HomeMy WebLinkAbout18120054 Right Of Way PermitCITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER:
TODAY'S DATE: 01/03/2019 ESTIMATED DATE OF WORK: 02/04/2019
APPLICANT (Person doing the work) Jim Arthur
COMPANY: Casey -Bertram Construction
ADDRESS: 5780 E 25th Street, Indianapolis, IN 46218
PHONE: (317) 546-3366 EMAIL PERMIT TO: jarthur@caseybertram.com
CUSTOMER: Wedgewood Builders
ADDRESS: 32 1st Ave NE, Carmel, IN 46032
PHONE: 317-669-6315
ADDRESS OF PROJECT: 651 1 st Ave NE, Carmel, IN 46032
DESCRIPTION OF WORK (check all that apply)
ROAD BORE DRIVEWAY REPLACEMENT ❑
CONSTRUCTION ENTRANCE✓ LANE CLOSURE F-1
STREET CUT ROAD CLOSURE El
OTHER r7
DESCRIPTION:
TYPE OF SURFACE CUT (if applicable):
*NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL*
USE OF HEAVY EQUIPMENT YES of NO �
DRAWING ATTACHED YES NO
*NOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS OF ALL SUB -CONTRACTORS INVOLVED
SURETY BOND. Please see Item #1 of the Right -of -Way Conditions.
BONDING COMPANY: (On -File) i ME
BONDING NUMBER:
2
EXPIRATION DATE:
As applicant for this Right -of -Way Permit, / understand and agree to all of the specifications and
conditions listed on the attached sheet.
aJames A. Arthur
R(Pl icant's Signature) (print Name)
V
PERMIT GRANTED BY: DATE ISSUED:
(City'bfficial)
COMMENTS:
REPAIR WORK INSPECTED AND APPROVED
I have inspected the repair of the above right-of-way and find it to be completely satisfactory.
(City Inspector)
(Date Released)
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