "'.cnt of such work b)' the grdntee, Its d'JenU or contr.ctors, 4nd .11 recorced 1I',on...mo:nt\ ..hlc" h.ne been disturbed or dhpltCe4 '01 the ...:Ir.. '5h.ll rot re:et to the slJeclflcoltlofl'5 oIn4 4pprov0l1 o( the Count)' En"llneer. 4. fn cue of an)' cal'lldqe to safd 'Streets. avenues, alle)'s, rOdds, hl"lhOlays, rl']hts-o(-..d)' or othtr ecunt)" properties. or to paved or surhctd ro.4. \0'''1\. tum.outs. lJutters. dft(~e~. \o'Ood or concrete 'ood 1 10.5 , dr"in plptS, h4nCl or embdnlr.lI'~nt rdlls, brldlJts. trestles. ..harves. I.ndlng, or lloanumenU b)' the IJr.antee, the uld gr.anlt:e agrees to re:J"lr such ddrn4~t 4t the earlie~ tlme pOSSible oIt 1U own CO'5t .and elpense. 5. ....hen the County Engineer c!etumlnu th"t an err.erl)enc)' s1tu.atlol'l COtS eAht, ~e 11\4)' order .nd h4ve done anI .nd .11 IooQrk considered neenur)' to restore to a safe condition ani '5uch street, "",enut, aile)', r04d, hhjh",ay. rlght.of...a)' or Qt~er count)' propert)' left bl the g"ntee or "genU In. condition ~ano;erous to life or propert/. l'Ie I!\d)' uuse to be replaced or ruet recorded l'lOn\,llltnts If a gr.ntee hils to rephu or reut Ulloe within a relSon.able tilllQ dter completion of constructlon. The g"ntee. upon dem4nd. Sh411 pa)' to the county.11 cons of such constructton or rep.tr .nd of cofng such 'otQrk. 6.. All constructfon or tnhallatton of lIlafns. vahes. pipes. poles, cablu. ltnn fitting .nd ""ctllth:s, service, rep. II". or reloc4tfon of the same. perfonr'led .long, over .nd/or under the county roads. rlghts-of-"4)' or other COunt)' properties subject to uid fr.nchfu sh.ll be cone tn such 1I11l.anner u not to interfere with the con'5tructlon, oper4tlon and m41ntenance of other utt1itfes, public or prlv.te. d"ll1s. dr.tn.ge ditches .nd structuru lOCAted therein. nor with the gr4dlng or Irnpro~tfTlent of such count)' r04ds. rlghU.of.\lj.y or other countl properties. 7. The owners of .11 other utilittes. public or prtv4te. fnstalled In such count)' ro.ds, rights-of-...)' or other countl properties prlor tn thre to the linn and hcHitln of the gr"ntee shall have preference AS to the pOSition .nd loutlon of such utilttfes '50 tnsul1ed with respect to the grantee. Such prefcerence sh4ll contfnue In the e~ent of t~e necesslt)' of reloutlng or ch.nglng the !IIr4de of any such county r~'d or rt'Jht-of...ay. Z. The qnntee. .s hr AS practlcablce, sh"ll construct new utility facilities underqround. rlttenslon of overhedd facilities follo..lng streets. ~.,o:nuU, \o")'s. boul04rds or thoroughfAres. shall be undert.l<.en On11 with the approv.) of the County Engineer; PROViDED. ho..eyer. thoOt u1d .pproV'41 ";'411 not be unrusonaoly withheld. Grantee ..h.all convert exlsttng overhe.d fdcllitles to underground facilttles 45 .nd \oIhen equ1p<nent replacement 11 unc!ert4ken. or ...hen other ulsttng overhead ut111tfu He placed underground, unless ~uch relJlacement h unufe. 1~racttul. or t'ConQtll1C111y unreasonable. Llnp. el.tenslon policlu and procedures establt'5hed bJ the IJrantee, 4nd unlfoT"llllj applied throu'Jh Iu $ervtce HU. sh.ll be the S14n~"rd tn detenrdnlng ...hH Is .practlcal, lrrpr4ctlcal or econOtllfcal1y unreuonable" under this ordinance; provlced that nQ neW' 0~erhe4d utllhy f.ctlltles sh411 be constructed or nUbl hhed In .on)' areA sP.t dSide for public pArk. school. playground or .thletlc field purposu. 9. ;~:;~~~!~I'.;~,',i,~~~i0'!~!ilf\ l~ ." I' ;- '.'\' I. ",- \ c, !i~' 1\';I;,'iit';~l ~ 'd'-' '..'..~ w--rr-ei2 t..:A.JE ~H-ri'LL Be.. _"j;-vsr-'7<-.LcD .r; /h,.,r.J:...-n....,~ Or 30" 2> DeLow {;.X ;s-'-""'/ )i<"PC$ .... I I luff; '" ::! ,Ii It- <;:)~ l \ L_~J 'L-~-- ,~ '" "" l" \.1 .~ Q... ~lf) . S'.iNr{ <>: \ \ \ \ \, \ <10 r':"::.i ...~) I ~ loll \ d~ \ \ \ \ \ \ L~--._J ~ l ~ t.:" ~ s \ ~ -3 \ ~ ~ i 2 '~, ~ \\ ~ 'M t;J ~ ~, \ ~ , \ '1 .... ~ ~_\ \ ~~~ ~ ." '~ r;; ("I s::\i "J""- \ ~ '3 11:Cl.. "-1 Q.~0 \ ~ ~ p-- ~,,,, ._..:.. +' \ i, ~ ' .,.- ----~ 'd~-~ r-1~AI ..::\:.',,'....'. tQ, ." ,~=ft'~:<: .' . ...i .',...' ...~~. ~___., ., fclfO>a, ~'" ,P""",, ,,,, 1),-. .:. .,. :.""t'''~' ...'"...(.:':...".'.i.".".... .-.-----_._~,-:J~~ \:_""'", 'i '\" ~Z;" i ':'j ,i/ .,~, """""""""-'- ",' 'Vb ' ~ ,,1\. J~l I ~ l~\ J~ . ~,.~,~ ;;:~ ~<;)\fJ \1 \ . \ -~ -r.r ~ ~~ \-- \~ \ ' --------~----- ~y;,;:.~~~: ,..... =;0 <""~~~~~'~.:.=,~_:~' ~~___,. MAR 0 7 1999 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P.O, Box 1220 PorI Townsend, WA 98368 (206) 385-9160 N~ 0971 District No. 5 PERMIT In accordance with all applicable Revised Codcs of Washington and amendmcnts 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 Resources 60M Pardise Bay Rd., Suite 4, Port Ludlow, WA 98365 to Install 4" P.V.C. sanitary sewer forced main along the South edge of Ludlow Bay Rd. from ~ile post 0.02 to mile post 0.19. County Road No. Franchise No, Milepost ,:0.02,- 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 508209 This permit shall be void unless the work herein contemplated sllall have heen completed be[ore Dated at .!Iarch.2 .19 89 March 2 .1990 &~~~WJW[8ID By ..-<J~ ~ 1.800.424.5555 , " - -. . , . " ",,' ~._---~,-- ---. -_._--,--"---~------ -- ----....-_.~_.-,_.__.- G"N"I~AI. 1'1l0VISIONS AI'I'UCAIII." TO Al.l. I'EI!MITS This permit is subject to all applicable provisions of the Revised Codes of Wa~IIiI1.!lIOn, CAccflt Ilmt allY provi..ioll in Ihis ilgrcl;/lIcnlllot wn"hteHI wilh such resolution shall be cor,ltrolling. A bond in the amounl of $ is re4uired for the protcctioll of the coullly as set fOrlh in the term" of Ihe bond, During the progress of the work sucil burriers shull be erected and mailltailled as fIlay be llet,;CS~ry ur as fIlay he dirt'cled for the PlUlC(;licJ/l of tlit: traveling public; the barriers shall he properly lighted ulllight. In accepting this permit the pclitiol1cr. his SUI.:CCSSors and assigns. agrees to protect Jeffersoll Coullty and -,>ave it harmless fwm all claims, acti(ms and Uamages of every kind and descriptioll which may accrue to or be suffered by any persun or pcrsollS. corporatioll or propert)' b)' reason of the perfor. mance of <lny such work. character of materials used or nUlnncr of installation, maintenance and opcratiol1 or hy tile improper (}CCUp<lllcy of right of Way or public place or public structure, ami in case all)'!iuil or action is hrought against said Jcrfer~OIl County fur damagcs arising OUI of or by reason of anyof the above causes, the petitioner, !lis successors or assigns. will upon nOlice 10 him or them of COllllTlellCCment of such action. defend Ihe ~mc at his or their OWII sole cast ,lIId CApcllse and will siltisfy any judgmelll <lrter the ~aid sui I or actiull shallllave finally bccn determined if adverse 10 the Jd. ferson County. Except as herein authorized, 110 excav,uio/l shal! bc made or obstacle placed withill the limits of a coullty road ill such a mallller as to intcrfere .....ith the travel oWr snit! road. Excepl as herein authorized, no excavation shall he lIlade ur ohst:.lcJe pl:lr.:ed within four (41 feel of lhe edge oj' the r:I\'CllIcnt. If the work done under this permit interferes in allY way with tile drainage of the coullly road. the gmntce -'>hall wholly .U1d at hi~ own e'\'pcllSe rna..e such provision as the engineer may direct to take care of said drailluge. On complction of said work herein contemplated all rubbish and debrjs slliJ/J he il1l1lll:tJ;,J/ely rt..trlOl't.'d arrd till: roouway and roadside shaH be left ncat and presentable and satisfactory to the ellgineer. All of the work herein contemplated shall be done ulldcr the supervision and to the satisfactioll of the Coullty Engineer and the entire expense of said supervision shall be borne by the party or parties to whom this pcrmit is issued. The Department of Public Wor..s hereby reserves Ihe right to order tIle challge of locatioll or the removal of any structure or MrUctures aUthoriled by this permit at any time, snid change or removal to be lIlade at the sole expense of the party ur parties to whom this rcrmit is issued. or their successors and assigns. All such changes, reconstruction or relocation by the grantees shall bc done ill such ImJllllCr as will cause the IC<l-'>t interfercnce with allY of the Coun. ty work and the County of Jefferson shall in no wise be held liable for any d<lll1age to the grarHt:e by rcason of any such work by the COUnty of Jeffer. son. it agents or representalives, or by the exercise of any rights hy tht: County upon rO:lds. streets, public rlaces or Structures in qucstion. This permit or privilege shall not be deemt:d or held to be an exclusive one and shall not prohibillhe Coumy from granting other pcrmits or franchise rights of like or other naturc to other puhlic or private utilities, 110r -,>hall it preVCntthe COUIHY from using any of its roads. streets. or puhlic places. or af. fcct its right to full supervision and control o\'er all or any fXlfl of them, none of which is herehy surrclldered. The Department of Public Worh may rcvo..c. amend or cancel this rcnnit or any of the provisi(lIls thereof at any time by giving written 1J0ticc 10 the pt:rmittee. The permittee shall immediately remove all facilities from the right of W:IY. Any f:ldlities remaining UpOll the right of way 30days after writ. ten notice of cancellation shall be removed by the COUllty at Ihe expense of the permillee. The party or parties to wholl1 this permit is issut:d -'>hall mainwin at his or their sole expense the Struclure or objecl for which this permit is gr:lIHed in a condilion satisfactory to the Dcpartment of Puhlic Worb. SPECIAL PROVISIONS: 1. Sewer. line shall be a minimum of 30" below existing ditch grade. 