HomeMy WebLinkAboutROW PermitCITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMITNUMBER: f —1 PPI-OVED
L!
TODAY'S DATE: 0800/2018 ESTIMATED DATE OF WORK: 08/20/2018
APPLICANT (Person doing the work) Randy Sexton
COMPANY: Sigma Builders LLC
ADDRESS: 4630 Lisborn Drive
PHONE: (317) 679-0051 EMAIL PERMIT TO: randy@sigmabuildersllc.com
CUSTOMER: Sigma Capital LLC
ADDRESS: 4630 Lisborn Drive
PHONE: 317-679-0051
ADDRESS OF PROJECT: Coombs redevelopment - Newark lots 35&36 replat
DESCRIPTION OF WORK (check all that apply)
ROAD BORE M DRIVEWAY REPLACEMENT
CONSTRUCTION ENTRANCE r 77 LANE CLOSURE
STREET CUT ROAD CLOSURE
OTHER
DESCRIPTION: Construction Entrance for development project
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 NO
*NOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS OF ALL SUBCONTRACTORS INVOLVED
SURETY BOND. Please see Item #1 of the Right -of -Way Conditions. 1
BONDING COMPANY: Western Surety Company
BONDING NUMBER: 62846671
EXPIRATION DATE: 07,114,12019
As applicant for this Right -of -Way Permit, I understand and agree to all of the specifications and
conditions listed on the attached sheet.
Randy Sexton i
licant's Signature
Print Name
PERMIT GRANTED BY: r''fDATE ISSUED:
(Cit)iciai
COMMENTS:
IA-). 0. ' j`r /'�L' C5
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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