HomeMy WebLinkAbout19060197 Right of Way PermitCITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER:
TODAY'S DATE: 06/25/2019 ESTIMATED DATE OF WORK: 7-25-19
APPLICANT (Person doing the work) Pools of Fun
COMPANY: Pools of Fun
ADDRESS: 3891 Clarks Creek Rd
PHONE: 317-281-7710 EMAIL PERMIT TO: kdenny@poolsoffun.com
CUSTOMER: Veronica Robinson
ADDRESS: 4310 Rolling Springs Dr
PHONE:
ADDRESS OF PROJECT: 4310 Rolling Springs Dr
DESCRIPTION OF WORK (check all that apply)
ROAD BORE Q DRIVEWAY REPLACEMENT Q
CONSTRUCTION ENTRANCE Q✓ LANE CLOSURE Q
STREET CUT Q ROAD CLOSURE Q
OTHER ❑
DESCRIPTION:
TYPE OF SURFACE CUT (if applicable):
*NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL*
USE OF HEAVY EQUIPMENT YES 8 NO 8
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
BONDING NUMBER: 0259-568
EXPIRATION DATE: 4-29-20
As applicant for this Right -of -Way Permit, 1 understand and agree to all of the specifications and
' conditions listed on the attached sheet.
Kyle Denny
( icant's ignatur (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)