2. ',A,I~""P;~f:'1t.'~'.'t:;,!;;rillL\be responsible for all damages to county rOAd rig h tr.~,f\,,;~a'1',dlll,~ ,llQIJ/. ~::.l:;:,.JJ IJ'.!hUl, 1! UU~\ In accepting this permit the grantee, his successors and assigns. agree that any damugc or injury done to the property of the grantee or any expense incurred by him through lhe operation of:t contractor. working for the County or any County employee shall he at the sole expense of the grantee, his SUccessors and assigns. *' c,,'i.f'C--,()(I.'t It jvLC.Vr/Zfl.-'1 POP"- h.-SOI.f.(1..(.f:,'!:, . the ullde"lglI,J, Itcrclty oecepts thl, permit ,ubjectto th, tenll' and conditions as herein set forth. ) Doted t';;;Y dO,l-t, doy or* N(<.I'- . 19 ;";'~4 t",,'/"hPv~&.D V.p DCtlf:.LDPI4€:/Sj ( fDr"t:..- i!.f:~DU~5 '"',",, .;,'.".-- Ph(j"iic-'No,e~.',. ~"., ~ ~"~, ~,~, I ~'~if ~~( -.JY<~"' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Fee Paid~ yes.......... No Reuipt No. 1820 Jelferson Street P.O. Box 1220 PorI Townsend, WA 98368 (206) 385-9160 Addrc!>SRequcst_ Yes_No Mile P<t>l AI'I'UCATION FOil J'EHMIT To Department of Public Works, Jefferson County, Washington. The undersigned POpe. ?C::SOc~"u:::c;S herebyappl.LEL- for permission 10 IM'..) r.a<-I!- A 4 ,. P J. c. :sA.Jln>",...,- J bJIf't<-- (API'full"j ....ill"..I4,jl~.JIIII). ..hat iI.' ",,'I.\//f"'/fJuuJ ,=t:.JJf!!C.e:/.;J n-A,J AL"',....{t; Tlh!E.. c5,..Jo (.A;'-OtCr'.-J o,t::- 'TI..JJf... ~;'....J'-c;-".J t3Ay .{ (tel. ,'{J ft>JN \7 p'1 J,J 1'" ,vJ /' ~,4m> H if' Vl)~ 'l' . L ./ IVl'~~\O~ 1'. . APII.O,O<: Ie;:/!)oO ' b~ --~~~::- 'I,p i.----:--~--;:;.---::~~'--=..-'-;- -"-~-"":;'---~ l8 0/ r~;.t:;>(!G MA.l w (.sE:-':"u'u (i;~'-'~';~~;~~'" t4:>t!J 0. SKETCH: 011 County Road: L.ur/L<'...J "/~"7" PJAO between TI,Jtt: 18" c,&>".5, c""e.-l/~....q::- APP"""X, ISO t=r. ,e, 01'= ,rJ"s, ~"'~rJl?'.s.s fJ.,dL/ /Z.o ~c.>~ B~-S- I!-,;=: ~4 T}..Je.. ..:iO'-'TI-J .;;,,J,,..u.-o$,c.- 0"," il.:.!" ~c'AP_ /Sfall'llr'fITo':Iff'flnl.,IIr<'t'I,,,mil"poillll and agree~ to do the work in accordance with your rules and regulations and subject to your inspection and approval. 1=:'~t3P-</.Jt4' /9 8~ -?~ .s?",,~ c<:,,J.sT7' /~<: , tConlflCtorl (If applicant is a copartnership, set forth nllmes of copartners) ~... cftf:.4o J. .P1""C:"v,!'~ ~o, Alhlrc.... ~,-TCJ,v-I.s,~,..h~ , "p./, 98JC. e .78:>' 02/S '!UMICM p",..., '-(A~<.a.<./ , """J. "78S<PS I)holle No. 477 - ~'&Jf - '" ''':' ,,,' ,,',,', .. ..,', , ' '" ',',-" ",' , ,- " " District No, ~ Permit No, 0 9 7 I , ',' -----. ~:, ,: :1', . :-::.. " '.... ..'" ,.'",.., . '" , .. ,..,', ,', ..,.'... ....... ,. : "" ,,,> : ' , ' ."'.- ~,,:' ,I' "....., , i' ,.., ,," '.',',.. ,..'.. '...' ,," , '-, '--.. '- , ";:~ :' Jefferson Co. DEI'AlnMENT OF I'UBLlC WORKS Supervisor's Hellor. No. Supervisor will make detailed report ~1/i,h his recommendation Oil this application. JVhellel'er possible show sketch afproposed work. Supervisor will also make aclditlollal repofl,S alld fillal repon giving date oj completion of work on this/orm. " > \' " IJrclimlnary I{cporl: L.."'0'-Ou..J 8,.,.y ~j). ;n.p' t).Oz... -0." /'III-R R 0<-0 t/-c NO 5/101.(1...f)eR-.. - 5/f/9LLOW p.-tell, , re1ephONc. L^,~ Re,c^, 7-< 7 ::c.- '" 5 rA1-<- -€.l;) ,',..J S"hv1e L6CrJ-H'o1f -\; ! ',..' ',' ; Dale: 3 ~ 2 -89 Signed: -<J ~/.-z;f i~ I', """ , 'c' ,::' : .. Final Report: PERMIT INSPECTION REPORT L,/ Wark covered by permit has been completed satisfactorily. Work Is not completed. Recommend permit be cancelled. Traffic control - adequate .. inadequate REMARKS ." ",-.-"',',. ',', .' '. ,', , , , ,',' :. ,'..', , ,',' "...:,:,:, ' ;' .',. ,:' ."<, " " , ':' ,', " ,,~,i'..."'" ,".',.,.., .,.. ,,' ',' , :, '" :', " ..;' ,,",:,, ,.... '.',.' ", ',',..' ",,'" " .' ,,:., .,' : ",,'.:' I ','. ': ,', . '", ." '. ..... , '''',:,'' .., ' ',,', ," , ':'" ,,' ,;; ~'.:'.'",.,:I , " .. '" ',I ".'~...,'I I,' " , ",', !" Dale: <)'>l V- X/ Si"ned: ~ :,' ,; ":,'" .: :' " , . ...L " " ,,-' ",:, ,...', ,:"', ,"".: , ", ' " :' , \, , ':..'... " ;,L- ',,'" ..,.."," ",' .. , ',', " ~ ': " '....",,:, ,'" , "'" ,', , ,;, . " ," " ~ ..','; ",",..., ','" '," ,,' .- , ,.',' ,,' ,,' , ,":.."'..., . " " ',' " !,~ .', '.. L ;l " .. ", :",:. '" !"'.,'..'.L,' , ' " ,.-" ',,, " >;,'/.',''';',.'..' '" ", ",': ,"" ':,' ,,', ',' ',.: :1 :,. ;, :.; .. '!. t :i ~ ' \;i: , , " " " .. ;:" , " .... .;, '1':, " ': :-:, ',' ..:,:',': / " ~ ;, ',:' " ,'/, :',} : I:L y ~COUNTY ROAO NO.';2420~ STATE LOG NO. MILE POST ~TO - OFFICE USE ONLY JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend, WA 9836B PERf1IT NO. Eg'- '7-~9- '>, FRANCHISE NO. FEE PAW vYes ---1'10 OFFICE ~SE ONLY W...:75"" ...-::A ('. t:t=(Y'ff 7 -..)..& -f'j' APPLICATION FOR INSTALLATION OF UTILITIES -4 r"-6f....,.. F ,L;-<?<:? Hi...... ';9J:"r 0/,,1' wu./-:"u K'o,./' 'f- T q/l I.I? Application is hereby made for a permit to construct, operate and maintain 7><<f po.vw ."'''/'''''' zt 14/<' PAp..~ <<".(e.- f?oa.,,{ I , Name and Address of,Applicant: The utility installation is located (attach map or drawing) /<pood ""'0<: 7:'0"',( t:l.to",j- :<~-(7' cu(>Jf' ,,/ //"'..(""-<Y':<o . Applicant agrees to perform the work in strict compliance with the terms and~onct1tions 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: ~ -:?f'. ;:;z- ~ Date: 7/26 ~8 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 Applicant to construct, operate and maintain utility facilities as requested above. This permit is conditioned upon Applicant's compliance with Jefferson County Ordinance 2-8l 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: Ll~ K~ Date: 7-~ '7-88 /If: See. SPe.C.;..qL pKo<Ji",,'-or.J~ 0"-' Reve/?.se. / / / 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 UTILITY DAMAGE IS COSTLY. " CALL 48 HOU RS BEFORE YOU DIG \ 1-800-562~~78 -;- ~Work covered by permit has been completed satisfactorily. _ Work is not completed, _ Recommend permit be cancelled, _ Traffic control_adequate; __inadequate, REMARKS: INSPECTED BY\ \ ~ Date: ')"",'1-57 -..- , ,,--"l '.'~., " " --, " I:. . , ' ,". ,,', .' ,,',' " " , ,'. '" ,,' , ,.. " : :;' ,,'.,'., , , ., , ,~, ,,' '.. " ',' . ',,' I,". " ' " I:." I".., 1 ',' I I ". , .'.,' " ':'" .' , " ':, ," : '" '''', ;.:,";:, :" ':,} ! ,:' .,:, ' , " :" :' , , ',,". :,,, ,'.. .,',," , ' ';' ,"'. ,,',;,", ..',..',.',..:...',.:.::, ", ,".:.' , 'J ", ,..' , .: ":J' ',,' , ",. , " , " .. ,:.'.' , " , :' '" .:. .,':, i " ',' .. ..' , 'I ... . ,:" --1,. .' . ,"I , ,','" .. "'.', ;\ :'.:",^ ,.. :'" " ': Gener.l Provhlon$. per Jetrer$.on County Ordll.~..':e 2.81 .nd WAC 136.40. 1. All ~ork done under ufd fr.nchhe sh.ll be cone in I thorough ond \lIorkmanl1ke mllnner. In the hying of under9round pfpeltnu .nd c.blu .nd the ConHNct1on of other "c111t1es and the opening of trenchu. the tunneltng under county rOlds, righU.ot.\lI,Y or othe-r coanty propertlu. the llr.ntee sh.ll lU'4't such trcnchn, ditches .nd tunnels in such I way is to interfere 61 little IS peu1blE wah pl.lblic tr.....l:l .nd sh.ll Ult' .11 dllt' .nd ~i~~~::r~/~~~~~f~o:~e tre~~'~~e~h:t s~1;h:~ :~:tll~:~~: :~.~~J~r~c:h=~~n1~~ ~i~~~s o~n~r~:~r~~.~::s~~ ~~c~U~hp~~1~jo~n:s \lI~br;1 :~i .~~q~~~= ~~;~i~;$. ~f such \lIerk. The llrantee shllll be 1 fable for .ny injury to person or perSons Or damage to property s.ustalned through Us carelessneu or negltct, or through any failure or neglect to properly gu.rd or ghe warning of 4ny trenches, ditches or tunnels.dug or ll'I,ltnt.1ned by the !Jr.ntee. 2. TnfO.grantee. its successors or .uigns. $.hall coomence construction under such permit granted by the County Engineer within the tlllle periOd stated in sue.. penn1t And shall h,ye completed Ind h.ve in operlltion Such portion of the system of fmprovements IS may be specified in such permit or the rights therein conferred upon the gr.ntee sh.ll ceue Ind termlnllte tnsofar.s unoccupied street$.. roads. etc., are cf?ncerned. 3. The gr.ntee snall leave.ll streets. avenLles. alleys, roads, h1ghlOays. rights.of~\lIay .nd other county propertie$., after hying .nd Installing Inllins Ind doing construction work. makfng repairs to equipment. etc.. in as good Ind ufe conditIon in III rupects as they \lIere before the ccmnence. IIItnt of such Ioo'Ork by the gr.ntee. its agents or contractors, and.ll recorded monUlllents which have been disturbed or displaced by the IoIOrk $.h.ll be re$.et to the specifications and apprOYll of the County Engineer. . 