HomeMy WebLinkAbout051319-3CITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER: 0513/2-3
Carmel Engineering Dept.
TODAY'S DATE: 5-10-19 ESTIMATED DATE OF WORK: 6-1-19
APPLICANT (Person doing the work) Kim Harper
COMPANY: Mud Slingers Pool & Patio
ADDRESS: 5575 Elmwood Ave Ste D Indianapolis, IN 46203
PHONE: 317-650-5131 EMAIL PERMIT TO: salesiC�l mudslingersinC.COm
CUSTOMER: Misty Brown
ADDRESS: 1168 Westvale Dr Carmel, In 46032
PHONE:
ADDRESS OF PROJECT: 1168 Westvale Dr Carmel, In 46032
DESCRIPTION OF WORK (check all that apply)
ROAD BORE DRIVEWAY REPLACEMENT
E7
CONSTRUCTION ENTRANCE LANE CLOSURE
7
STREET CUT ® ROAD CLOSURE
OTHER
DESCRIPTION: Gravel driveway
TYPE OF SURFACE CUT (if applicable):
*NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL
USE OF HEAVY EQUIPMENT YES " NO
DRAWING ATTACHED YES JR NO
*NOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS OF ALL SUB -CONTRACTORS INVOLVED
SURETY BOND. Please see Item 41 of the Right -of -Way Conditions.
BONDING COMPANY:
BONDING NUMBER:
EXPIRATION DATE: a
As opplicont for this Right -of Way Permit, I understand and agree to ali of the specifications and
�j conditions listed on the attached sheet.
Kim Harper
(Applicant's Signature) (Print Name)
PERMIT GRANTED BY: DATE ISSUED:
(City 6fficial) /
COMMENTS:
o. / S 7
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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