HomeMy WebLinkAbout19060098 Right Of WayAPPROVED
RIGHT-OF-WAY PERMIT
PERMIT NUMBER: 00 —Z
ITODAY'S DATE: cj J ESTIMATED DATE OF WORK:
CANT (Person doing the work)
(COMPANY:
(ADDRESS:
Carmel Engineering Dept.
PHONE: SL-%6C-011 6 EMAILPERMITTO: �y(J.p��l/Vt�/L�UiCDG✓e(t`/caj,�
CUSTOMER: Aft P 1,/ 414jSLc4t
ADDRESS: Lq-s 0C /,��
`S
PHONE: 1 7 —6F7, Y- -r-,21 7
ADDRESS OF PROJECT: o (72a V f-36-
DESCRIPTION OF WORK (check all that apply)
ROAD BORE DRIVEWAY REPLACEMENT
CONSTRUCTION ENTRANCE-+`. LANE CLOSURE
STREET CUT ROAD CLOSURE
OTHER DESCRIPTION: SUIU9, /(- �(�C.� Ax" t7li Qe.A
TYPE OF SURFACE CUT (if applicable): /U
*NOTE. OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL*
USE OF HEAVY EQUIPMENT YES 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:
BONDING NUMBER:
EXPIRATION DATE:
As pplicant for this Right -of -Way Permit,/ understand and agree to all of the specifications and
conditions listed
o the attached sheet.
pplicant's ature —iz��-
(Print Name)
PERMIT GRANTED BY: (City OfDATE ISSUED:
ficial) /
COMMENTS:
N
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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