4. In clSe of Iny damage to $.ollid streets. .yenues. l11eys, roads. highways. rlghu.of.lO.y or other county properties. or to pa....ed or surfaced road. 'Iilay$.. turn.outs, gutter$.. dltcht$.. wood or concrete walk$.. dr.1n pipes. hand or embanlment rotls, bridges. trestlu. wflar'f'es. landlngl or IhOnuments by the vrantee, the uid grantee Igreu to repair such d.mage It the earl fest time pon1ble ot its own cost .nd c,Ilpen$.e. 5. "'hen the County Engineer determinu that an emergency situation does c,Ilht. he may order and ha\le done any .nd all worl consi"ered neceu".y to restore to . ufe condition any $.uch street, avenue. alley, ro.d, highway, r'tght.of.wIY or other county property left by the gr.ntee or .gents in II condition dangerou$. to 11fe or property. He may cause to be replaced or reset recorded llIOnUlnenu tf . gr.ntee falls to replace or relet same \lIlthtn . reasonllble time after completfon of conUruct1on. The grantee. upon demond. loall pay to the county all CO$.U of such construction or repair .nd of doing Such work.. 6. All conUruction or installation of matns. valves. p1pes. poles, cables. Hnes fitting Ind facl1ities. urytce. repair. or relocat1on of the same, performed .10ng. o....er Ind/or under the county roads. rights.of.way or other county properties subject to said franchtse shlll1 be done fn such "m.nner IS not to interfere with the construction. operation and JIJ,tntellallce of other uttllUesf pl.lDlfc Dr prhate. drafnl. draln4ge dItches and structures. located therefn, nor wtth the grading or impro'f'~.ent of such county roads, r1ghts.of.\lIay or other county properties. 7. The owners of all other utl1ities. publ1c or prhate. installed in such county roads, r19hts.of.....,1y or other county properties prior In time to the lines Ind "ciHties of the grantee shall ha....e preference IS to the pos1tfon and locatton of SuCh uttlities so in$.talled "Ith rupect to the grantee. Such preference shllll contfnue in the eyent of the neceutty of relocoting or changing the grade of any such county rO.d or rtght.of.wly. 8. The grlntee, IS fir IS practicable. shall construct new utility facilities underground. htension of overhead facilitfes fo110lOfn9 streets, .....enues. ....ays. boulevard$. or thoroughfares shall be undert.ken only with the approval of the County Engineer; PROVIDED, however. that said o1pproval shall not be unreasonably \lIlthheld. Gnntee shall convert exhting oyerhead facUlties to underground facilfties as .nd \lIhen equipment replacement '15 undertlken. or "hen other exfst1ng overhead utl1it1es are placed underground. unless suCh replacement ts unufe, frrprtcticll. or econorn1ca11y unreasonable. Lfne bten$.1on poliCies find procedures established by the grantee, and unlfonnly applied through its service He.. sh.n be the standard in detenn1ning \lIh.t 15 ~practtcalf impractical or economfcallY unreasonable" under this ordinance. provided that no ne... overhead utility fac1lttles Shall be ConHructed or est.blfshed in any areo set aside for pUbl1c park. school. phyground or athletic field purpo$.ts. 9. Spec11l Provisions: (;:i..,1TI~fj~ffre. CO^,O"';'/-:s SIf"l"L '+oR.;',;I!S;?-<:.H '-1;-:'-'\-'1 "i ""';^',,""...."" E)..;:,,~;,;.;~ 'JRo~^'D e<-ev....,.iON 2. AL.'- Oi'~,......,RQeD .4Ret'TS Be .I,..J5 .,.....4i....... e D 0;:::' 30" 13 eLow ee ,<?e.S 'r-o>Z eD ;sri "1 <-<- h, c.ONO;-....,.ON~ . rhe,"Z oR ;C;"r//I- L.. - ',,' ',.. ,,', ..' ''-','' c ,,' , :'-.J' / , ;i, , , .. '<'.' ,. '" ": ::/ " ~' , , \ , '.":(ml~ ,', . :i~~ ':1 ..',',,1 1..- , .. .. :'; .,: ,;, . , ',; '. ,. , "ILl \', i '1.', < '" : ~, , , <' ,':" :.", .:.. \ ~~"'.QU~~ObuShl \.; --.., ... ..,......,~O<.ld , . Rd...., ..... 22570 :<': :. ";' i:t ~ ':' r,,7J.' ,:: ", ~ 'I "\"&020 ", ~~J C;) " """~'''''' .'. ; .; ,;, " ' ,', ': ,,' "':' .': '.. " " :'". , ' :" ;; 'j ,,~<..i((.::C:/::. : ,':',,>h;(,::lr,'..,,'. " ',',' ',^ , : " [, "...,," ' I;, ,: ." ;.'.' '.' '.." ":'" ;', '..,'.'.', ",' I .;' '..,. '.' . . ">::"'" " I:;' ,'..".."',,.. ' 1::,: " ...., " " , , " "'''" " ~,,', "L: ',' I, :,,1 ',' , .',,' '.. I~L, ' , ' L I .~'. I ~ROTEtTlON ~<...~ r,~~~':: ~ ;, I ,", IS, \~O ".' PORT" :--.-;--.- ',' I ,/" V,ol,' PI ,/ - 1L ~ ~j TOWNSEND." , ......."1'.. I ' ,.,." ~ ~i ~. " '0. "".. ,", ~...-''''LL "'. '7 ~.s ' Itul'''f' ....., ~::.. $, ,P1 ~,';.-':::.._-,::- " I Kontm PI. 1: ".... - =-rp~=--~?,'il- ~ , ~ud'on ~ ,J'. t ~'f.;, I' 0 :SuclmO"J ' ..."') y , . ,;,c. \_fc '\"~- - D----- Lall, ~.. .... F.o.P rF. t ,,--;.~); L __---.......... <<ti>.Hd ~~...... sll'~~~s _ ~ : ,.00'.' [ 5t~yrct 10 i:,,:,_:: ".,-";',;': I'"" __- , t ~~ O,r'" ,~~:. . ,.c""'O' I ,,' \ ag:or;e 'g'" C.p"Geo<i:~WJe..; ..~'t~.u~ :.- .,5 ' ...\ <J .' :-(';>::'7';',- " Ge~:& . ""(:,.6Z37~ "'"Jcwn\;7. f~,-,---L2E..! ~ L ,..... ... :::,;.:~: :~i;;:' ''''':: \ .... l::'-t - c.o""'"" ~='::1.:;oo:., V .' ,Y,.'i ,,' . B ~~':':""' 0 N,"ef.wJ~ If ~~q ...,..oil c:,.... i"" ::,"/',.. "" \ ?- C',,"~' . c.~ "'."'1! \ [l....l}.~ r ~ ~ ..' II ," .",'i"Y""'~' ,,'" . ~Oo"", 'l> "'~i1'" 1-' '" ...:,',::,' I o1',zooo j::r">.. ""'00' lO\,:(Glen ~ ....,..,,: ~~'. ';;';::: -( _ ,c...,~ ~for' J.." .,i::."'::".,, .I ~1i,,,~~!!.. r" ~ ~;? "'~3~tfo~;;;-'~~~~':T " /~ (' iCY:.. ,I .,;:';';, p~~~ ~~I ,j'/,;:;,\\ ....., TOWNSENO Q; :" nii:<'. ,02>0 . \ '--"'l-*..--{~ ~I 7 STA'r~ PA~~ C): y - ! , . ,',.', 'i\ """0 'OF~~'~:;:;'~'o, C. il ~'::::,. ""~":. I f. - i;- ~":"~~ir Q.. 1 W"~; ;ii> 'X. -Sun,hon"O. ~_ -;'i)D' T'-' ". " -.:l ~ ~ ~J:" ~ ~:iar 21 : : i;":":-'':'~' '_c':':' ,,,,,i9~~~,- !t(.;,~:.~~',.i .... 6Oll70'! ~ r ,",' <> J[FFERj9BtoH:(\> ",,, P': . ,". " ~ a. .n~" 6"otll _ .... Ahlf.chRd \0 '" rJ>~q.e> 'fl:T'L AIAPORjlr~~;O:> , I ,q. "" " ~~o~,]'~"".,"'O"O .... ,,_...,"If)." ~ l en 1---';J,,~181r.:;; ". f--/,'.'" >, ",'" ... I~Q' I ~:~ ..- .~~ ;-!!I ........... ~ 9'0' ____..J.: - 67540. '~ ' .... . """'.....0:00.,'0. ". ~,f "0 Ii! , ,~:,"'<:~.~' ~,w, '''o..'omC'~.'P'"' porI ;~;ete' G~=-~lAl>~----:r-r-,c.orr..~"'" :~';m ... ..~:~~;::~.t;'bd:> - Rd----5"/' 54"':'-",:;,::,,,,,:_:,:, 'i,'::,', O~I Ii ~,'~~101~~-s>'-( p .. 0 BeaCh/ ~~:;; 60120..... - , I {rondale ,.... /."',:: ,,' ~ ~~ Ol--~~ ~.... .... C) ~.:J:.:"m. ~~ c!o~~re" .!. .~I "'D- 9, '0,. \ "~:'~. I': _ '0' ~ l "'pi',". <. v.f s>,oowr"",s,;; \ ~"HodroCk ..."~' I'," i., .. 8. I . . "0"'"'''' . ~. . ~~ ....f' , ~ \'T\ '0" . \.~\' ~' I --' ./, __~___ _ ~ ~ ::o'~ ,5~~1 ""'q \ ..... '. . .13 -=.:..: ",,_ __ ..<:<........ 'I-~N~~RSON ~~m." . ,'o;"o~lli , '. .., If"..,,' 1, "\ 1l. ,An"".n 34001;",,0" 0 0., J ;:' Bioder. 'l.d :; Lak L ~ 9 10 ... 12 .~O~~~I CO 0;;; Woodman Vi (,i-,,::';'; ... I Po" P' l::. .."; I I .>,> \ Discovery!? J'.11'",r ...... "'"d"t~n . . ~ ,f .. '. 1 111 W!-~ II "'<; ~'" "-o:o.o~"..:~i'''r~~' ~Chimocum =" t '.! Q' \.." I 5~1'"?~,}..1' .:-.. 16 l!l " 14 '. I"~ ",f? I I ':0 IE ~~~LoOP' o1,~ "'; ~ :-- ~'21!,~Dn~) ~c' 0~e:~:..a01'" ~~"o\ ~~'Q _J q-"'~ _I I I" Rd;. ! r~~.. ' .______'r"..-:l-~T ~-:/. ~ ".3..,,,, ~ .--.;-- '::'.:";.; II.S;:~::,L Moyn~%~~o ~dl~~~"<t'J..#~ I ~~::~ ~ I :::i ~!1- dl t ~"'" oS ;.:....::i..l.~: ':',f-...J'-:::: C'l~ s;: ~ ~~~ _ _ro..mc~!'lI&eatnR1 ~ If>::: .. -0 ~~ ~ ~'to ~i :: ~~:/.- _ ~ Zl. "~61~~ I .' 0 :1I..~2s;:'11 c,I/ 20 22 Z) /<:< 0 2~.., ~ ':f'; z . ;j;~. I DIscovery -1 H.II R.d ~ I 0 C,ty La~eLakt" I _ ~',f ~ 'a i t-- ~ ! ~i: : ..--l~y "'1 , _;.-f~,:,:"~,u"~:~I= R'r30~ r I'Sr ~ \1'" to I ::':',.:, "J. 0 ~ ,\ .~.~l;8.. ,. ,,! \ 8<ou"" ~ 'f"" ,:/I'-"r ~'~.~ J:~r"R' s '~'OOd~~I' .. i ': CC~$ ~ '@'''..'''',.., I ~ "0' q ,zsl?'170 GII;DJ ~~ ~~~.ii"; -l 5 ""'" .', J I ~o Uncos -p<:< LDIlt"" t.o:"U~,\eb - 3!- - -- j '~~ - ~~ .. ~'o -T" .,,:,. l' --' ~ 1\ ;. I 1I4 I ~:.D LondA i ""C':' ~32 ....~ 33 Hi" 311 36 ...J . f\I 50940 ..~~ ~ / I /f -----' u i 7TH '" 5TANDARD 'QI ""'~~t~ IW EQ\l61~'C ..;f~ ~ ann 1 Rd PARALLEL :_'K N ' , ..:fr. J @ g l~, """0 ';,< "620 r "1 ~~W~' 1,1 ~\ ~ ,.'/\ ~~~~. ...~~~l:~:~t:.R" ~,,:J ~rf:'''' c>1) ?;, I '. ~ .. I/', '---' ! '",..-P<7 ~ ..... "'.q..o ;:l;>, ,,;~ S"l'lOr Sl1o'e t'l . [mbod:;~RO' {,:j; " I~ ~. 10, ... _. Ii 101 12 ~ ., II~.. 8 ' OJ ,"'''O~ -S;p'ZO ..... ~ (\.'251"' 0 \, ~r~ ~~:~+tp:.\ ~1~ /'~':.'; rO'bo~~'.~Ji .....~~.~~'~' ;~~: I:o.o:~~::~~ ~ift" , I...:~,,~' rfl r-"i.~ We 'C~ ., ... o!' ........ · ~ "..' " ':/c: ;: I ~~ ,d'.... ," .....,0 ~ "of' ..;:'" j'..., ,I (\ .. ":i ,.,.:'': , fL'5:~=- --. ...::."" ~ ~- ~h;; I_~ ._> ",".-=':-' -...- .-.- "':r=', ....lIl..' Luf:;" ~ ", . ',', " ',',' , ," .:".. ""'....." ",'" ",'".,..,.... '.' '\;Y\.;'( " /i;;/',;, '..,.,. .. <::i;/,,; """/ "'':',..;,:;''':'';,,/ ,;.,'i'i:\,", ,ii/;,,:.:,. " ii..:.. "i ',', i, .". ,,) "',.!...,'.:",:; .>,/'" ,'/;',..;,...,'... '----.1 '.: ,,'J, '( , ii,".""., "/,-,,, , ,'.:\.,.,..' i;,: ,Ye.:. .. " ,:, 2.J/,.....: "y .." ,,':',"; .',.",.'..,.'