HomeMy WebLinkAbout19100067 ROW PermitCITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER:
DAY'S DATE: 10-9-2019
ESTIMATED DATE OF WORK: 10-30-2019
IAPPLICANT (Person doing the work) Pools of Fun
Pools of Fun
3891 Clarks Creek Rd.
E: 317-839-3311 EMAIL PERMIT TO:
CUSTOMER: Lynn Perkins
12898 Pontell Place
317-677-5328
ADDRESS OF PROJECT: 12898 Pontell Place
DESCRIPTION OF WORK (check all that apply)
ROAD BORE
CONSTRUCTION ENTRANCE �]✓
STREET CUT El
OTHER
DESCRIPTION: Left side of house
OF SURFACE CUT (if applicable):
kcolon@Poolsoffun.com
DRIVEWAY REPLACEMENT
LANE CLOSURE
ROAD CLOSURE
*NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL*
USE OF HEAVY EQUIPMENT YES NO 8
DRAWING ATTACHED YES ✓ NO
*NOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS OF ALL SUB -CONTRACTORS INVOLVED
I aunc i r aurvu. viease see Item #1 of the Right -of -Way Conditions.
BONDING COMPANY:
BONDING NUMBER:
EXPIRATION DATE:
Westfield
Wb9-b68
U4292WU
s applicant for this Right -of -Way Permit, I understand and agree to all of the specifications and
conditions listed on the attached sheet.
Katie Colon
IPERMIT GRANTED BY: DATE ISSUED:
(City Official)
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)