HomeMy WebLinkAbout160CV - Right of Way Permit ApplicationCITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER: 19110061
TODAY'S DATE: 11/25l2019 ESTIMATED DATE OF WORK; 12/01/2019
APPLICANT (Person doing the work)
COMPANY: Wedgewood Building Company
ADDRESS: 32 First St NE, Carmel IN 46032
PHONE:
(317) 669-6315 EMAIL PERMIT TO
permits@wedgewood bc. com
CUSTOMER:
PHONE:
(same as
ADDRESS OF PROJECT: 160 Carmel View Road, Carmel IN 46032
DESCRIPTION OF WORK (check all that apply)
ROAD BORE I� DRNEWAY REPLACEMENT �
CONSTRUCTION ENTRANCE � LANECLOSURE �
STREET CUT � ROAD CLOSURE �
DTHER �
DESCRIPTION: Dl(� C2a��L SPaeG �2 F.k.�w f*anvre,,,�
OF SURFACE CUT (if applicable):
*NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPWJ AppROVAL*
USE OF HEAVY EQUIPMENT YES �/ NO
DRAWINGATTACHED YES �/ NO �
*NOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS OF ALL SUB-CONTRACTORS INVOLVED
SURETY BOND. Please see Item #1 of the
Conditions.
BONDING COMPANY: Liberty Mutual
BONDING NUMBER: 6oliissa7
EXPIRATION DATE: 03/03/2020
�As applicant far t' ight-af-Way Permit, 1 understand and agree to all af the specificatians
conditions listed on the attached sheet.
Paul Ahrendt
nt Nam
PERMIT 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)