/::': 'J.J i.:'U ...:' ',,',' ,', '.. :', 9 ! GENEIlAL 1'ltOVISIONS AI'I'UCAIILE TO AU. I'EIU\IJTS This 1~r1llit is subject to all applicable provisiuns of the I{c....j~cd eWes of Washillgtlm, except that any pruvbiot! illlhis ugrcl,:tnclllllO( combtcl\l .....ith such resolution shall be cOlli rolling. A bUllo ill the amount of $ is required for the prolcl;tIU/l of the COUIll}' :.IS .'!iet fur Iii in the terms of the bond. DurJug the progrcs... of the work such barriers shall be crcl;lcll ilnu Illailllairu.:d as lIlay lJc /ICl,:C~Xlr}' or as IIlU)' be uircctcd for the prutection uf ttic traveling public; the barriers sll<l]] be properly lighted ut mght. III accepting this permit the fX,:liliollcr. his successors and assigns, agrees 10 protect Jcffcr~1l ('OUIlIY and save it harmk.!>s fWIIl all claims. actiolls iwd damages of every kind and description which may accrue to O( be suffered by LIllY person or persons, corrxlrLlliolJ or properly by reaSO/l of the perfor- mance of any such work, clwracter of materials used or manlier of illSlaIJatioll, maintenance and operation or b}' the improper occupancy of right of way or public place or public structure, and in case allY suit or action i.'i brought agai/lMsaid Jefferson Cuullty for damages arising out of or by reason of allY of the above causes, the petitioner, his sllccessors or assigns, will upon flotice to him or them of conlluencement of such action, defend the samc at his or their own sole cost and expense and will satisfy ;.IIlY judgrncllI 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 Illade or obstacle placed withinlhe limits of a county road in !.uch a mallner as to interfere with the travel over SOlid rood, Except as herein authorized, 110 excavation sl1:l11 be Illade ur obstacle placed within four (41 feet of the edge of the pavclllel1l, If the work done under this perlllit interferes in any way with the drainage of the cOUnty road. the grantee shall wholly and at his OW/l eXpcn~e makc such provision .as thc engineer may direct to take care of said drainage. On completion of said work herein contemplated all rubbish and debris ~h..Jl be imlllcdiately removed and the roadway and roadside: shall be left neat and presentable alld satisfactory to the engineer. All of the work herein contemplated shall be dOllc under the !.upcrvision and to the s3tisfaction of thc COUllty Engincer and the entire expcn!:>C of said supervision shall he borne by the party or parties 10 wholll this pcrmit is issued. The Department of Public Works hereby reservcs the right lOarder the ctwllge of loc;.Ilillll or the removal of allY structure or structures authorized by this permit 3t any time, said change or removal to be made at the !iole expcnse of the pan}' or panics to whom this permit is issued. or their succcssors and assigns, All such changes, reconstruction or relocation by thc granlees shall be done in such manller as will cause the least interference with any of thc Coun- ty work and the County of Jeffer!iOll shall in no wise be held liable for any damage to the grantee by rcason of allY such work hy the County of Jcrfer. son, it agents or representatives, or by the exercise of any rights by thc County upon roads, street!.. public place!i or structures in question. This permit or prh'i1ege shall flot be deemcd or held to be an exclusivc one and shall nOI prohibit the Coullty from grallting other permits or franchise rights of like or other naturc to other public or private utilities, nor shall it prevelllthe County from using any of its rmlds, streets. or public places, or af- fect its right to full supervision and control over all or any part of them, nOlle of which is hcreby surrendered. The Department of Public Works may revoke, amend or cancel this permit or any of the provisions thereof at allY time by giving wrillen notice to the permittee, The permittee shall immediately remove all facilities from the right uf way. AllY facilities remaining upon the right of way 30 days aftcr writ. ten notice of cancellation shall be removed by the Coul1lY at the expense of the permillee. Thc party or parties to whom this permit is issued shall maintain at his or their sole expense the structure or objl.'ct for which this permit h; granted in a condition satisfactory to the Department of Public Works. SPECIAL PROVISIONS: 1. Extsttng Shoulder shall be restored to Lts extsttng dtmenstons at compLetLon of,project. 2 . ~rmTMhfffi@fu' rnstaL L ed a gra~T~~ \1lWrru~llJV:i mtntmum of 30" below extstLng shoulder In accepting this permit the grantee, his successors IInd ilssigns, agree that any damage or injury done to thc property of the grantee or any expensc incurred by him through the operation of II contmctor. working for the County or allY COUnty cmployee shall be atthc sole expense of the gr3ll!ee. his successors and assigns. ~ Q C1wt~1bck_ llnd conditions as herein sel forth. ~ day of ,tbe undersigned, herehy llccepts this permit suhject to the terms Dated this ~WY~'-U'-J .19~ ^l'l'li~.lllll \ ''': ,,1}- '~r[,.,'1/., .~ ~~f.( , r))i"JI~r"), ty '1' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Fee Paid_ y~ _ No Rn:o:;ptNo. 182.0 JelterSOfl Street P.O, Box 1220 Port Townsend, WA 98368 (206) 385,9160 Addrc!>s Reque!it _ Yes _ No Mile Post AI'I'L1CATlON t'OI! l'EI!MIT To Department of Public Works, Jefferson County, Washington. rhe undersigned U S !'lest Communi cat ions hereby appl_ for permission 10 place (Please see attached sketch) buried cable alond north side of Fairmont Road tA('I,li/'l1ll1 ...iII J",all"" full)' ...11'" h.. ",'MlI'~ /0 dol' f2EF -.J D6 ~"ZS<D=7 _Cl'Z.'3S SKETCH: RECEIVED DEe 1 _ 1988 JEFFERSON COUNTY PUBLIC WORKS DEPT. On CoufllY Road: between (SIOI""t'O".,tc",,\-\t"~'/!lf IIIUI'(I<li"fI and agree_ 10 do Ihe work in accordance wilh your rules and regulalions and subject 10 your inspection and approval. Date (\out.m.bEI'< -Zq 19~ -<~::l:d IC",',,""" ~'-- (If applicant is a copartnership, set forth names of copartners) A.Mrc'" ^,hJft'" Jefferson Co. Dis/ riel No. s- DEPAlnMENT 01; PUBLIC WOnKS SUfJcn'isur's J(clwrt No. SUPerI'isor will make delailed report lVilh his "'commelldalioll olllhis applicalion, Whenever possible show skelch ofprafJOsed work. SuperVisor will also make addi/ional reports and final reporl gil'ing date of comple/iOIl of work oll/hisfonn. Permil No. C?9 2. 8 Preliminary Ucpor.: F,q..;j{"....o"'-r r:.Q~. m.p. O,/~ -k, "". p , /.26 -'1veRl/<}e '( .:S/""...."C "'~ !3:Nr-....e L",,,,'j""'. "''''L 0,,", oN.. f.1.."'"1::l""...V. C.~'h"c5 F..,-,- Se,c.,...lo",. ;"'t. ".~J' Oat.:;, ,,'!2,,-:-,~,:.,..:BSC~j Fi~~'iiR~p'o;t:..~ r'~Cl\/V ~)! Jf:!l ;.' Signed: Ll/~ /~~ PERMIT INSPECTION REPORT Work covered b,.. pcrmU has been comple~ed sa~israc~orily . Work is no~ compleled. Recommend permit be cancelled~ Traffic con~rol .. adequate .. inadequale REMARKS Ual.: Signed: II~ I *~~~d ,5 Cf/).J"w:<wf/)~ - f/) z, U '"') '"T_lU!wf\CWO' 0 U CD 0:: I ~ ~ ~ H~~"o~ LL.~t-Cig t--rrU ~ zUt-WWCl..." -~f/)rr!<X'" lfD.i5;to~ffi ...-.z 1/"..1 ,.;~ ~) if! ~,; ~, ;rl~! ~ ~! I" 1(1 1') ,.~ ~'1I. 'IJ -~ /~!:-' "'-, ',I.,J.< \ " \. "\ "\, \ \ \ \ \ '. \ \ \ \ > " .. \ \ \ \= '" E -J <; ~l }?:ji V'iCl..~ ,~~,~ ~~~ ~~~, ~ ~-"J <:l~Cl... ~~6; ~~~N ~\l)<)~ a-l s<n ~~~~ ,~~~ e ~ ~ ,t ________.. ~ ~-~ ----_._~~:~\ - ,", ,: ," ': :,', ,..:: ....":'... ,',' , ;~;,: i . ,",. ,.' ..,~ , " I "":' , ":..'.,,,' , ',:";':; " 'I,' , " "', ' , ,: : " '; " " , :' " I , ' I :;...' ': ';"..' ',' ,,' I: .. '" "., " ''; ':' : i ~~- , ',' .. t " , .' .. '," ,'''' " , " , '.,' ,,:,'" \:,. , ::", L (.; ,,:, ' I , ":', I ',.. :, ' ; t., .... , , " "'>, ': '" " " ,",," , ,.., ".,'.. ','.', ",'" " :'" '::': , ' , " " ... , ",' ": " " '.'.. , '..,'" , ,:' ':.', , ' " ,,' , "" : ,: . ". ' '. " :.,. ':. Ii,::: .',.,.',: '!,';, ; '.,,' I :. I"L L ", '" PERMIT NO. S1-7.. (, ..~ FEE PAID ~Yes ~o OFFICE USE ONLY ('/;I/;:I,1.) 1/j5'~o f:.<;;;~-,: ~ A"-1 COUNTY ROAO NO, 5<::> ;.'Z09 i ADDRESSING YES LNO i MILE POST 0.5"'3 OFFICE USE ONLY JEFf~C(iUNTY DEPARTMENT OF PUBLIC WORKS Jefferson County Courthouse Port Townsend. WA 9836~ CHECK ONE: /' " " El 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) ACCESS. r/? L-UELc.. 5/ rE: /A/ f)!ovA k' S)-j o,E:.T . j?t:.A T ~f2o/Y7 rAI/? ;1/]e>-vT IZoA1) A>' :7J.1.{5V,/V .oN A-/'7"A<::)./E:: ~ /J1.JlP... f'Acc,e,sc;. /5 A::>/l <vIE-LL DR/alYl. e6..Jv!:Yl16,u/ DoVe:.. V J.. . ~pplicant agrees to perfo~ the work in strict compliance with the te~s and conditions set out herein, and !,ny special provisions attached hereto. , , , Applicant Name ;G. 0, 5/E'clc, Contractor Name (;)(l(~/'?3~((jl!Jnli"; (J(f);,PV Address ,7~4 1// l'./vCA( PD" Address ' " PT, T~ JA J (l,AV..A c..vA/;f .. Applicjlnt SJ.gna ture f::'~. 2"0 Wo ..i Contractor ,Signa tun Date b --"2.'t.- 53 7 Phone ~?',.c, - ~/?,C ' Date Phone Note:' 'Xndemnity provisions of paragraph.,2 '....nd '3.on ',reverse side, ~ ,'. ;:. , ,b.\W~IQJf.Dl ' "P E R M IT., , ' , , " ',' , :; Subj"....... .JI t!JJJ~enns-anC1 conditions on the reverse side, ,PERMISSION XS,HEREBY.GRANTED t,,' Applicant to construct, operate and ma'intain a .road approach as requested above.,...nd ,a'}y" special ,provisio~s attached hereto. . ,,' " .. . ,.;, ;. .: ' '. ,.':: . . .,', .'