HomeMy WebLinkAboutMurphy ROW PermitRIGHT-OF-WAY PERMIT
PERMIT NUMBER: 0o S-" c
TODAY'S DATE: l `31/q ESTIMATED DATE OF WORK: q f q/1 q
APPLICANT (Person doing the work) DAv,`d 5 c:,bc zck 1}
COMPANY: f pb cz0.k CDrt5 frV C iri'dSery►` e S Irl C
ADDRESS: 2-1 jAj ! (6 o7 y
PHONE: 3l?- $yi:4_gS74 EMAIL PERMIT TO: days @SobcZakCOnStrvco'00.CD
CUSTOMER: finf%c�✓ty can�L Mar„ /Yl«r�%
ADDRESS: llO2D Tc`�kPr LA Ca�rwP.11 fA] 632
PHONE: 3 l 7- 62-7 — -i z a Z,
ADDRESS OF PROJECT: �OZ� TiMber L�� C�r,ne)� q6 03 Z
DESCRIPTION OF WORK (check all that apply)
ROAD BORE 7:1 DRIVEWAY REPLACEMENT
CONSTRUCTION ENTRANCE i LANE CLOSURE
STREET CUT ROAD CLOSURE 1,7
OTHER
DESCRIPTION: Dr—mo u�ld
TYPE OF SURFACE CUT (if applicable): POSSi b1-_
*NOTE. OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL*
USE OF HEAVY EQUIPMENT YES NO U
DRAWING ATTACHED YES NO I�
*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: 1. tSfJP1'd� InSurwrc2 ( /
ov►T�w
BONDING NUMBER: A/ p 'PG7_0 �-Z.F
EXPIRATION DATE: 717-
As applicant L�,this Right -of -Way Permit, I understand and agree to all of the specifications and
onditions listed on the attached sheet.
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(Ap)' is Sign (Print Name)
PERMIT GRANTED BY: DATE ISSUED: Gj
(City Crffi al) r---
COMMENTS:
(Aj.m77
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)
ekCOLVA 1-tor F,( - AA a¢-t- f'r'a-ter-- 3 ?- 5S? 3►� S
5ctecriVe. 6(-P- -A5317--IIH-39A7
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