HomeMy WebLinkAboutHarrell ROW permit applicationCITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER:
TODAY'S DATE:
05114/2019 ESTIMATED DATE OF WORK: 06/15/2019
APPLICANT (Person
doing the work) Oasis Outdoor Living
COMPANY:
Oasis Outdoor Living
ADDRESS:
PO Box 314, Fortville, IN 46040
PHONE:
(317) 485-6514 EMAIL PERMIT TO: jama@myoasisoutdoor.com
CUSTOMER:
Jon Harrell
ADDRESS:
4952 Deer Ridge Dr North, Carmel, IN 46033
PHONE:
312-485-0505
ADDRESS OF PROJECT: 4952 Deer Ridge Dr North, Carmel, IN 46033
DESCRIPTION OF WORK (check all that apply)
ROAD BORE 7 DRIVEWAY REPLACEMENT [1
CONSTRUCTION ENTRANCE Q LANE CLOSURE 71
STREET CUT ED ROAD CLOSURE D
OTHER
DESCRIPTION: Will be driving over sidewalk with heavv machinery at customer driveway
TYPE OF SURFACE CUT (if applicable):
*NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL *
USE OF HEAVY EQUIPMENT YES e 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: Westfield Insurance Company
BONDING NUMBER: SND9803466
EXPIRATION DATE: 05/0912020
As applicant far this Right -of -Way Permit l understand and agree to all of the specifications and
conditions listed on the attached sheet.
Jama Hufford
Applicant's Signatur (Print Name)
PERMIT GRANTED BY: DATE ISSUED:
(City Official)
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)