. ;. . . .'. : . t". '. ~ .. 6. ;.. No work shall'be done'under this 'permit until ~e applicant or'contractprbas notified .1' .' , telephone .. ... .... ,. , ~ II i - : APPROV~~,}IY:, ~L~~ ~ ,'", Date "';, . . ......;;... 6,-30.-877, :. .. .... ,., :' ,.;.,~. 'j : I . . .J t' .~. ~., I; ;...';'/1.;, PERMIT XNSPECTION REPORT,""', ," rl CAll 48 HOURS BEFORE YOU DIG 1-800-562 -6478 \/ Work 'cove~ed b; '~ermi;~' has~e~n'~;'~Pleted - satisfactorily. '", ",,' I ~Work is not completed. ~ecommend permit be cancelled. _Traffic control - adequate inadeqUate~ REMARKS INSPECTED BY&~ DATE' <-/'N; Form 113-0 (Rr.rA 2'Jl2) : '" -. , .. ,..,:'.., ,..', , ", -:- . '.", ' 1'. ' , " " " ." ': ' " ,',",': , '., :' , :' ,',: , ,..':. ..:.- ,...... . ":,,," , < '. :'. < .. '" , , '., . ~ ,'. ,..." " .' , = <;..:r:':_":':', '\:'i' .. , " ,.. '" , " , ,.' ! ~;. ", "" r: , "'.. ,.,'; : , '" '. - ". , : , = : ; , : , : J ..: : ~- ! " , '" ",..' ','.. ..' " '".. .. " .. , ,,' , "..,'.. ,:' ',' .,..',;,', < ':...., ',: ' '." .' ":':,', , ,'.," :.. ':, .. ',.... \", , '.':' " .. .~,.,.,\'.': ,,:' . , " '.'.'.' " ,..., " ',' " ...,..,' :', ," ::,,';'''':' "..' , . ~ ',/ ,,(',.., ,', Itl , ' , '.',,' . "'C' "',, :, ", " ...,,'.> ',,' " ": ":," ',' . .. ",," ' .. :,"', , , ' , '" , ,,',,', ' ,.'.'.',"".., ,.", :",'" "-:",, .. ',';:,.'.<.',' .': ' '..' ... :' ..:::,,': ' - _ 8. <',':. , . .-.-.... :',',,' , , ,,' ," ',:".. " , .,. " . ", t- ,: ,,2, , ' " ~" " L '~iy/;~~~;,:,:,: .".'. ~" . ," ..,: ,"; ,', ",' ,"..: , ,'" " . ,',..',' ' , :' I. ': " /,. :; , ..,..'; ':, ' , " ,," I ,< ...., ' ",.' i,' , " I': " I. .'. I" ',', ; \: "...' " ,', :. ,i 'i ; .' 'c... ':, ,., " : .' :,,: ,: " ,'" ,,: ' " " . ,," ". ",' ',' , '.:', ", '" ':':, ,","", :"" ,"", " ' i i ;:, :. . , ';;' ',".', , i., .':' ','. ", '. . ".," , ", ... ,::" : '." ":"",' ," , .,' ,'" ' '. " ':.., ,', ,'.. ".. I! , ., " .. ~.lt._ L L , .....-.--. :- GE/lERAL PROVISIONS 1. THIS PERHIT IS SUBJECT TO RClI 36.75.130. .140 AHO .150 AHO Al<EHDHEHTS THERETO. 2. THE GRAHTEE" ITS SUCCESSORS AND ASSIGNS.. AGREES TO PROTECT JEffERSON COUNTY AHD SAVE IT HARMLESS FRO" ALL CLAIHS" ACTIONS OR DAMAGES OF EVERY KIND AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PEASOM. PERSONS.. OR PROPERTY BY REASON Of THE PERFORMANCE OF ANY SUCH WORK.. CHARACTER Of ttATERIALS USED OR MAHHER OF INSTALLATlONJ IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAKAGE5 ARISING OUT OF OR IV REASON OF ANY OF THE ABOVE CAUSES.. THE PETITIONER.. ITS SUCCESSORS OR ASSIGNS WILL. UPON NOTICE OF COt1l1EHCE- HEHT OF SUCH ACTION... DEFEND THE SAME AT ITS SOLE EXPENSE MD SATISFY ANy JUDGEMENT ARISING THEREFRO" If DETERMINED ADVERSE TO JEFFERSON COUNTY. 3.' IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEHENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED BY THIS PERMIT... THE THIRD PARTY... AS A PART OF THE CONSIDERATION FOR ITS COHT.RACT NITH GRANTEE.. AGREES TO IHDEKHIFY, HOLD HARMLESS AND DEFEND THE COUNTy IN ACCORDANCE MITH THE PROVISIONS OF PARAGRAPH 2.. ABOVE. If. ~YT~~~A~~R~~T~~ ~rHI~~ ~g;:~{~~~;1r:~o:~Q~~:~C~~~: =~;~:: gaDg1y~R S~:LtU:~~C~H~H~;R:E~I~H~O G~:~~~_ LATlOH AS HEREIN PROVIDED. ,5. DURING THE CONSTRUCTlOH OF THE fAC!LITY.. THE GRANTEE SHALL COKPLY WITH THE &liIJA1 ON UNIFORM TR.uFI~ r.nHTAOl '. DEVICE! FOR STRfFT~ AND HIGHWAV!; PUBLISHED BY THE U.S. DEPARTKENT OF TRAHSPORTATlOH. . .:If. 6. ON COMPLETION Of SAID WORK HERE IN CONTEMPLATED.. ALL RUBBISH AHD DEBRIS SHALL DE IKI1EDIATELY RE~VED AHD :.. .:'J THE AOADWAY AND ROADSIDE SHALL. BE ~EfT NEA! AND .PRESENTABLE AHD SATISFACTORy TO THE ,COUNTY. . ~ .. "": '. t: ft... .... 'T.' THE ~OUHTY RESERVES THE" RuiHT 'TO ORDER THE CHANGE Of LOCATlCltI OR THE REI'tOVAL OF ANY STRUCTURE 011 STRUCTURES ~. AUTHORIZED BY THIS 'ER"IT AT NtY TIME.. SAID CHANGE DR REHOVAL TO IE MADE AT SOLE EXPENSE 0' THE PARTY OJ!: .~.' ....t. "ARTUS TO HHClftt THIS PERHIT IS ISSUED.. OR THEIR SUCCESSORS AHD ASSIGNS. .. ~~~ ~~~~T C~~;~~:ER~~r~r~~I~~N O~R T~~Lg~e~{~'1 S I:O~~E A~~~~~:E=~~L C~~N~N~Hl~L S~ttH~ :m~E:t:"~E~ Ltl~:~:E. fOR MY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK IY JEFFERSON COUNTY, ITS AGENTS OR REPRESEhTATIVES, .. OR IY THE EXERCISE Of ANY RIGHTS BY THE COUNTY UPOI't ROADS... STREETS, PUBLIC 'LACES OR STRUCTURES IN QUESTlOff. . ~ : 9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON CC>>IPLETlON Of THE WORK UNDER THIS PERMIT SO 'THAT ~. ." . 2:;=,,,_ :~:~. 'INA~ IH~P~C.~~"" C~ BY IWlE. ",,', APPL~~~LES~~~~;J~~V~~~O::NOJED BY ~ IX; ---'q:.-.iT'~~Jj~tilj~~'-=-= o 1. A COpy Of THE PERMIT SHALL BE Oft THE JOB SITE... -AND PROTE~TED fRO" THE ELEIU.HTS, AT ALL TIHES DURING THE : . t ~:; CONSTRUCTlOH AUTHORIZED IY SAID 'EMIT WITHIN THE COUNTY I 1I1GHT-of...WAV.. ' ".: '" .' "j ~~ ~ '2.....THE APPROACH SHALL IE COHSTRUCTED IN ACCORDAHCE WITH THE ATTACHED OESIGN PLATE TYPE 1'-', :.',~, ", APPROACH. A ..s- FT. LENGTH OF .c;;:L. INCH DIAKETER CULVERT 'IPE SHAL~~ : . ". DITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL IE SURFACED TO THE LIMITS AS SHOWN ON' .. ,'. ~~:E~~mG A~~ ~~;F~~~D~A ~rR T~~O~P ~:~ei~E S~~~~E=~Y I~N~gC~~~;E R V ~~~_~~~W:~O~: t~ ~~~T:~L P~:M I~~E&~AH. ~ 3. THE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FRO" THE EDGE Of THE PAVEMENT TO PREVENT A1ty I'tUD TRACKING ONTO THE COUNTY ROAD. ANY I'MJD TRACKED ONTO THE COUNTY ROAD SHALL IE II'V1fDIATELY.. CLEANED UP BY THE GRANTEE OR HIS AGENT. . : m q. IF NECESSARY TO INCREASE staHT :U'SU,HCE. STUMPS AND BRUSH SHALL BE REMOVED FRO", BOTH SIDES OF THE e:rc~A~=ALL T~~TI:~I~~:~7{~:~E o~U~J~~~y O:O~~R~~~~~gi~wl~~BER OR OISF IGURING OF ANY FEATURE OF SCENIC o 5. WORK SHALL IE RESTRICTED TO THE HOURS BETWEEN 9:00A:H. "'D ~:OOP'.H. ut~ESS OT~ER~ISE AUTHORIZED IY THE ENGINEER. , o 6. A SURETY BOND IN THE AMOUNT OF " WRITTEN 8Y A SURETY COMPANY AUTHORIZED TO 00 BUSINESS IN THE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COHPLlANCE NITH ANY AND ALL Of THE TERMS AND CONDITIONS OF THIS PERHIT AND SHALL REKAIN IN FORCE "'TlL ALL WORK UNDER THIS PEAHIT HAS BEEN COMPLETED AND APPROVED BY THE COUNTY. o 7. BEFORE MY LOG HAULING OPERATIONS BEGIN.. A SURETY BOND IN THE ",",CUNT OF " SHALL', BE FURNISHED BY THE GRANTEE TO PROTECT THE couNry AGAINST MY DAHAGE TO THE COUNTY ROAD AND TO INSURE COMPLETE REl'1OVAL OF THE APPROACH AND CLEANING UP OF THE RIGHT-Of-WAY TO THE SATISFACTION OF THE COUNTY. APPROVAL Of ALL CLEAN UP NORK SHALL BE SECURED BEFORE THE BOND WILL BE RELEASED. o 8. SPECIAL CONSIDERATIONS Form 113 b nltiU~J1.\\ISat.li;f/: L .' _....:.;. s... '.. ;. "..' f ~ '.' ~ '.: " ',.' ~,,"'.'" ,,' ,,', ',:' ..' '" ' , :: ,," , , , '" ,., .. '... ',' ' ',> ...' . ,', ':: ,.' ' .' ,'.:' " '.,'.'. .", " , "" ,', ," .. ",.' , , , ' " '.",'.:' '. 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"-, IlIJ '-~~--''''~il(m~'t L COU~!.T!,-1(iJAD NO._~i9J STATE LOG NO. MILE POST _____TO OFFICE USE ONLY, PERr~ IT NO. .BOl:'J. - 21-=./ FRANCHISE NO. FEE PAID _Yes _ No OFFICE USE ONLY JEFFERSON COUNTY DEPARTMENT OF PUULIC WORKS Jefferson County Courthouse Port Townsend, viA 98368 APPLI~ATlON FOR INS1ALLATlON..Q,F UTILITIES Name and Address of Appl icant:____t:?UJ31(;LEQ\;;J..~R !,.,ll~JU.::lQJ.R.$. - ___..,___310_Four_Comers_Road______ ------,Port-Townsend,-W A-98368---..--------,--'" I\pplication is hereby made for a permit to construct, operate and ma'intain_______..,_ _~I~_W~\{T A'-a~6 c...ITI' L.A.1<'--E-_:Ji~:I::2___ The utility installation is located (attach lIlap or dl-awingt2T.~_~!...'_JG_~__e:,.,.~~p_T"d..J""r -P-"t?_,--E-~~-12.tN S,;;,_,h,'-='=Jl '= G-, T.,...__.b,l>,l;-.&-J;.JZ___~_req~-,-,-~ J,::2..9~__,__' Appl icant agrees to perform the work in strict cOlllpl iance wi th the terms and conditions set out herein, and states that Applicant has read and will adhere to tlie general provi- sions set out on the reverse side of this foml and any special provisions attached hereto_ Applicant Si9nature4~ ---1= D >#- 67 -647 z.. \ ,,.., I "!,'1 1&1 ".lU~\I-' \ 1\\''1,j'''i1l1 Lru \ tJ U VJ \) ,.,.' " Date:~:I.:'..\--8J'_ / / 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 cond it ioned upon Appl icant' s compl i once wi th Jefferson County Ordi nance 2-Bl and WAC 136-40, i ncl udi ng amendments thel-eto, the genera I provi s ions set out on the reverse side of this form and any special provisions attached hereto. No wor'k sllall be,.9one.),ll1der t!lis permit, until tlie Applicant has received instructions to proceed from L ,e;~, _,_~~~etf?.J , telephone ~-.J~I>~ . APPROVED BY:~~ ~...M.d.c:r<----- Date: .:r,A-t,/J7 / / / / / / I / / / / / / / I I / I I I / 1/1 / I I I / I 1/1 I I / / I I / lrk PERMIT INSPECTION REPORT UTILITY DAMAGE IS COSTLY. CAll 48 HOU RS BEFORE YOU DIG 1-800-562 -6478 covered by permit has been completed Work is not completed. Recommend permit be cancelled. Traffic control adequate; inadequate. , - - REMAllKS: INSPECTED BY:'\:>-LSl--,":"" ----- sati sfactori ly. Date: s- - F/- 2(___ (itn-=ul Prowhluns PilI' Jo!f(l:~50n County OnJI,.. ";t;! 