HomeMy WebLinkAbout19090038 Right Of Way PermitITODAY'S DATE: 8; 10i19
(APPLICANT (Person doing the work)
COMPANY
ADDRESS:
PHONE:
CUSTOMER
ADDRESS:
PHONE:
RIGHT-OF-WAY PERMIT
PERMIT NUMBER: t�M_Z—
ESTIMATED DATE OF WORK: 9 1 1,)
anon Hollis
Carmel Engineering Dept_
Vict01y Surfaces 11C
6831 E. 321)d St., �300, Indianapolis, IN 46226
317-842-7663 EMAIL PERMIT TO: sipitcock<<, deeml'irst.com
Matt and Tina Harrison
13775 Coldwater Dr., Carmel, IN 4603-
317-509-3097
ADDRESS OF PROJECT: 13775 Coldwater Dr., Carmel, IN 46032
DESCRIPTION OF WORK (check all that apply)
ROAD BORE DRIVEWAY REPLACEMENT
CONSTRUCTION ENTRANCE X LANE CLOSURE
STREET CUT ROAD CLOSURE _
OTHER
DESCRIPTION: inground swimming pool construction project / construction entrance
TYPE OF SURFACE CUT (if applicable):
*NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL*
USE OF HEAVY EQUIPMENT YES X NO
DRAWING ATTACHED YES NO X.
*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
BONDING NUMBER:
EXPIRATION DATE:
M-J Insurance
6783295
U83020
Asa nt_fe -this Right -of -Way Permit, l understand and agree to all of the specifications and
conditions listed on the attached sheet.
Todd Ketchum
(Applicant's Signature) (Print Name)
PERMIT GRANTED BY: DATE ISSUED:
(City Of(cial)
COMMENTS:
vV• �• �C� Ste%
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)
`MINIMUM BASEMENT FLOO---LEVATIO:N
-OR THIS STRUCTURE SHA P'- NO
_OWER THAN 875.50.
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WF-iHE ENGINEERS, INC.