HomeMy WebLinkAboutROW PermitITODAY'S DATE:
CITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER: aGI2��
09/25/2019 ESTIMATED DATE OF WORK: 10/14/2019
APPLICANT (Person doing the work) Craig Dice
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COMPANY:
Case Design / Remodeling
ADDRESS:
99 E. Carmel Dr., Suite 100, Carmel, IN 46032
PHONE:
(317) 846-2600 EMAIL PERMIT TO: cdice@caseindy.com
CUSTOMER:
Robert & Susan Campbell
ADDRESS:
14378 Avian Way, Carmel, IN 46033
PHONE:
317-846-6505
OF PROJECT: 14378 Avian Way
DESCRIPTION OF WORK (check all that apply)
ROAD BORE ® DRIVEWAY REPLACEMENT M
CONSTRUCTION ENTRANCE ® LANE CLOSURE C]
STREET CUT ® ROAD CLOSURE [,
OTHER �✓
DESCRIPTION: Driving thru existing concrete driveway for delivery of construction material
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 V/ NO e
"`NOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS OF ALL SUB -CONTRACTORS INVOLVED
SURETY BOND. Please see Item #11 of the Right -of -Way Conditions.
BONDING COMPANY:
BONDING NUMBER:
EXPIRATION DATE:
The Ohio Casualty Insurance Company
325425421
02/06/2020
�s applicant for this Right -of -Way Permit, I understand and agree to all of the specifications and
conditions listed on the attached sheet.
Craig A. Dice
(App i's nature _ (Print Name)
PERMIT GRANTED BY:
COMMENTS:
ZJ,
(City Official)
17
DATE ISSUED: 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)