2.ijl dnd'MAC 1)/.;-40. 1. All work dOllo.: undo.:r S41d "rdnctI15~ shilll U~ dOIlt: In .I thOfOU'Jh "lid wor\o.lI'clllll\:.t: mclJl,,~r. In tho! 1"'/llI'J 01 undCflll'OYfllJ l.l11.>t:1'1I"'~ ,Uld ,~~lt:~ 4h~ con~tructjon of othel' fdcilitlt:~ dnd tht' OllcntnfJ of trcnctlt:~, th~ tunrll:llll<l Ufldl:r cuurll)' r04d~. "IIJ!,t".Ut...",y or Olll,," loy"l'lIIl"Jl.l"lllt:~. l"" 'J,.."l"" ,h.stl ledvt: ~uch trt:llcln:\, ditcht:S (11111 lunl1l:1.. tn \uCh d rodY 4S to Intcrtl:n: d~ llttlt: <IS jJo\siule ..lth JI\lI)I\l.: lr'.I""! dull .."..11 t<lll! ,11 ~"... ...,) nt:Ct:H<lry pr-=c<lutions to ljUdl"..J We .SlIml: SO th.lt dduOilJ1: or Injur)' shtlll 1I0t UCCUI' ul" .If!>.t! III IO':....1l11 fit '.u01 ..un ~ ,If 1'.1 ..""rc ...., 01 HI!.!I tr"J\(t".~. ditchts or tunnels <Ire left opo.:n <It nilJhl. the 'JroJnlee \h.Jll pl<lC!! "dfnilllj 11<lhtS oJnd Udl'rIC<l<JI~'. tll ~u..h d I,u~ltlo" d~ ll) IJI'... dllcQu4l'" ..4.1I1"'J 01 SuCh ...orl. The gr.snlt:t: Hldll b<:: 'lable tor dllY lfljur'l to IlI:l'!.orl ur Ilcr\oll'.,; or d~l!I<I(Jt: to lll.t)!-'<:ftj ~u\!41IH:ll lllrou'J" ".!. (olr'l'lt:loS""'!.S or 111.",)1"'(.... ur thrOugh "'ny failure or nt:gll!cl to propt:rly gU\lrd a.' 'Jive ...4f1111l<j of 4ny trt:ncht:~, dnctlt:!. or tUllrlllh du'J or 'h4Int.llllc,! 1;1 I"l' 'Jrllllh:~, 2. The '1r/lntet!, lu Succt:ssors or /lsloi9n... \h411 ClJIllllt:nCI: cOflstructloll ullt!llr \Ucl1 pcrmlt 'Jr4l\tcd ItJ UlI: County In'J1J'eer wltl'il" l',e tlll~ l'trloll H"lI!O in ~uch ~nl1it tlld shall !ld~C complt:tt:d dlld h,,~c In oper',slil.i<l \\H;h lIortioH 0; tllc sy~tcm 01 lonpl'(j~e[tll.'l\t) ~\ 110.11 be ~lJl'cltlelj In \Ut." pl.'r"llt or I"t.' rights therein confer' red lIpO.! tilt! grdntoe sM11 ct:<lse "lid tel111lnll1o.: illsufdr' U unoccupied \otrcet~, .l,l.llls, t:ll... <In: "Hl~r:rllcll, 3, The <jr.sntet: Sh411 le.svl: 1111 stl'l:e1s, .s...t!IIUt:S, <Illeys, rO.ldS. 11hJhw4)'\, rl<jt,tJ..of.w<lY 411d uu.er CUllllty prollo.:rt":~, .Iltl:r ldjlnl) "nd InJot,,1IH'9 1II.ln~ "nd doing cunstruction ...ork, lll.skinlJ rt:pdlrlo 11. t!l\ul IlHJt:1l1 , t:tC, , 1r1.U lJuUd 4n.j ".1ft: condItion In 411 rt!\I!t!(;B 4" tlllll ..en: t.tdo.'e trlt: !.V"O"fIIC~!. u:nt of such work by tht: gr4ntt!t, its illJentS or contr.lttors, dill.! 1111 recorded 11l1lnuUlcnh whIch h.l~C beo.:n 1l1Hurbl!1l ur IltJ.Vldccll by UOt! will'.. ~n,sl\ tot! rt!!.tlt to the speclflc,stlol\\ .snO approval of thl! Counly En<jjn~cr. 4. In C4se of Ilny doffi<lge to )old HI't:i:ts. 1I~l:nut:~, ,sllcy!., n.ltld'lo. hll,hw4Y<;,. rllJhlS.of...ilY 01' uthCl' coullty JJr'ullcrtll:S, or 1u I'o~cll U,. ~url,'Cl.',1 l'Ud'" wa)'\, turn-outs. ':lultt:rJ.. dltch.::s, ...uod or concn:lll wdtlls, drill11 r.ipes, ,.dn..! or ClllLJ411llmCIIl rdll~, 1,.'id{Je~, trt:HII:!.. ..II.1r~\:", 14n..!ln':l!. or ".(jI,,,'I\Cnt~ b)' tht: !INntee, the sold IJr4nto.:t: il'9I'ees"to 'reildir such iJdlllil!lt: <1t the e4rllc~ttimt: pu~sltJlc .It It'. o.m ,'O\t dlld l'~lll'IISl:. 5. \.jhen th-= County [ngilletr dett:ll1dnes tl10t dll Clll\:rgcncy sltuHlon diJc!. Clint, ta! [lldY order dnd h.lve done <l1'y <lnd <Ill ...Ol'~ cun\hjl:I'cllllt!Cl.!.~"r)' to I"estore to <154ft: condltlon .sny !.uch slrel!t, Ilvo.:nuc. <llle)'. I'otld. hltJh';4Y, I'lljlit.of....tI)' Of o till: I' cuunty property Ie! 1 Uj till: '.Irdn1ct: ur ..lJ...lll) 111 01 condition dlllll)t!rouS to lifc or propt:rty. Ilc lll.lY CilU~1: to Ill: n~111",cd (jr rcscl rccllr<.led monument!. 11 d cJr.lnll:C tdlb tv felll4Cc 01' rt:J.o.:t ~.I"'" ..lttlln II rt'ason401e thne dftt:r cOllpletlon of constructIon, Ihe fJrdlllt:c. Uf'Oll dt!tlldnd, ~11lill IldY to tile CQllllty <111 Cll'lot) uf !.uch con\truct1ulI or Icl.dlr <Iud of dOlnqsuch...orl:.. b. All construction or lnsullation of m4lns, I/<I""t:s, plpe~, pole\, c",lile';., line!. (HUIl'J dnd fdcl\ltle\, J.cnl{t!, 1t:])4lr', or rt!h'(;dtltlll (jl 01'" sanle, ptlrfonnl:d 4long, ovcr ,snd/or undt:!' tilt! coullty rOild<;" l"i(jtlts.Of~"'d1 or Otlilll' Cuulll)' IlrOl'o.:rlll!~ ~lIlJJc,l to \"ld frdhChht: \IIIsIl IH~ .:lom' 111 ~uCtl a m4nnl!f dS oot to 1nterfcre ...ith the conJ.lruct lun, opt!r4lioll drld m..inlen,u1CI: ut oth!!!" utll It it!s. !Jubl iC or I.ri.....tl!. ord In~. dr.Jlndlje IIi le,ro!:';. dud stl'uctures louted ther't:1n, nor with the gr<1dill~ Of inol'ro~t:lIlenl of \u,1I county r04d~, I"lghl~.ol...dY ur C1l!\llr county IJrOl'l!rtie!.. 7, the owners of all other utllttles. puollC 01" prlvHll, ill':>tclllcd ill ~uch CUl,intj rOclds, rhJhtS.ot...~y or otht!r count)' prolll!rtlcs prIor III tl[loe to thl! }Ineli 41ld (oilcllltit!s of tht: grdntet: 511"" h.lye tlrelerl!IlCc II'. to tilt: pO'lolllull dll~ locatloll of \uch ut1l1tlt:'. 100 il1'.l.lllcd ..itn fC'o\lCCt lO U'l' 9r'4ntr:t:, Such prt!h~rl:rlce !.'hlll continut: In till! I!~'ent of tilt! lleCI:S'.ifty of rdl.JClIlllll) or CiJ.lIl<jlll!J till! !p'ddl! of <lny such county rO<ld or rllJht.ot...41. 8. Th!! gr.sntee, as folr ,ss pr<lctlCdblt:, shdll construct ne'l utility ftlCllltlllJ. undllnll'ound. Edt:n!.lon of 0...l!rtlC4d f4CllltlCJ. follo..inlJ '.tfl'd~. .svt:nut:\. wdyS, tJoull!v<lrds or thoroughfolrt:s ';.hdll toe un..!l!l't",ken ulll)' ...ith till! dPI!I'(J~lIl 01 tl'e ClIunty [nljincl:r; I'IIO,/[U(O. ho..e...t!r. tll,sl ~.Jld 1I1'1'IO~dl ~hdl1 r,ot bo: unreasonlloly ..iU,held. Grilntee st\olll ~o"vcrt t!.IHIII" ()~t!rh'!.ld ftlcllltlt:" tu undl!rljrOllllU t4cilillll\ d\ dnd ",rll:n I!qul\!lHt'nt rc\1l4ct:m",nl IS undl!rU~l!n. or ...h!!n otller' e.i\tlnfJ overhl!all utilltlC\ .sri: pldccd ul\llcrljrftund, Ulllcs~ such r<;>pldct:lllcnt IS uns,,'''', 1I,_lr<lCllc.s1. (jr I:(OnUlll1C<lllj unre4\OIl4ble. Lint! t!.lt/,!lls10n pollCie\ <lnd proCedllrC\ l!stdlllb~lCd bj till! 'Jr'lIn(l:e. dllll unllollnly 4rlplied throu'.lh It';. ..cr~jC:I: ilrt:<I, \h.sll Lc llol! sund"rd In detennlnlnl] whdt t\ NprllctlCdl, illil!rdctlc.sl 0(' ...conollliclllly ullrlldSOI!tltllt:" un(.\~r this orojndlLce; \lrOvlllell thdt no nc.. Ovcrhtl"ll utilIty fllcllittn !.h411 lie constl'\lctl:O or estdOlhllCd In dny drtd st!t o:.lde tor Ilulillc pdr\o., sChuol, pl0yl]fOUIld or atlll...tlc fit:lll .."rpo\l!s. 9. SPt:chl ProvistonS: ~Jl' ~O::--7 /1 1< 'm / r I/' v, " I I ~'rl;-~ ~._)<-t..... Ii :')~~:I C;;;~D'--)", \ '''-J'':9k~ ' ./ \ ,/ "- / "- / \ / G-"i;!.;"~ - " / / / / I I I f----~'?!"'?, I I / / / / / / / I I / / / / -- ..:I:.N"?r I- 't,&c:.., ....UT-<> -p,,"- 1"-'''''' ':"U;:VI"", .~/~S'T""-'::'L Vl.o,J,J 6.lwY Ja~ .....A. .J..N":'.L.',I. I -sol t-<.J-':; "'"11"-< '" +"''''''-1 - "io' "f''''''-li:, ------ ---~~--.;I:I.J....Tr .Pr'..._. "':""Ni-' '~,;.-. II I'~ -rt:.-;:.: 1-' ,f ~,=---,,,,"'" II L/l~ ;;......;.> ON .:../,;:, ~r'i'~-r rrJ"'-;'~ e z.~#,- '::>::N"'>T 2" -f"~I. 1<<-,'" C~ I' ~""'B..L-e.. T~. II "";;>1-.1 ~ It-,.:.> II '-~~D. c......."'.lo'-<-{..;$. I~':;'o;:.<-'S Ci Ii \ :; e{i' ~,~~,~~:'I'':':'''''''',:"",~~ll!ifo.'ll,'\';",",~~~r,~'w....-'''~~-~~,~~'''~~''',.''':~'~"~7~"""~'r:';7~t~"":J'l~":"'~~,,,'~"~"1"r~'fiI:l'i~'Il"l(I'~~,"'7'~~~~~~:7'"77:~:';,-;'~:"'tt & \ C"1/~ 1~f1;lf >~~~~, lc~':~,);~r-' ~ N~ 0025 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellelson Street P.O, 80)( 1220 Port Townsend, WA 98368 (206) 385-9160 District No, 5 PERMIT In accqrd,ance with all applicable Revised Codes of Washington ami amcndments Ihereto, and subject to all the lenns, condi- tions and provisions written or printed below or on any parl of this form William Morris to PERMISSION IS HEREBY GRANTED TO 5503 _ 155th N.E. ,Redmond, WA 98052 Install a private road approach using colvert pipe with gravel over the culvert, located on the West side of Flagler Road at mile post #7.40. County Road No, 952707 Franchise No, Milepost 7,40 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 Don Olin 395-9140 This permit shall be void unless the work herein contemplated shall have been completed before Dated at May 10 , 19 89 May 10 &~~~@W~~ By ./J~- ~ 1.800.424.5555 .1990 This I",rn,it i> suh;eet '0 all applicable p",vbioos of 'he Revi,",d Cudes of Washillg'on, mep' that allY p",vi,illll ill ,his ag"""ent IIlll "m,i"ell' wi'h such resolution shall be cOlllroWlIg, GENEIlAL l'Il0YISIONS A....UCAIJLE TO ALL "EIlMITS A bond in lhe amount of $ is rCljuircu fur the protectiun of the CUUIl!