Loading...
HomeMy WebLinkAbout13025 Wimberly CT ROWMY OF CAMEL RIGHT OF WAY PERMIT PERMIT NUMBER: DATE: ESTIMATED DATE OF WORK- IT(Person doing the work) PHONE: ADDRESS OF PROJECT DESCRIP170N OF WORK f dw& all #hat apply) ROAD BORE ❑ DRIVEWAY REPLACEMENT [] CONSTRUCTION ENTRANCE LANE CLOSURE STREETCUT [� ROAD CLOSURE OTHER YPE OF SURFACE CUT(Napplicable): *NOTE: OPEN CUTS IN PAVEMENTREQUIREBOARD OFPW lCWORD (F,W APPROVAL USE OF HEAVY EQUIPMENT YES NO -S'rn cj � � �cC DRAWING ATTACHED YES C� NO "NOTE: ON REVERSE SIDE of THIS PERMIT, PROVIDE NAMES ARID COIIITACYS OF ALL SUB-0ONTRACrORS HQUIN Wo SURETY BOND, Please see Item #J. ofthe Right -of Wav Candksnnc_ BONDING COMPANY: BONDING NUMBER: EXPIRATION DATE: As appiicamfor this Right -of -Way Pcrmil; i understand and agree to all of the speofc utions and condkions listed on the attached sheet: Pplicanfs Signature) GRANTED BY: ( DATE ISSUED: sty Official) .. REPAIR WORK 1NSPECtED AND APPROVED I have inspected the repair of the above right-of-way and hurl it to be completely satisfactory. (City Inspector) (Date Released)