}' <l_\ set fOrll1 in the terms of the hond. During 'he prog"ss of "ie work 'oeh barriers 'hall ,'" ereeled alld mailllained as may I", o,,"sar,' or a, may he di,med fIll 'he proleetioll of ,he traveling public; the b...rr;cls sh:tJl be properly JiM/lIed;.It uight. In acceptiog 'his I",rlllit "ie pe,i'ioner, hi, 'U""'ors and assigos. ag"e, to l"OIeCl Jeffer,oll COllo,y aod ,ave i, harlllless from all clailllS, ac,illlls alld d,m'ges of every kind alld deserip'illo which may accrlle to or ,'" suffered by allY I"'rsollllr pe"'''IS, ""I",a,ioll or p"'perty by rmoll of ,he pe,for' malice of allY 'ueh wllrk. ef",raCler of malerials ",cd IIr lIIallller of iIlSlOlI"iulI. lIIaimellallce alld ol",ra'illll 0' by 'he improl",r oceupalley of righ' of way or public place or publicslluClure. alld ill ea,," aoy sui, or aClioll i, brollgh' 'g,im, said Jcffersoo CnulllY fu, damages "i,illg out of or by ""on of any of 'he above causes, the pe'ilioller, bi, succes'ors or as,ig,IS, will UI"" olllice '0 him or 'hem of COmlllelleemelll of 'uch aClioo. delelld the ""Ie" hi, or their OWII suleeost 'nd expcllse and will '"isfy allY ;udgme", afler 'he said sui, or aClioll ,hall have filially beell dClermined if admse I<> 'he Jef, (ersoll Coullly. Except as hereill aU'hori"ed, 110 excavaliOIl shall be made or obstade placed wi'hill'be limit, ofa coollty ""d ill sllch a lIIaOller a" '0 illlerf"e wi'h Ille travel over sajd road. If 'he work dOlle UI,der rhis permi, illlerferes ill allY way wi'h 'he d",illage oj 'h",,",,"y ""d. 'he grail tee ,hall wholly alld" hi, OWII ext""" make such provision as the engineer muy direct to lake cure of said drainage. except as herein authorized, nu excavatioll sllal: be Illude or ohMadc placed w;lhll1 four HI ICCI of the edge of the paVClI\C1I1. 011 eomplClion of 'aid work hereill conlemplated all ruhbish a"d debris shall be immediately removed alld 'he roadway alld road,ide ,hall be lef! II,", and presclllable and satis(uclory 10 Ihe engineer. The Dep.rtmelll of Public Works hereby reserves the righ"oorder ,he change of loe.li"" or 'he removal of aoy strUclure or ,trUClures aU'/lOril.ed by Ihis permi,., .ny'ime, '.id change or remov.1 '0 be m."e ."he 'ole expellse uf ,he pallY or pallies 10 whom ,his perllli, is issued, or 'heir 'uceessors and assigns. All of ,he wnrk herein COlllemp'.led ,hall he done ullder Ihe supervi,ioll .lId 10 ,he 'atisJaeliulI 01 'he Coomy ElIgilleer .lId [he elllire expeme of ,.id supervisioll shall be borne by the party or PUrlies 10 whom this pl.'rrnil is isslJed. The p.rty or p'rties [0 Whomlhis perm" is issued 'hallm.illlain " his or their 'ole "peose 'he SlrUClUre or ohjeCl lor which ,hi, pcrmi, is granled in a condition s:uisfactory 10 Ihe DepartmclII of Puhlic Works. The Depallm'''' of Poblic Works m.y revoke, amend or ca"cel'his permit or .IIY of 'he provisiolls there"f., 'ny ,ime by giving wrillen 1I0'ice to ,he permillce. The permillec sh.1I immedi.tely remove.1I facili'ies from the right oj way, AllY faeili,les remailling upon ,he righ, of w,y 30 days .fter wri" lCII nOlice of cancellation shall bc removed by the COUnty at Ihc expensc of Ihe permittee. This permi, or privilege sh,lI "0' he deemed or held '0 be.1I exclu,ive one aod ,hall no' prohibit 'he CoulI'y from grall'illg o,her permilS or fra"ehisc righ" of like or OIher na'ore to o,her public or private u'iIi'ies, "or shall i, prevelll,he Coumy from u,si"g allY "f i" ro.d" streClS, or pUhlie places, or ,f, fect its right to full supervision and cOlllrol ovcr all or any part of Ihem. nOllc of which is hcrchy surrendered. All soch challges, recun'troclioll or re'ocatioll by ,be grail lees shall he do"e i" such mall"er as will eause the leaS! illlerfere"ce wi'h a"y of 'he COUll' lY work a"d the CoulllY of Jeffersoll shall i" "0 wise be held Ii.ble Jor a"y d.mage 10 Ihe grall'ce by rea'on of .ny 'uch work by 'he CoulllY of Jdfer, '011. i, 'ge"" nr represclII.'ives, or by the exercise of .1IY riglll' by 'he COII"'y UpOll lIIads. ,tr"". public places or 'trUClores ill qucSlioll, SPECIAL PROVISIONS, 1. A 12" X 20' culvert required. Approach shall be 20' wide. 2. Applicant shall be held responsible for all damages to county road right of~f'y.n\ i!~:i !::i'.y:; ;;1;1: /\ +- \1'1////.71111 k: /VJO/f'/?..:z s and condilions as hcrein set forth. In accePlillg thi, permi, Ihe gralllee. his successors alld .ssigns, .gree thaI '"l' damagc nr illjury dOlle '0 rhe propellY of ,he gr."". or 'nycxpellse incurred by him Ihroogh Ihe operation of a eOntr.CIor, working for Ihe COIlIllY or '"l' COIl"'y employee sh.1I be" ,he sole expense 01 ,he gram", hi, SUccessors and assigns. O;lIed Ihi, ~ /9 f-h day 01 ~ /VI /llr ~i""'{U~ *#/~~ , thc undcrsigncd. Iwreb)' accepts this permit subjecI to the lerms ,19-;<'.f f JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Slreel P.O. Box 1220 Pori Townsend, WA 98368 (206) 385-9160 AI'I'UCATION FOR 1'E1~MIT Fee P3~" - No Ra;eIIJl Nu Addrc~Rcqu(.'StX Yes_No Mile POSI To Department of Public Works, Jefferson County. Washington, The undersigned U);//J:JM 1<".' rlAJ~ ,Y VV /Vl~ JVJOMI c::;- hereby app/~ for permission 10 f () f a cd. 'I" ; ~~II,'::!.,{:;t"" Mil ~,:~'/"" 1:,;;", d" I P 7"0/, e), 7' /oca/~d. CJN F'1./l(;lLS/? !?O/f..f) usi/vQ, C.U//J'I..)'-/- pi f <2.... a .vei d /; I - ~)1 ~ U d 0 () "-)/ ,.-)- SKETCH: f\I 1 of/Me G/... s- On Counry Road: F / If c; L ERR Oi1J) between IftJ [) FO/f7 G /J T G I?O-?...P IS/Q/t'lIfflfI'M CWWl/rt't'1 f" mill' pO/JIll !~ ~ i~ I~ I~ Ie( / ! MUM8Y ;::)0#1/ and agree...s- 10 do the work ill accordance with your rules and regulariolls and subject to your inspection and approval. Date /l1 /J,It' I () /9-1lL U)Ltf1~7~ Ij1,l!l.~ / / (If applicant is II copartnership. set forth names of copartners) -3..:il1.~,5 ~-'2 N ,t:- ~~ W /J 9' r? 0 5' '2.- A""". "holle No, ( 2 oG) kJtf'? - 2 ,,!;'S'?; rholle No, 100% Recycled Paper iConlraclorl Jefferson Co. DEI'AIHMENT 01' punLlc WOHKS Permit No. ('")::-):::;...::- Supervisor's neport No. Supervisor will make detailed report with his recommendation all 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. District No. Preliminury nCIHlrt: "3' Gf2.r.'t 'f l- I Z .. ('0/",,,,-,,, ' ''''''JJi ",J cl, r~! (O~"'1 12<>.,\ . -j"/! .>..Jl. '..T.(<.. 1/-,." /:.... ,<"\'()r</. ~~, +h. Dale: <--10- <;>'7 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 Signed: REMARKS Ii'" ('.:J'..;r.... .J, .:..i..;. ~!.::) ., i-~9 Dale: $-- .a- r( SI~ned: ~ ~ \ C,"\ - /W,' ~~_ I .. ., ff .:~,. ..'<~ v ~,!' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellelson Slreel P.O. Box 1220 Poft Townsend, VIA 98368 (206) 385-9160 N~ 0057 District No. 5 PERMIT In accordance with all applicable Revised Codes of Washington amI amendments thereto, and subj9cl to all Lhe terms, condi. tions and provisions written or printed below or on any part of this form PERMISSION IS HEREBY GRANTED TO Discovery Timber Co. 4890 Discovery Rd., Port Townsend, WA 98368 to Install a commercial road approach on the West side of Cleveland St., 160' ! South of County Park Entrance at mile post .25. ~~~. J~W County Road No, 578309 Franchise No. Milepost .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 Don Olin - 385-9140 This permit shall be void unless the work herein contemplated shall have been completed before Daled at May 19 . 19 89 May 19 .19 90 By ../J~ ~ 1.800.424.5555 -~,~ -"-~-'->-"-"-' This permit is ~ubjc(.:/ 10 all applicable provisions of the Revised Clxks of Washingtoll, CXCCfJllhal any provj;ion ill ,!lis agrcclllclII nOI cumhtt'1Jl ......jth such resolution shall be cOlllro/Jing. GENliIlAL l'Il0VISIONS AI'I'UCAIlU, TO ALL l'EIlMITS A bond ill the u'1Il0U/lI of $ is (C(IUffed for the /lro(CCli,m of the (QUllIy it, ~ct fOrlll in the terms of the bond. During Ihe progress of the work such barriers shall be erected and mai/lluilll:d as ilIa}' he IlCr.:cs~ry or as IllilY be directed fur the PfOICl;lio/l of the lruvcling public; lhe barriers shall be properly lighl~'i.J at night In acccptilltllhis perlllit the petitioner, his SUCcessors ami assigns, agrees 10 prolect Jefferson COUIlIY :JIltJ S<t\'C it harmless from all claims, actions and dUI1HlgCS of every kind and description which fIlay accrue 10 or be suffered by au}' persoll ur perSOflS, corporation or propcfly by reason of the perfor- mance of allY such work, c1wrncler of ml.llerials used or maImer of inslallalion, mailllenalll':c alld operatiun or by the improper occupancy of right of way or public place or public MruclUre, anu in case any suit or actiull is brought against said Jefferson Counly for damages arising out of or by reason of any of thc abm'e causes, the pctitioner, his Successors or assigns, will upon floticc lc) him or them of COlTlmcncement of such action, defend the sume at his or their own sole cost and expense and will satisfy any juugll1elU after Ihe said sui I or actiol] shall have finally been deterrnincd ifad\'ersc to the Jef. ferson CouIIlY. Except as herein authorized, no excavation shall he ma<Je or obstacle placell within the limits of a count}' road in such a manner as 10 interfere with the travcl over said road, If the work done under lhis permit interferes in allY way wilh tllc drainage of lhe county mall, lhe gran lee shall Wholly and at hi.. own expense make such provision as the engineer may direct to take care of said drainage, Except as herein authoriJ.ed, no excavation .!Ihall be made or obstacle placcLl wit/liu four 141 fcct of the eLlgc of the pavement. On completion of said work JJeTein CVIllCtJl(}llJ/ed ull rubbist] allll debris shall be immedialely renJoved and the roadway and roaLlskle shall be Jeftllcat and presemublc and satisfactory to the engineer. All of the work herein comemplaleLl shall be done under the supervision and to lhe s:uisfaclion of the CoulllY Engineer and the elllirc expense of said supervision shall be borne by the party or panics to whom this permit is issueLl, The Depanment of Public Works hereby reserves the right to order the c1lange of location or the removal of any structure or structures aUlhorilcd by this permit al any time, said change or removal 10 be made at the sole expense of the party or panics 10 wholll this permit is h.~ued, or their successors and assigns. All such ch~n8es, reconstruction or relocation by the gralllees shall be done in sueh manner as wHl cause the least interference Wilh any of lhe COUll- ty work and t~! C~~nlY of Jefferson shal(fq.,.np wise he held liable for any damage to the grtlntcc by reason of any such worl\ by the COUlllyof Jeffer' son, it agents or representatives, or by' the exercise of any rigllls by thc CoulllY Upon malls, streets, public places or structures in questioll. The Department of Public Works may revoke, amend or cancel this permit ur any of tile provi.!lions lhen:of at any time by gh'ing wrillen nOlice to the permittee. The permittee shall immediately remove all facilities from lhe right of way. Any facilities remaining upollthe right of way 30 days after writ- ten notice of cancellation shall be removed by the County at the expense of the permittee. This permit or privilege shall not be deemed or held 10 be an exclusive one and shall not prohibit lhe County from granting olher permits or franchise rights of like or other nature to other public or private utililies, nor shall it prevellt lhe County from ming any of its roads, slreet!>. or public places, or af. fect its righl to full supervision and control ovcr all or uny part of them, none of whifh is hereby surrenLlereLl. The party or parties to whom this permit is is!'.ued shall maintain at his or their sore expense lhe structure or ohject for which this permit is granted in a condition satisfactory to the Dcpartment of Public Works. SPECIAL PROVISIONS: 1. A 121t X 3D" minimum culvert will be required. 2. Gravel or the equivalent of shall be used at the entrance on to Cleveland St. so as not to track mud on to county road. 3. Applicant shall be held responsible for all damages to county road right of way. In accepting this permit the grantee, his successors and assigns, agree that any damage or injury done to the properly of the grantee or any eXpense incurred by him through the operation of a COlllractor, working for the Coullty or any COUnty employce shall be at the sole expense of the gramec, his succeSSors and assigns. and conditions as herein set forth. , the undersigned, hereby accepts this permit subjecl to the terms Dated this day of . 19 ~ i? Sc=-- "',;''''', ., -.....-.".-..-,.-..---.,..--,.-- 1820 Jellerson Slreet P.O. Box 1220 Port Townsend. WA 98368 (206) 365-9160 Fee Paid /' Yt:S _ No ct." . :P?~.,- 25. 00 Rcuipl No Addres.sRc:quest_ Yes~ Mile: Po~t ...~J ~ JEFFERSON CUUNTY DEPARTMENT OF PUBLIC WORKS AI'I'L1CATION I'OR PERMIT To Department of Public Works, Jefferson County, Washington. The undersigned \)', ::o.Co u r? K"{ :,{ 'VI e e. Ie. hereby app'-1-- for permission to ofC.lev~\.<A-'-JD S'r ('50' '!: ::r= f'll 5 'rA-I-'- CQ M j2 Ar/'1 120 Pr/? l'i1">p;>"OIlc.H -10 f~' v,eST S; DC I,IN/lilll/II ...'ill .1""'1111<'/,,11)' ...hlll II.. ~lI'hn. '" J" / ~o '-'rl'/ or=: co~,,''1 ?,;-R"- {;tvr/<,<!/VCe. SKETCH: see. ,q rr /tcN e D On Coutlly Road: ,.cl eve! A-r-' 1:> ;5,/ ~/JT #.4 V5 ST, /Srall'lIl'1l''''''Cffl\\-M''''''Il,mlll'poim/ and agree_ /0 do the work in accordance with your rules and regulations and subject to your inspection and approval. Date /') >"'^-~--:, J9~ ~~I~- 4'8'10 ~,,~ tSillnalUfeUr Apl'licllml lIf applicant is a coparlncrship, set forth names of copartners) "'. 7J(Sr<~""'r j?<\, ""'<~,,_ ,) . l.J. '\"""l~,~ tCnnlrllCIOf' AdllreM AlIdfC'~ Phone No. i- N JeHcrsoll Co, HEI'ARI'MENT 01.' PUBLIC wonKS I'erm;/ No. ('OS, D;slric/ No, s- Supervisor's ItclJUrt No. Supervisor will make de/ailed report with his recommendatioll oil/his application. Whenever possible show sketch of proposed work. Supervisor will also make additiollal repor/s olldflllal Tepaf/ giving date of completion of work Oil this form. IJrcllminary Report: Loe: ,~. U /1 ( d' 7'~<;"/ 5'AoJvld-- V"7 (,T!-..J S c-...JJ (.,..../J-!k ~-i",,-.....Ao--cl c le'J !~j ,. i' L..vb;. t-- S-J'p~ d'-I,v.. o:>{- Date: -;-("1-1'7 , Signed: ~. - =-- Fin"1 Report: / PER~PECTION REPORT Work covered by permit has been completed satisfactorily. Work is not completed. Recommend permit be cancelled. Traffic control - adc(luate - inadequate REMARKS 1}"le: ,'5" - /9'- 07 I ) ~,,- Sl~ncd: i", ~ -- .. , '" " '" :' " :' .', ':, .. ',.. :,'''' ..> , " , '" , I' " ... < ,.... :;~ '.' , .. : ','..:/ }'.. '.. , , , ,," " :": ..,', ,:.. -',: ..' " , .. ' '." , " ',', .': , ,'..'..:'. " '.: ',' "',' : " ,,:',' , " ", .. , " , ' :: ..:~ ,',' ":.. ':" " " ," '.. ""', .. " ......:, .,' ,,', :,:' >'.,'... '. I.::." '. ,,: ~ , : .. '--- " "" \ ~ i; L I;, I, I , , " , " ".. ' ~L". ....,/ COI/Ol. F>f. ,l'~NT fI .' .. ,r . .. ; . " . 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'f/'>'O'lp" D, r~.."'.rl'. p";.F #o'~ H.... p.I. 2'!JNfl/6 .............." n,/'h-I".., ";""#h ~ _,N'&JI'-, """-r;""'" ~,",........ "'_.:... -....- #h "1' __ ~......,...:... ........-- .......r........ .......-... -- .. ,. "'-'-- ...,. ""- ,..,............ ---~ .~~..--- , "'-, -..".- """'-'" ,. ..,......, ".., -,. N..".....~ 1"";...,- "",,,...~ ..,.#0'<;;;4 , I " ,',,-:],.',1'. " '. . <.,'.'. -:- .'.. "I :,,, , ".., " .'.," -,', '" ", , " :,,": , ,,' '....' l',' , ",' , , , ..,'... , : ,:':,' , , , ': I," '" " ! ,..,' ," , : " i ,.',' 'c.' ,.: i 1 , :... ,:: ":',:";,;' ".' "::'" ~ -- '~ .' .,;: , ,,:' .',..' '.' " , ',.., , ," , :>, , ,.i.: , ." :'" '", '.. , , , ..-J .. '.: .". ,.' "." , ".. 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D ~ /ft:l c.L D €.R-5 , , ATTAa-I MAP OR SKETa-t REFER TO- ~4R.L RESPOND BY- RESPONSE- ~n,'...: /)"r :...(..~ ~ /././ /iI <; "-.77;J --.,-ft,,, '" "'de /1 _ 4; ..-7# H.-<-d ~ /--,4./t::. , REVIEWED BY- gJ ,?t;~ DATE- ~- 7- "67 c::cHTACTED REQt.ESTER 0 IN PERSON 0 BY Pf-tCI'{E 0 BY' LETTER cx::lNTACTED BY. RE~TION_ {'AvL....r (;-! 0 /), ;r~..... ~LQ'o,S /2~ MV PREPARE ESTIMATE- FQ1'.. AOUI'E TO- INITIAL 0 DIRECTCR - 0 CXJNSTRUCT ION ENG. - 0 ACCX)t,I,ITANT -- 0 ASSlfrrNIT DIR. - 0 P~ING ENGINEER _ 0 - 0 A:1AD Sl.PERVI SCR - 0 ADt.4.N. ASSISTANT - 0 - IJI " - ',:, ' , , " " ",i't '~'" ! . . . ,." ',; : " .' , ~ , ,"; ", "'," , , (.", '.,'.. ,.' " '". '..' .... ,:: " ! " , " : . ;':, ,: ' " ' , ,',. ',,',' , , ",. ,'..' ,,:'" " " , , " >- , :" ", , " ':.: ','. i.',..,' , , ',.', .. , j .,'.'".. "'.'..', J: '.' .,'. .. ,". ~~:.i',',',' , """'''~(''::::'''.'..., , ", , ' ,;,. ....,',.., ".':, ' , ',',., ,"', '~.'. ,. ,'" , ',::':, "',. .- " .... .. .. 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A5A/ -- RES~E- Pr.J.r--c..h I~r &n-z...~11 e.-f-e.-l I ~~7 e-cr REVIEWED BY- DATE- CClN'TAC'J"ED REQl.E:STER 0 IN PERSCI'I 0 BY P'I-C'IIIE 0 BY LETTER cx::lNTACTED BY. RECICMoENDAT tCN- PREPARE EST I MATI: . FCR- ROUTE To. INITIAL o DIRECToR D D o CONSTRUCTICI'\I ENG. _ 0 ACcz:x.r.lTANT o PLAM'lING ENGINEER _ 0 o ADMIN, ASSISTANT _ 0 ASSlfrfNn' DIR. ROAD SLPERV I SCR :, , l.IP-'I;I.'1'i\";wrp.'Wl'~1lIa'1l';;'1f~1;:';"").fA':Jr~"'~'r.~~, . ,,' ..' 4 ,."> (I .~",', .,.", ,I:: , .' ',.', ,,'.',. '. ::. , ,,', ' " . ( '," .< ,..,. !I " , .. '. , ,.:." '.,'. , ' :,: ,: ',.' . . ',' ",',,':: , "", " ':' :::, ':'. {" :', ',', " :', :"" , .,' .'.. ,':....,' '. , ".'~ . ',,'.".' ". .: , I ',:.' ': .... " , :, ' , , ,',:.. , :,,' ~ , : .. , ,',..' : ,', ',' ',,' iii",. ,..,.. ,.;; I I. ' , ' , . ' " '., ..' . ,'.,.., ,," "". , I, . ';", ','.,,', , ".,',' ,',.' '", ',', ,. '., ",,'., "c" ...., " , .;.., '....,"" " ',' ,', ,',. ,'.,..',' ;: ..', ,"" ':":.':.,,',",'" ' , . "', ' " ,,' .' ".' 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'd- _1_ 8 1 ; DCNTACTED REQUESTER b IN PERSON 0 BY PHl:X'<E ,May' LETTER CONTACTED ay. _ REcx:w..E:NDAT I CW. ~.o_r ; r ~h,.IE fj,!/l )11"111 <;;-:S'I.UJ..5 '"'1'k.1" PREPARE ESTINA......FeR- RCMn"E 1"0- INITIAL o DIRECI'OR -A CONSTRUCTION ENG. _ 0 ACCDLroITANT ~STANT DIR. _ ~ P""""NG ENGINEER _ 0 IZf ROAD BU>ERVISClR _ J5a:. ADMIN, ASSISTANT _ 0 L ~," ., ';' :" , " -:-l ',,', " . I. " '" ' , '," "'" ':'",', , ,:", '.. " ' , " , :.' ' ,/' c. ' ,'" ' ,:': :',:' , .",'",..' ,,', ,.','"., , ',' ',', ,,'" ", :,':',;, "", ",'.,', , " .. ,", " ':: .. ':, ", ", ' ," ",' ",', . ',',." ",".. ',,, : . ," ,." ". " ,: ' . ", . :'" ; , : , .',':' i ".",'. ',' , , :~;,~,~(}J ',.,' , ',:" " ". ",', .'...., ," , ,.'..., "",'. ',. ',,""" :.' , "., ;, " :< ""':" ", ' '" , ,"';' ',' " . ',' """ '~- , ',' ,"',',,'< ", '.' .': ',,'," "'. ',... :',:':," ': :",," ...,: , ,', " "".', .,", " . ",,' ... ,,\' ""'" :', '" " "..' :, ,.', ,," , ., '",'. .;" " .' , < ~: ~ ~' ~ ,